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scrapedape


Apr 2, 2012, 3:59 PM
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Re: [carabiner96] Why we need healthcare reform [In reply to]
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carabiner96 wrote:
cracklover wrote:
Toast_in_the_Machine wrote:
[image]http://images2.dailykos.com/i/user/6685/fusewomenhcr.preview.jpg[/image]

Are you trying to suggest that the market should not decide?

Clearly, if insurance is more expensive for women, that is because the insurance companies have determined that women have more health expenses (probably due to reproductive concerns).

Why should the government intervene to force men to pay more to offset the additional cost of women in the system?

You liberals, with your concepts of "fairness". Don't you understand that the market has the best solutions to everything, and, if degulated completely, will always solve the problems in the most efficient* manner.

GO

* The "most efficient manner" being defined as the manner that maximizes short term shareholder profit.
Whoa.

Whoa indeed. It's been a long time since I saw a tongue that firmly implanted in a cheek.


carabiner96


Apr 2, 2012, 4:13 PM
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Re: [scrapedape] Why we need healthcare reform [In reply to]
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scrapedape wrote:
carabiner96 wrote:
cracklover wrote:
Toast_in_the_Machine wrote:

Are you trying to suggest that the market should not decide?

Clearly, if insurance is more expensive for women, that is because the insurance companies have determined that women have more health expenses (probably due to reproductive concerns).

Why should the government intervene to force men to pay more to offset the additional cost of women in the system?

You liberals, with your concepts of "fairness". Don't you understand that the market has the best solutions to everything, and, if degulated completely, will always solve the problems in the most efficient* manner.

GO

* The "most efficient manner" being defined as the manner that maximizes short term shareholder profit.
Whoa.

Whoa indeed. It's been a long time since I saw a tongue that firmly implanted in a cheek.
DCT. I'm just that impressed with the execution.


petsfed


Apr 2, 2012, 7:21 PM
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Re: [rmsusa] Why we need healthcare reform [In reply to]
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"What's more important than avoiding extinction?" Well, if your options are make a profit unethically, or go extinct while staying ethical, that's a hell of a case for letting an organisation that doesn't need to turn a profit take over. That was my point.

To me, because of the shareholder issue, the corporation's ruling body consistently makes decisions to the detriment of their customers but to the benefit of their shareholders. It'd be one thing if they were taking my money and not sending me the desk-lamp I ordered. However, since its supposed to cover health care costs, I get to choose a ruined credit rating, or death when the company again chooses its stockholders over its customers.

I'm trying to emphasise that since the government doesn't have to turn a profit, it doesn't have to balance expenditure on the customers vs. overall profit. Yes, I'm not blind to how inefficient to the government actually is in a lot of respects. However, I'd rather an organisation that we can tune-up to effectiveness, rather than waiting for a conscience to grow in a board room (especially given that such a thing varies between counter-productive and illegal, depending on how vocal the shareholders are).


curt


Apr 2, 2012, 8:06 PM
Post #54 of 77 (1233 views)
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Re: [petsfed] Why we need healthcare reform [In reply to]
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It should be illegal for an insurance company to be publicly traded. Period.

Curt


degaine


Apr 3, 2012, 12:57 AM
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Re: [guangzhou] Why we need healthcare reform [In reply to]
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guangzhou wrote:
The cost of French health care, which for decades has been in a deficit, if roughly 10% of France's Gross National Income.

% of GDP is not the "cost" of something, it's the amount of national income that a given country chooses to spend on something.

10% of GDP is not the "cost of healthcare" in France. FYI, the US spends 17% of GDP on healthcare.

The relevant figure is the cost per capita of healthcare in a given country. The cost per capita for healthcare in the US is twice that of France and three times that of Japan - Germany is somewhere in between - and all three of these countries provide healthcare for their entire populations, while the US does not.


scrapedape


Apr 3, 2012, 4:56 AM
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Re: [curt] Why we need healthcare reform [In reply to]
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curt wrote:
It should be illegal for an insurance company to be publicly traded. Period.

