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tennman
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« on: October 29, 2009, 11:34:41 PM »

Premiums to Skyrocket Under Obamacare

Millions of consumers will suffer skyrocketing insurance premiums next year due to "indirect taxes" contained in both the House and Senate versions of healthcare reform, according to various medical and insurance industry experts.

Healthcare reforms that were supposed to contain costs will actually cause a sharp hike in premiums, they add. In fact, several studies indicate consumers' premiums could more than double next year if healthcare reform takes effect.

"So even though this bill tries to hide these costs as indirect taxes," Sen. Orrin Hatch, R-Utah, recently told a business symposium, "average Americans who purchase health plans, take prescription drugs, or use medical devices will end up footing the bill." Full Story

According to the Senate's Joint Committee on Taxation, for example, the Finance Committee's proposal would assess $322 billion in taxes and fees on insurance premiums, prescription drugs, and medical devices.

The Committee and other experts say virtually all of those costs will be passed along to consumers in all tax brackets – despite President Barack Obama's pledge not to raise taxes "one dime" on those earning less than $250,000 per year.

Another likely frustration for consumers: The premium hikes will take effect right away, while the subsidies and benefits in healthcare reform won't completely kick in until 2014.

Scott Gottlieb, a physician and American Enterprise Institute resident fellow, stated Thursday in a New York Post op-ed that by front-loading the costs and back-loading benefits, Congress is resorting to "a gimmick that imposes a stiff price on the public."

That "gimmick," according to Gottlieb: Using 10 years of added fees and taxes on providers to offset about five years worth of benefits. Those costs "will immediately shift onto consumers, in the form of higher prices on medical products and rising premiums," he says. Full Story

 Doh!
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Mac
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« Reply #1 on: October 30, 2009, 07:17:15 AM »

The problem is, nobody really cares. This insurance is going to benefit people who have nothing to give up. For people like me, my insurance premiums will go up. Then, when my company decides that they would rather pay a fine to the government in lieu of paying 18,000 dollars a year for my medical insurance, I will lose my coverage. And believe me, it will happen.

People who do not pay taxes [for the most part] are really driving this health care change. Even if you accept the numbers used by the government about the number of uninsured, which I do not, you are talking about a wholesale change of our health care system for 15% of the people in this country. That is ludicrous.

This system will grow unlike anything we have seen. And the government knows it. The trillion dollar price tag will be only the beginning.

http://www.nasdaq.com/aspx/stock-market-news-story.aspx?storyid=200910291728dowjonesdjonline000980&title=cbo-puts-house-health-bill-total-cost-at-1055-trillion

It is awful. You can't run a country by ignoring 85% of the people in it. And you certainly can't continue to take money from people to pay for it. The well will run dry.
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« Reply #1 on: October 30, 2009, 07:17:15 AM »

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BAH-BLAH
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« Reply #2 on: October 30, 2009, 11:35:57 AM »

47% of people either pay zero OR COLLECT money from the tax system.

Do ya think we are 3% from the end?
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« Reply #3 on: October 30, 2009, 11:37:24 AM »

The problem is, nobody really cares. This insurance is going to benefit people who have nothing to give up. For people like me, my insurance premiums will go up. Then, when my company decides that they would rather pay a fine to the government in lieu of paying 18,000 dollars a year for my medical insurance, I will lose my coverage. And believe me, it will happen.

People who do not pay taxes [for the most part] are really driving this health care change. Even if you accept the numbers used by the government about the number of uninsured, which I do not, you are talking about a wholesale change of our health care system for 15% of the people in this country. That is ludicrous.

This system will grow unlike anything we have seen. And the government knows it. The trillion dollar price tag will be only the beginning.

http://www.nasdaq.com/aspx/stock-market-news-story.aspx?storyid=200910291728dowjonesdjonline000980&title=cbo-puts-house-health-bill-total-cost-at-1055-trillion

It is awful. You can't run a country by ignoring 85% of the people in it. And you certainly can't continue to take money from people to pay for it. The well will run dry.

