Abstract
In Reply.— We agree with Dr Sneider and Ms Thompson that the health consequences of various levels of cost sharing are important. While the effects of cost sharing on spending could be seen clearly in data from the early years of the Rand Health Insurance Experiment, the research on the health consequences of cost sharing is based primarily on data collected at the end of the experiment. We expect to publish our results soon. In the Sneider-Thompson study, patients under FFS were less likely to return for follow-up cultures than patients in a prepaid group medical plan. The results in our article dealt with spending differences between patients with some or with no cost sharing, all of whom were in FFS. Still, it is plausible that people with free care in FFS might behave like the PHP patients studied by Dr Sneider. If so, it supports our conjecture that the
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