Curt


pfffft, what do you know about publicly traded companies, anyway?


Partner cracklover


Apr 3, 2012, 8:04 AM
Post #57 of 77 (1187 views)
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Re: [carabiner96] Why we need healthcare reform [In reply to]
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carabiner96 wrote:
scrapedape wrote:
carabiner96 wrote:
cracklover wrote:
Toast_in_the_Machine wrote:
[image]http://images2.dailykos.com/i/user/6685/fusewomenhcr.preview.jpg[/image]

Are you trying to suggest that the market should not decide?

Clearly, if insurance is more expensive for women, that is because the insurance companies have determined that women have more health expenses (probably due to reproductive concerns).

Why should the government intervene to force men to pay more to offset the additional cost of women in the system?

You liberals, with your concepts of "fairness". Don't you understand that the market has the best solutions to everything, and, if degulated completely, will always solve the problems in the most efficient* manner.

GO

* The "most efficient manner" being defined as the manner that maximizes short term shareholder profit.
Whoa.

Whoa indeed. It's been a long time since I saw a tongue that firmly implanted in a cheek.
DCT. I'm just that impressed with the execution.

DCT =? Dream Come True?

Awe shucks.

GBlush


carabiner96


Apr 3, 2012, 9:41 AM
Post #58 of 77 (1174 views)
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Re: [cracklover] Why we need healthcare reform [In reply to]
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cracklover wrote:
carabiner96 wrote:
scrapedape wrote:
carabiner96 wrote:
cracklover wrote:
Toast_in_the_Machine wrote:
[image]http://images2.dailykos.com/i/user/6685/fusewomenhcr.preview.jpg[/image]

Are you trying to suggest that the market should not decide?

Clearly, if insurance is more expensive for women, that is because the insurance companies have determined that women have more health expenses (probably due to reproductive concerns).

Why should the government intervene to force men to pay more to offset the additional cost of women in the system?

You liberals, with your concepts of "fairness". Don't you understand that the market has the best solutions to everything, and, if degulated completely, will always solve the problems in the most efficient* manner.

GO

* The "most efficient manner" being defined as the manner that maximizes short term shareholder profit.
Whoa.

Whoa indeed. It's been a long time since I saw a tongue that firmly implanted in a cheek.
DCT. I'm just that impressed with the execution.

DCT =? Dream Come True?

Awe shucks.

GBlush
I wasn't sure whether to believe it or not, because there are some posters here that would post that in all seriousness. I had to rack my brain on whether or not I thought you were an asshole. I guess it came down on the not side Tongue


Partner cracklover


Apr 3, 2012, 10:31 AM
Post #59 of 77 (1166 views)
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Re: [carabiner96] Why we need healthcare reform [In reply to]
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carabiner96 wrote:
cracklover wrote:
carabiner96 wrote:
scrapedape wrote:
carabiner96 wrote:
cracklover wrote:
Toast_in_the_Machine wrote:
[image]http://images2.dailykos.com/i/user/6685/fusewomenhcr.preview.jpg[/image]

Are you trying to suggest that the market should not decide?

Clearly, if insurance is more expensive for women, that is because the insurance companies have determined that women have more health expenses (probably due to reproductive concerns).

Why should the government intervene to force men to pay more to offset the additional cost of women in the system?

You liberals, with your concepts of "fairness". Don't you understand that the market has the best solutions to everything, and, if degulated completely, will always solve the problems in the most efficient* manner.

GO

* The "most efficient manner" being defined as the manner that maximizes short term shareholder profit.
Whoa.

Whoa indeed. It's been a long time since I saw a tongue that firmly implanted in a cheek.
DCT. I'm just that impressed with the execution.

DCT =? Dream Come True?

Awe shucks.

GBlush
I wasn't sure whether to believe it or not, because there are some posters here that would post that in all seriousness. I had to rack my brain on whether or not I thought you were an asshole. I guess it came down on the not side Tongue

Ha! Although I may still be an asshole, just not the one you thought I was. In fact, isn't parroting the conservative talking points in a light that makes them seem out of touch and inhumane an assholeish thing to do? LOL.

