Health Care Reform Or Welfare Program - - - Who Pays The Bill?

Health Care Reform Or Welfare Program - - - Who Pays The Bill?

The Light Diggings has released further of its health care reform clarification emails - - - there will be more. It seems strange to me that the focus is on insurance coverage fairly than on the spiraling costs of health care itself.
Frankly, the drafters of the insurance reforms have little, if any, understanding of insurance, risk assessment, or underwriting - - - and nary a clue about running a business. But why should they care? This is Robin Hood politics, not business. Why do we perdure to re - elect them is a far better matter.
Incidentally, I am not a health insurance salesman or healthcare crackerjack - - - just a payer of far too much in small - group insurance premiums in black beast of a nutty - high deductible!
Insurance is neither a cost of acceptance healthcare services nor an assessment associated with those services. Insurance is an agreement in which a private company agrees to pay part of someone further ' s medical expenses in exchange for premiums it collects in advance from all of its insureds.
If President Obama owned the New World Order Health Insurance Company, he would not be willing to clinch an applicant with brain cancer nor would he be enthusiastic to pay an unlimited season benefit to all insureds - - - not without a premium that reflects the risks to his personal bank account.
Theoretically, insurance companies collect enough in premiums to operate profitably while paying all the claims they have agreed to pay below contracts with the individuals and groups that they set out. If we add more risk, the insurance company has no choice but to increase premiums.
The persons who own the insurance companies ( you and me, comrade ) expect them to operate profitably. The companies employ thousands of actuaries, healthcare industry rate analysts, claims adjusters, fraud inspectors, service personnel, underwriters, risk assessors, etc. to guard that this happens.
Insurance companies protect us by standing ready to pay " covered " expenses over and senior whatever deductions, exclusions, and limitations are agreed upon in advance. There is a operable legal contract between the parties - - - financial disasters are avoided if we get really sick.
Within the terms of their agreements, insurance companies dispose who is insurable, and at what premium. Their job is to pay covered medical expenses - - - and they have a vested bag in keeping medical expenses as low as possible. But do they really?
Just as the financial mistake was partially caused by business conflicts of significance so too are there antipodean interests in the insurance - healthcare - drug - medical supply industries. These conflicts reduce the natural desire to control the costs of all healthcare services.
We can control the industry to eliminate the conflicts of leisure activity. We can ( and should ) police the boardrooms of insurance companies to eliminate " abuse of shareholders " through excessive stipend packages.
Perhaps we should lack health care insurers to be " returned " companies, or perhaps " network " doctors should not be allowed to bill patients for amounts considerable what the insurance actually pays. Feasibly the annual deductible could be dealt with differently without increasing premiums.
We can tax for - profit hospitals higher to reassure more non - profit care facilities; we can keep doctors, insurance and drug companies from owning hospitals; we can cap jury awards for medical malpractice or error, and we can give tax relief to medical practitioners who give free health services to the necessitous and uninsurable.
But the government ' s efforts to redefine insurance are counter - way out. As cold as it may virtuous, if we make insurance companies cover pre - existing superability tumors, the market price is coming out of your reap in the mode of higher insurance premiums or higher taxes - - - and it ' s likely that the healthiest among us will be the ones paying the further taxes.
The Gray Den list of reforms, every one of them, would increase insurance company costs and our premiums while doing duck egg to reduce the price of the medical services we receive. They only sound good to those who do not identify with insurance.
Insurance is designed to pay the bills - - - reforms need to make the bills smaller for everyone. Does this plan cut any costs, or just increase insurance premiums for those who will still be able to pay them?
Group health ( and even dental ) insurance is a benefit used by many employers to allure and retain employees. I ' ve heard rumors that the reform plan will tax employers who don ' t present insurance and tax those employees who receive the benefits. True or not, neither approach helps the economy or reduces health care expenses - - - both uplift taxes for everyone.
Insurance can only be made more affordable by reducing the costs of the healthcare that is provided. Let ' s focus on streamlined record keeping, controlling ambulance chasers, jury awards, drug company advertising, an swarm of lobbyists, and industry conflicts of concern.
We should also make all government employees, from the top down, dance to the equivalent tune as the rest of us - - - that ' ll do away with the tax on benefits. Then, next chance you get, do away with an tied.