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RE: Wealth over health - 12/12/2009 2:09:55 PM   
cadenas


Posts: 517
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quote:

ORIGINAL: eyesopened
quote:

ORIGINAL: Brain
There is a loophole in the Senate health-care bill, as currently written the health-care bill allows insurance companies to set limits. So if you reach your limit then you end up having to pay a lot of money.


You simply cannot have limitless insurance.  There isn't an insurance company in the world who could have so much cash as to pay all claims for all people regardless of the cost.  There has to be limits.  Your homeowner's, auto, life, flood, hurricane, travel, luggage, and Best Buy Extended Warranty all have limits.  Hell, even Golden Corral has limits...all-you-can-eat-ends when the restaurant closes.


Actually, insurances can very well be limitless, and unlimited insurances are generally not even much more expensive than insurances with a limit. That works because extremely high claims are very unusual with most types of insurances, so it doesn't cost them much more. Compare the cost of a $30k auto insurance, a $100k auto insurance and an unlimited auto insurance. They are usually within a few bucks of each other.

Some insurances have limits for different reasons. Homeowner's insurances have limits to get people with expensive homes to pay higher premiums for the same coverage. That is why homeowner's insurances prorate even smaller claims if you are underinsured. For instance, if you have a $400k house and insure it for only $200k, the insurance is only going to pay 50% on your claim, even when the claim is small.

With health insurance, the reason for limits is to be able to kick out insured patients. Plain and simple.


(in reply to eyesopened)
Profile   Post #: 21
RE: Wealth over health - 12/12/2009 2:13:43 PM   
cadenas


Posts: 517
Joined: 11/27/2004
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quote:

ORIGINAL: Silence8
quote:

ORIGINAL: cadenas
A public option is the absolute minimum necessary. I would go further and say: let's leverage what we already have and simply abolish the age limit in Medicare.


Medicare for all = single payer.



One form of single payer. Unfortunately, most of the time when single payer is being discussed, people seem to be thinking of establishing another parallel system. Not sure why. Medicare works, is efficient, cheap, well proven, despite the maligning from the wingnuts.


(in reply to Silence8)
Profile   Post #: 22
RE: Wealth over health - 12/12/2009 4:11:47 PM   
NeedToUseYou


Posts: 2297
Joined: 12/24/2005
From: None of your business
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quote:

ORIGINAL: cadenas

quote:

ORIGINAL: eyesopened
quote:

ORIGINAL: Brain
There is a loophole in the Senate health-care bill, as currently written the health-care bill allows insurance companies to set limits. So if you reach your limit then you end up having to pay a lot of money.


You simply cannot have limitless insurance.  There isn't an insurance company in the world who could have so much cash as to pay all claims for all people regardless of the cost.  There has to be limits.  Your homeowner's, auto, life, flood, hurricane, travel, luggage, and Best Buy Extended Warranty all have limits.  Hell, even Golden Corral has limits...all-you-can-eat-ends when the restaurant closes.


Actually, insurances can very well be limitless, and unlimited insurances are generally not even much more expensive than insurances with a limit. That works because extremely high claims are very unusual with most types of insurances, so it doesn't cost them much more. Compare the cost of a $30k auto insurance, a $100k auto insurance and an unlimited auto insurance. They are usually within a few bucks of each other.

Some insurances have limits for different reasons. Homeowner's insurances have limits to get people with expensive homes to pay higher premiums for the same coverage. That is why homeowner's insurances prorate even smaller claims if you are underinsured. For instance, if you have a $400k house and insure it for only $200k, the insurance is only going to pay 50% on your claim, even when the claim is small.

With health insurance, the reason for limits is to be able to kick out insured patients. Plain and simple.




If it was the case that unlimited health insurance would only cost an insignificant amount more on a group basis, why would they kick them out. They wouldn't, and I'll tell you.

If I set up an insurance company, a brand new startup, and wanted to break into the market hard and fast. I'd offer unlimited insurance, because as you said it wouldn't cost significantly more. There are young insurance companies out there by the way my friend works for one about 20 years old.

Unfortunately, it does cost significantly more, I posted a link up here a while back by the government, stating 50% of health care costs were due to like 5 percent(I think that was the correct percent, it's close to that, I'm sure) of the insured.

Now, it might be true, I don't know for auto insurance, or disability insurance, or other forms of insurance, like house insurance, to where the upper limit in damages is much easier to control on the average.

