<?xml version="1.0" encoding="UTF-8"?><rss version="2.0"
	xmlns:content="http://purl.org/rss/1.0/modules/content/"
	xmlns:dc="http://purl.org/dc/elements/1.1/"
	xmlns:atom="http://www.w3.org/2005/Atom"
	xmlns:sy="http://purl.org/rss/1.0/modules/syndication/"
		>
<channel>
	<title>Comments on: Keep your eye on the health insurance prize</title>
	<atom:link href="http://rc3.org/2009/08/17/keep-your-eye-on-the-health-insurance-prize/feed/" rel="self" type="application/rss+xml" />
	<link>http://rc3.org/2009/08/17/keep-your-eye-on-the-health-insurance-prize/</link>
	<description>Strong opinions weakly held</description>
	<lastBuildDate>Fri, 10 Feb 2012 14:59:55 +0000</lastBuildDate>
	<sy:updatePeriod>hourly</sy:updatePeriod>
	<sy:updateFrequency>1</sy:updateFrequency>
	<generator>http://wordpress.org/?v=3.3.1</generator>
	<item>
		<title>By: Walid Al Musari</title>
		<link>http://rc3.org/2009/08/17/keep-your-eye-on-the-health-insurance-prize/comment-page-1/#comment-6488</link>
		<dc:creator>Walid Al Musari</dc:creator>
		<pubDate>Mon, 14 Sep 2009 06:12:45 +0000</pubDate>
		<guid isPermaLink="false">http://rc3.org/?p=9917#comment-6488</guid>
		<description>&lt;p&gt;The US Government is once again sticking its nose in an area it has no business.  A one size fits all solution won&#039;t work i.e. FORCED Health Insuarance.  Isn&#039;t anyone the least bit concerned about the loss of liberty and the freedom to make ones own decision and find ones own way.&lt;/p&gt;

&lt;p&gt;THE USA IS NO LONGER THE LAND OF THE FREE....IT IS A LIE&lt;/p&gt;
</description>
		<content:encoded><![CDATA[<p>The US Government is once again sticking its nose in an area it has no business.  A one size fits all solution won&#8217;t work i.e. FORCED Health Insuarance.  Isn&#8217;t anyone the least bit concerned about the loss of liberty and the freedom to make ones own decision and find ones own way.</p>

<p>THE USA IS NO LONGER THE LAND OF THE FREE&#8230;.IT IS A LIE</p>]]></content:encoded>
	</item>
	<item>
		<title>By: andrew</title>
		<link>http://rc3.org/2009/08/17/keep-your-eye-on-the-health-insurance-prize/comment-page-1/#comment-6372</link>
		<dc:creator>andrew</dc:creator>
		<pubDate>Wed, 19 Aug 2009 03:36:09 +0000</pubDate>
		<guid isPermaLink="false">http://rc3.org/?p=9917#comment-6372</guid>
		<description>&lt;p&gt;all i&#039;ve got to say is that if there&#039;s an individual mandate with no public option, watch out for the backlash.&lt;/p&gt;

&lt;p&gt;i don&#039;t have any insurance right now and if they&#039;re going to make me a criminal for not paying those crooks and liars in the insurance industry, then the dems are going to have some big problems.&lt;/p&gt;
</description>
		<content:encoded><![CDATA[<p>all i&#8217;ve got to say is that if there&#8217;s an individual mandate with no public option, watch out for the backlash.</p>

<p>i don&#8217;t have any insurance right now and if they&#8217;re going to make me a criminal for not paying those crooks and liars in the insurance industry, then the dems are going to have some big problems.</p>]]></content:encoded>
	</item>
	<item>
		<title>By: Wei-Shin</title>
		<link>http://rc3.org/2009/08/17/keep-your-eye-on-the-health-insurance-prize/comment-page-1/#comment-6371</link>
		<dc:creator>Wei-Shin</dc:creator>
		<pubDate>Wed, 19 Aug 2009 03:15:10 +0000</pubDate>
		<guid isPermaLink="false">http://rc3.org/?p=9917#comment-6371</guid>
		<description>&lt;p&gt;The current cost of health insurance keeps going up. More people are being left without insurance every day. The system is costing more because healthcare costs keep going up. (The Congressional Budget Office projects that, without changes in law, total spending on healthcare will rise from 16% GDP in 2007 to 25% in 2025 and 49% in 2082.) I call that bankrupting America. There are many reasons for this, which I describe here. http://healthbyaphysician.blogspot.com/2009/08/why-health-care-costs-so-much-and-some.html&lt;/p&gt;