You are so very very correct. Its maddening, its beyond frustrating. And its squarely going to destroy the middle class, the ones its all supposed to help
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« Reply #3 on: October 30, 2009, 11:37:24 AM »

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Susan2001
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« Reply #4 on: October 30, 2009, 02:23:24 PM »

The problem is, nobody really cares. This insurance is going to benefit people who have nothing to give up. For people like me, my insurance premiums will go up. Then, when my company decides that they would rather pay a fine to the government in lieu of paying 18,000 dollars a year for my medical insurance, I will lose my coverage. And believe me, it will happen.

People who do not pay taxes [for the most part] are really driving this health care change. Even if you accept the numbers used by the government about the number of uninsured, which I do not, you are talking about a wholesale change of our health care system for 15% of the people in this country. That is ludicrous.

This system will grow unlike anything we have seen. And the government knows it. The trillion dollar price tag will be only the beginning.

http://www.nasdaq.com/aspx/stock-market-news-story.aspx?storyid=200910291728dowjonesdjonline000980&title=cbo-puts-house-health-bill-total-cost-at-1055-trillion

It is awful. You can't run a country by ignoring 85% of the people in it. And you certainly can't continue to take money from people to pay for it. The well will run dry.

You are so very very correct. Its maddening, its beyond frustrating. And its squarely going to destroy the middle class, the ones its all supposed to help


Isn't destroying the middle class the goal, so I hear?  What is going to happen when there is no more middle class?
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« Reply #5 on: October 30, 2009, 10:40:05 PM »

Wow a story that does nothing but quote the opinion of extremely partisan conservatives. They would say the exact same thing regardless of any actual facts just like partisan liberals would in support of their galvanized policies.
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« Reply #5 on: October 30, 2009, 10:40:05 PM »

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« Reply #6 on: October 31, 2009, 12:36:30 AM »

Wow a story that does nothing but quote the opinion of extremely partisan conservatives. They would say the exact same thing regardless of any actual facts just like partisan liberals would in support of their galvanized policies.

 Log, have you information to the contrary?




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« Reply #7 on: October 31, 2009, 03:02:43 AM »

Wow a story that does nothing but quote the opinion of extremely partisan conservatives. They would say the exact same thing regardless of any actual facts just like partisan liberals would in support of their galvanized policies.

Are you saying the nasdaq and DOW are partisan conservative?  Wow...

In Christ,
KP
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Mac
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« Reply #8 on: October 31, 2009, 06:24:02 AM »

Wow a story that does nothing but quote the opinion of extremely partisan conservatives. They would say the exact same thing regardless of any actual facts just like partisan liberals would in support of their galvanized policies.

I do not know what or who this is "pointed" at, but let me ask you a question. Let's say you owned a company that employed 100 people. Your average medical package cost you $15,000.00 per employee. Then one day you find out that you can legally pay a fine to the government for not providing insurance to your employees. The cost is between $2,500.00 and $6,500.00 per employee. What would you do? Would you pay the government $650,000.00 (using the highest fine) or would you pay $1,500,000.00 for coverage?


So, what would you do?

Option A. $650,00.00
Option B. $1,500,000.00

What do you think the government would want? An extra $650,000.00 in the health care coffer? Plus another paying member of the government insurance? A win-win for everybody involved.

Am I being delusional? That my friend is business 101. They win, we lose. Simple as that.
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Logismos
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« Reply #9 on: November 01, 2009, 01:52:18 AM »

I do not know what or who this is "pointed" at, but let me ask you a question. Let's say you owned a company that employed 100 people. Your average medical package cost you $15,000.00 per employee. Then one day you find out that you can legally pay a fine to the government for not providing insurance to your employees. The cost is between $2,500.00 and $6,500.00 per employee. What would you do? Would you pay the government $650,000.00 (using the highest fine) or would you pay $1,500,000.00 for coverage?