I can hunt up the link again if you like.



(in reply to cadenas)
Profile   Post #: 23
RE: Wealth over health - 12/12/2009 11:17:22 PM   
cadenas


Posts: 517
Joined: 11/27/2004
Status: offline
quote:

ORIGINAL: NeedToUseYou

quote:

ORIGINAL: cadenas

quote:

ORIGINAL: eyesopened
quote:

ORIGINAL: Brain
There is a loophole in the Senate health-care bill, as currently written the health-care bill allows insurance companies to set limits. So if you reach your limit then you end up having to pay a lot of money.


You simply cannot have limitless insurance.  There isn't an insurance company in the world who could have so much cash as to pay all claims for all people regardless of the cost.  There has to be limits.  Your homeowner's, auto, life, flood, hurricane, travel, luggage, and Best Buy Extended Warranty all have limits.  Hell, even Golden Corral has limits...all-you-can-eat-ends when the restaurant closes.


Actually, insurances can very well be limitless, and unlimited insurances are generally not even much more expensive than insurances with a limit. That works because extremely high claims are very unusual with most types of insurances, so it doesn't cost them much more. Compare the cost of a $30k auto insurance, a $100k auto insurance and an unlimited auto insurance. They are usually within a few bucks of each other.

Some insurances have limits for different reasons. Homeowner's insurances have limits to get people with expensive homes to pay higher premiums for the same coverage. That is why homeowner's insurances prorate even smaller claims if you are underinsured. For instance, if you have a $400k house and insure it for only $200k, the insurance is only going to pay 50% on your claim, even when the claim is small.

With health insurance, the reason for limits is to be able to kick out insured patients. Plain and simple.


If it was the case that unlimited health insurance would only cost an insignificant amount more on a group basis, why would they kick them out. They wouldn't, and I'll tell you.

Unfortunately, it does cost significantly more, I posted a link up here a while back by the government, stating 50% of health care costs were due to like 5 percent(I think that was the correct percent, it's close to that, I'm sure) of the insured.


Oh, I believe that, but that number actually is not all that revealing here. For one, it probably includes Medicare patients (I have seen similar numbers to yours, but I think it was across the whole population, not just the privately insured).

For another, even those 50% would mostly be below the cap. For example: assume you have 1000 insured. Taking your numbers:

950 insured would incur, say, an average of $1000 each = total $950k
50 insured would incur, based on your numbers, an average $19,000 each = total $950k

So your number is just plain not relevant for any kind of cap or limit.

On the other hand, an organ transplant - probably the most likely type of treatment where you can reach a lifetime cap - is a very good predictor for needing ongoing medical treatment. And that's why insurance companies want to kick out such patients, even if they did pay for the initial expensive treatment. That's the purpose of the lifetime caps.


(in reply to NeedToUseYou)
Profile   Post #: 24
RE: Wealth over health - 12/13/2009 12:41:54 AM   
eyesopened


Posts: 2798
Joined: 6/12/2006
From: Tampa, FL
Status: offline
quote:

ORIGINAL: cadenas

quote:

ORIGINAL: eyesopened
quote:

ORIGINAL: Brain
There is a loophole in the Senate health-care bill, as currently written the health-care bill allows insurance companies to set limits. So if you reach your limit then you end up having to pay a lot of money.


You simply cannot have limitless insurance.  There isn't an insurance company in the world who could have so much cash as to pay all claims for all people regardless of the cost.  There has to be limits.  Your homeowner's, auto, life, flood, hurricane, travel, luggage, and Best Buy Extended Warranty all have limits.  Hell, even Golden Corral has limits...all-you-can-eat-ends when the restaurant closes.


Actually, insurances can very well be limitless, and unlimited insurances are generally not even much more expensive than insurances with a limit. That works because extremely high claims are very unusual with most types of insurances, so it doesn't cost them much more. Compare the cost of a $30k auto insurance, a $100k auto insurance and an unlimited auto insurance. They are usually within a few bucks of each other.

Some insurances have limits for different reasons. Homeowner's insurances have limits to get people with expensive homes to pay higher premiums for the same coverage. That is why homeowner's insurances prorate even smaller claims if you are underinsured. For instance, if you have a $400k house and insure it for only $200k, the insurance is only going to pay 50% on your claim, even when the claim is small.

With health insurance, the reason for limits is to be able to kick out insured patients. Plain and simple.




