Most people never experience a heart attack, so their entire exposure is to copays to see their doctor. The health insurance industry has done a remarkably poor job of educating people on the fact that it is selling protection against financial ruin, just like any other insurance product. We've allowed our products to become conflated with medical services and access to medical care... which I personally think is to our detriment. But that's just my opinion...
For an employer, it makes sense for employees to have a policy with low copays. You want your employees to seek medical case when needed so they stay healthy and productive. Since most Americans get insurance through their job, we have become used to policies with low copays.
An interesting side note is that it's widely believed in this country that copays are necessary to prevent overuse. But in places like the UK where there is no charge to the patient, they don't have an overuse problem.
The affordable care act mandates certain preventive care proceedures at no cost to the patient. From a public health perspective, this makes sense. The birth control mandate almost certainly saves more by lowering the rate of unwanted pregnancies than it costs to give away the contraceptives. Free vaccinations probably save money over the long haul and the other proceedures are at least cost effective.


