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Employer health plans are getting pricier and skimpier

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Re: Employer health plans are getting pricier and skimpier

#161

If you think health care is expensive now, wait until it's free.

This. Spreading the cost of something that's getting increasingly more expensive across the populace doesn't solve the fundamental factors that are causing that thing to become more expensive in the first place. It also removes the incentives to fix the underlying issues.

Re: Employer health plans are getting pricier and skimpier

#163

What makes health insurance cheaper is a larger pool of people. There is no other mechanism by which costs can be reduced. This is why a single payer system is dramatically cheaper. It ensures complete coverage, reducing the cost of insurance to it's minimum. Furthermore, it leverages the collective bargaining power of all subscribers. There is no substitute for a national health insurance, and the United States slow…

What makes health insurance cheaper is not paying for as many expensive operations per capita. While there are a host of factors making US health insurance expensive, the critical factor since 2008 is laws: laws which require that the insurance cover patients who will have very expensive operations, and do so at the same rates as other patients.

The primary advantage of a national health insurance scheme is that it can ration its care for expensive operations, and people won't be able to yell "Greed, greed!" at insurance companies as a scapegoat (ignoring that the profit margins sit at about 4%, which is not exactly the sort of health insurance savings that would fix anything).

Re: Employer health plans are getting pricier and skimpier

#164
post #148

The problem is that there is not a single reason that healthcare is so expensive. Even if you list the top 15 reasons, you still have to apply the "5 whys" to each of them to find root causes and possible solutions. - Doctor's are paid too much... why? - Well they need to be paid a lot because medical school debt is 250k or more... why? - Medical schools/the AMA are artificially limiting the number of students and re…

> so they need to charge a lot... why? - I honestly don't know. Does anybody else know the answer to this? > Doctor's are paid too much... why? Are US doctors paid too much when compared to say... Japanese doctors? European doctors?

In many cases US doctors make 2x (or more if you're a specialist) than their European counterparts. The outcomes are not materially better in most cases.

(Also, I'm just picking on one small reason for healthcare costs, the point is that is just one of many)

Re: Employer health plans are getting pricier and skimpier

#165
post #152

Insurance companies need to be expropriated. The entire thing needs a restructure from the ground up, there are too many critical path issues that will keep things expensive if we try to have two systems at once (medicare for all + private) the US should get real medicare, then move to a public/private system where you get base coverage through medicare and pay extra for fancy coverage.

Simply removing insurance and letting the free market adjust would fix the issue. When I was a kid no one worried about hospital bankrupting the family. Now anything larger than a paper cut has the chance to bankrupt most families. Combine that with the accident rate in cars you have an almost certain chance for a large percentage of the US to be bankrupt

Free markets don't work with the information asymmetries involved in healthcare.

Re: Employer health plans are getting pricier and skimpier

#166
post #125

Sharing this idea in order to gather critique. The cost of healthcare in the USA is insane. Could we look for insight into the US Military? Example: This morning, a coworker told me she's going to have an operation on her back. The "cost of the tray" (I have no idea what this is) is $14,000. She has to pay $8,000 up-front two days before the operation, and the remainder will be financed over two years. To me, it's in…

Active duty military members do not get healthcare at the VA. The VA is reserved for veterans.

That said, as a recipient of VA healthcare I don’t pay a dime. Some vets do but I have a service-connected disability rating above the threshold for free healthcare for life. Prescriptions, ER visits, physical therapy, etc are all covered.

I have a friend who was a nurse at the VA who told me they loved working there because there’s never a hesitation to order a test due to insurance coverage. If my doctor feels that something is important, they order it.

Whether it’s migraine medication, PT due to some jaw issues or a vasectomy, they’re all covered for me.

There have been some complaints about VA service in the past but in the 10+ years I’ve been using them it’s been a breeze.

Re: Employer health plans are getting pricier and skimpier

#169
post #149

Earlier quoted context omitted.

Genuine question, what is the link between a tier-2 visa in the UK, and the subject of the story. Thanks.

I was curious too and Googled it. Something about how healthcare in the UK is free, and if you are on that visa then you can get that health care.

Replying to both (am the original questioner, and thanks for the answers) I'm a brit and to be precise, the NHS is free at point of use, not free. Just to be clear.

It's also now underfunded, but it's still a system I'll literally fight for.

Re: Employer health plans are getting pricier and skimpier

#170

This is absolutely the biggest story in America, and most people aren't talking about it. An entire generation is draining their savings to keep up with premium costs. Not to mention the millions of people locked into careers they would otherwise get out of, if not for the health coverage. This situation is probably going to lead to unbelievable outcomes.

> An entire generation is draining their savings to keep up with premium costs.

Knock on wood but, myself and pretty much everybody I know has insurance covered ~75% through our full time employers. I think my portion of my insurance is about... $100/mo? I've never had to use it way/shape/form in the past... 5-10 years.

Isn't the truth that the most unhealthy people are what drives health care costs?

It'd be interesting to see a visual of who uses their insurance and how much of it they use. Let's not forget that lack of exercise, obesity, and heart disease are rampant in America.

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