If the government option is able to cover its expenses and provide a comparable level of care then any rational people in a market economy who are thinking at the margin would go for the less expensive option. In your scenario, why is the current private option over twice as expensive as the public option? Why in your scenario would a business owner paying half as much for health coverage mean that "we lose"? Who is "winning" in our current system?
« Last Edit: November 01, 2009, 01:10:27 AM by Logismos » Logged

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« Reply #9 on: November 01, 2009, 01:52:18 AM »

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« Reply #10 on: November 01, 2009, 04:59:24 AM »

I do not know what or who this is "pointed" at, but let me ask you a question. Let's say you owned a company that employed 100 people. Your average medical package cost you $15,000.00 per employee. Then one day you find out that you can legally pay a fine to the government for not providing insurance to your employees. The cost is between $2,500.00 and $6,500.00 per employee. What would you do? Would you pay the government $650,000.00 (using the highest fine) or would you pay $1,500,000.00 for coverage?

If the government option is able to cover its expenses and provide a comparable level of care then any rational people in a market economy who are thinking at the margin would go for the less expensive option. In your scenario, why is the current private option over twice as expensive as the public option? Why in your scenario would a business owner paying half as much for health coverage mean that "we lose"? Who is "winning" in our current system?

Capitalism....they have tried communism before...it has failed each time.

In Christ,
KP
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My prayer is not for them alone.  I pray also for those who will believe in me through their message, that all of them may be one...  -- John 17:20-21

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Mac
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« Reply #11 on: November 01, 2009, 06:27:57 AM »

If the government option is able to cover its expenses and provide a comparable level of care then any rational people in a market economy who are thinking at the margin would go for the less expensive option. In your scenario, why is the current private option over twice as expensive as the public option? Why in your scenario would a business owner paying half as much for health coverage mean that "we lose"? Who is "winning" in our current system?

Look, this is all really very simple. How can the government pay a different amount for the same services? Someone is going to make up the difference. That is why people are saying that the cost of private insurance is going to sky rocket. Let's look at it like this...

There are 2 patients. Patient A and B.
Both Patient A and B need heart surgery. Patient A is on the "Government" plan. Patient B is on "Private" insurance.

Surgery goes well. Billing is done. Patient A is charged $145,000.00. Patient B is charged the same.

Insurance payments are received.

Government pays their dictated rate of $12,000.00.
Private Insurance pays negotiated rate of $80,000.00.

Hospital says, we can't do this. But we can't fight the government. So, they renegotiate what PI (Private Insurance) has to pay. Now, PI will pay $110,000.00. How do they make up this money? I'll tell you how. They increase insurance premiums and decrease coverage. Go to a 90-10 plan.

How do I know this? Simple, it already happens with medicare. And the 90-10 plan? That is what happened to my medical plan to curb the soaring cost of treatment.

This is a simple fact. The hospital will make their money. Someone is going to pay. So, between the losses suffered from illegals being treated, the indigent care (which they MUST provide) and the write offs due to non payment, someone will pay.

Who will that be? The government? Yea, right. No, people like me will pay. Until our company drops the coverage all together. Then when the hospitals and doctors have to take pennies on the dollar for treatment because of the governments strong arming, the quality of medical care will fall. Can't pay for ground beef and expect fillet mignon. It will happen.
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« Reply #12 on: November 01, 2009, 09:16:15 AM »

I do not know what or who this is "pointed" at, but let me ask you a question. Let's say you owned a company that employed 100 people. Your average medical package cost you $15,000.00 per employee. Then one day you find out that you can legally pay a fine to the government for not providing insurance to your employees. The cost is between $2,500.00 and $6,500.00 per employee. What would you do? Would you pay the government $650,000.00 (using the highest fine) or would you pay $1,500,000.00 for coverage?

If the government option is able to cover its expenses and provide a comparable level of care then any rational people in a market economy who are thinking at the margin would go for the less expensive option. In your scenario, why is the current private option over twice as expensive as the public option? Why in your scenario would a business owner paying half as much for health coverage mean that "we lose"? Who is "winning" in our current system?

Capitalism....they have tried communism before...it has failed each time.

In Christ,
KP


An interesting observation.  Where in human history has communism provided the benefits of capitalism to the world? Which form of societal governance has provided the "worst" and "best" for humanity?  Surely both forms have pluses and minuses and both have mechanisms to deal with those pluses and minuses.
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« Reply #12 on: November 01, 2009, 09:16:15 AM »

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Logismos
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« Reply #13 on: November 01, 2009, 11:50:52 AM »


Quote
Who is "winning" in our current system?

