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Ending Employer-Based Health Insurance Is a Good Idea
Reason Online ^ | October 16, 2007 | ald Bailey

Posted on 10/17/2007 10:34:27 PM PDT by Lorianne

"The U.S. employer-based health-insurance system is failing," declares a new report by the Committee for Economic Development (CED). The CED is a Washington, D.C.-based policy think tank comprised of business and education leaders. And it is right: Employer-based health-insurance is indeed failing.

Between 2000 and 2007, the percentage of firms offering health insurance benefits fell from 69 percent to 60 percent. The percentage of people under age 65 with employer provided insurance dropped by 68 to 63 percent. In absolute numbers, those covered by job-based insurance fell from 179.4 million to 177.2 million.

Employers are jettisoning health insurance because costs are out of control. Since 2001, premiums for family coverage have increased 78 percent, while wages have gone up 19 percent and inflation is up 17 percent. The consequence is that health insurance is the number one domestic policy issue in the 2008 presidential race.

So what is the CED's prescription for our ailing health insurance system? The report promisingly begins by recommending the creation of "a system of market-based universal health insurance." In order to achieve this, the CED would make health insurance mandatory for every American.

The CED proposal envisions the creation of independent regional exchanges that would act as a single point of entry for each individual to choose among competing private health plans. The exchanges would set minimum benefit plans. The exchanges would also cut through the thickets of state health insurance regulations that add substantially to the costs of insurance. Individuals could purchase insurance above and beyond the minimum benefit plans with after tax dollars.

(Excerpt) Read more at reason.com ...


TOPICS: Business/Economy; Government
KEYWORDS: benefits; healthcare; healthinsurance; socializedhealthcare; socializedmedicine; workplace
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To: durasell
Just reading an peculiar ad right now.

“I ran a mile today. I didn’t think I could, but my HEALTH COACH did”

“Humana’s health coach work with you...”


Health coach? The State is farming out big brother. “Winston Smith, a few more push ups please!”

41 posted on 10/18/2007 12:28:15 AM PDT by endthematrix (He was shouting 'Allah!' but I didn't hear that. It just sounded like a lot of crap to me.)
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To: durasell
Concierge medicine is more like $3,000 a month.

St. Louis Magazine
"Although prices here vary, they generally fall in the range of $1,000 to $1,600 per person per year."

"Fox, who converted to what he calls patient-supported practice in 2004, requires all members of a nuclear family to become his patients. His fees range from $180 annually for a child and $240 for a baby or toddler up to as much as $1,020 a year for those over age 65. He cares for about 10 percent of his patients at a reduced rate or no charge."

42 posted on 10/18/2007 12:29:40 AM PDT by the808bass
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To: the808bass

The last time I was in the ER there were a lot of morons there with ailments that should have been treated in a doctor’s office. My rule of thumb is very simple: If it ain’t bleeding, broke, or on the outside when it should be on the inside, then don’t go to the ER.


43 posted on 10/18/2007 12:29:58 AM PDT by durasell (!)
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To: the808bass

That’s the very, very low end and not quite what defines it.

Here’s a story on concierge.
http://physiciansnews.com/business/204.kalogredis.html


44 posted on 10/18/2007 12:32:05 AM PDT by durasell (!)
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To: DoughtyOne

What does your wife pay? She’s the employee.

That premium does seem high. How much is individual ins for you?


45 posted on 10/18/2007 12:34:02 AM PDT by endthematrix (He was shouting 'Allah!' but I didn't hear that. It just sounded like a lot of crap to me.)
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To: durasell
That’s the very, very low end and not quite what defines it.

It is what is defining it here in St. Louis. These are not "low-end" doctors. The Doctors listed in this article are thriving. They have been joined by probably 6 more in just the last 6 months in a relatively small area of St. Louis. No, it is not the "spalike" offices of M2D ($20,000/yr). It is a regular doctor's office with 1/3 to 1/4 the volume of patients seen.

46 posted on 10/18/2007 12:35:56 AM PDT by the808bass
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To: Lorianne
The false premise is that one must have insurance.
Any supposed system that is based upon the need for insurance is sure to ensconce, increase, and perpetuate the huge profit margins currently enjoyed by the insurance and health industry.
47 posted on 10/18/2007 12:38:09 AM PDT by roamer_1 (Vote for FrudyMcRomson -Turn red states purple in 08!)
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To: endthematrix

All rates every two weeks:

$ 27.92 Cancer+
$ 05.66 Medical*
$ 01.78 Vision*

* Pre Tax
+ an option I chose to add


48 posted on 10/18/2007 12:38:33 AM PDT by DoughtyOne (Hillary has pay fever. There she goes now... "Ha Hsu, ha hsu, haaaa hsu, ha hsu...")
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To: DoughtyOne

Then its not so bad for both.


49 posted on 10/18/2007 12:40:54 AM PDT by endthematrix (He was shouting 'Allah!' but I didn't hear that. It just sounded like a lot of crap to me.)
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To: the808bass

Then the definition is changing.


