Comment Re:Underpants GNOME? (Score 2, Funny) 110
/ducks
Here in the states, you gotta spend roughly 20k per year in order to send your kids to college.
And if they want a job when they graduate, you have to spend $40k a year.
/currently living this
You're not seeing that removing pre-existing condition clauses and restricting rescission actually helps to align private insurers' interests with preventive care and medical cost reduction.
Actually, I am. See my other posts in this same thread, wherein I used that point in different words.
I'm in agreement with you for the most part--I do think we could do better, however, by implementing some controls on payment mechanisms--namely, restricting pay-for-procedure medicine and paying doctors for outcomes, like Mayo does.
It wasn't that people were just being denied care, they weren't carrying coverage in the first place so they were denied care then they went to buy it. This bill simply reinforces that bad action of that pool of people, and uses it as an excuse to force *everyone* to buy insurance. It took a combination of bad industry tactics combined with the irresponsible, and rewards both--the insurance groups get the reward of the more customers, the irresponsible get paid for being irresponsible and sick.
If you read my reply to a post below this one on the same thread, I linked an article about an insurance company (Assurant, formerly Fortis) revoking policies on anyone who had HIV. They made $150 million off of this arrangement. By disallowing this practice in the future, we are certainly not rewarding them--we're forcing them to change their business model from "let's cover the fewest sick people we can and leave them for our competitors" to "let's provide the best coverage at the least cost so people want to buy from us instead of our competitors". This also explains why they're funneling money to the Chamber of Commerce to undermine reform at the same time they're publicly declaring that they're open to it.
Basically, the assertion you're hiding in here is that people who are uninsured are uninsured by choice. And at the same time, you're asking why half of them still don't get coverage, even after subsidy. My answer is that the remainder are people who still fall through the cracks--as people who can afford it will be required to be covered under this legislation, those remaining uninsured likely fall under the "financial hardship" exemption.
In short, I don't buy said assertion: I don't believe that most uninsured are uninsured by irresponsibility. Given the pre-existing condition clauses and rescission policies, anyone who gets sick and is dropped (either because of rescission or because they've lost their job) can no longer be covered anywhere. While there are the young twentysomethings who think they're bulletproof, those aren't the ones likely to get sick. And now they'll be in the risk pool and drive down costs for everyone else.
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