55
   

AMERICAN CONSERVATISM IN 2008 AND BEYOND

 
 
maporsche
 
  1  
Reply Tue 29 Sep, 2009 10:04 pm
@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.

Quote:

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.

Quote:

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?

Quote:

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.
maporsche
 
  -1  
Reply Tue 29 Sep, 2009 10:06 pm
@FreeDuck,
FreeDuck wrote:

And anyway, that wasn't the claim made. The claim was that tort reform would decrease health insurance premiums.


And if I were as interested as arguing and proving a point to ican as all of you seem to be then I might care about that; as it stands, I'm interested in learning more about TORT reform and IF there is a benefit to considering it, and how much that benefit might be.

I don't give a flying **** what ican says; and I wish you wouldn't interpret my posts as somehow defending his or supporting his often insane positions.
Setanta
 
  1  
Reply Tue 29 Sep, 2009 10:48 pm
@maporsche,
Well, give that the rest of us have been arguing with Fox and Ican for days and days, and pages and pages about a claim on their part that tort reform would reduce health care insurance premiums, and that deriving from an attempt on their part to claim that the proposed health reform bill can't work as long as there is not tort reform, perhaps you can now understand why people react to your post as they do. You just said that premiums should go down. You didn't say the premiums for liability insurance for people benefiting from the tort reform, and so it is natural that others took it that you were referring to health insurance premiums, which has been the main point of contention--as i said, for days and days and pages and pages.
0 Replies
 
Diest TKO
 
  2  
Reply Tue 29 Sep, 2009 11:36 pm
@Foxfyre,
Foxfyre wrote:
I am not agreeing with you because I believe the writer was comparing tactics or strategies to capture the minds and allegiance of children and not the proponents of such strategies.

So then a comparison of Obama... I mean his strategies, and the strategies of... let's say... Mr Rogers would be just as reasonable, yes?

Why the selection of Hitler... I mean his strategies? Are you saying that the selection is not meant to draw a comparison in "reasonable" people's minds?

You're either dumb, or you think that we are dumb enough to believe you. This is classic reducto ad Hitler.

T
K
O
0 Replies
 
Foxfyre
 
  0  
Reply Wed 30 Sep, 2009 12:04 am
@maporsche,
maporsche wrote:

FreeDuck wrote:

And anyway, that wasn't the claim made. The claim was that tort reform would decrease health insurance premiums.


And if I were as interested as arguing and proving a point to ican as all of you seem to be then I might care about that; as it stands, I'm interested in learning more about TORT reform and IF there is a benefit to considering it, and how much that benefit might be.

I don't give a flying **** what ican says; and I wish you wouldn't interpret my posts as somehow defending his or supporting his often insane positions.


Of course the fact that Ican restated his position and effectively backed off that doesn't matter one whit to people who are determined to beat any point into the ground that they think 'gets' somebody. Such people aren't the least bit interested in actually having a discussion on the subject unless everybody agrees with them.

Ican may be wrong, even say things some people would consider crazy from time to time, but he at least articulates a rationale for his position, provides links to support his point of view as appropriate, and is interested in exploring a subject. He is not the least bit interested in 'getting' somebody and he and you share an interest in exploring a subject and learning from it.

I think you were a bit unfair with him and that is not characteristic of you.
Walter Hinteler
 
  1  
Reply Wed 30 Sep, 2009 01:04 am
@Foxfyre,
Foxfyre wrote:


Here is a good discussion I think--I don't know anything about the source or the author, and I didn't read all of it, but what I read does seem to parallel what I have been formally taught re 20th Century World History. Perhaps it is available in German also?
http://www.crossroad.to/text/articles/tnmfobe1196.html


You wont believe that, but I can talk to eye- and ear-witnesses as well as I can watch films and listen to audio tapes from that period and read original sources.