50 posted on 10/18/2007 12:41:03 AM PDT by durasell (!)
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To: Lorianne

Wow. The Romney virus is running wild, even on FR.

Could be fatal to our free republic.


51 posted on 10/18/2007 12:41:08 AM PDT by EternalVigilance
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To: roamer_1
Any supposed system that is based upon the need for insurance is sure to ensconce, increase, and perpetuate the huge profit margins currently enjoyed by the insurance and health industry

I would imagine that the health insurance profit margins are relatively low compared to the rest of the economy. 5.5% is not the holy grail of capitalist profit margins.

52 posted on 10/18/2007 12:42:26 AM PDT by the808bass
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To: durasell
Then the definition is changing.

I don't think so. Upon reading your article, the characteristics listed by your article can all be found in varying degrees (some house calls, email and phone availability at all times, spa-like decor and some spa services available, etc) in the practices listed in the St. Louis Magazine article. And for $2000-2200/yr.

53 posted on 10/18/2007 12:45:30 AM PDT by the808bass
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To: roamer_1
...huge profit margins currently enjoyed by the insurance and health industry.

Huge profits by the health industry?  Please rethink that one.  Try to think of a garage where you take your car in for serious repairs, and YOU TELL the mechanic what you will pay and he still has to do the work.  That is what is taking place in the health industry today.

The federal and state governments as well as the insurance industry dictate what the hospitals will be paid.  On top of that, indigents who present themselves to the emergency rooms have to be served, and nobody will pay for varying degrees of what their services cost to provide.

It is seriously grating to see that health insurance companies post tens of billions in profits each year, knowing that they don't provide one single aspirin, one band-aide or take out one splinter for the money.

Hospitals provide this service, and insurance companies siphon off hundreds of billions of dollars without providing any direct service at all.  Hospitals go belly up, while insurance companies continue to post large profits.

Take a long look at your local hospital and wonder what you're going to do when they are gone.  What will you do when half as many physicians are licensed?  That is the goal of any socialized program.  And that's where we are headed.  And it's not the provider's fault.

54 posted on 10/18/2007 12:47:46 AM PDT by DoughtyOne (Hillary has pay fever. There she goes now... "Ha Hsu, ha hsu, haaaa hsu, ha hsu...")
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To: endthematrix

Well, that’s through my employer. It doesn’t cover my wife and I. She has her own set of costs to cover her through her own employer’s plan. I don’t have those figures in front of me right now. They are comparable, perhaps a bit higher.


55 posted on 10/18/2007 12:48:55 AM PDT by DoughtyOne (Hillary has pay fever. There she goes now... "Ha Hsu, ha hsu, haaaa hsu, ha hsu...")
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To: the808bass
I would imagine that the health insurance profit margins are relatively low compared to the rest of the economy. 5.5% is not the holy grail of capitalist profit margins.

I have not really looked at insurance market profits in the last few years, but they were running 80% margins during the last major hurricanes in FLA. I remember the figure because it really baked me that with a margin like that, they weaseled out of payment, asking the gvt to cover them or they would go bankrupt.

Even if I accept a 5.5% margin, surely there is a reason why all the health facilities are owned by insurance companies and pharmaceuticals.

56 posted on 10/18/2007 12:50:25 AM PDT by roamer_1 (Vote for FrudyMcRomson -Turn red states purple in 08!)
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To: the808bass

Dang! I know a guy paying close to $40k a year here in NYC.


57 posted on 10/18/2007 12:55:18 AM PDT by durasell (!)
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To: DoughtyOne

I’m misunderstanding you. I thought you needed insurance. It’s cheaper to stay on your plan. That’s cheap.


58 posted on 10/18/2007 12:57:07 AM PDT by endthematrix (He was shouting 'Allah!' but I didn't hear that. It just sounded like a lot of crap to me.)
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To: DoughtyOne
Huge profits by the health industry?

See my #52. It is my position that the insurance and pharm companies own the hospitals in order to set their own prices. large cost of health care is what is driving insurance up. Meanwhile the insurance company is free to adjust it's bottom line by claiming write off out of it's hospital holdings.

It is insurance that keeps the cost up- It is never cheaper for someone else to pay your bills for you. The illusion of great cost is what props up the insurance health, and pharmaceutical industries.

Remove the insurance and the prices will fall in line by supply and demand.

59 posted on 10/18/2007 1:01:23 AM PDT by roamer_1 (Vote for FrudyMcRomson -Turn red states purple in 08!)
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To: roamer_1; the808bass
"health insurance profit margins are relatively low compared to the rest of the economy. 5.5%"

"I have not really looked at insurance market profits in the last few years, but they were running 80% margins during the last major hurricanes in FLA."

Apples and Oranges. Health vs Property insurance?

60 posted on 10/18/2007 1:12:09 AM PDT by endthematrix (He was shouting 'Allah!' but I didn't hear that. It just sounded like a lot of crap to me.)
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