General Discussion
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lagomorph777
(30,613 posts)Demsrule86
(71,537 posts)regulation similar to France or Switzerland evolving from the ACA and universal coverage.
lagomorph777
(30,613 posts)Yes, it would eliminate the fat cats at the top of those companies. I really don't care, do U?
Those people have skills that would transfer to many other areas of employment.
Many could work in the public sector replacement for it.
aocommunalpunch
(4,576 posts)RainCaster
(13,630 posts)See how they like being off the government dole. We have paid for them for long enough.
Autumn
(48,936 posts)Auggie
(33,101 posts)Deuxcents
(26,527 posts)But greed, insane bonuses n lack of paying for their customers health benefits have done them in.
Caliman73
(11,767 posts)Maybe, possibly theoretically, it may have made sense at one point, BUT, the incentive structure for the model has always been perverse.
The goal of insurance companies that are private, for profit, is to make money. While some may argue that, "You make money by providing good service to your customers" that is really not accurate. You make money by taking in premiums and minimizing, to the extent possible, payouts. YES, if you do a horrific, shitty job, you will lose all of your customers and then go bankrupt. HOWEVER, if you market well, bring brand recognition in, and do only a "so-so" job, human nature will reward you by keeping most people loyal.
Bottom line though, is you make money by taking money in, and paying less out than you take in. That means figuring out good ways not to pay out claims or paying out only a little in claims. Profit is in denial of service, not in service.
elevator
(415 posts)But, if some private Ins. Companies can exist by offering faster care, or a certain surgeon etc., why not let them operate(excuse the pun) for those that want to spend the extra dollars. As long as it has no detrimental effect on medicare.
dsc
(53,376 posts)this will only do so much. Insurance is maybe, 20% off the top. Hospitals are at last 100%. On edit, that 20% is wildly high since it is the entire non medical amount paid to insurance companies, some of which would have to be spend anyhow. I would bet the profit is maybe 5% or so.
I_UndergroundPanther
(13,364 posts)cant get here fast enough.We all deserve the same level of care senators get. No more tiered healthcare which is inherently wrong and and leads to the zero sum game and elitism.
PoindexterOglethorpe
(28,493 posts)company has its own set of paperwork, and they typically have to hire staff just to deal with the many different kinds of that paperwork.
If the claim forms could all be the same, that would be a start.
I hope that not too far down the road Medicare will be extended to everyone, possibly in increments over several years. Medicare covers certain basics, and many, maybe most people on it, have some kind of secondary plan of some kind. I have an Advantage plan and I'm very happy with it. But even those choices could be simplified.
roamer65
(37,896 posts)Single payor Medicare.
Deminpenn
(17,430 posts)The reason the US has a private health insurance industry is because there was a wage and price freeze during WWII. When employers couldn't offer higher wages, they offered more and better benefits like health insurance instead.
lindysalsagal
(22,890 posts)No one should profit from other's age and suffering. It's completely immoral and inexcusable and unsustainable.
The entire system needs to be re-designed.
MOMFUDSKI
(7,080 posts)They are getting worse by the day. I am on medicare advantage plan and they would send me a 90-day supply of syringes/test strips even if it meant I got some extra because they had to round up a box of either. Now, they give me CLOSE to the 90-day supply because they can't split boxes of syringes or test strips and refuse to, god forbid, send me even one extra test strip or syringe and tell me I can just refill SOONER. That is defeating the purpose of a 90-day supply. Now I get to make the phone calls to doc/pharmacy/mail-in pharmacy/, etc. MORE OFTEN. It is always a circus and very time consuming and maddening. All to be able to put that extra nickel in the CEOs' pockets. Those middlemen must be eliminated ASAP.
jalan48
(14,914 posts)gratuitous
(82,849 posts)As we're seeing with the Covid-19 vaccines, there are always people of means looking to jump the line, and folks willing to take their money to accommodate them. Cut the insurance companies out of their role as the gate-keeper of health care and move them to the role of a supplemental access point. Boutique medical clinics catering to those who can afford it will be the new growth industry. The rest of us can muddle along with the hospitals and clinics that want to provide health care.