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For the past decade or longer, health care leaders and benefits professionals have been talking about consumerism. Photo: Getty Images

Almost one-quarter of Americans with employer-sponsored health care are now in high-deductible health plans, and we know that hundreds of thousands of people securing coverage through the exchanges are as well. According the Kaiser Family Foundation, the average annual out-of-pocket costs per patient rose almost 230 percent between 2006 and 2015. With the Trump administration committed to a policy of promoting HSAs and greater price transparency, there is no doubt health care “consumerism” is here to stay. But was it ever really here to begin with?

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