Capitalism....they have tried communism before...it has failed each time.

If there are winners and losers in our system and you are saying that "capitalism" wins in our current health care system, what or who are you specifically talking about? Lots of people who work hard and pay huge insurance premiums are not winning. So who is?
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« Reply #14 on: November 01, 2009, 12:41:59 PM »

Look, this is all really very simple. How can the government pay a different amount for the same services? Someone is going to make up the difference. That is why people are saying that the cost of private insurance is going to sky rocket. Let's look at it like this...

There are 2 patients. Patient A and B.
Both Patient A and B need heart surgery. Patient A is on the "Government" plan. Patient B is on "Private" insurance.

Surgery goes well. Billing is done. Patient A is charged $145,000.00. Patient B is charged the same.

Insurance payments are received.

Government pays their dictated rate of $12,000.00.
Private Insurance pays negotiated rate of $80,000.00.

Hospital says, we can't do this. But we can't fight the government. So, they renegotiate what PI (Private Insurance) has to pay. Now, PI will pay $110,000.00. How do they make up this money? I'll tell you how. They increase insurance premiums and decrease coverage. Go to a 90-10 plan.

How do I know this? Simple, it already happens with medicare. And the 90-10 plan? That is what happened to my medical plan to curb the soaring cost of treatment.

This is a simple fact. The hospital will make their money. Someone is going to pay. So, between the losses suffered from illegals being treated, the indigent care (which they MUST provide) and the write offs due to non payment, someone will pay.

Who will that be? The government? Yea, right. No, people like me will pay. Until our company drops the coverage all together. Then when the hospitals and doctors have to take pennies on the dollar for treatment because of the governments strong arming, the quality of medical care will fall. Can't pay for ground beef and expect fillet mignon. It will happen.

I appreciate your well-reasoned examples based on facts. Here is what you're talking about:

[source]

So in our current system, those of us who buy private insurance pay 129% of the costs while those on medicare pay 92% and those on medicaid pay 87% of cost. If as you predict a huge segment of the population would switch from private plans to a public option, this inequality would not be sustainable and it would naturally fix itself so that payments were more in line with costs. So if there are winners and losers in this system one group of losers would include the individuals and businesses that are forced to pay 30% more on their premiums--especially those who can barely afford to do so. Also even though these numbers are probably pretty rough you can see that the deficit of Medicare and Medicaid does not make up for the 30% above cost that private insurance pays.

Although making health care accessible and affordable should in my opinion be a huge priority, we also need a system that is still competitive and produces innovation and expertise. This occurs through economic incentives and profit. The problem with our current system is that the incentives are skewed. Who is currently receiving the most incentive and profit from our current way of paying for health care? Its not the hospitals or the doctors or the researchers, or even the government. Part of that extra 30% for private insurance beyond cost is profit for the insurance company. I have no problem with profit, but do we have a vested interest in keeping the insurance providers themselves profitable? Does giving them incentives provide the sorts of competition in our health care industry that makes us healthier? I don't believe so. So we need a way to divert profit and incentives to the people and actions that actually make us better. For example, we pay doctors for blocks of time and for types of procedures rather than for keeping or making someone healthy. So the system has morphed into an elaborate scheme where doctors schedule several patents for the same exact time and then all these patients sit in little rooms and wait for the doctor to pop in for 5 minutes and the more people the doctor sees in an hour the more insurance money he or she will get. Also since they get more money for doing elaborate expensive procedures then there is a tenancy to focus the system toward those rather than on simple preventative things. There are also unnecessary or redundant tests being done especially when multiple doctors are working with a patient and not sharing information or if there is fear of a future lawsuit. Anyway, the discussion is far more nuanced than simply capitalism vs communism--our system has certain customs and traditions that are not based on market necessities and the government is already heavily involved and must be in order to provide security for elderly and indigent.

As far as medicare goes, perhaps it is not paying its share at the moment but that's only because they can get away with doing it and its part of what will have to change. Most people though are very pleased with their medicare. Something like 60-70% of people in the program [source]

« Last Edit: November 01, 2009, 12:48:10 PM by Logismos » Logged

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