BTW, I still don't know what DCT means. Unsure

GO


rmsusa


Apr 3, 2012, 11:08 AM
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Re: [petsfed] Why we need healthcare reform [In reply to]
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I hope you don't mind this. You seem like a really thoughtful person and the dialogue helps me to clarify my thoughts.

In reply to:
What's more important than avoiding extinction?" Well, if your options are make a profit unethically, or go extinct while staying ethical, that's a hell of a case for letting an organisation that doesn't need to turn a profit take over. That was my point.

I think that's a bit of a false duality. There are a lot more options than that! What's the whole "sustainability" thing about, anyway? Non-profit organizations aren't somehow inherently ethical. Our own government has done plenty of things that I'd consider unethical (involuntary sterilization, slavery, japanese internment, indefinite detention without charges, etc., etc., etc.)

That conflict of interest (management, shareholders, public), which you call the shareholder issue is inherent in human institutions of all kinds, government included. It's why we have a supreme court in government and why we regulate really important things like energy providers, water treatment and transport. Indeed, one of the hot topics during the past recession is government acting for the benefit of it's employees at the expense of the public (purse) which is a concrete example of the conflict. There are certainly plenty of examples on the corporate side as well.

So far, the structures we've put in place to keep from moving to extremes seem to be working somewhat. Let's don't forget that we've achieved an 85% or so insured rate from practically zero during the depression of the 1930's, which was my Dad's time. We're on a journey and seem to be moving in the right direction. I think the current debate demonstrates that.

No, government doesn't have to turn a profit, but it does have to operate the machinery and it has to generate the money to do so. It also has to resist the temptation to spend more than it can afford on the customers in order to stay in elected office. Government can just borrow more money to finance current expenses and kick the can down the road or print money and inflate its way out of debt. The private sector doesn't have that option.

The private company is subject to the control of the market as well as control by government. If you screw people more often than not, your customers will leave and you'll go out of business. If you borrow too much money and sales go down (as in a recession), you may not be able to make payments on the debt. That's called bankruptcy. Boom, you're dead! We have another layer of protection in government regulation so that things don't get too extreme. There are probably more safeguards against private company madness than against government madness. I'm not sure a private company could have given us Pol Pot, or Greece.

In reply to:
I'd rather an organisation that we can tune-up to effectiveness, rather than waiting for a conscience to grow in a board room (especially given that such a thing varies between counter-productive and illegal, depending on how vocal the shareholders are).

I suggest that it's easier to tune up a corporation for effectiveness than it is a government institution. Also, I'm really troubled by your characterization of conscience as being "between counter-productive and illegal". No such thing is the case in corporate governance. If you do a brief search on "CSR" or "Corporate Social Responsibility" you'll see thousands of CEO's of both public and private companies involved in thousands of projects to make themselves into more responsible members of society. This includes some of the health insurance companies so unpopular these days. Almost all of this is eagerly embraced by equity holders (and the rest of us, when we stop and think about it).


flesh


Apr 3, 2012, 11:39 AM
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Re: [rmsusa] Why we need healthcare reform [In reply to]
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I haven't seen anything in here that shows it's more practical to potentially lose billions or trillions over time by not testing on a smaller scale.

A larger test, assuming it works, may create better results, if it fails, it creates a monster. If a smaller test creates definitive results, even if they are small savings, would create a totally different foundation for debate. If this approach was used and it was created with the intention of being a state run program if it works, I am for it.

Some folks would move to that state, however, in a short term test, a few years, it would be minimal and likely could be controlled for. It wouldn't be difficult to track who moved into a particular state and had pre existing conditions compared to the number or % of people who moved there previously, controlling for normal population increses/decreases in the area.

We can't afford to make potentially giant financial mistakes in this country right now. Hope, isn't a good gameplan. If you build it, they will not come, unless you are lucky or in a hollywood film.


petsfed


Apr 3, 2012, 11:43 AM
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Re: [rmsusa] Why we need healthcare reform [In reply to]
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I was just ranting, but if something productive comes out of my ranting, then I don't think I can criticize that.

