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GLP-1s are breaking life insurance

glp1digest.com

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Re: GLP-1s are breaking life insurance

#121

Post by animal_spirits »

44520297 wrote: post #101
animal_spirits wrote: post #82

Earlier quoted context omitted.

We prescribe alcoholics with medicine to help them curb their alcohol intake, but if they do not learn the discipline to not drink then they can end up back where they started after getting off the medicine. But I don't think either drugs for alcoholism or obesity should be denied to anyone. However there are other tools to supplement with to help learning discipline.

>However there are other tools to supplement with to help learning discipline. The current FDA guidelines support your assertion that GLP1s should be prescribed in addition to other tools to help people change their eating habits. What the FDA does not prescribe is moralism, which is what “help learning discipline” tends to imply. If you didn’t intend to frame your argument in terms of moralism, you might consider a…

Not sure how else to word it. "help people change their habits" vs. discipline to change their habits - what's charged about the word 'discipline'?

Re: GLP-1s are breaking life insurance

#122

Post by hiAndrewQuinn »

ecb_penguin wrote: post #95
hiAndrewQuinn wrote: post #66

Earlier quoted context omitted.

Every single life insurer? All at once? Jeez.... I guess in that scenario I become a billionaire because it will be very easy to scoop up some VC money to snoop up some of those newly unemployed actuaries to monopolize the market at a profit margin an order of magnitude larger than any of my now non-existent competition, because this is a financial product and doesn't require months of building a factory or something…

If you think it's that simple, you have no idea what you're talking about. How many years experience do you have in the insurance industry that you're so confident to talk like this? > because this is a financial product and doesn't require months of building a factory or something to offer. How many financial instruments have you launched? If the answer is zero, you should refrain from any conversations on the topic…

I do actually think it's that simple, yes. Term life is just not that complicated a product at heart.

Onus is on you to prove that if every single life insurance provider was suddenly Thanos snapped out of existence tomorrow, we wouldn't see a swarm of hungry financial professionals swoop right back in to recreate the service within weeks. That seems like a laughable claim to me, but maybe you know something I don't.

(Edit, for future readers: ecb_penguin seems to have missed the question earlier in the thread I was responding to:

>... and the question was about the aggregate effect. What happens if all life insurers go bankrupt?

Emphasis mine. This was to clarify that yes, the original commenter meant literally all providers.)

Re: GLP-1s are breaking life insurance

#123

Post by refulgentis »

Is the slippage graph just for net life increase slippage?

Or any slippage?

It caught my eye this explosion in slippage happened years before GLP-1s, and exactly in the year of a global pandemic that had sky-high mortality rates for older people.

Re: GLP-1s are breaking life insurance

#124

Post by sethhochberg »

darth_avocado wrote: post #106
DavidPeiffer wrote: post #69

Earlier quoted context omitted.

You will be going through underwriting again, your new rate will be based on starting at an older age, and you'll have a new exclusion period begin (unless there are some provisions which prevent these in the event of a company failure). Hopefully you haven't had any significant health conditions present themselves since the original policy went into effect.

Insurance companies will find any and every reason to not insure you. A slight change in lifestyle could mean you are no longer covered.

With term life insurance specifically the lifetime policy premiums are typically so low relative to the value of the policy that there's a natural bias towards insuring generally healthy people. Its not uncommon to see policies that are something like $40/month for 20 years ($9600 in premiums) for a $1mm death benefit, for example.

People with more complex medical conditions often can get life insurance from smaller, specialized providers... and at much higher rates. But the big mass-market players offering inexpensive term life products are only offering them that cheaply because they really control the risk profile during underwriting.

Re: GLP-1s are breaking life insurance

#125

Post by Starlevel004 »

bryant wrote: post #55
44520297 wrote: post #44

Earlier quoted context omitted.

Why is obesity the only disease that taking medicine for is “cheating”? Which is more important: instilling your particular version of “discipline” into people, or saving billions in healthcare costs and millions of lives from suffering?

