@Setanta,
Setanta wrote:
Quote:And if it did have an effect, it would be accurate to say that TORT reform helped to drive down premiums.
There is no evidence that health insurance premiums went down in Texas, and that directly from the source which
Ican cited and linked.
That's not what I posted. I understand that premiums went up (91% in Texas if I recall correctly). But I also understand that they went up LESS than the national average. It is possible that TORT reform had HELPED in keeping costs from increasing in Texas as much as they did nationwide, isn't it?
I also understand that this isn't what Ican claimed (based on your responses to him, I do not read his posts and he is on my ignore list), but I'm not supporting Ican, I'm inquiring about this on my own, which should not be confused as supporting his positions.
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Apparently, after asking me why it would not reduce health insurance premiums, and my having responded in detail, one of several things happened. Most likely, you simply didn't bother to read that.
I did miss your post, my apologies, I'll find it.
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I say that out of a charitable impulse....
I'm not certain what your intentions were in posting this paragraph.
Quote:In simplistic terms, health insurance premiums are governed by the negotiated fee schedules between the insurer and the service provider, and have absolutely nothing to do with the costs the service provider incurs. The insurers set their highest acceptable negotiated fee (which they hope to dramatically undercut) based on their actuarial tables (which tell them who is most likely to get sick, how sick they are likely to get, and what things cost in the region for which they are negotiating) and their own company's payment histories.
Wouldn't the key thing here be your point about "what things cost in the region"? If Texas doctors have a lower cost (which they do), they can stay in business if the insurer sets a lower negotiated fee.
The insurer obviously has an interest in keeping doctors in business, don't they?
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But more important than any of this, there is a little lesson in basic capitalism which i am surprised and dismayed to learn must be given you, just as it was given to Ican. However, i have more confidence that you will understand, that it will sink in with you. When a supplier's costs rise, he or she is very likely to pass on the cost to the customer, so long as competition isn't too cut-throat. When costs drop, the supplier is likely just to pocket the difference. This is capitalist bottom line 101 stuff here. If you really expect people to pass on their savings to you when there is no market pressure to do so, i suggest a little concrete experiment for you, and i'll clean up the language. Why don't you spit in one hand, and wish in the other, and see which one fills up first.
Ignoring the unneeded condescension in your post; I do understand economics. And I will freely admit (and have) that there is not enough competition in the insurer industry, nor can consumers truly make a choice between insurers. There are ways to address this, none of which congress seems to be too interested in.
What I also understand, and this is from my experience managing a department at a major banking institution, is that while I agree that if my costs suddenly go down and I make more profit I'm not going to immediately cut costs to consumers (unless of course, the competition does, or I think I can increase market share by doing so). But when my expenses go up, I also have some room in the budget BEFORE I need to raise costs on my customers (and risk losing them). This is what I think is possibly happening in Texas, and could be ONE of the reasons why their costs didn't increase as much as the rest of the nation.