Make no mistake, I'm the son of a highway engineer, and I've been on the losing side of the government's version of the shareholder issue often enough that living in the same city for more than 5 years was an impossibility as a child. And my dad worked for a contractor, rather than the state itself.

What bothers me about our current economy is the consistent insistence that a business must grow faster than inflation or else its not successful. If a business does not do precisely that, the CEO running it may be forced out, even if everybody already owns all the refrigerators they can possibly buy, or every house is hooked up to the power grid, or every person is insured. The shareholders of a publically traded company have a right to call for such a thing. If a conscience causes you to lose money (or record growth that's "only" commensurate with inflation), its bad business at least in today's economic climate.

How do you show growth, much less substantial growth, in a saturated market? One way is to create a new market by selling new products (or splitting services off for an a la carte option, like Netflix tried to do), another is to raise costs, and a third is to cut services while keeping the price the same. Since the health insurance companies can't easily do the first without advances in other industries (or itemizing every bandaid), and they're pretty much at capacity as far as prices go, that leaves the third option, and I find that one especially distasteful. I find it distasteful because it tends to take the form of "that ovarian cancer you developed 10 years after signing on with us? Yeah, that's a pre-existing condition and we won't cover it" or "your condition costs us money to pay for (as per our contract with you) so we won't be renewing your plan next year".


(This post was edited by petsfed on Apr 3, 2012, 11:51 AM)


styndall


Apr 3, 2012, 12:00 PM
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Re: [flesh] Why we need healthcare reform [In reply to]
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flesh wrote:
I haven't seen anything in here that shows it's more practical to potentially lose billions or trillions over time by not testing on a smaller scale.

A larger test, assuming it works, may create better results, if it fails, it creates a monster. If a smaller test creates definitive results, even if they are small savings, would create a totally different foundation for debate. If this approach was used and it was created with the intention of being a state run program if it works, I am for it.

Some folks would move to that state, however, in a short term test, a few years, it would be minimal and likely could be controlled for. It wouldn't be difficult to track who moved into a particular state and had pre existing conditions compared to the number or % of people who moved there previously, controlling for normal population increses/decreases in the area.

We can't afford to make potentially giant financial mistakes in this country right now. Hope, isn't a good gameplan. If you build it, they will not come, unless you are lucky or in a hollywood film.

There are great big tests all over the planet and right here in the US. MA clearly hasn't collapsed into soviet-style totalitarianism, so most of the worst predictions of the anti-health care bill crowd are clearly false.

Also, you seem never to speak in actual specific terms. Maybe trying to think concretely would help you analyze situations?


squierbypetzl
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Apr 3, 2012, 12:19 PM
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styndall wrote:
There are great big tests all over the planet and right here in the US. MA clearly hasn't collapsed into soviet-style totalitarianism, so most of the worst predictions of the anti-health care bill crowd are clearly false.

I haven't read the law so I don't know exactly what its provisions are, but it seems to me that the Repubs are jealous that the Obama administration was the one to implement the plan on a national level. Romney isn't catching any flak and his state was a forerunner in the idea. They don't care about coherence or reason, they just don't want this administration to take the glory for what they perceive as "their" idea.

How embarrassing it would be for Romney if his party managed to get Obama care shot down, and by proxy have his own program extinguished...


curt


Apr 3, 2012, 4:20 PM
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styndall wrote:
flesh wrote:
I haven't seen anything in here that shows it's more practical to potentially lose billions or trillions over time by not testing on a smaller scale.

A larger test, assuming it works, may create better results, if it fails, it creates a monster. If a smaller test creates definitive results, even if they are small savings, would create a totally different foundation for debate. If this approach was used and it was created with the intention of being a state run program if it works, I am for it.

Some folks would move to that state, however, in a short term test, a few years, it would be minimal and likely could be controlled for. It wouldn't be difficult to track who moved into a particular state and had pre existing conditions compared to the number or % of people who moved there previously, controlling for normal population increses/decreases in the area.