What I find surprising is that you don't refer to the 'Kaiserreich' where the emperior was 'hailed' a lot more [same, but less sources as above] ...
0 Replies
 
Walter Hinteler
 
  1  
Reply Wed 30 Sep, 2009 01:07 am
@Foxfyre,
Foxfyre wrote:
For the intellectually honest, the best way to dispute a comparison between Hitler and Obama while comparing strategies used in Nazi Germany and modern America is to explain that you are comparing strategies and not national leaders.


Well, then let's look at the time period from 1871 until 1918 in Germany ... Why, by the way, are we looking to German strategies?
0 Replies
 
cicerone imposter
 
  1  
Reply Wed 30 Sep, 2009 02:15 am
@maporsche,
The simple facts are that the insurance premiums in Texas did not benefit from tort reform.

Another fact is that the cost of malpractice suits do not make up enough of the total cost of health care to merit a great deal of effort when congress is trying to develop universal health care - where increasing efficiency and eliminating fraud would make a huge difference.
FreeDuck
 
  1  
Reply Wed 30 Sep, 2009 06:13 am
@maporsche,
maporsche wrote:

FreeDuck wrote:

And anyway, that wasn't the claim made. The claim was that tort reform would decrease health insurance premiums.


And if I were as interested as arguing and proving a point to ican as all of you seem to be then I might care about that; as it stands, I'm interested in learning more about TORT reform and IF there is a benefit to considering it, and how much that benefit might be.

I don't give a flying **** what ican says; and I wish you wouldn't interpret my posts as somehow defending his or supporting his often insane positions.

I believe I addressed your point as best it can be addressed without data. If you're not interested in arguing, you could respond to that instead of getting your back hairs up about ican. Perhaps you can find data where I could not.
FreeDuck
 
  3  
Reply Wed 30 Sep, 2009 06:21 am
@Foxfyre,
Foxfyre wrote:

Of course the fact that Ican restated his position and effectively backed off that doesn't matter one whit to people who are determined to beat any point into the ground that they think 'gets' somebody.

I missed when that happened. Can you point me to where. I certainly wouldn't want to beat a dead horse if ican has admitted that his contention has no merit.

0 Replies
 
maporsche
 
  1  
Reply Wed 30 Sep, 2009 06:44 am
@Foxfyre,
It wasn't what ican had said that caused me to put him on ignore; I can read peoples posts w/o having to agree with them.

Ican simply post the exact thing over and over and over and over andoverandoverandover. I was sick of seeing his spam. Maybe I'll indo that decision later, but not now; I'm enjoying these discussions more (except when people spend 3 pages arguing with someone when the only thing they are trying to do is get the other person to ADMIT defeat to everyone on this board. He posted something, it was proven false, and now because he won't ADMIT that he was wrong, they are determined to somehow make him)
0 Replies
 
maporsche
 
  1  
Reply Wed 30 Sep, 2009 06:48 am
@cicerone imposter,
cicerone imposter wrote:

The simple facts are that the insurance premiums in Texas did not benefit from tort reform.


I don't think thats been proven.

Sure, premiums didn't go down, but the cost if insurance didn't rise as fast as the rest of the nation; we do not yet know if a part of that has to do with TORT reform (I think it does).
maporsche
 
  1  
Reply Wed 30 Sep, 2009 06:50 am
@FreeDuck,
The numbers I'm using were from a source that was used a few pages back. I'm having Internet troubles at home so I'm having to use the iPhone to surf the web, so I won't be able to grab that source until I figure out my issues.
FreeDuck
 
  1  
Reply Wed 30 Sep, 2009 07:03 am
@maporsche,
I can point you to what I found last night, if you like. I think it's the source of what was posted a while back anyway.

