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re: Question to libs about prexisting conditions and high risk

Posted on 9/21/17 at 10:34 am to
Posted by roadGator
Member since Feb 2009
140684 posts
Posted on 9/21/17 at 10:34 am to
quote:

Are we alluding to the fact that white people are healthier than black people across the world?


Maybe, if you have a mouse in your pocket or are speaking French.
This post was edited on 9/21/17 at 10:34 am
Posted by SUB
Member since Jan 2001
Member since Jan 2009
20917 posts
Posted on 9/21/17 at 10:49 am to
quote:

I've never had an auto insurance claim. If I cause three accidents in three months do you think the insurance company should not be able to charge me more because of the new risk I've presented?


I understand what your saying. But auto-insurance isn't exactly the same as health insurance, especially if you want to compare how premiums are set. For auto insurance, when you have a few claims in a year, you are deemed more risky and your premiums may go up, and whose at fault weighs heavily on this, though some things out of your control, such as if your windshield is constantly getting cracked, can also factor in. You will receive the benefits to cover the costs of those accidents according to your plan.

However, for health insurance, if you get something serious, like cancer, you will need to exercise your policy and file claims for many years or even the rest of your life. That's not exactly the same or similar circumstances as why auto-insurers increase premiums.

Do I think health insurance companies should be able to adjust premiums based on new risks due to something like cancer, that may be no fault of the person insured? No. If I picked up smoking, then sure, because that was my choice. You mentioned in another post that there are other medical conditions that result in person choice, like heart disease. True, but that is a lot harder to prove than who is at fault in an auto accident, which makes health insurance a very different animal than auto insurance. Health Insurers are betting on me and everyone else in their plan paying them in perpetuity and never getting a serious illness, and in most cases, they are right. That's how they make money. They need to pay up when they lose that bet.
This post was edited on 9/21/17 at 10:57 am
Posted by i am dan
NC
Member since Aug 2011
24811 posts
Posted on 9/21/17 at 10:56 am to
quote:

The ironic part of this is that other countries with far more socialistic programs have better life expectancy for less money. Lets not pretend we have some sort of great efficient system over here.


We're also the unhealthiest and most drug taking country in the world. Of course, other systems will not have the same success here. If you want to call them successes.
This post was edited on 9/21/17 at 11:02 am
Posted by roadGator
Member since Feb 2009
140684 posts
Posted on 9/21/17 at 11:01 am to
quote:

if you want to compare how premiums are set


They are identical in the way premiums are set.

quote:

Do I think health insurance companies should be able to adjust premiums based on new risks due to something like cancer, that may be no fault of the person insured? No.


Then how do those claims get paid in the future? As new information is gathered risk assessments are adjusted and actuaries use that data to set rates.

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

Auto insurance and health insurance are actuarially the same. You may not think so and that's OK.

The process of setting rates is identical.

Most of what insurance companies are paid to do is actuarial in nature. That's what they are paid to be really good at at the end of the day.

We'll have to agree to disagree. By the way, my insurance career began in underwriting. I'm just dangerous enough to question actuaries but not smart enough to challenge their final word.

Actuaries are terrible people as a rule by the way.
This post was edited on 9/21/17 at 11:03 am
Posted by SUB
Member since Jan 2001
Member since Jan 2009
20917 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
140684 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.
Posted by roadGator
Member since Feb 2009
140684 posts
Posted on 9/21/17 at 11:54 am to
quote:

Everyone else is just subsidizing their care


Just like auto insurance premiums subsidize those drivers that get into more accidents.

Just like the living and breathing people that pay premiums for life insurance subsidize the poor soul that died before his time.

Just like every other insurance policy.
Posted by cahoots
Member since Jan 2009
9134 posts
Posted on 9/21/17 at 11:57 am to
quote:


Just like auto insurance premiums subsidize those drivers that get into more accidents.

Just like the living and breathing people that pay premiums for life insurance subsidize the poor soul that died before his time.

Just like every other insurance policy.