We can't afford to make potentially giant financial mistakes in this country right now. Hope, isn't a good gameplan. If you build it, they will not come, unless you are lucky or in a hollywood film.

There are great big tests all over the planet and right here in the US. MA clearly hasn't collapsed into soviet-style totalitarianism, so most of the worst predictions of the anti-health care bill crowd are clearly false.

That's already been pointed out to him numerous times and he simply choses to ignore it.

Curt


rmsusa


Apr 9, 2012, 8:39 AM
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Re: [petsfed] Why we need healthcare reform [In reply to]
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Sort of busy, so I don't get here often. Thanks, so much for the discussion.

In reply to:
What bothers me about our current economy is the consistent insistence that a business must grow faster than inflation or else its not successful.

Think about it this way: If you don't grow your nominal dollar revenue as fast as inflation, you're making less real money every year. If you don't grow as fast as inflation plus population growth plus market growth, you're losing market share. Neither of those are symptoms of business health. Both end in eventual bankruptcy.

Most markets are very far from saturated here in the US, and that's even more true in developing countries. There are certainly exceptions, but the debate about healthcare we're having now is pretty much based on the premise that not everybody is served. That is, the market is FAR from saturated here in the US. When you look internationally, how much room for growth is there in places like the African continent where huge numbers of people die every year from simple bacterial causes. WAY far from saturaded.

It puzzles me that you're treating it as saturated. Can you tell me how you got to that conclusion?

Have you seen the Boston Consulting Group's famous analysis of how businesses characterize themselves and appropriate growth (or non-growth) paths to take? Michael Porter's strategic ruminations about differention and cost leadership are some fun things to read as well. There are lots of ways to effectively manage in a saturated market, but the market for medical insurance and medical care are both way far from saturated, so we shouldn't try to apply analytical techniques that assume saturation and expect to draw any meaningful conclusions.

Lots of very smart people have been thinkng about these things for a very long time. There are so many ways to grow that I certainly couldn't enumerate them all. Even a saturated market grows if the population grows. We may reach a point where everybody's connected to treated water and has sewer facilities, but still houses wear out and the pipes break down. People move into new areas. After that there's technological change, not to mention replacing the turquoise toilet with a more popular color. We don't make pipes out of the same stuff that we did in 1940 and valve technology has improved.

I don't think things are as cut & dried as they're often portrayed. I do think it's probably a mistake to list x ways a business can grow and think you've got all the bases covered. Human beings are endlessly creative.


petsfed


Apr 9, 2012, 10:00 AM
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Again, my criticism is specifically of the health insurance industry, who are victims of the "if your growth rate is nearly identical to the inflation rate, your business is unsuccessful" fallacy. Absolutely, if your growth rate is not at least the same as the inflation rate, you're losing money. I just don't see why a company has to grow that much above the inflation rate just to be successful.


scrapedape


Apr 9, 2012, 10:47 AM
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petsfed wrote:
Again, my criticism is specifically of the health insurance industry, who are victims of the "if your growth rate is nearly identical to the inflation rate, your business is unsuccessful" fallacy. Absolutely, if your growth rate is not at least the same as the inflation rate, you're losing money. I just don't see why a company has to grow that much above the inflation rate just to be successful.

Maybe because if they don't and a competitor does, then that competitor will end up buying them out?


petsfed


Apr 9, 2012, 11:01 AM
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And everybody agrees that the business decisions to prevent being bought out (or allow that business to buy somebody else out) takes precedent over providing the service customers have paid them to provide?


scrapedape


Apr 9, 2012, 11:45 AM
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petsfed wrote:
And everybody agrees that the business decisions to prevent being bought out (or allow that business to buy somebody else out) takes precedent over providing the service customers have paid them to provide?

My point was that if a firm doesn't grow, it will cease to exist, which is a pretty good definition of it being unsuccessful.

Failing to provide customers with services to which they are entitled is also a pretty good definition of being unsuccessful.

And therein lies the problem.


rmsusa


Apr 11, 2012, 10:25 AM
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In reply to:
my criticism is specifically of the health insurance industry, who are victims of the "if your growth rate is nearly identical to the inflation rate, your business is unsuccessful" fallacy.

