FreeDuck wrote:
Public. Option.
Public option ONLY for broad risk that private insurance does not wish to cover. Not public option for anything and everything.
The benefit to you is in having your healthcare costs and the costs to insure yourself against them lowered. The benefit to you is in not having your choices, freedoms, and options taken away and/or your taxes significantly raised.
Quote:If it's risky to the insurance company then it's risky to the taxpayer. Reducing the risk is nice, but it doesn't change the fact that taxpayers are assuming risks that insurance companies won't.
Much better for the tax payer to take a highly selective risk as it does with flood insurance and earthquake insurance than to put the taxpayer at risk for all risk.
Quote:Because the federal government is assuming the high risk customers, the insurance companies are free to continue to profit by collecting premiums for policies that are not likely to be collected on.
I am pretty sure that it is the emergency room charge for an earache, the broken leg, the football concussion, obstetrics, quickly curable cancer treatments, the recoverable heart attack etc. that constitutes the lion's share of health insurance claims paid. I know that auto insurers and homeowner insurance insurers pay more in than premiums paid in most years and make up the difference by investing the premiums they collect. I'm pretty sure we could see the same phenomenon occurring with healthcare given the right environment. It certainly should be part of the debate.
It is absurd to think that removing catastrophic insurance risk from insurance policies would allow insurance companies to incur little or no risk at all.
Quote:Quote:In this case the government is providing only that which cannot be provided more efficiently, effectively, or economically by the private sector.
Health insurance is the same. The people with pre-existing conditions or who are self-employed, or any number of prohibitive reasons cannot be covered by private insurance. Therefore it is reasonable for the government to offer a public option for them. However, if the government (taxpayer) is assuming this risk that insurance companies will not, then I think it's reasonable that I should be allowed to throw my hat in the pool, as a lower risk customer, to help offset that risk. After all, I have an interest in maintaining the solvency of such a program.
If reforms are enacted something along the lines I have suggested, the pre-existing conditions would be addressed and the self-employed would be as able as anybody else to acquire basic healthcare coverage. A public option as it was first suggested would put the insurance companies out of business. What I suggest would not. Did you read that CATO piece I posted yesterday?
Quote:Doubtful it would change the current rates as the insurance companies don't now cover these people, so what would change for them?
I thought I explained that pretty well. At any rate your 'doubting it' does not make it something we shouldn't look at. Wouldn't you agree?
Quote:Quote:Again, the government would be doing only that which cannot be provided more efficiently effectively, or economically by the private sector.
In my opinion that applies to all health insurance. The private sector cannot provide health insurance (care) more efficiently than the government can, which is why private health insurance does not want to compete against a public option. If the government entered the health insurance market for the young, healthy, and able to pay (it's already in the health insurance market for everyone else) then surely your market forces would enforce your rule above. If the government option were not as efficient, effective, or economical as private insurance then they wouldn't get many customers, thus preventing them from "staying in business" in that market.
I believe private insurance can provide coverage for basic healthcare far more efficiently and effectively than government can if we didn't use any other basis to judge that on than what the government is already providing. The government hasn't managed social security well--it is broke and becoming more insolvent by the day. The government hasn't managed Medicare and Medicaid well--it is broke and becoming more costly and a drag on the economy every year that passes.
Who in their wildest dreams could believe that with a track record like that, the government will do better with the whole thing?
Quote:Quote: But a law allowing insurance companies to compete across state lines would add a factor of healthy competition that almost certainly would break up oppressive monopolies in some states and would almost certainly reduce rates.
I'm all for breaking up monopolies but it seems like that could be done without removing the power to regulate the insurance industry from the states and giving it to the feds. Some 30 years or so ago we did what you suggest with credit card companies. The effect was one of regulation by lowest common denominator and in the long run it hurt consumers and the economy.
I am not wanting to take the power to regulate away from the states. I am wanting a federal regulation, in the interest of promoting the general welfare, to remove an obstacle to free market structures. The Feds share such limited shared regulation with the state on many things including media, transportation, use of the airways, energy, and utilities. Enacting one free trade rule would not be taking over all the regulation from the state.
Maybe it couldn't be done. But it should receive a thorough hearing and it should be part of the debate.
Quote:What exactly does this mean "individually owned"? We can by individual policies now, it's just that no-one can afford them. We have COBRA now, but no-one can afford it. The whole reason why employer provided care is so prevalent is because individuals cannot afford to purchase it independently.
I am suggesting reform that would enable most people to be able to afford it. That's the whole purpose of reform isn't it? Or shouldn't it be? By individually owned, I mean every citizen or family would own their own insurance policy and it would be in effect regardless of who anybody worked for or whether anybody worked for somebody at all. They could move anywhere they wanted and would still be covered just as individually owned life insurance policies work. Not losing your insurance if you lose your job or change jobs would eliminate one of the huge problems in the existing system.
Again, did you read that CATO piece I posted?
Certainly this should receive a thorough hearing and should be part of the debate.
Quote:Quote:Add in the tort reform that all thinking people know is necessary, and a great deal of the broken system will be fixed without costing the taxpayer a dime.
What kinds of tort reforms?
Whatever is necessary to eliminate costs that arise out of unreasonable and unnecessary defensive medicine to avoid lawsuits, excessive malpractice insurance rates, class action suits that cost medical providers millions in legal fees and enrich attorneys but accomplish little or nothing in relief for the plaintiffs, etc.
This should receive a thorough hearing and it should be part of the debate.
____________________________________
I don't pretend to be smart enough to know how to fix the existing system, but I know that Americans have solved far more complicated problems than this one. I am smart enough to recognize what appears to be a reasonable solution and what would most likely put us on a steep slippery slope to unintended negative consequences.
All I ask is that the government not force something on the people that cannot be undone and that will be worse than what we currently have. It isn't too much to put it all out there in full view where it can be analyzed and thoroughly discussed with our elected leaders committed to doing the right thing rather than the politically expedient thing or the ideologically comfortable thing. It isn't too much to expect them to know what the people do and do not want.
It isn't too much to expect them to read the legislation they pass on our behalf.