&lt;p&gt;Unless people get healthier again or we provide more rational and preventive care, this country&#039;s health problems will eventually cause a recession or worse.&lt;/p&gt;
</description>
		<content:encoded><![CDATA[<p>The current cost of health insurance keeps going up. More people are being left without insurance every day. The system is costing more because healthcare costs keep going up. (The Congressional Budget Office projects that, without changes in law, total spending on healthcare will rise from 16% GDP in 2007 to 25% in 2025 and 49% in 2082.) I call that bankrupting America. There are many reasons for this, which I describe here. <a href="http://healthbyaphysician.blogspot.com/2009/08/why-health-care-costs-so-much-and-some.html" rel="nofollow">http://healthbyaphysician.blogspot.com/2009/08/why-health-care-costs-so-much-and-some.html</a></p>

<p>Unless people get healthier again or we provide more rational and preventive care, this country&#8217;s health problems will eventually cause a recession or worse.</p>]]></content:encoded>
	</item>
	<item>
		<title>By: John</title>
		<link>http://rc3.org/2009/08/17/keep-your-eye-on-the-health-insurance-prize/comment-page-1/#comment-6354</link>
		<dc:creator>John</dc:creator>
		<pubDate>Tue, 18 Aug 2009 17:29:16 +0000</pubDate>
		<guid isPermaLink="false">http://rc3.org/?p=9917#comment-6354</guid>
		<description>&lt;p&gt;Competition in the health care industry will come if I am allowed to be a health care &lt;em&gt;consumer&lt;/em&gt;, who can reasonably easily purchase an equivalent policy with a different company. Currently, we do not have this option, and there is no true competition, so companies can get away with much of the things they do today. If my insurance company is too expensive, delays treatment, or is otherwise an obstruction to me receiving health care, I don&#039;t have many options. But if I can easily take my business elsewhere, the insurance companies will treat their customers better or they will go out of business because they no longer have any customers. True competition will eliminate many of the problems we have today.&lt;/p&gt;

&lt;p&gt;And as far as out political system is concerned, for good or bad it is as dysfunctional as it always has been. This is a blessing and a curse, and to believe that our system or our people or our legislators are worse off today ignores our history as a nation.&lt;/p&gt;
</description>
		<content:encoded><![CDATA[<p>Competition in the health care industry will come if I am allowed to be a health care <em>consumer</em>, who can reasonably easily purchase an equivalent policy with a different company. Currently, we do not have this option, and there is no true competition, so companies can get away with much of the things they do today. If my insurance company is too expensive, delays treatment, or is otherwise an obstruction to me receiving health care, I don&#8217;t have many options. But if I can easily take my business elsewhere, the insurance companies will treat their customers better or they will go out of business because they no longer have any customers. True competition will eliminate many of the problems we have today.</p>

<p>And as far as out political system is concerned, for good or bad it is as dysfunctional as it always has been. This is a blessing and a curse, and to believe that our system or our people or our legislators are worse off today ignores our history as a nation.</p>]]></content:encoded>
	</item>
	<item>
		<title>By: Frank Wilhoit</title>
		<link>http://rc3.org/2009/08/17/keep-your-eye-on-the-health-insurance-prize/comment-page-1/#comment-6353</link>
		<dc:creator>Frank Wilhoit</dc:creator>
		<pubDate>Tue, 18 Aug 2009 14:57:20 +0000</pubDate>
		<guid isPermaLink="false">http://rc3.org/?p=9917#comment-6353</guid>
		<description>&lt;p&gt;This is the status quo: every time any treatment or test is delayed into the next earnings-reporting quarter, someone at an insurance company gets a bigger bonus.  Anyone who can accept that has no moral compass.&lt;/p&gt;

&lt;p&gt;I take as given that some kind of legislation will pass this year.  The only prediction that can confidently be made is that it will structurally eliminate any accountability for the insurance industry.  In its aftermath, what is quickly going to be come almost universal is what I will call sub-rosa rescission, whereby the insurance companies issue as many policies as they can, but essentially stop paying any claims, &lt;em&gt;except&lt;/em&gt; to entities with which they have interlocking ownership.  That already includes most hospitals and drug manufacturers.  Group medical practices will quickly sell themselves to the insurance companies when they stop getting paid.&lt;/p&gt;

