A close observer of the health care consumerism movement was somewhat surprised by the reaction to his bold prediction that a proposed elimination of health reimbursement arrangements (HRAs) from private health exchanges for most active employees would sabotage this model.

Greg Scandlen, an independent health care analyst based in Hagerstown, Md., who founded Consumers for Health Care Choices, noted in a recent blog that people he respects and admires were about evenly split on his premise – and equally spirited about their convictions.

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