Correspondent of the Day: Private Insurers Fear Obama’s Health Plan

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Private Insurers Fear Obama's Health Plan
Editor, Times-Dispatch: To respond to a question posed by President Barack Obama during his Rose Garden press conference: "If private insurers say that the marketplace provides the best quality health care; if they tell us that they are offering a good deal, then why is it that the government, which they say can't run anything, suddenly [is] going to drive them out of business?"

If the federal health care plan (FHCP) rates are underpriced (as expected since the federal government will want to make the program as attractive to the marketplace as possible), then the federal government will be required to pass along some of the losses in the form of future tax increases, although the vast majority of the losses will be passed through as ongoing deficits (similar to how Medicare losses are currently recognized). Since the FHCP will not be able politically to pass along a sufficient rate increase in subsequent years to be self-supporting (as is required by the insurance companies to remain viable), more participants will continue to choose the FHCP, which will mean future tax increases will be needed to cover the losses and/or the federal deficits will be grossly accelerated (neither of which is an available option for the insurance companies).

The insurance companies in the interim will lose market share, have fewer people with whom to spread the risk and administrative expenses, and have to raise their premiums even more to cover past and expected future losses. It will not take the insurance companies long to realize that they are in a protracted death spiral from which they cannot possibly recover -- so they will decide pretty quickly to get out of the business altogether.

In three to five years, the FHCP will be the only viable plan option.

Gary S. Powers.
Midlothian.

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Flag Comment Posted by thetruth on July 07, 2009 at 10:34 am

We find not all out-of-touch clowns are in Congress.

New hope. Of all the proposals kicking around the Senate, one is looking pretty affordable and worthwhile. Last week the Congressional Budget Office scored the full proposed legislation from the Senate committee on Health, Education, Labor and Pensions (HELP) and it looks pretty good.

The HELP plan achieves near-universal coverage through a combination of regulation and subsidies. Insurance companies would be required to offer the same coverage to everyone, regardless of medical history; on the other side, everyone except the poor and near-poor would be obliged to buy insurance, with the aid of subsidies that would limit premiums as a share of income.  Employers would also have to chip in, with all firms employing more than 25 people required to offer their workers insurance or pay a penalty. That negates naysayers who say under reform employers will drop coverage for employees (as many now do).

Those who prefer not to buy insurance from the private sector would be able to choose a public plan instead. This brings some real competition to the health insurance market, which is currently a collection of local monopolies and cartels, all of whom have been caught stealing from us re: claim denials.

The budget office says that all this would cost $597 billion over the next decade. That doesn’t include the cost of insuring the poor and near-poor, whom HELP suggests covering via an expansion of Medicaid (which is outside the committee’s jurisdiction).
Add in the cost of this expansion, and we’re looking at between $1 trillion and $1.3 trillion, which is less than 4% of the $33 trillion the U.S. government predicts we’ll spend on health care over the next decade. That in turn means that much of the expense can be offset with straightforward cost-saving measures, like ending Medicare overpayments to private health insurers and reining in spending on medical procedures with no demonstrated health benefits.

R-Grassley won’t understand this, as after all, he is not aware John Deere is not hiring in Iowa. Hopefully, there are enough common sense Senators who are not in insurers back pocket and proceed.

Flag Comment Posted by Randy on July 07, 2009 at 10:04 am

High costs are comprised of a number of different elements. Illegals are a big part but not the only part. So, let’s go ahead and make a small number of tax payers subsidize EVERYONE’S government administered healthcare. This is going to go upside down really fast. Guess who is subsidizing the illegal population, taxpayers. Guess who’s going to have to subsidize a government administered plan? Taxpayers. Guess who’s gonna get jammed in the butt with cap & trade? Taxpayers.

How many taxpayers at what rate would be required to subsidize the health care of everyone who would use it? The illegals and the others who are currently uninsured?

As more and more people will be forced out of the workforce and onto the government dole, there will be fewer and fewer taxpayers to support all of this wrongheaded nonsense. The economy isn’t getting better and now you’re asking struggling taxpayers for more? That’s just plain stupid.

Flag Comment Posted by Question Govt on July 07, 2009 at 10:04 am

Compusa: I would be willing to accept your belief that we are well protected by FOIA as it is used by the media if there were not so much empirical evidence of media bias.

Not only do I not believe we can trust “government”, it is increasingly clear that one is also not able to trust most media outlets to be objective.

