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Started By
Message
The idea of a public option.
Posted on 3/31/17 at 8:32 am
Posted on 3/31/17 at 8:32 am
How would private health care insurance ever compete with government run public health insurance?
Unless customers are restricted from purchasing insurance based on income it would seem that health insurance companies would not be able to compete with the public option. The public option would eventually drive most health insurance out of business and we be left with health insurance which only 10% could afford and the public option for the rest in which probably only half of the remaining people (and the rich people buying private health insurance) are paying for the poors though health insurance subsidies.
Unless customers are restricted from purchasing insurance based on income it would seem that health insurance companies would not be able to compete with the public option. The public option would eventually drive most health insurance out of business and we be left with health insurance which only 10% could afford and the public option for the rest in which probably only half of the remaining people (and the rich people buying private health insurance) are paying for the poors though health insurance subsidies.
Posted on 3/31/17 at 8:34 am to GumboPot
quote:
public option
If you mean that health insurance should be sold like any other commodity then I agree
Posted on 3/31/17 at 8:35 am to GumboPot
I think the idea is for insurance companies to go away isnt it?
Posted on 3/31/17 at 8:35 am to GumboPot
quote:
How would private health care insurance ever compete with government run public health insurance?
That's the idea, which is why it's a terrible one.
Posted on 3/31/17 at 8:39 am to GumboPot
How could they IF they are allowed?
Quite well. It would actually benefit insurance companies greatly as the sick and irresponsible would go for the public teat option and the rest would rely on the private option.
Quite well. It would actually benefit insurance companies greatly as the sick and irresponsible would go for the public teat option and the rest would rely on the private option.
Posted on 3/31/17 at 8:43 am to roadGator
quote:
It would actually benefit insurance companies greatly as the sick and irresponsible would go for the public teat option and the rest would rely on the private option.
However if they both offered the same coverage you'd use the cheaper option. The public option would be able to beat the private option every time (because the public option would also be tax payer subsidized).
Posted on 3/31/17 at 8:45 am to GumboPot
quote:
The public option would be able to beat the private option every time (because the public option would also be tax payer subsidized).
This is why it won't work.
Posted on 3/31/17 at 8:46 am to GumboPot
Think of all the jobs lost if the entire health insurance industry folded.
Posted on 3/31/17 at 9:16 am to GumboPot
But they will not offer the same coverage.
The government will offer a plan that everyone can access but doesn't really cover anything.
Private insurance carriers will offer supplemental policies that people can purchase on the open market.
The real kicker will be if the government can somehow force all doctors to accept the government plan and fee schedule. If doctors can opt out and form their own groups then the private market will somewhat survive for those with means.
Sort of like people who pay taxes and are eligible to send their kids to public schools but choose to also pay the private schools tuition. They aren't getting back the money they paid into the public schools, they just aren't using the services and buying something else outside
The government will offer a plan that everyone can access but doesn't really cover anything.
Private insurance carriers will offer supplemental policies that people can purchase on the open market.
The real kicker will be if the government can somehow force all doctors to accept the government plan and fee schedule. If doctors can opt out and form their own groups then the private market will somewhat survive for those with means.
Sort of like people who pay taxes and are eligible to send their kids to public schools but choose to also pay the private schools tuition. They aren't getting back the money they paid into the public schools, they just aren't using the services and buying something else outside
Posted on 3/31/17 at 9:18 am to Mr.Perfect
I work for a large health insurance company. We are doing quite well marketing supplemental insurance in the UK which has universal coverage.
Posted on 3/31/17 at 9:21 am to Havoc
Most of the jobs will survive. The carriers will become third party claims administrators and the government will still largely need their actuaries and management.
Or all those people become government employees.
Medical loss ratios are like 85% of premiums. The 15% is administrative overhead and like 1% profit.
The government runs in the 30% level for overhead. So it's a pipe dream that this can save money. It can't.
Or all those people become government employees.
Medical loss ratios are like 85% of premiums. The 15% is administrative overhead and like 1% profit.
The government runs in the 30% level for overhead. So it's a pipe dream that this can save money. It can't.
Posted on 3/31/17 at 9:23 am to Mr.Perfect
quote:
Sort of like people who pay taxes and are eligible to send their kids to public schools but choose to also pay the private schools tuition. They aren't getting back the money they paid into the public schools, they just aren't using the services and buying something else outside
It seems like the public option will be another entitlement for the poor and unproductive and another tax burden for tax paying productive people. That's the real downside. I guess if you're super rich or make a really good income you won't really care much about the extra taxes.
Posted on 3/31/17 at 9:26 am to GumboPot
It would be the option chosen most of the time by most of the people. The rich would never use it, and the rest of us who are neither rich nor poor would use it as little as possible.
It's actually a relatively cheap way for the elites to buy off the masses and think of themselves as good people, so I see it as inevitable at this point.
I don't want it, but if we are going to have it any way, let's let a nationalist deliver it along with the closed borders that are it's only hope of not sucking massively.
It's actually a relatively cheap way for the elites to buy off the masses and think of themselves as good people, so I see it as inevitable at this point.
I don't want it, but if we are going to have it any way, let's let a nationalist deliver it along with the closed borders that are it's only hope of not sucking massively.
Posted on 3/31/17 at 9:26 am to GumboPot
In the UK people with money purchase private insurance so they don't have to wait for care, have choices of whom to see, can have elective proceedures, etc.
Even at that the general cost (at point of sale, costs funnelled through taxes and such are a diffetent matter) runs lower than here because the NHS picks up the tab for the bulk of the general care expenses - GP visits, routine screenings/tests, and most prescriptions.
Even at that the general cost (at point of sale, costs funnelled through taxes and such are a diffetent matter) runs lower than here because the NHS picks up the tab for the bulk of the general care expenses - GP visits, routine screenings/tests, and most prescriptions.
This post was edited on 3/31/17 at 9:28 am
Posted on 3/31/17 at 9:35 am to GumboPot
quote:
How would private health care insurance ever compete with government run public health insurance?
By offering better rates to providers than the public option does?
quote:
The public option would eventually drive most health insurance out of business and we be left with health insurance which only 10% could afford and the public option for the rest
I mostly agree here. 2 of the big payers would survive (post mergers) to provide a market between the public option and concierge medicine. If the pubic option has "medicaid for all" reimbursement rates, the market would be even bigger, and maybe more than 2 insurers survive. If the public option has medicare rates, it would be much smaller market.
Posted on 3/31/17 at 9:35 am to roadGator
quote:
Quite well. It would actually benefit insurance companies greatly as the sick and irresponsible would go for the public teat option and the rest would rely on the private option.
Posted on 3/31/17 at 9:38 am to GumboPot
I live in Germany and essentially it is a class system. If you have a great job and the means you can get private insurance which is better than the public insurance that they funnel everyone else into. With the public system they do the bare minimum to get you out the door because it is a hassle to deal with the government. My wife has private insurance and she goes in aprivate waiting room, has hardly any wait time, and is treated much better in general.
This post was edited on 3/31/17 at 9:40 am
Posted on 3/31/17 at 9:40 am to GumboPot
That would never work either the upper class would go to govt sector to avoid having to pay for two different healthcares and one they can't use. The lower class will hop on govt because it's "free" govt run healthcare doesn't and won't work
Posted on 3/31/17 at 9:41 am to stelly1025
Exactly. Like I posted in the other threads, both my landlords in Germany did this as well. They said otherwise it was a nightmare using the public system.
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