Rod Kaufman said:
http://www.cnn.com/2009/POLITICS/09/09/obama.speech/index.html
I liked his proposal on a market place interchange for healthcare insurance, quite innovative and ought to appeal to both Republicans and Democrats.
Hi Rod
A marketplace interchange-- How exactly would that be different than looking under "Insurance" in the yellow pages, which anyone can do nowadays? Hmm, what about letting folks buy health insurance across state lines, over the internet?
About the only thing I agree is about pre-existing conditions. That itself would drive up the price of insurance rather drastically, but seems necessary in some form.
The idea of imposing minimum requirements on insurance policies, will drive prices sky-high. Much worse than simply negating pre-existing conditions. Every required test and checkup will ding up the minimum practical premium prices. If the insurance company is REQUIRED to pay for routine checkups or routine colonoscopies, then they have to charge for it so they can pay it back to the customers. All the extra required coverage is what drives up your insurance costs in CA.
I wonder if the psychological factor of folks who want really elaborate insurance, is that a lot of folks expect insurance ought to pay back more than they expect to pay in premiums? Not everybody can get higher benefits than they pay for. For each person who gets more insurance than he paid for, other folks must pay more premiums than benefits. Thats just how insurance works and otherwise it ain't gonna be solvent.
In fact, since the majority of health expense is incurred by only about 5 or 10 percent of really sick folks, more than 9 out of 10 folks must pay more than they receive or it ain't gonna be solvent. So a marvelous wonderful insurance policy that pays a healthy guy's routine healthcare for a few thousand a year, and also can afford to pay for all the seriously ill-- Dang the healthy guy is gonna get a heck of an insurance bill.
Another way to look at it-- Currently healthcare is 1/6 of the economy. The economy (gross domestic product) is roughly equivalent to everybody's aggregate income. Various aspects are measured with slightly different rules, but aggregate income is roughly equivalent to GDP.
Divide aggregate income by number of folks and the current Average Salary is about $50,000 (check CIA Fact Book). Some folks make billions and others make nothing, and it averages to $50,000.
So if the healthcare is 1/6 of the economy, in order to pay his 'fair share', each guy needs to pay 0.167 * salary. The average guy with the $50,000 salary has a 'fair share' medical obligation of $8,333 per year. Even if that guy never goes to the doctor that year.
If you make $100,000, your fair share is $16,667 per year.
If you make insurance companies pay for more stuff, folks will get more of that 'free' stuff, and eventually the healthcare will grow to become 1/5 of the economy, then 1/4, then 1/3, etc.
The above apply regardless if individuals pay, or government pays (after taxing you for the money), or employers pay (by under-paying employees in order to pay the insurance). Regardless of who writes the check to the doctor, it ultimately comes out of your own pocket.