In his op-ed, Carroll takes his argument in a political direction, pointing out the contradictions in newfound Republican complaints about high deductibles in “Obamacare” plans—it was conservative think tanks, after all, that pushed these plans for years as a solution to the cost conundrum. Undoubtedly, reporters will track the politics of the Great Cost Shift as it surfaces as an election issue for the 2014 midterms.

But the more challenging and arguably more relevant story is how consumers who bear the burden of the shift respond—and how their responses affect both their health and the healthcare system. Will spending go down? Will there be side effects? Is this another form of rationing care by price? And is that the choice the public prefers? There’s plenty to explore here.

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Trudy Lieberman is a fellow at the Center for Advancing Health and a longtime contributing editor to the Columbia Journalism Review. She is the lead writer for The Second Opinion, CJR’s healthcare desk, which is part of our United States Project on the coverage of politics and policy. Follow her on Twitter @Trudy_Lieberman.