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Help Us Help Molly Holzschlag

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61–70 of 76 posts

Re: Help Us Help Molly Holzschlag

#61
post #39

Earlier quoted context omitted.

How is insurance a scam? You are lowering the impact an extreme event has on you in return for the payment of monthly amount.

The scam is that they are skilled at not paying out when you need them.

That's because the system is setup so that the payouts go from a pool of money that would otherwise be "profit" for the company. If the company's "profit" is independent of the payouts, maybe this would help. Probably have a separate pool of the money from where to settle claims. You could split up the premium into two parts:

1) The money for the payout pool. No profit should be extracted from here.

2) Money that you will invest and thus earn profit from.

You could use actuarial science to make sure that you have enough collections to statistically be able to pay out every claim. And in this model, the company would have no incentive to NOT payout

Re: Help Us Help Molly Holzschlag

#62
post #30

Best wishes to Molly for a speedy recovery and to feel better soon. Thank goodness she is famous, even if lesser known by the mainstream and friends can appeal to help her. For those that think the ACA (obamacare) will solve this after January, nope. A full half of the states [1] have denied medicaid expansion (because the supreme court ruled they could turn it down) which means if you fall into the gap where you "ma…

If you make less than (I believe its) 4x federal level of poverty in your area you are eligible for subsidies on your health insurance via the marketplace. The issue you are pointing out is where you make too much to qualify for your state's medicare plan but not enough to be able to pay for private insurance even with subsidies. So its not that you make "too much" to get health insurance, but you make too much to ge…

It is worse than that in states that decided not to expand Medicaid. Subsidies are available for people who make 100% to 400% of the federal poverty level. The Medicaid expansion was supposed to cover people up 138% the federal poverty level, but In states without Medicaid expansion, there are people who aren't eligible for Medicaid under old rules and aren't eligible for subsidy because they make less than 100% of poverty level.

Re: Help Us Help Molly Holzschlag

#63

What happens to people in USA with similar situation (employer-provided insurance ends, life sustaining healthcare is needed, no income to pay for that) who don't get a successful fundraiser? Bankruptcy due to unpaid medical bills? Withheld treatment because of non-payment, possibly causing death? Both of these? No offense, I'm simply curious on how the system works.

I think you described it.

In all likelyhood though, her income drops to zero, she qualifies for medicaid...which isn't great, ever...but it works.

Re: Help Us Help Molly Holzschlag

#64

What happens to people in USA with similar situation (employer-provided insurance ends, life sustaining healthcare is needed, no income to pay for that) who don't get a successful fundraiser? Bankruptcy due to unpaid medical bills? Withheld treatment because of non-payment, possibly causing death? Both of these? No offense, I'm simply curious on how the system works.

Life sustaining you'll get for free by the hospital which merely raises everyone elses rates. We already have socialized medicine, its just the "wrong" middlemen are profiteering.

From personal experience via a friend with a broken arm, the hospital will eventually present you with the most amazing collection of bills you've ever seen with the most unimaginable rates, so a simple non-compound arm fracture and cast will end up billed as $50K. The goal of the hospital is to book as large of a paper loss as possible, so the paper loss will probably exceed actual service cost by a couple orders of magnitude. Somehow the ER doc who spent about 15 minutes verifying yes it is indeed broken will charge 6 hours of dedicated time, you'll be billed for entire jars of painkillers if they give you a single pill, etc. It'll take about six months for all the bills to arrive from all the doctors and the hospital, but bill collectors will start calling before the first bill arrives. Once you're sure you have all the bills, its bankruptcy time, which costs some time and money. So the real cost of any lifesaving medical procedure never exceeds maybe $2K to a lawyer, maybe less. She needed the car insurance money from the accident to get the car to continue to attend school and work, don't recall how she paid for the bankrupcty. Bankruptcy is actually pretty expensive and not surprisingly the sharks in the biz only take cash. The bankruptcy doesn't really matter, because part time no benefits minimum wage retail cashiers are not going to get mortgages and new car loans anyway. Legally officially it could be an issue for 7 years or whatever, in practice its not an issue after a couple years at most. I suppose if you had the misfortune to break your arm the week before graduation and you get a real job, you'd be out a substantial amount of money. It would be highly unwise to get married if you're poor, because if she was my wife at the time, I'd have had my financial life destroyed by her mere car accident and broken arm. At least that's how it was in the early 90s. Other than prices probably going up an order of magnitude or so, I suspect nothing has really changed.

