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Monday, July 09, 2007


The Reason Some People Are Uninsured Is Because Health Insurance Is Expensive

And the reason health insurance is so expensive is because the government won’t keep its hands out of the industry.  I really liked this opening paragraph from Phillip J. McGinnis writing for the Delaware Voice:

The reason we have uninsured in Delaware, and the nation, is affordability. The affordability issue can be tracked to mandated benefits required of all state-regulated health insurance policies.

I’ve covered the issue of insurance mandates before.  What they are, basically, are laws requiring insurance companies to cover certain types of illnesses or procedures.  A politician essentially tells an insurance company “If you want to offer insurance in our state our policies have to cover these procedures.”  Which may sound nice, but the problem is that a lot of the procedures/illnesses mandated for coverage aren’t things most citizens have a problem with, yet because the insurance companies are forced to cover them they drive up the price of insurance.

For instance, some states require coverage for things like port wine stain elimination, hair prostheses, acupuncturists, drug abuse treatment and pastoral care.  But what if you don’t want any of those things?  What if you’re not going bald?  What if you don’t believe in acupuncture?  What if you don’t abuse drugs?

Too bad, you have to pay for that coverage anyway.

Think of it this way.  Say you’re shopping around for a new car.  Unfortunately, you can’t afford one because the politicians in your state have decided that the minimum quality of automobile that can be sold is a Cadillac.  But you don’t want or need a Cadillac,  you just need a little hatchback to get you back to work.  Well too bad, according to the government.  Because they know what’s best for you.

This is exactly how it works with health insurance plans.  By mandating certain types of coverage the government forces you to buy a “Cadillac” health insurance policy when really all you maybe need is a metro policy.

What’s worse is that after the government inflates prices with these mandates they turn around and use those inflated prices, and the fact that some people can’t afford them, as an excuse to subsidize the purchase of health care.  Thus further exacerbating the problem by taking more money from taxpayers and thus leaving them unable to afford their own health care.

Does this tick you off? Click here to email your elected representatives right here on Say Anything, or comment below.

Comments

Assuming that he is as gracious as before, let me present, again, SAB reader, Donny Baseball, a New York City financial professional whose well-written blog, Now Batting for Pedro Borbon is always worth the time.

Healthcare policy is an area of particular interest, and in addition to the post below, and his Healthcare Clearinghouse posts of June 6, 2007 and June 27, 2007, his archives are peppered with posts and comments on healthcare, health insurance, the markets, and those who would regulate those markets.

Read and learn.

Donny Baseball is 36 and self-employed. There’s me, the (ravishing) non-working Mrs. Baseball and the three small Baseball tykes. Everybody is healthy. To get the Baseball clan covered in NY by a mainstream provider like Oxford or Aetna would cost me a minimum of $2,500/mo. for a crappy plan. If I want some flexibility to use my doctors and if I want enough coverage for a hospitalization or some other goodies, I’m looking at $4,000/mo. and up. So that’s somewhere between $30,000 and $48,000 annually that is essentially wasted if nobody gets seriously sick (actually that money reduces about $2,500 of expenses that we would incur anyway to about $600, so if everyone is healthy we really only waste somewhere between $28K-46K). That is a lot of dough. Sure, someone could get sick, but if we go five years without health problems, we’ve pissed away $140,000 to $230,000. In contrast I can insure my life for $2 million over that same five years for $2500 in toto. That’s $1.40 per day to insure for death, but $76 per day to insure for appendicitis or a hernia or a broken leg. How about getting a high deductible plan that just covers me if I get hit by a bus? Nope. Not available in New York state. So the choice is between accepting a high probability that a large sum of money will be wasted or accept a low probability of large healthcare expenses.

So what do you do if you can’t afford upwards of $40,000 or just can’t stomach the fact that it is vastly more likely that the money will have been wasted? You self-insure and hope. I sock away as much after-tax dinero as I can and hope that nobody gets seriously sick. And I count myself among the proverbial “uninsured” and shake my head in amazement at the misguided, do-gooding geniuses that have put tens of thousands of people like me in this position with moronic concepts such as “guaranteed issue” and “community rating”. That’s life here in New York. Wanna buy in America?

There is a reason, a very good reason, that even former Massachusetts Governor Mitt Romney has disavowed “Romney-care.”


“Capitalism is optimism monetized.”

Bat One on July 9, 2007 at 02:46 pm

Nice post bat.

If the government would step out of the way the people would gravitate towards a major medical (illness and accident plan).

That’s cost a LOT less than what we get today. 

I think that alone would introduce the market forces we need to fix the problems of health care.  People would pay for the routine things, and insurance would be there for the major stuff. 

There would be cost containment on the routine stuff that winds up costing us so much.

Of course the psychiatrist and the acupuncture guys aren’t going to have a third party to charge.  But then neither is the doctors office.


1% of Americans pay 40% of the income tax.
5% of Americans pay 60% of the income tax.
10% of Americans pay 70% of the income tax.


The Whistler's signature
The Whistler on July 9, 2007 at 02:56 pm

Yep. That is why we have no insurance. We pay for what we get. And get only what we need.


Una Salus Victus Nullam Sperare Salutem

2Hotel9 on July 9, 2007 at 03:02 pm

We finally took government off the backs of auto insurance companies here in SC.  The last time they were free was in 1966.  Now they can insure based on a driver’s past behavior(s).  I pay about $500 a year to insure two autos.  That is because now we do not have to subsidize the poor drivers.


Communism is evil

Chief RZ on July 10, 2007 at 05:41 am
Avatar for Bob Collins

I agree completely with this article and I would say that your best bet for not being scammed by plans that include things you dont need is to seek health insurance through a health insurance brokerI did mine online and it worked out really well for me.

Bob Collins on July 10, 2007 at 06:37 am
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