I understand that insurance is inherently a subsidy for some and a cost for others. I'm just saying that healthcare is particularly difficult because there is so much disparity in healthcare costs among different people.
Posted by BamaAtl
South of North
Member since Dec 2009
21920 posts
Posted on 9/21/17 at 12:02 pm to
quote:

SlowFlowPro


Please list the part in Graham-Cassidy that specifically segregates lifestyle choices from genetic causes. Also include how that will be calculated, by whom, and how often.

Since we're talking about G-C, and it doesn't do that, let's all remember that everyone with a PEC gets absolutely fricked by this piece of shite bill.
Posted by SlowFlowPro
Simple Solutions to Complex Probs
Member since Jan 2004
423213 posts
Posted on 9/21/17 at 12:03 pm to
quote:

Please list the part in Graham-Cassidy that specifically segregates lifestyle choices from genetic causes.

please list your evidence showing where i support that abortion of a law

Posted by BamaAtl
South of North
Member since Dec 2009
21920 posts
Posted on 9/21/17 at 12:04 pm to
quote:

no they haven't


Yes, they have. By their own (and any unbiased source's) admission.

Posted by SlowFlowPro
Simple Solutions to Complex Probs
Member since Jan 2004
423213 posts
Posted on 9/21/17 at 12:05 pm to
quote:

Yes, they have. By their own (and any unbiased source's) admission.


so waiting times for diagnostic procedures and GP visits are the same in the US and UK or Canada?
Posted by BamaAtl
South of North
Member since Dec 2009
21920 posts
Posted on 9/21/17 at 12:06 pm to
quote:

please list your evidence showing where i support that abortion of a law


You're on a mighty high horse over PECs in this thread for someone who doesn't support that law, given what it does to PECs in this country.

Posted by Dignan
Member since Sep 2005
13265 posts
Posted on 9/21/17 at 12:11 pm to
I'll allow it.
Posted by SlowFlowPro
Simple Solutions to Complex Probs
Member since Jan 2004
423213 posts
Posted on 9/21/17 at 12:11 pm to
quote:

You're on a mighty high horse over PECs in this thread for someone who doesn't support that law, given what it does to PECs in this country.

i told you earlier. i'm not a Republican

i don't believe that goverment should be involved in health care and it should be private contracts between consumers, providers, and sometimes voluntarily-chosen middle men (likely insurance companies). so that means i can hate the ACA and the abortion of a bill the GOP is trying to pass

my non-extreme policy solution is this: take all federal funding of health care (so all NIH grants, Medicare, Medicaid, VA, etc spending), cut about 25% of it and create a national insurance program. all you have to do is opt in and you have coverage. also that funding cannot influence any private choice or funding (so if a Dr decides to take that public insurance he is not mandated to anything else, or if he doesn't accept it, vice versa). the federal insurance budget is set with 1% annual increases and that amount cannot be changed for 100 years
Posted by Centinel
Idaho
Member since Sep 2016
43376 posts
Posted on 9/21/17 at 12:14 pm to
quote:

NIH grants


You probably lost her right there with that one

BamaATL will never agree to any solution that affects her paycheck.
Posted by SlowFlowPro
Simple Solutions to Complex Probs
Member since Jan 2004
423213 posts
Posted on 9/21/17 at 12:21 pm to
i know my audience, sir

but seriously my compromise solution gives Bama everything she wants

1. universal access
2. government insurance issued without profit motive
3. PECs covered (really part of 1 but specifically listing due to thread theme)

i'm curious if she agrees that's the best route for our current system
Posted by Taxing Authority
Houston
Member since Feb 2010
57358 posts
Posted on 9/21/17 at 12:21 pm to
quote:

Yeah, if you're sick, you should die in a gutter somewhere
tired strawman is tired.

quote:

Every other OECD country in the world has figured it out,
Nope. The have lower standards of care, and ration care. Try again.

quote:

That's an odd %, and in no way supported by facts.
Completely supported by fact, and I've presented the calcs here before.

quote:

Your incorrect fantasy on how high taxes might go to prevent a policy you disagree with doesn't change reality.
My calculated required taxation rate is a lot stronger case than your strawman that people will be left to die in the streets.
Posted by Taxing Authority
Houston
Member since Feb 2010
57358 posts
Posted on 9/21/17 at 12:23 pm to
quote:

When you realize that health status in large part is decoupled from personal choice
No one is forced to receive care against their will.
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