Why do you call that a fallacy? Except for small, businesses that exist as job replacements for their owners, I think it's true. Inflation isn't the only thing you have to keep up with.

Seems to me that unless you grow at a rate bigger than what (inflation + population + market) is growing at, you're falling behind. The medical insurance market is growing quickly and will expand at crazy rates if the current legislation stands.

The computer and cell phone businesses are perfect examples of why you have to grow as fast as the market is growing. If you grow at inflation when the market is growing at 20 times inflation, you're irrelevant and either bankrupt or bought within months. 6 months ago you had 50% of the market, now you've got less than 5. Nobody considers you in purchase decisions anymore. You're dead.


petsfed


Apr 11, 2012, 11:57 AM
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True enough. Still, what sorts of innovations can we expect from the health insurance industry when they grow faster than their market? Should we not expect lower prices, and better coverage, when they grow at a pace similar to the growth of the market? Why do we instead see moves to limit the amount of coverage, to get rid of expensive customers? Surely, with millions of customers not using their coverage, the folks who develop cancer should be well covered, right? Doubly so since there will be more customers next year, each one dumping thousands of dollars into the coffers of the insurance companies.

Instead, they're acting like turning a massive profit is the only way they're keeping their heads above water. Frankly, if I have $1000 left over at the end of the month, after all of my expenses double, I'd say I don't need to cut my expenditures just to say afloat.

But maybe that's just me.


rmsusa


Apr 17, 2012, 12:12 PM
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petsfed wrote:
True enough. Still, what sorts of innovations can we expect from the health insurance industry when they grow faster than their market? Should we not expect lower prices, and better coverage, when they grow at a pace similar to the growth of the market? Why do we instead see moves to limit the amount of coverage, to get rid of expensive customers? Surely, with millions of customers not using their coverage, the folks who develop cancer should be well covered, right? Doubly so since there will be more customers next year, each one dumping thousands of dollars into the coffers of the insurance companies.

Instead, they're acting like turning a massive profit is the only way they're keeping their heads above water. Frankly, if I have $1000 left over at the end of the month, after all of my expenses double, I'd say I don't need to cut my expenditures just to say afloat.

But maybe that's just me.


Sorry. I'm in the middle of a big project and don't have much time.

Let's put this "massive profit" in the health insurance industry thing to rest.

From Forbes Most profitable industries ranking, 2008:
http://money.cnn.com/.../industries/profits/

1. Network and other Communications Equipment: 28.8% net margin

3. Pharmaceuticals - 28.8% net margin
4. Medical Products & Equipment: 15.8% net margin
...
9. Insurance Life, Health (stock): 10.2% net margin
......
28. Health Care: Insurance and Managed Care: 6.2% net margin
....
43. Health Care: Pharmacy and Other Services. 2.6% net margin.

Doesn't look to me like insurance companies are making "massive profits".

What's microsoft's net margin? 32.57%. Halliburton? 12.1%. How about Aetna? 5.88%, Cisco Systems? 15.61%. Cigna? 6.02%. Xcel Energy (a regulated industry)? 7.87% You can verify these numbers with a couple of minutes on smartmoney, schwab or any of the brokerage websites. It's all publicly available.

So where did this "massive profit" thing come from? Is it a false meme that's been repeated till it's believed? At single digit margins, you have to run just to stay in place. The industry doesn't look like it's all that profitable. From the numbers above, if anybody's making out in medical care, it's pharmaceuticals.

If we get everyone into the insurance pool, paying actuarially sound rates, we may get lower prices and better coverage. I can't say. Good growth affects revenue but doesn't have an automatic effect on margins, good or bad. It's easy to come up with either scenario for margins.

We're into an incredible mess now for a lot of reasons that I find too complex to sort out right now. Oh..... I personally got cancer and was well covered by my insurance company. Anybody who had a policy like mine, bought on the individual market, was covered the same way.

