As much as I love the current status of Medical Insureance in the US, the model does need to change drasticlly.
I'm employed, have enough to pay for a decent HMO, and have little problems, it works for me (for now).
Here's the rub. Most people don't pay for the bulk of healthcare, and this removes them from the amazing things going on with costs, and they will very soon get a wake-up-call.
Most American's WITH jobs that offer benefits don't want anything to change because the currently likely only shoulder about 30% max (using fairly large corp's at the benchmark data) of the cost of their premiums in weekly or bi-wekly deductions, and have affordable deductibles and manageable out of pocket max's. So day-to-day your healthcare is good enough and cheap enough for you to not have a huge problem.
Companies on the other hand generally share the other 70+% of the cost, and are quickly realizing that offering health benefits to employees is no longer an automatic option as it was in years past.
Bottom line, I work for a large corporation (in the 6 Billion range), working in HR, and for the first time in my life I have heard mention of short-term benefit projections that are staggering, and when I say staggering I mean it. It is a very real fact that employers out there (if nothing changes) will start to drop healthcare coverage for exployees in the next few years. The variable cost model doesn't work. They'll just give each employee $1,000 and say good luck.
Healthcare in the US works great for you when you pay $300/month for good coverage, just wait until you get to stare at the REAL cost $1500/month for premium, with deductibles in the 1000's and no out of pocket MAX's.
It has to change, not sure government is the right anwser, but it can't be worse than the train coming down the tracks we are all standing on right now.
Actually its law (here) that if they have more then 10 employees they have to provide health care coverage
Originally Posted by SpartyRules!
Until the government gets out of the medical businesses, including insurance, the costs can not come down.
The government controls every facet from the invention of something to be sued in the medical fields, to the end user's use of it. As far as insurance companies, the state governments (all 57 or more did HE say?) have control of everything from the features/coverages of each policy to the price charged.
Can anyone imagine a company having to get a policy, which is a contract, approved in each state? And what that alone costs and how long it might take, in years? That is what is done, the process, for each life, home, auto, long term disability, health etc., etc.insurance policy sold by any insurance company in this country.
That's after jumping through many expensive hoops to become an insurance company to start with. And all that is before they can sell anything, or said another way, make a penny. Then once they are in business, there is all kinds of paperwork, inspections, audits etc. etc.. All that expense is reflected in the price of the product, in the form of the premium, or medical device or machine.
And then there are the drug companies. They spend many millions to develop a drug and then go through many years of very expensive testing before they find out if they have a failure or partial success. Partial because at any time after release, the drug may have side effects etc. that causes the government to make the company pull it off the market forever usually, and defend law suits for maybe a couple decades, and then probably pay off claims. No matter how many hundreds of thousands or millions of people may have been helped by the drug, or lives saved or improved, as few as a 100 problems can end it for everyone.
All that expense and the unknown potential future losses directly impacts the price, and the price leads to the industries being called greedy.
Health insurance premiums are reflective of overuse of the health care system. And insureds do not see or know of the costs of health care when they simply submit the doctor's or hospital bill to their insurance company and they are paid. And if the person does see the costs, they do not care! as long as they don't have to pay them. So they use the system for every little sniffle or pain etc. and merrily send the bills off to be paid by someone else. IF they had to pay the bills, they wouldn't be so quick to go sit in a waiting room with a bunch of sick people, or get a prescription for every little thing as many do today.
Well those not caring days are coming to an end because of the government's involvement which raised the costs and then the price, and still does, higher and higher.
And now, we are promised by the same government that we are going to get help because the government is going to take over the industry and reduce costs. uh huh, right, and I'll believe it when I see the costs come down and the quality and availability of heath care remains the same or actually continues to increase as it has for a hundred years.
Gary, you need what my oncologist would say, " a new mindset."
Originally Posted by Gary Slusser
Cookie, and maybe not. But I take it you don't agree.
Sheesh, Gary, I think it is important for people to go to the doctor's when they feel something is wrong. You never know.
What is a sniffle to one person, could actually be something far worse. I would never make a judgment on someone like that. It could cost that person their life.
I don't know your health problems, nor do I want to, but, I have a medical background in its entirety would astound you. And, so much of it, Gary, could had been brushed off as nothing. I wouldn't be here to annoy you. :)
*I am always the person sitting in the oncologists office who looks like they don't belong. It isn't because usually, I am the youngest or one of the youngest, but, I look very healthy. I look like I could win a pageant, which is disturbing to some of my relatives. lol. I have had older people approach me on several occassions sitting in offices or lobby's for scans etc, say to me, " you have no idea what it is like to be sick."
It makes me wonder, if people think I am wasting insurance dollars, lol. So, in essence don't judge a book by its cover.
Cookie, I've really been sad to hear of your problems and I'm glad you went to the doctor when you first thought that something might be wrong. Or now if you think there's something wrong. Had it not been for my wife making an appointment for me, I'd be dead 11 yrs now. I'm also saddened to hear you don't care anything about mine, but that's OK because I don't talk about 'it' and this wasn't supposed to be about you or me anyway.
OK Guys and Gals, time for a group hug!
Originally Posted by Gary Slusser
Gary, what is your problem with me? You always are rude to me, and I just about had it.
Originally Posted by Gary Slusser View Post
Cookie, I've really been sad to hear of your problems and I'm glad you went to the doctor when you first thought that something might be wrong. Or now if you think there's something wrong. Had it not been for my wife making an appointment for me, I'd be dead 11 yrs now. I'm also saddened to hear you don't care anything about mine, but that's OK because I don't talk about 'it' and this wasn't supposed to be about you or me anyway.[/quote]
Sorry Cookie, I apologize for anything I said that upset you in any way, that was not my intent.
Originally Posted by Cookie
Dont give it a thought, my relatives shit on me all the time.