&lt;p&gt;The idea that the courts can provide effective remedies for this is utterly fatuous.  Think of the number of injured parties, the size of each disputed amount, and which side has the burden of proof.  (Any legislation that makes it onto the books will contain a clause forbidding class-action litigation.)&lt;/p&gt;

&lt;p&gt;In this time and place, the justice and political systems are totally dysfunctional and have lost all institutional legitimacy.  There is no incremental way forward.  Our challenge is to prevent as much backsliding as we can while waiting for the inevitable discontinuous transition (whose form cannot be foreseen).&lt;/p&gt;
</description>
		<content:encoded><![CDATA[<p>This is the status quo: every time any treatment or test is delayed into the next earnings-reporting quarter, someone at an insurance company gets a bigger bonus.  Anyone who can accept that has no moral compass.</p>

<p>I take as given that some kind of legislation will pass this year.  The only prediction that can confidently be made is that it will structurally eliminate any accountability for the insurance industry.  In its aftermath, what is quickly going to be come almost universal is what I will call sub-rosa rescission, whereby the insurance companies issue as many policies as they can, but essentially stop paying any claims, <em>except</em> to entities with which they have interlocking ownership.  That already includes most hospitals and drug manufacturers.  Group medical practices will quickly sell themselves to the insurance companies when they stop getting paid.</p>

<p>The idea that the courts can provide effective remedies for this is utterly fatuous.  Think of the number of injured parties, the size of each disputed amount, and which side has the burden of proof.  (Any legislation that makes it onto the books will contain a clause forbidding class-action litigation.)</p>

<p>In this time and place, the justice and political systems are totally dysfunctional and have lost all institutional legitimacy.  There is no incremental way forward.  Our challenge is to prevent as much backsliding as we can while waiting for the inevitable discontinuous transition (whose form cannot be foreseen).</p>]]></content:encoded>
	</item>
	<item>
		<title>By: Rafe</title>
		<link>http://rc3.org/2009/08/17/keep-your-eye-on-the-health-insurance-prize/comment-page-1/#comment-6352</link>
		<dc:creator>Rafe</dc:creator>
		<pubDate>Tue, 18 Aug 2009 14:22:00 +0000</pubDate>
		<guid isPermaLink="false">http://rc3.org/?p=9917#comment-6352</guid>
		<description>&lt;p&gt;For what it&#039;s worth, I agree that getting only the individual mandate plus some tighter regulations on the insurance business is not a good outcome. Well, I actually I don&#039;t know if I agree with that. It&#039;s not the optimal outcome, but it&#039;s a lot better than what we have today.&lt;/p&gt;

&lt;p&gt;As far as the legislative process goes, it&#039;s the one we&#039;re stuck with. I suppose Max Baucus could be doing something different, but in the end his committee has to mark up a bill and that bill has to make it out of his committee. There are a number of steps to go after that -- there are four other bills that have to be reconciled with that one. And I am sure that he knows exactly how most Democrats feel about his process.&lt;/p&gt;

&lt;p&gt;I guess the bottom line for me is that if we end this crazy process with a bill that makes things a lot better, even if it&#039;s not the one I would hope for, I&#039;m not going to count it as a loss but as a win.&lt;/p&gt;
</description>
		<content:encoded><![CDATA[<p>For what it&#8217;s worth, I agree that getting only the individual mandate plus some tighter regulations on the insurance business is not a good outcome. Well, I actually I don&#8217;t know if I agree with that. It&#8217;s not the optimal outcome, but it&#8217;s a lot better than what we have today.</p>

<p>As far as the legislative process goes, it&#8217;s the one we&#8217;re stuck with. I suppose Max Baucus could be doing something different, but in the end his committee has to mark up a bill and that bill has to make it out of his committee. There are a number of steps to go after that &#8212; there are four other bills that have to be reconciled with that one. And I am sure that he knows exactly how most Democrats feel about his process.</p>