I tried to find an auto insurance policy for any price that was without liability limits.  Please forward the link to the company who provides such.

You like Medicare.  But Medicare is full of limits.  The hospitalization is limited to 90 days per benefit period and then further limited to another 60 days lifetime reserve.  In other words you can't have grandma on life-support for 6 months.  After 5 months continuous hospitalization, grandma becomes uninsured under Medicare. 

Put grandma in a skilled nursing facility and Medicare only covers 100 days.  Sorry, Grandma, looks like we'll have to pull the plug.
http://www.medicare.gov/Publications/Pubs/pdf/10050.pdf

The limits under Medicare Part A are on page 120 of the 2010 Medicare and You Handbook.

Medicare has built in limits because of age!  It has to.  Because no one can insure unlimited numbers of people for unlimited amounts.

Please educated me!  Show me one insuance policy that provides unlimited insurance. 

< Message edited by eyesopened -- 12/13/2009 12:44:20 AM >


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(in reply to cadenas)
Profile   Post #: 25
RE: Wealth over health - 12/13/2009 1:07:01 AM   
Brain


Posts: 3792
Joined: 2/14/2007
Status: offline
Get Virtual Game Cash For Health Reform Astroturfing - The Consumerist


Instead of asking the gamers to try a product the way Netflix would, "Get Health Reform Right" requires gamers to take a survey, which, upon completion, automatically sends the following email to their Congressional Rep:
"I am concerned a new government plan could cause me to lose the employer coverage I have today. More government bureaucracy will only create more problems, not solve the ones we have."


http://consumerist.com/2009/12/get-virtual-game-cash-for-health-reform-astrofturfing.html#comments-content

(in reply to eyesopened)
Profile   Post #: 26
RE: Wealth over health - 12/13/2009 6:42:31 AM   
cadenas


Posts: 517
Joined: 11/27/2004
Status: offline
quote:

ORIGINAL: eyesopened

quote:

ORIGINAL: cadenas

quote:

ORIGINAL: eyesopened
quote:

ORIGINAL: Brain
There is a loophole in the Senate health-care bill, as currently written the health-care bill allows insurance companies to set limits. So if you reach your limit then you end up having to pay a lot of money.


You simply cannot have limitless insurance.  There isn't an insurance company in the world who could have so much cash as to pay all claims for all people regardless of the cost.  There has to be limits.  Your homeowner's, auto, life, flood, hurricane, travel, luggage, and Best Buy Extended Warranty all have limits.  Hell, even Golden Corral has limits...all-you-can-eat-ends when the restaurant closes.


Actually, insurances can very well be limitless, and unlimited insurances are generally not even much more expensive than insurances with a limit. That works because extremely high claims are very unusual with most types of insurances, so it doesn't cost them much more. Compare the cost of a $30k auto insurance, a $100k auto insurance and an unlimited auto insurance. They are usually within a few bucks of each other.

Some insurances have limits for different reasons. Homeowner's insurances have limits to get people with expensive homes to pay higher premiums for the same coverage. That is why homeowner's insurances prorate even smaller claims if you are underinsured. For instance, if you have a $400k house and insure it for only $200k, the insurance is only going to pay 50% on your claim, even when the claim is small.

With health insurance, the reason for limits is to be able to kick out insured patients. Plain and simple.



I tried to find an auto insurance policy for any price that was without liability limits.  Please forward the link to the company who provides such.

You like Medicare.  But Medicare is full of limits.  The hospitalization is limited to 90 days per benefit period and then further limited to another 60 days lifetime reserve.  In other words you can't have grandma on life-support for 6 months.  After 5 months continuous hospitalization, grandma becomes uninsured under Medicare. 


That's for a different reason: long-term care is a completely different insurance to begin with (just like dental, for instance). Medicare basically says that after 90 days, the nature of care has changed; it's no longer hospital care but nursing home care. We could argue whether this distinction makes sense or not, but the point here is that this is very fundamentally different from financial caps.

On the auto insurance policy, I have to get back to you; I have to call my insurance agent about that. Obviously, we are talking liability insurance here (unlimited Collision and Comprehensive wouldn't make sense, after all). It would actually be an add-on policy called an umbrella policy. A quick Google showed that umbrella policies are very cheap with extremely high limits. Unlimited, I'll have to dig for.


(in reply to eyesopened)
Profile   Post #: 27
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