The biggest problem I have is that a lot of the provisions thrown in to the Senate version are bows to the insurance industry status quo. Exactly what got us into this mess. That why the Senate version is not real reform. The House version isn't perfect either, but it's at least more progressive.
frazzled-snoozer wrote:Beyond my comments above: Here's what I would want in the healthcare bill:
1. No denials for pre-existing conditions.
This would no longer be legal under both the Senate and the House bills. However, the Senate version lets insurance providers increase premiums on those with pre-existing conditions. So while they can't deny it, they can charge more for it. That's a sellout to the insurance industry.
2. Changing the regulations for insurance co's to give them more transportability (over state lines.)
No argument there. There are areas of this country where only one company exists. Customers must be able to shop outside their area. This should have to be in conjunction with a strong national public option. Otherwise it's just increasing pool sizes for the private sector. Another sellout to the insurance companies.
3. I'd like to see less regulation for insurance as far as what they will cover, but more regulation to create quotas of high risk patients.
You said above that you're against letting insurance companies decide who gets care based on pre-existing conditions. I agree 100% with you. However, deregulation of what insurance companies are required to cover will
add to denials based on pre-existing conditions.
Your first and third points appear to contradict one another. How do you reconcile those two stands? Am I understanding correctly?
In other words, in order to be sure there are affordable plans for everyone a certain %age of their business would have to be for these high risk patients with some structure for basic coverage (like they do for high risk auto insurance)... thus spreading out the burden. With fewer regulations about what they will offer, competition would grow according to consumer demand.
Insurance companies seem to think that my body is a commodity like the futures market.
It isn't. Insurance companies pit us against stockholders. Since the purpose of every company is to improve its bottom line, stockholders win that fight.
The other side to the coin is not letting insurance companies drop us when we use the system. That practice is illegal in the Senate version and I want to say the House version. As the system is now,
everybody on this forum could lose their insurance tomorrow simply because they used it. We should all be
very afraid right now and insist that this provision makes it through conference intact.
In other words, in order to be sure there are affordable plans for everyone a certain %age of their business would have to be for these high risk patients with some structure for basic coverage (like they do for high risk auto insurance)...
That's what insurance all about. It's a risk pool. For example, in California you HAVE to buy earthquake insurance, regardless of whether you live on the Hayward fault (the most dangerous fault in America) or in Idyllwild, which isn't on any fault lines and is insulated against damage by mountains--nature's shock absorbers. The purpose is to allow payments for anybody who experiences damage caused by a natural disaster.
4. I'd like to see no caps on what you can put in your FSA. These accounts should be encouraged.
Again, no argument there.
5. There should be greater limitations on medical lawsuits. While the legal system is a very effective place to penalize shoddy medicine, compensation should be limited to stay within scale of the damage.
Help me understand, what's a human life worth? All phases of the medical industry kill. Sometimes it's doctor error/incompetence and sometimes it's insurance company denial of life-saving treatments. Why shouldn't I be able to sue who I see as the guilty party?
I'd like the end result of any ideas to be that anyone who can buy his own groceries should be able to afford his own health insurance. I believe healthcare is as essential to us as food. I don't expect the government to provide my food so I'd like to not expect the government to provide my healthcare. But, for those that are in need of assistance, I think we should do a much better job of providing quality healthcare. I think a lot has improved in this regard with Medi-caid and Medicare pairing up with existing HMO's. That's the sort of thinking I want to see expanded. ...people are more motivated, more innovative, and even more efficient when we're running our own show. That's why a system where even the poorest among us has a choice of how they'll spend their healthcare dollars could be fantastic. It should be as easy to come by as auto insurance and even higher a priority on anyone's budget....I don't know about requiring people to purchase it.
Agreed on all points. In theory, requiring everybody to purchase insurance will reduce costs by increasing the pool. In reality, is a sellout to the private sector, since all it does is add millions of potential customers to the "free market." It's no coincidence that insurance companies' stock rose the day that provision was thrown in. Investors knaw that they are the big winners in the Senate version.
All that said, there's a little-known and very exciting provision thrown into the Senate bill at the last minute. It will require insurance companies to cover CAM (Complementary and Alternative Medicine) like massage therapy, acupuncture, herbal remedies, etc. There's no defenceable reason to disallow acupuncture, especially since the FDA officially recognized the needles used as "medical devices." UHG is resisting this exact problem for me right now. I asked then if they would cover acupuncture for Plantar Faschiitis. They said yes, but ONLY if I try something else--something "conventional" Forget about the fact that it's worked for 5,000 years.
Doug