Flag Comment Posted by thetruth on July 07, 2009 at 9:54 am

To those with open minds…Notice some avoid the #1 major crisis facing our country, by trying to hoodwink their choir with…but, if this or that was happening to each and every other advanced democracy on earth who decades ago addressed their systems; they’d be in same shape as we.  Our issue of health care cost is not the issue of Canada, Mexico, Australia, Britain, Spain, Germany, France, Italy, Netherlands, Belgium, Austria, Japan, on & on.  Do we adapt precisely to anyone of those country’s system? No. However, if ever we’d put aside our arrogance in thinking “we have the best”, and study systems of others, maybe (?) we could learn.  Sadly, not once have we heard of any members of Congress who have during their many trips around the world, gone once on a study mission to learn how to better address our crisis. 

We did hear this week from one member.  R-Senator Chuck Grassley of Iowa who just took a “study” mission to a town hall meeting back home in Iowa.  When a citizen crushing under health care costs asked the Senator who is 100% opposed to a non-profit insurance option, “why can’t I get same insurance as you have?”, Grassley suggested he go work for John Deere (poor ole Grassley did not know Deere has been laying off Iowa workers, not hiring them).  Later Grassley said if you want same insurance as I have, go work for the federal government.  Say what?  Grassley suggests expansion of size of our government?  We thought GOP was all for reducing size of government?  Chuck suggests millions of Americans go to work for our federal government in order to get “affordable health care for all Americans”?  I knew we had some out-of-touch clowns in the Senate & House, but an Iowa Senator in office for 28 years so out-of-touch as to not know a major agriculture supplier is laying off workers and whose answer to affordable health care is “work for the federal government”?  That man who will be a big decider of any reform?  God help us, as we have too many insurer-bought Senators who will not.

Flag Comment Posted by jerry78linda on July 07, 2009 at 9:22 am

“Hospitals are required by The Emergency Medical Treatment and Labor Act (EMTALA) to provide emergency treatment to anyone in need, regardless of citizenship status”

We are already paying for “anyone” who is not covered by insurance.  Hospitals, doctors offices, clinics have overhead too, and if they supply services to people who can’t pay, they are going to get their money from somewhere.  That would be those who have insurance and those that can pay for services.  The high cost of health care is in an extreme need of REFORM.

We cannot continue at the rate we are going, costs rise annually.  This cannot be blamed solely on “illegals”.  They are part of it, but they are certainly not all of it.  And, they are not all from Mexico.

I cannot see squashing a desire to help all Americans get good health coverage that deserve it in order to stop the “illegals” from getting it.  News Flash, they are already getting your tax dollars on this subject.  If we have a plan in place there may be more control over it.

Flag Comment Posted by Randy on July 07, 2009 at 8:41 am

Is France providing “free” healthcare to an illegal alien population that is estimated at between 15 and 20 million people? If France had Mexico and the rest of Latin America on it’s border - things would be different.

Flag Comment Posted by thetruth on July 07, 2009 at 8:32 am

“What about a Walmart, grocery store, any business, and they suffer from theft or lawsuits or anything that has an overhead cost. Who pays for that overhead? We do. It is incorporated into the cost of the product we buy.”…..Poster got that right. 

Per AARP Jul/Aug:  Our nation’s 2009 health care cost tracking to hit $2.6 trillion (18%+ of GDP vs. 13.6% in 1998).  That is $8,300 per person and tracking to hit $13,000 per person in 2017, per our Congressional Budget Office. That is a 54% increase in but 8 years, meaning if our economy grows 3% per years (optimistic), in 8 yrs cost will eat 22% of our GDP.

Were are the more voices for health care reform?  More concern for our kids and grandkids?  All we hear is “NO to change of our best system on earth”.  Best?  Our $8,300 a year cost vs. $4,600 a year in France is best?  How about Y2017 when ours is $13,000 and based on past/current increases France is no more than $5,600 per person?

Who pays for the overhead? We all do, directly and indirectly. We are all in the same sinking boat.  Three choices: Jump overboard and seek residence elsewhere; help bail plug up the holes and bail out the water; sit idly by and sink.

Flag Comment Posted by jerry78linda on July 07, 2009 at 7:32 am

Good heavens Compusa, you finally said it all.  Well done.  People kept talking lawsuits and how the taxpayers paid the suits against the government.