<p>I guess the bottom line for me is that if we end this crazy process with a bill that makes things a lot better, even if it&#8217;s not the one I would hope for, I&#8217;m not going to count it as a loss but as a win.</p>]]></content:encoded>
	</item>
	<item>
		<title>By: no</title>
		<link>http://rc3.org/2009/08/17/keep-your-eye-on-the-health-insurance-prize/comment-page-1/#comment-6351</link>
		<dc:creator>no</dc:creator>
		<pubDate>Tue, 18 Aug 2009 14:21:08 +0000</pubDate>
		<guid isPermaLink="false">http://rc3.org/?p=9917#comment-6351</guid>
		<description>&lt;p&gt;Frank Wilhoit: if the contractual obligations are not being met, the wronged party should take it to court. There is a system for fixing broken business relationships already. I don&#039;t think the belief that the system is broken should stop us from moving forward into a more healthy system overall (especially when there are tools to force the system to work). If you don&#039;t believe in the justice system, propose fixes to your representative in government.&lt;/p&gt;
</description>
		<content:encoded><![CDATA[<p>Frank Wilhoit: if the contractual obligations are not being met, the wronged party should take it to court. There is a system for fixing broken business relationships already. I don&#8217;t think the belief that the system is broken should stop us from moving forward into a more healthy system overall (especially when there are tools to force the system to work). If you don&#8217;t believe in the justice system, propose fixes to your representative in government.</p>]]></content:encoded>
	</item>
	<item>
		<title>By: no</title>
		<link>http://rc3.org/2009/08/17/keep-your-eye-on-the-health-insurance-prize/comment-page-1/#comment-6350</link>
		<dc:creator>no</dc:creator>
		<pubDate>Tue, 18 Aug 2009 14:12:34 +0000</pubDate>
		<guid isPermaLink="false">http://rc3.org/?p=9917#comment-6350</guid>
		<description>&lt;p&gt;Wei-Shin, I do not agree with your comment that it will bankrupt the country.  If every single insurance company is expensive because of huge margins, there&#039;s a niche in the market for a cheap, small-profit high-volume one. It&#039;s essentially open source: if it bothers you, start the company that you want to be a customer of. Companies always take money from customers and redistribute it inside the company. Every citizen&#039;s lifestyle is directly enabled by and requires companies already (e.g. most of them have health insurance). If that&#039;s not a problem now, how does it become a problem?&lt;/p&gt;

&lt;p&gt;Jacob Davies, about your taxes paid directly to a private party: because there&#039;s choice what private party you pay it to, it&#039;s no big deal. I&#039;m not sure: is the choice with the consumer? In my opinion we are already in a situation where some things are almost compulsorily bought by everyone to support their life, so it is precendented by our lifestyles.
If the government makes the choice, it&#039;s really very similar to every time the government awards a private contract. That&#039;s common enough for the way the government works, since they rely upon outside companies for the greatest part of their hardware and software, for example.&lt;/p&gt;
</description>
		<content:encoded><![CDATA[<p>Wei-Shin, I do not agree with your comment that it will bankrupt the country.  If every single insurance company is expensive because of huge margins, there&#8217;s a niche in the market for a cheap, small-profit high-volume one. It&#8217;s essentially open source: if it bothers you, start the company that you want to be a customer of. Companies always take money from customers and redistribute it inside the company. Every citizen&#8217;s lifestyle is directly enabled by and requires companies already (e.g. most of them have health insurance). If that&#8217;s not a problem now, how does it become a problem?</p>

<p>Jacob Davies, about your taxes paid directly to a private party: because there&#8217;s choice what private party you pay it to, it&#8217;s no big deal. I&#8217;m not sure: is the choice with the consumer? In my opinion we are already in a situation where some things are almost compulsorily bought by everyone to support their life, so it is precendented by our lifestyles.
If the government makes the choice, it&#8217;s really very similar to every time the government awards a private contract. That&#8217;s common enough for the way the government works, since they rely upon outside companies for the greatest part of their hardware and software, for example.</p>]]></content:encoded>
	</item>
	<item>
		<title>By: Frank Wilhoit</title>
		<link>http://rc3.org/2009/08/17/keep-your-eye-on-the-health-insurance-prize/comment-page-1/#comment-6349</link>
		<dc:creator>Frank Wilhoit</dc:creator>
		<pubDate>Tue, 18 Aug 2009 14:02:19 +0000</pubDate>
		<guid isPermaLink="false">http://rc3.org/?p=9917#comment-6349</guid>
		<description>&lt;p&gt;Reluctantly, I am forced to conclude that the mandate ALONE is not a good outcome.  The insurance industry expects to emerge from the current process with reduced accountability and and increased ability to perform all kinds of adverse selection, NOT by refusing to sell policies, but by refusing to deliver services.  It would be dicey enough, for all the reasons explained elsewhere, if people were being coerced into honest, accountable business relationships with private entities -- subsidized or not--, but the relationships will not be honest or accountable, so it is a total absurdity.  The mandate makes no sense except in a single-payer context.&lt;/p&gt;
</description>
		<content:encoded><![CDATA[<p>Reluctantly, I am forced to conclude that the mandate ALONE is not a good outcome.  The insurance industry expects to emerge from the current process with reduced accountability and and increased ability to perform all kinds of adverse selection, NOT by refusing to sell policies, but by refusing to deliver services.  It would be dicey enough, for all the reasons explained elsewhere, if people were being coerced into honest, accountable business relationships with private entities &#8212; subsidized or not&#8211;, but the relationships will not be honest or accountable, so it is a total absurdity.  The mandate makes no sense except in a single-payer context.</p>]]></content:encoded>
	</item>
	<item>
		<title>By: Evan</title>
		<link>http://rc3.org/2009/08/17/keep-your-eye-on-the-health-insurance-prize/comment-page-1/#comment-6346</link>
		<dc:creator>Evan</dc:creator>
		<pubDate>Tue, 18 Aug 2009 08:55:40 +0000</pubDate>
		<guid isPermaLink="false">http://rc3.org/?p=9917#comment-6346</guid>
		<description>&lt;p&gt;An insurance mandate doesn&#039;t reduce costs. It only shifts them from the old/sick to the young/healthy.&lt;/p&gt;