Where does all the emotion about insurance companies come from? Is it rational?


styndall


Apr 18, 2012, 6:34 AM
Post #74 of 77 (778 views)
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Registered: May 29, 2002
Posts: 2741

Re: [rmsusa] Why we need healthcare reform [In reply to]
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rmsusa wrote:
petsfed wrote:
True enough. Still, what sorts of innovations can we expect from the health insurance industry when they grow faster than their market? Should we not expect lower prices, and better coverage, when they grow at a pace similar to the growth of the market? Why do we instead see moves to limit the amount of coverage, to get rid of expensive customers? Surely, with millions of customers not using their coverage, the folks who develop cancer should be well covered, right? Doubly so since there will be more customers next year, each one dumping thousands of dollars into the coffers of the insurance companies.

Instead, they're acting like turning a massive profit is the only way they're keeping their heads above water. Frankly, if I have $1000 left over at the end of the month, after all of my expenses double, I'd say I don't need to cut my expenditures just to say afloat.

But maybe that's just me.


Sorry. I'm in the middle of a big project and don't have much time.

Let's put this "massive profit" in the health insurance industry thing to rest.

From Forbes Most profitable industries ranking, 2008:
http://money.cnn.com/.../industries/profits/

1. Network and other Communications Equipment: 28.8% net margin

3. Pharmaceuticals - 28.8% net margin
4. Medical Products & Equipment: 15.8% net margin
...
9. Insurance Life, Health (stock): 10.2% net margin
......
28. Health Care: Insurance and Managed Care: 6.2% net margin
....
43. Health Care: Pharmacy and Other Services. 2.6% net margin.

Doesn't look to me like insurance companies are making "massive profits".

What's microsoft's net margin? 32.57%. Halliburton? 12.1%. How about Aetna? 5.88%, Cisco Systems? 15.61%. Cigna? 6.02%. Xcel Energy (a regulated industry)? 7.87% You can verify these numbers with a couple of minutes on smartmoney, schwab or any of the brokerage websites. It's all publicly available.

So where did this "massive profit" thing come from? Is it a false meme that's been repeated till it's believed? At single digit margins, you have to run just to stay in place. The industry doesn't look like it's all that profitable. From the numbers above, if anybody's making out in medical care, it's pharmaceuticals.

If we get everyone into the insurance pool, paying actuarially sound rates, we may get lower prices and better coverage. I can't say. Good growth affects revenue but doesn't have an automatic effect on margins, good or bad. It's easy to come up with either scenario for margins.

We're into an incredible mess now for a lot of reasons that I find too complex to sort out right now. Oh..... I personally got cancer and was well covered by my insurance company. Anybody who had a policy like mine, bought on the individual market, was covered the same way.

Where does all the emotion about insurance companies come from? Is it rational?

This one is easy. Insurance companies are more profitable when they deny coverage more often. Their profits are directly tied to serious harm to their customers.


veganclimber


Apr 18, 2012, 8:03 AM
Post #75 of 77 (766 views)
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Registered: Mar 17, 2005
Posts: 2773

Re: [rmsusa] Why we need healthcare reform [In reply to]
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rmsusa wrote:
Where does all the emotion about insurance companies come from? Is it rational?

This is where it comes from:

http://www.huffingtonpost.com/...-rape-_n_328708.html

In reply to:
Christina Turner feared that she might have been sexually assaulted after two men slipped her a knockout drug. She thought she was taking proper precautions when her doctor prescribed a month's worth of anti-AIDS medicine.

Only later did she learn that she had made herself all but uninsurable.

Turner had let the men buy her drinks at a bar in Fort Lauderdale. The next thing she knew, she said, she was lying on a roadside with cuts and bruises that indicated she had been raped. She never developed an HIV infection. But months later, when she lost her health insurance and sought new coverage, she ran into a problem.

Turner, 45, who used to be a health insurance underwriter herself, said the insurance companies examined her health records. Even after she explained the assault, the insurers would not sell her a policy because the HIV medication raised too many health questions. They told her they might reconsider in three or more years if she could prove that she was still AIDS-free.

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