Re: Help Us Help Molly Holzschlag

#65
post #13
post #5

(As a brit) I don't understand this: "Molly was employed at the small NPO Knowbility as the Open Web Evangelist. Knowbility was able to put her on Family and Medical Leave which allowed Molly to retain her health insurance coverage. The FMLA time period has ended and the only coverage available now is through COBRA." So she had health insurance, but now that she's ill and has to stop work, it is stopping? If health i…

Thank Thatcher we have a country that can afford to pay for the NHS.

Because the economy that Thatcher and Blair made is going so well? Triple-dip?

Re: Help Us Help Molly Holzschlag

#66
post #5

(As a brit) I don't understand this: "Molly was employed at the small NPO Knowbility as the Open Web Evangelist. Knowbility was able to put her on Family and Medical Leave which allowed Molly to retain her health insurance coverage. The FMLA time period has ended and the only coverage available now is through COBRA." So she had health insurance, but now that she's ill and has to stop work, it is stopping? If health i…

The standard response is that she needed disability insurance on top of her medical insurance. So yeah, you need 2 different insurances in case you get a real illness in the US. This is how fucked up it is here. Unfortunately the GOP and conservative democrats killed any "public option" in the ACA so we'll never have anything like the NHS here. Oh, I have this secondary insurance. It also sucks and will cost me a lot…

"Unfortunately the GOP and conservative democrats killed any "public option" in the ACA so we'll never have anything like the NHS here."

Hardly a permanent situation. When you have a corrupt enough system, just like a scrambled enough computer, the best bet is to hurry up and reboot the system so you can bring it up clean. After the reboot we'll have sensible insurance. The problem is surviving until after the reboot. There is too much money to be made by crooks so we have to nurse the existing system along until enough blood has been squeezed from stones.

Re: Help Us Help Molly Holzschlag

#67
post #57

Earlier quoted context omitted.

I don't think DanBC is saying that insurance per se is a scam, but that the U.S. health insurance industry is unavoidably scammy. EDIT: Put another way: you're 100% correct that that's what insurance should do and purports to do, but that's not how it actually plays out with American health insurance.

No! I'm very much saying that most insurance (car insurance, home contents insurance, payer-protection insurance, flood protection insurance, etc etc) is rife with scammy practices and awful awful people - the scum of the earth.

Agreed. On the scale of insurers, there's no risk - it's just cost averaging a.k.a. what the government should be doing. There's no way to lose money at it.

Re: Help Us Help Molly Holzschlag

#68

Earlier quoted context omitted.

That's the point. An extreme event will be something that puts you out of work for at least a month, and for many people, they will no longer have a job after not working for a month. Since their insurance is coupled in intricate ways with their job, it ends when they need it most.

Right but that has no bearing on if the concept of insurance is a scam or not. Sure, health insurance in this country is tied to a job due to WW2 wage controls but that doesn't invalidate the entire concept of insurance.

Does it really matter if the pure concept of something is not a scam when the embodied culture of it clearly is?

Re: Help Us Help Molly Holzschlag

#69
My one story about Molly - I met her as a speaker at an XML Conference around 1999 or 2000. She was extremely welcoming and kind to me, a wet behind the ears nobody at the time. We went for a speakers' pre-conference dinner that night, and it was decided we would have Sushi.

As a Northern Brit I had never seen nor eaten sushi before, never mind looked at the menu. I asked if she minded ordering for me, and she graciously did so.

As my first time eating sushi I assumed the small amount of guacamole provided would be topped up once I finished it, so I happily spread the top of a piece of sushi with half of my "guacamole". Never have I wanted to scream so much in my life. Molly just kindly passed me some extra water and made sure I was OK.

I never really kept up with her, but she'll always be there sat next to me when I had my first ever wasabi experience.

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