&lt;p&gt;However, everyones rates will go up because insurance companies will want as few old/sick people as possible while maximizing the young/healthy people because only the young/healthy people make them money.&lt;/p&gt;

&lt;p&gt;So whichever company at any given time has the lowest risk pool would be able to charge the lowest rates, however they wouldn&#039;t charge lower rates, because if they did they might attract more customers? Why is that bad? Well, why is that good? New customers are more likely to be old/sick if they have the lowest risk pool. But even if getting old/sick people and young/healthy people was evenly possible what is the incentive to lower rates?&lt;/p&gt;

&lt;p&gt;So they will not lower rates, they will put their rates up at the same level of their competitors to deter just anyone from joining while trying to get younger/healthier people into their plan and older/sicker people in the other&#039;s plan via advertising. They might even advertise in favor of old people buying their competitors plans!&lt;/p&gt;

&lt;p&gt;If the public option is included, they&#039;ll all try to recommend older/sicker people to the public option to bring its rates up so they can to.&lt;/p&gt;

&lt;p&gt;However, there is sooooo little competition to bring down rates anyway. Do you really think that the insurance companies would lower rates just because they might have lower costs?&lt;/p&gt;

&lt;p&gt;Lol. Complain about costs and insurance companies and then write a law requiring everyone to buy insurance? Absurd.&lt;/p&gt;

&lt;p&gt;In any case its a stupid idea, but not only that, it is a willful disregard for everyone&#039;s rights to decide what to do with their own money and healthcare, and of course it is a new middle class tax.&lt;/p&gt;

&lt;p&gt;Its also blatantly unconstitutional (against the law) and no amount of &quot;interpretation&quot; can change that.&lt;/p&gt;
</description>
		<content:encoded><![CDATA[<p>An insurance mandate doesn&#8217;t reduce costs. It only shifts them from the old/sick to the young/healthy.</p>

<p>However, everyones rates will go up because insurance companies will want as few old/sick people as possible while maximizing the young/healthy people because only the young/healthy people make them money.</p>

<p>So whichever company at any given time has the lowest risk pool would be able to charge the lowest rates, however they wouldn&#8217;t charge lower rates, because if they did they might attract more customers? Why is that bad? Well, why is that good? New customers are more likely to be old/sick if they have the lowest risk pool. But even if getting old/sick people and young/healthy people was evenly possible what is the incentive to lower rates?</p>

<p>So they will not lower rates, they will put their rates up at the same level of their competitors to deter just anyone from joining while trying to get younger/healthier people into their plan and older/sicker people in the other&#8217;s plan via advertising. They might even advertise in favor of old people buying their competitors plans!</p>

<p>If the public option is included, they&#8217;ll all try to recommend older/sicker people to the public option to bring its rates up so they can to.</p>

<p>However, there is sooooo little competition to bring down rates anyway. Do you really think that the insurance companies would lower rates just because they might have lower costs?</p>

<p>Lol. Complain about costs and insurance companies and then write a law requiring everyone to buy insurance? Absurd.</p>

<p>In any case its a stupid idea, but not only that, it is a willful disregard for everyone&#8217;s rights to decide what to do with their own money and healthcare, and of course it is a new middle class tax.</p>

<p>Its also blatantly unconstitutional (against the law) and no amount of &#8220;interpretation&#8221; can change that.</p>]]></content:encoded>
	</item>
</channel>
</rss>