What about a Walmart, grocery store, any business, and they suffer from theft or lawsuits or anything that has an overhead cost.  Who pays for that overhead?  We do.  It is incorporated into the cost of the product we buy.

No matter how you slice it, government or private or free enterprise, that dollar is coming out of our pocket.

I am fortunate to be able to afford the insurance I have through my employer and I can afford my part that the insurance does not cover.  But I consider myself in the minority because I feel the majority of Americans cannot, and these are the people who need help.

Not all of these people that need help are only Hispanics, there are a great many white Americans that are in need of better health care.  This picture is being painted as if we are only holding up those who don’t deserve it.  I just have to disagree with that concept.

Flag Comment Posted by compusa on July 06, 2009 at 10:01 pm

dogtown Posted “Compusa: I would not be too quick to assume that FOIA is a viable “watchdog mechanism” for the average person. If you make an FOIA request for information about any issue about which the governments is likely to have acted improperly, you’ll find that you will only receive heavily redacted copies which are for all intents and purposes nearly useless.“

The FOIA is more for the benefit of the News Media and watchdog organizations, although regular folks use it too.

What the FOIA means is there is a paper trail to the process, and what occurred.

The real watchdogs such as the press, or news media do not give the government agencies a free ride. One poster quoted a news story detailing a government failing. Thr agency involved, the people involved and the decisions made were bared for everyone to see - How often do you see that with a private company? How often do the failings of Big Business make the news?

Unless it is very large, or very criminal, much of it is hidden from public view.

One poster complains his tax dollars would pay for anyone losing a lawsuit against the government - well who pays for lawsuits won against private companies?

You, the taxpayer in the form of tax write-offs, in the form of higher prices, which government entities such as medicare and medicade also have to pay.

Just as it is said that “corporations don’t pay taxes, their customers do” the other side of the coin is that Corporations also don’t pay judgements - their customers do.

And the Government, IE- the taxpayer -  is the largest customer around for many of these corporations.

When a monopoly exists, or a near monopoly such as currently exists in the insurance and healthcare field, they are essentially the only game in town, so you play by their rules, and pay their prices. And because of the copyright exclusives, where the drug companies “own” the rights to drugs for sometimes upwards of seventy years, they control the market and therefore the price you pay - and with no competition to encourage reasonable prices, you pay what the market will bear - which is whatever these companies want to charge.

If any company has Insurance, hospitals and Pharmacuticals in their holdings, then essentially they own the market and you pay them what they want.

Flag Comment Posted by thetruth on July 06, 2009 at 7:39 pm

Some character who pontificates his expertise uttered, “We’re not Europe - we have significantly different circumstances to contend with such as a gigantic illegal alien population that would not pay into the system, but, would undoubtedly receive the benefits.”. 

Thought to all who will think (not to confuse the utterer), is not our “gigantic illegal alien population” thus as is, because recent 8-yr nitwit president did nothing to enforce better existing border security, including crackdown of illegals?  Why Junior Bush did nothing?  Cause his “base” of monetary supporters expect in return, cheap manual labor.

Then, the utterer utters, “illegal aliens would undoubtedly receive the benefits” (health care reform).  Surely the utterer knows there is no proposal, by Dems nor Reps of offering illegals any non-profit health care insurance, even if they paid for it or we paid for it?  Either the utterer feels some of us are fools and will believe that do-do or the utterer is full of his own do-do.  We trust it is the latter.

“What will be the ratio, in the United States, of people who pay into the system (taxpayers) versus the beneficiaries of the system? What is the comparative rate in Europe? “….asked by the “me-only” utterer.

In 1998 our national health care cost was 13.6% of our (we, as Americans) Gross Domestic Product (value of our, we, Americans, total output of goods and services).  Mere ten years later (Y2008) the beast consumed 17% of our GDP and heading toward 20%, 25% in most of our lifetimes.  Germany?  Y1998 was 10.6%; Y2008 was 10.6%.
HELLO.  Is the utterer living on a tiny island mentally sized for one, or is the utterer an American who desires living in a country with basic support of basic needs for all that best provides utmost benefit for our civilized society?

If such people of thought care not but themselves, why do they care not for the financial ruin of others’ children, many of whom will suffer because of people today who only think of “me-only”?  What will they answer, if upon arriving at Heaven’s gates, God asks, “what did you do for others that made your life worthwhile?”

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