Xsarus wrote:
I think that the system of insurance is so institutionalized at the moment that relaxing regulation would not do anything to make health care more affordable or better for people. I'm not convinced that deregulating at this point would cause any lowering of rates, now that they are where they are. You can certainly make an argument about what caused the increases, but that isn't necessarily the immediate solution.
There in lies the problem, I think. People seem to believe that there is a need for an immediate solution to a problem that took half a century to mature. The problem with immediate solutions is that they are generally largely reactionary and populist, almost always over-reaching and fraught with unintended consequences.
Xsarus wrote:
If a person has a 50% chance of inheriting a genetic defect, their insurance rates will be super high if they can even get any. This is what I disagree with. I don't think there is an easy way of drawing a line and saying here is the point at which government programs will step in. What if it's only a 25% chance? Do they have to pay an increased if not quite as much amount to an insurance company, or is it something else? What about 10%.
If a person has had a DUI and they want to get insurance to drive, they pay several hundred percent more than someone smart enough not to get caught. If someone lives in an earthquake zone, they get charged more for homeowners insurance than someone who doesn't. We don't force everyone to have car insurance, or homeowners insurance just because there is tiered pricing on risk. Another issue is what people expect insurance to pay for. If I get a flat tire, I sure as sh;t don't make an auto claim. If I get a broken window from a kid with an errant baseball, I don't make a homeowner's claim. Why do people expect their maintenance health care issues to be covered by insurance?
Xsarus wrote:
I think the best way is to assess risk and charge insurance based on population rather then individuals. Figure out the average the company needs to charge and then charge everyone that, regardless of their condition. Have fun convincing the companies to do that though.
And I don't disagree with the first part of that. Risk is a population assessment, but everyone falls in to a different population. You don't charge a 16 year old boy with a new drivers license the same rate you charge a 35 year old mother of 4 with a minivan. You build some overlap in, but you charge those likely to need it more because it's right.
Xsarus wrote:
Yes, super healthy people with no family history of disease will pay more, as one of those I'm fine with that.
Then write a f'ucking check and stop being an arrogant ******* who thinks that just because you're ok with it everyone else should be, too.
Xsarus wrote:
The other problem of course is the Massive administrative overhead you guys have. That margin's not going to go anywhere unless something drastically changes.
Which gets solved by getting government out of the way. Thus endeth that sermon.
Look, I am not suggesting deregulation. I know we have to regulate insurance, of all kinds. I am suggesting less stupid regulations. I don't believe that an absence of regulation ever solves anything. But there is no good reason why every health plan sold in a state must cover mental illness. None. If a person wants to buy that rider "just in case", so be it. There is no reason a healthy 20 year old should have to purchase long-term care insurance, and yet it is required as a point of regulation in some states. Why not offer it as another rider?
It just doesn't have to be as difficult as people try to make it.
stupidmonkey wrote:
I was referring to you classifications of people.
Nice dodge, though.
I'm not dodging anything. I have answered the charge on classification. It's a simple question, why not answer it?
stupidmonkey wrote:
But I am open to discussion on what the final decision is. I don't claim to know the answer, because there are so many things to consider. An informed debate is needed, not "I am right, and you need to listen to me and only me".
The problem is that discussion involves basically 2 opposing viewpoints: advocates for personal responsibility and advocates for government responsibility. Call it a talking point if you like, but recognize as fact that government has never, in the history of humanity, run a social program effectively over time. They run bankrupt, they suffer from massive fraud and cause mass discontent over cost and provisions. It's fundamental, if you offer something "free" or even at a reduced cost, people line up for it. The people paying for that (and in America that boils down to whoever the liberals think has too much money) will eventually be bled dry. That's legalized theft. You want to have an informed debate, listen. Read. I already have. I've seen the bills, seen the causes, seen the fallout, heard the ideas for fixing it. I don't think you should listen to me and only me, I just know that listening to people with different opinions than mine is a wasted effort. (yeah, focus on that one as the salient point I've made here)
Xsarus wrote:
what the @#%^'s up with all this karma whining lately.
I don't give a sh;t about my personal Karma, I just don't like to see a relatively civil intelligent conversation bombed so it drops off filter for some people. Default me, just leave the initial post alone.