People grew up making fun of others for being overweight. Suddenly a medication making it treatable (and possibly providing an explanation for why the prevalence of obesity skyrockets in developed countries) validates the idea that it's a medical condition. Relatedly: it validates that people are assholes for making fun of others who are overweight. And not many people like feeling like an asshole. Edit: starlevel004…

Correction: Lots of people like feeling like an asshole. They don't like being called out for it or being wrong.

Re: GLP-1s are breaking life insurance

#126

Post by firesteelrain »

apwell23 wrote: post #119
firesteelrain wrote: post #24

I was on Mounjaro for two months. I was also dieting and walking 10k steps a day. I lost 25 lb and my A1C went down to 5.0 from 5.7. All my cholesterol numbers were in range. I stopped taking it and lost 25 more. I haven’t regained the weight. People who gain it back did not learn the lesson and did not effectively change their habits. You need the discipline - and a good support system. But if you don’t have that an…

suprised your a1c was only 5.7 despite being obese .

From what I understand you don’t have to be obese and have type 2 diabetes. In my case, I was obese and did not have diabetes but I might have been going down that road

Re: GLP-1s are breaking life insurance

#127

Post by paulpauper »

jakubmazanec wrote: post #91

> When someone stops the medication, they'll usually regain the weight they lost Source? I agree that some people will regain the weight, but "usually" is an unfounded (without some data) generalization.

It's variable. some regain all, other regain less. But they basically all regain some.

Re: GLP-1s are breaking life insurance

#128

Post by cm2187 »

romaaeterna wrote: post #16

The problem (not new with GLP-1s) is that people lose weight, get life insurance, and then regain. The biggest part of that equation is regain part. Most people quit GLP-1s because of costs. Let's fix that.

I don't know, I tend to notice the effect wears off over time. Not sure it's a good idea to consume it permanently. Perhaps a better use would be for short periods to course correct.

Re: GLP-1s are breaking life insurance

#129

Post by firesteelrain »

nerevarthelame wrote: post #120
firesteelrain wrote: post #24

I was on Mounjaro for two months. I was also dieting and walking 10k steps a day. I lost 25 lb and my A1C went down to 5.0 from 5.7. All my cholesterol numbers were in range. I stopped taking it and lost 25 more. I haven’t regained the weight. People who gain it back did not learn the lesson and did not effectively change their habits. You need the discipline - and a good support system. But if you don’t have that an…

This is akin to saying a severely anxious person should be able to take an SSRI for a few months, learn how to change their thinking, and stay off antidepressants for the rest of their life. So simple. Must be their fault if they can't pull it off. Perhaps that works for some people. I'm glad it seems to have worked for you. But the facts of the world we live in show that it doesn't work for most. "Learn the lesson a…

The analogy to your example is that someone who has to take Mounjaro for diabetes will always have to take it even after losing say 100 pounds. Or Metaformin even.

GLP-1 in those cases helps manage the problem better.

But for those who are not in those cases where Type 2 Diabetes has sunk in, then they need to use the opportunity to get better while on it and kick themselves into high gear or they will have learned nothing from the experience

Re: GLP-1s are breaking life insurance

#130

Post by pie_flavor »

linsomniac wrote: post #98
hiAndrewQuinn wrote: post #23

So... There's a miracle drug powerful enough to robustly lower people's all cause mortality, but since health insurance and life insurance are industries with vastly different time preferences, this is not a good thing for the life insurers because people just keep getting off the magic longevity drug and screwing up their predictions. Because, admittedly, it kind of sucks in the moment to be on. And I'm guessing jus…

>There's a miracle drug powerful enough to robustly lower people's all cause mortality Did I misread the article, my TL;DR of the article is that GLP-1 reduce the indicators or mortality without modifying the actual mortality (because most users return to normal indicators within about 2 years).

No, it's a miracle drug that drops mortality by a ton. The indicators aren't being faked. The weight causes the mortality, and the weight loss reduces it, and the weight regain reintroduces it. GLP1RAs introduce some noise to the indicators but not enough to cause what you're implying.
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