uponit7771
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Mon Aug-31-09 01:34 PM
Original message |
Wont Helath Ins Corps go bankrupt if they can't kick paying insured off their roles? |
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What would keep HCI's from going bankrupt if they can't kick people off their roles and has to accept preconditions other than raising premiums sky high?
Jus seems like if there's nothing for people to fall into (like pub option or NATIONWIDE title 36 GSE co-op) it doesn't make sense to reform anything and none of the main tenants of Obama's HC reform would get past.
Your thoughts?
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T Wolf
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Mon Aug-31-09 01:41 PM
Response to Original message |
1. They will not "kick them off" directly but rather, via denial of payment and increased co-pays and |
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Edited on Mon Aug-31-09 01:42 PM by T Wolf
increased premiums in subsequent years, effectively preclude people from coverage. There are always ways around anything, and the insurance companies are masters of that. Unless the law explicitly states that premiums and co-pays and denial of payment for services cannot be increased because of a pre-existing condition, etc., the corps will do that. Only by a straight-forward, single-payer, (medical) professionally standardized and enforced set of rules can true, universal health care be made available to Americans. Because it has been so badly presented and is so complex in its details, no real benefit will result from all this activity. But, maybe that is exactly what they wanted in the first place...
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DrToast
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Mon Aug-31-09 01:50 PM
Response to Reply #1 |
7. Except that can't do that |
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The house bill only allows for 2-1 price ratio based on community rating.
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T Wolf
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Mon Aug-31-09 02:24 PM
Response to Reply #7 |
13. What does that mean, in English? Maybe you do, but I have absolutely NO faith that there |
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will be real protections in place to prevent people from being priced out of the "market." The insurance corps are experts in manipulation of contracts and they have decades of experience.
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DrToast
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Mon Aug-31-09 02:31 PM
Response to Reply #13 |
16. What it means is that they can't just change the price of one persons policy |
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Basically you'll have to buckets: high risk and low risk. Insurance companies can assign people to buckets, but the price for each bucket is the same. And the high risk group can't be more than twice the cost of the low risk group.
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uponit7771
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Mon Aug-31-09 01:55 PM
Response to Reply #1 |
9. So they'll go bankrupt eventually instead of in less than 5 years...it just seems like with no... |
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....public fallback there wouldn't be any reform at all.
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ret5hd
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Mon Aug-31-09 01:42 PM
Response to Original message |
2. Those poor poor insurance co's with their 20%+ overhead and multi-mil exec salaries. |
uponit7771
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Mon Aug-31-09 01:50 PM
Response to Reply #2 |
6. They'll kick people off and they'll have to fall back on something, I'm shorting HCI's ... |
liberal N proud
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Mon Aug-31-09 01:45 PM
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3. They might have to trim those lobby dollars |
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What would the poor Congressmen do with out all that wine and dine from the health care companies?
It's all a trickle down system.
:sarcasm:
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uponit7771
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Mon Aug-31-09 01:49 PM
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4. Yeap, I'm more disappointed in dems who aren't calling out Blue Dogs on how much money they take |
LiberalFighter
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Mon Aug-31-09 01:57 PM
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11. It would be more than the lobby money being pared down. |
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How about executive salaries and benefits being reduced?
Lower shareholder dividends or otherwise.
Fewer representatives to deny claims. Fewer everything.
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Oregone
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Mon Aug-31-09 01:49 PM
Response to Original message |
5. Not at all. They just wouldn't have as high of profits |
uponit7771
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Mon Aug-31-09 01:52 PM
Response to Reply #5 |
8. Unnn, that'll be the same thing for the big boys...their stock price will tank because of revenue |
Orangepeel
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Mon Aug-31-09 01:56 PM
Response to Original message |
10. It works with large pools, like the federal government plan |
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Government employees choose from a bunch of private insurers (some of which might be nonprofit?), there are no pre-existing condition restrictions and everyone who chooses a particular policy pays the same for it, regardless of condition.
The employer (who is in this case, the government) subsidizes the premium, so it is relatively affordable for people even though it is high. So, healthy people take the coverage as well. If the pool of people is large enough, the insurance company can make money.
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uponit7771
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Mon Aug-31-09 02:09 PM
Response to Reply #10 |
12. But doesn't the government mandate the price for their pool of HCI's? |
Orangepeel
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Mon Aug-31-09 02:51 PM
Response to Reply #12 |
18. I don't know. If so, wouldn't that make it harder for them to make a profit? Yet they do. |
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I'm sure it isn't as large a profit as they make off of people not in the government pool, but it has to be enough to make it worth participating.
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uponit7771
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Mon Aug-31-09 03:26 PM
Response to Reply #18 |
20. No, they have the rest of the public to gouge instead of just government employees. |
Orangepeel
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Mon Aug-31-09 03:33 PM
Response to Reply #20 |
22. they aren't REQUIRED to participate in the government program. They can't be losing money on it |
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or they wouldn't participate. Of course, they surely aren't making near the amount money they make when gouging the rest of the public. But still, assuming they aren't losing money by participating in the government program (and, I maintain, they wouldn't participate if that were so), then they can still make a profit when they are required to take everyone and charge them all the same price, as long as the pool is large enough.
Along the way, I lost the point we are arguing about. Do you disagree with what I just said?
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RaleighNCDUer
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Mon Aug-31-09 02:26 PM
Response to Original message |
14. Well, they'd have to find other ways to meet their obligations then - |
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like dipping into the funds for their multi-million dollar ad campaigns (are they REALLY needed? do people often seek out health insurers based on ad campaigns, or do they just pick a plan offered by their employer?) or their multi-million dollar executive salaries.
Some CEO will have to struggle along on 15 million/yr instead of 75 million/yr. Poor baby.
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uponit7771
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Mon Aug-31-09 02:44 PM
Response to Reply #14 |
17. Yeap, but I don't trust the intelligence of the people running these organizations to do that |
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...and their stocks will get dropped like a hot rock too.
It's just without some fall back (PubOption, National NFP Co-Op) people will get dumped fairly quickly IMHO.
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leftofthedial
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Mon Aug-31-09 02:28 PM
Response to Original message |
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first for the latter to happen, and second for the former in short order.
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DuaneBidoux
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Mon Aug-31-09 03:04 PM
Response to Original message |
19. Insurance is simply a pooling of risk. Having everyone in the pool makes it affordable for all. |
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Although slightly more expensive for those who are healthy. Right now the sick are not kicked out to lower premiums on others but to inflate the profits of sharehholders.
One reason that single payer in other countries works so well is that every single person is brought into the pool. All the really sick people have their costs distributed over everyone in the country. This is, inherently, what insurance should always do.
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uponit7771
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Mon Aug-31-09 03:29 PM
Response to Reply #19 |
21. Wont the profits of the shareholders still come first? My point is if we don't pass reform without a |
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...good fallback for those who'll be kicked of insurance roles we might as well not pass HCR at all.
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DrToast
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Mon Aug-31-09 03:46 PM
Response to Reply #21 |
23. People won't be able to be kicked off insurance roles. n/t |
uponit7771
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Mon Aug-31-09 03:49 PM
Response to Reply #23 |
24. Sry, not get kicked off by premiums raised so much people can't afford them |
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Edited on Mon Aug-31-09 03:49 PM by uponit7771
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DuaneBidoux
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Mon Aug-31-09 06:44 PM
Response to Reply #21 |
25. You are of course right. |
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My take is that when an individual applies for insurance and can't get it privately then the public option must get a regular payment from that company for this individual.
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Mon May 06th 2024, 03:28 AM
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