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re: Question to libs about prexisting conditions and high risk

Posted on 9/21/17 at 11:27 am to
Posted by SUB
Member since Jan 2001
Member since Jan 2009
21051 posts
Posted on 9/21/17 at 11:27 am to
quote:

They are identical in the way premiums are set.


If you are talking about risk as a whole, then yes. But the risk factors used are very different, no?

quote:

If you can't adjust your pricing due to risk then it's not insurance.


Definition of insurance is "a practice or arrangement by which a company or government agency provides a guarantee of compensation for specified loss, damage, illness, or death in return for payment of a premium."

Now, I understand that an insurance policy may provide for premium adjustments in the event of loss, damage, illness, etc, but all I'm saying is that I don't think it's right to adjust for certain factors. I'm paying for protection from getting a serious illness, and what you are saying, is that there is no guaranteed compensation for an illness, since insurers can just adjust premiums to whatever they see fit based on new risks. That isn't insurance. That's a subsidized health plan. It's not protection if my premiums can be extremely increased if a serious event occurs at no fault of my own.
Posted by roadGator
Member since Feb 2009
141311 posts
Posted on 9/21/17 at 11:38 am to
quote:

I'm paying for protection from getting a serious illness


That's not what you are paying for. I don't even think you believe that. CAn you rephrase that? Not trying to be a dick.

Yes, the risk factors being evaluated are different between a company that insures automobiles, health, shipping containers, renters, etc. You are absolutely correct. The methodology is the same.

quote:

I don't think it's right to adjust for certain factors


OK. If you insure shipping containers and your insured is sending containers through an area known to be full of pirates should they be able to charge more? When you first began providing them insurance they didn't serve pirate infested waters?

Of course, they should be able to charge more because the new data available says that they are a higher risk due to freaky pirates.
Posted by cahoots
Member since Jan 2009
9134 posts
Posted on 9/21/17 at 11:50 am to
Even though the actuarial process may be the same, heath and auto insurance are different animals. Most people pay somewhere between $50-200 for auto insurance because the risk profile of each person doesn't vary too significantly. Everyone gets in accidents from time to time.

With health insurance, the elderly and the chronic patients eat up most of the costs. Everyone else is just subsidizing their care, whether through premiums or taxpayer funded subsidies. There is so much disparity in risk that it's difficult to put people into pools together.
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