Posted on 10/27/2017 6:14:11 PM PDT by Kaslin
I remember when my patients used to pay me up front for my service, and then apply to their insurance company for reimbursement. Health insurance policies came in all shapes and sizes back then, some more comprehensive than others, depending on a patients needs.
Patients understood that health insurance was not the same thing as health care, and that it was at best a promise that sometimes went unfulfilled.
Over the years insurers gained more control of the health-care system, until I had to appeal to the insurance company to be reimbursed for a service I had already provided. Since patients no longer paid for my service directly, it was no wonder they began to think of health insurance as the same as health care.
The new system put a lot more pressure on me and other doctors. Insurers made more of a profit if they denied payment for our bills, while we continued to hold all the responsibility for providing patient care.
ObamaCare gave the insurers even more power, providing them access to a new clientele in the individual market, and allowing them to charge increasing premiums for heavily regulated policies with high deductibles. Only the biggest insurers could afford to provide this coverage and they counted on a captive audience of patients who were mandated to buy it.
But ObamaCare didnt work, because young healthy patients were too smart to pay such a hefty price for coverage they might never need. In 2016, there were 6.5 million of them who took the tax penalty under the law for going without health insurance half of them under the age of 35. In 2015, the average individual mandate penalty for going without insurance was only $442 far below the cost of a years worth of health insurance.
(Excerpt) Read more at foxnews.com ...
Obama subsidized (or tried to) insurance companies to keep them afloat until after his presidency. None of this works without taxpayer money.
I wouldn’t mind so much if they actually EARNED it. But they don’t earn it.
The Government steals it from us peasants to give to them.
0bama rewarded his friends (those who don’t work and get everything subsidized) and punished his enemies (those who work and now pay much more for insurance, only to have it siphoned off for subsidies and have to pay most everything out of pocket). And the politicians are exempt so they don’t really care in either party.
Actually, it started under Clintbilly, with Hillarycare. I remember I used to drive up through Connecticut, and when Hillarycare passed dozens of insurance companies built huge skyscrapers along the way, there and along the highway that circled Boston. My doctors were getting screwed, but the insurance companies made billions in no time at all.
Bush did nothing to fix it, and Obamacare just piled on more.
No new threads and just a couple of replies to other threads since 8:14 CDT.
Lots of FReepers watching the World Series.
;-)
Yeah. Just got my Humana EOB the other day. So far this year, claims submitted are $15,000+. They’ve paid out $995.00. WTH? I payed a little but damn. Guess Medicare paid a bunch but haven’t looked lately. Of course the VA picked up a lot too.
Powerful play. The GOPs two biggest donor groups were the insurance and energy industries. Hence the thrust for Obamacare and renewables.
Quit blaming Obama for being the architect of this POS.
This crap was dreamt up by the insurance companies and they pushed to force the givernment to mandate coverage for being alive.
They knew their bloat and vapor products would be unaffordable for many and at their insistence the taxpayer would reimburse them to ensure their profitability.
That ended last year and insurance scammers have been leaving “the marketplace” as fast they can citing profit motives.
I look forward to the unions screaming bloody murder next year when their insurance plans will be taxable.
Batter up!
Oh
I was wondering why so few threads
I have noticed lately that the actual payouts from my insurance company have been really low. Between the co-pay and the deductible, I am still paying most of the bill. But it looks like the insurance company is doing something because of the negotiated price.
Hillarycare???
Your memory is off a little bit. Hillarycare failed to pass in 1993 and was in part the catayst for the (R) takeover in 1994.
Those "skyscrapers" have been there since at least the 50's
FReegards!
“insurance companies built huge skyscrapers along the way, there and along the highway that circled Boston. “
Skyscrapers??????????
.
obamanocare was a simple billion dollar gift to the big insurance companies and all their cronies...
BS! They should be "replaced" by NOTHING. The government should replace itself right out of the Insurance and the Health business along with big time tort reform, at least toward loser- or loser's attorney pays. Medical costs would come down drastically to be less than the costs of off-shore medicine. Insurance would shrink back to being actual insurance for large unexpected expenses and would be paid for with a tiny fraction of the current "premiums."
Another reform should be prevention of drug companies selling patent drugs at lower prices overseas and onerous trade sanctions against foreign companies and countries that clone those drugs. That will bring down the patent period prices a lot because the whole world will be participating in paying for the development costs of the new drugs rather than just the Americans paying all those costs in super high prices for development that benefits the whole world.
The one thing that does not get discussed or a lot of press is that the way that the system is designed. There is not a lot of money left in America, the underclass is financially impoverished. The middle class is shrinking and the upper classes dont participate. There is, however a large pool of assets in the middle class and some in the lower and underclass that can be grabbed. The way this system works is that the medical industrial complex works with the insurance complex and the overreaching government to set price points. Price points on how much the medical industrial complex charges, and price points on how much the insurance charges. The government is the enforcer.
Insurance price points include the asset busting deductibles. As insurance price points increase, and medical costs increase, and the government continues to say who gets what, the middle class can no longer afford insurance and they are dumped into Medicaid. Medicaid pays everything, but is not free but instead dissolves assets to keep the whole ball going. Anyone with assets this country who cannot bow out of the system will be getting robbed. Whatever happens with the insurance, it is going to be a middle class asset grab. The millennial will have their inheritances used to prop up healthcare and insurance and of course the government.
When one looks at the Medicare Advantage policies one discovers that the bulk of the costs are paid for by the government and the insurance companies control costs and strain it through their hoops. No choice. And the companies and the government are going to asset-grab.
Yep - when Trump stopped the illegal ACA payments, he mentioned that under OamaCare, access to care went way down and got more expensive and profits for insurers went up 200%-400%...
>
...Patients understood that health insurance was not the same thing as health care...
>
As IF. The elected have sold the sheeple on the term, and the sheeple HAPPILY drank the kool-aid.
/que D. Hoffman as ‘Hook’
It’d be wonderful if the public understood health insurance was not the same thing as insurance (aka ‘the UNKNOWN’).
Instead, they’d rather have a reason to bitch/moan the aspirin at the hospital is $100/pill and the wait in E.R. is HOURS and no doctor wants to take their Ponzi MediXYZ and...
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