Health Insurance Premiums For Employer Sponsored Family Plans Up 131% from 1999 (pdf)

State by state reports on employer sponsored family health insurance premium increases since 2000

Since the first study covers a longer period, I did a rough calculation of the national average increase since 2000 and came up with ~107%.
cicerone imposter
 
  2  
Reply Wed 30 Sep, 2009 07:11 am
@maporsche,
From the Washington Independent.
Quote:
Annual jury awards and legal settlements involving doctors amounts to “a drop in the bucket” in a country that spends $2.3 trillion annually on health care, Amitabh Chandra, another Harvard University economist, recently told Bloomberg News. Chandra estimated the cost of jury awards at about $12 per person in the U.S., or about $3.6 billion. Insurer WellPoint Inc. has also said that liability awards are not what’s driving premiums.
cicerone imposter
 
  2  
Reply Wed 30 Sep, 2009 07:15 am
@cicerone imposter,
From statesman.com.
Read what's really increasing health care costs; it's not tort.

Quote:
Health insurance premiums rose 91.6 percent in Texas

By Mary Ann Roser | Tuesday, September 15, 2009, 12:48 PM

A national report that was released today says family health insurance premiums in Texas increased 91.6 percent since 2000 " 4.6 times faster than earnings.

The report by the nonprofit consumer organization Families USA says the rise in health care premiums for workers went from $6,638 for the average Texas family to $12,721 a year, but folks often got less for their money rather than more, according to the report. At the same time, median earnings of Texas workers rose from $23,032 to $27,573, a 19.7 percent increase.

“Our conclusion is that rising health care costs threaten the financial well-being of families across the country,” said Ron Pollack, executive director of Families USA.

The report argues throughout for health care reform, and as Pollack said, if it doesn’t happen soon, more families will be priced out of the market.

In a report last year, Families USA said health insurance premiums grew 5.8 times faster than earnings in Texas. This year, however, the growth rate in Texas is below the national rate in which premiums grew 4.9 times faster than income between 2000 and 2009.

Even so, Pollack said he doubted “anyone in the state will be delighted” by the results this year.

The report cited four key reasons why premiums have risen so quickly:

* Increased spending on health care. The report says that nearly half of Americans have chronic conditions, with diabetes alone costing more than $174 billion annually.
* Lack of regulation of the insurance industry. Insurance companies can charge more, plus refuse coverage to people based on a variety of factors, including dropping or denying people because of illness, the report says.
* A lack of competition in the insurance market. The report says in some areas, too many companies have merged, leaving consumers with too little choice. The report claims health care reform will provide more options.
* The “hidden health tax,” in which people with insurance help cover the uninsured. Last year, the portion that insurance companies charged families in insurance premiums to cover people who did not have insurance was $1,017.

Pollack said he believes insured people would pay less to cover uninsured people under health care reform.
0 Replies
 
maporsche
 
  1  
Reply Wed 30 Sep, 2009 07:24 am
@FreeDuck,
Thanks. Has anyone posted the year that TORT reform too effect in Texas? Our analysis should begin that year.
cicerone imposter
 
  1  
Reply Wed 30 Sep, 2009 07:32 am
@FreeDuck,
According to your link, individual's share of insurance went up over 100%. Where's the savings for the consumer from tort reform?
maporsche
 
  1  
Reply Wed 30 Sep, 2009 07:47 am
@cicerone imposter,
cicerone imposter wrote:

According to your link, individual's share of insurance went up over 100%. Where's the savings for the consumer from tort reform?


Oh I don't know.....maybe TORT reform kept people's prices from rising 110%. Maybe that's where the savings is. I think it'd be valuable to try to figure that information out.

I guess it depends on if you're more interested in getting ican to admit his post was wrong, or if you want to maybe learn something.

Or I suppose you could have idealogical reasons for not even wanting to consider TORT reform; idealogy does shut off one's mind from other possibilities.
FreeDuck
 
  1  
Reply Wed 30 Sep, 2009 07:54 am
@maporsche,
Texas had three rounds of tort reform, to my understanding. One in 1995(?), one in 2003 (the big one) and then apparently another in 2005.
0 Replies
 
 

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