Across the country, student health centers are showing signs of financial bloat and costly mission creep. Funded by both hefty campus health fees and payments from students’ insurers, university health centers spend their extra cash on boutique services and progressive programs.
In universities’ early days, the campus infirmary was simple. As a primary care practice on campus, it was a convenience for students who caught the flu or a cold at school. The infirmary’s services were available to insured and uninsured alike. Now, however, all students must carry health insurance. Many schools, including the 16 campuses of the University of North Carolina system, put in place an “individual mandate” years before the Affordable Care Act. With the Act’s passage, all students must be insured.
And they are–often with “Gold” plans that cover everything from maternity care, to prescription drugs, to substance abuse counseling. If they use the student health center, students’ co-pays are waived. But at many schools, they pay through the nose for the privilege. Saving $25 in co-pays hardly seems to justify paying health fees ranging from $50 to nearly $1,000.
Harvard and Stanford are two of the worst offenders. At Harvard, the student health fee is $958.00. Health insurance, which students must also purchase, is $2,190. At Stanford, the fee is a more modest $573 for the 2014-15 academic year. But the student health insurance plan costs a whopping $3,936 per student!