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Originally Posted by RiffRaff:

Nothing affordable about it...and the deductibles are terrible


If the cost to deliver healthcare is very high in the USA obviously Obamacare isnt going to be cheap.

 

Who else is going to pay for those $10 million dollars salaries and perks earne dby hospital CEOs, and the $2 million + earned by specialists? YOU pay for it!

 

Long ago I said taht the ACA doesnt address the core problem of healthcare and Kari, the White House press agent, gave birth to a cow at my "treasonous" claims.

Last edited by caribny
Originally Posted by Stormborn:
Originally Posted by RiffRaff:

Nothing affordable about it...and the deductibles are terrible

Report card

This report card doesn't address Ray's question. The most significant aspect of the Affordable Care is that the Insurance companies had to spend 85 cents of every dollar on health and can only use 15 cents of every dollar for administrative expenses. That suggests that much more of our premium dollars would be spent toward our healthcare and the balance would be refunded to us. All that spelled lower premiums since the paying pool is greater and the industry can only absorb so much. None of that has happened so far. The premiums are higher, deductibles are higher and the actual service sucks.

Originally Posted by ksazma:
Originally Posted by Stormborn:
Originally Posted by RiffRaff:

Nothing affordable about it...and the deductibles are terrible

Report card

This report card doesn't address Ray's question. The most significant aspect of the Affordable Care is that the Insurance companies had to spend 85 cents of every dollar on health and can only use 15 cents of every dollar for administrative expenses. That suggests that much more of our premium dollars would be spent toward our healthcare and the balance would be refunded to us. All that spelled lower premiums since the paying pool is greater and the industry can only absorb so much. None of that has happened so far. The premiums are higher, deductibles are higher and the actual service sucks.

All I can say I was spending 749 and now spend 350 and I see no reduction is care.

Originally Posted by ksazma:
Originally Posted by Stormborn:
Originally Posted by RiffRaff:

Nothing affordable about it...and the deductibles are terrible

Report card

This report card doesn't address Ray's question. The most significant aspect of the Affordable Care is that the Insurance companies had to spend 85 cents of every dollar on health and can only use 15 cents of every dollar for administrative expenses. That suggests that much more of our premium dollars would be spent toward our healthcare and the balance would be refunded to us. All that spelled lower premiums since the paying pool is greater and the industry can only absorb so much. None of that has happened so far. The premiums are higher, deductibles are higher and the actual service sucks.

No where in your description do you address the reasons for high premiums.  If the 85% spent on DIRECT healthcare increases then obviously premiums will increase.  A 15% allowance for overheads in quite in line with most service businesses.

 

Until this country focuses on the high cost of delivering healthcare, and ceases to think that health insurance is the only factor people will continue to complain.

Originally Posted by caribny:
Originally Posted by Stormborn:
 

All I can say I was spending 749 and now spend 350 and I see no reduction is care.

Unless you have a plan which has enormous deductibles I really don't see how those premiums can be so low.  Most likely a bronze plan.   Not every one can deal with the high deductibles that this entails.

Depending on the carrier, the deductible on this kinda plan could be about 8 - 10K a year...which would be like over 1K a month anyway if he uses up the deductible

Originally Posted by caribny:
Originally Posted by ksazma:
Originally Posted by Stormborn:
Originally Posted by RiffRaff:

Nothing affordable about it...and the deductibles are terrible

Report card

This report card doesn't address Ray's question. The most significant aspect of the Affordable Care is that the Insurance companies had to spend 85 cents of every dollar on health and can only use 15 cents of every dollar for administrative expenses. That suggests that much more of our premium dollars would be spent toward our healthcare and the balance would be refunded to us. All that spelled lower premiums since the paying pool is greater and the industry can only absorb so much. None of that has happened so far. The premiums are higher, deductibles are higher and the actual service sucks.

No where in your description do you address the reasons for high premiums.  If the 85% spent on DIRECT healthcare increases then obviously premiums will increase.  A 15% allowance for overheads in quite in line with most service businesses.

 

Until this country focuses on the high cost of delivering healthcare, and ceases to think that health insurance is the only factor people will continue to complain.

You clearly aren't a numbers person if you are so confused by what the 85% and 15% represent. The prior required split was 55/45%

Originally Posted by ksazma:
 

You clearly aren't a numbers person if you are so confused by what the 85% and 15% represent. The prior required split was 55/45%

Quit talking about that which you know not.

 

Health insurance companies must either spend 85% of the premiums paid on DIRECT care.  If they spend only 80% than they must reimburse the 5% excess.  No company wants to be in that position.

 

The problem isn't health insurance.  It is about the cost of health care.  People can get cheap health insurance and then they will get huge bills from providers when these companies cannot pay the providers as agreed.

 

As is quite a few of the Obamacare cheapie companies have gone broke and those who bought insurance from them now have to scramble to get it from elsewhere.   I predicted this last year when some went on the usual ignorant rampage thinking that all is well, but for the insurance.

 

The conversation should be why is health care in the USA so expensive. Even Medicare/Medicaid is running broke. 

Last edited by caribny
Originally Posted by ksazma:
I guess you completely missed the element of over-saturation.

The health insurance industry can absorb those who wish to acquire it. 

 

To the extent that there are problems its the fact that a diminishing pool of primary care providers has reduced the ability of the health care sector to absorb growing numbers of people who seek their services, rather than continuing to rely on ER for their ongoing chronic diseases like diabetes.  Few US trained doctors go into primary care now.  As a result the system is increasingly reliant on Americans doctors trained in Grenada, Dominica and St Kitts, and on foreigners migrating to the USA, largely from Asia, but more than a few from Africa, Latin America and the Caribbean.

 

Like many others, you make the mistake of confining your analysis of health care to that of the health insurance sector. They are merely one cost component of it.  The ACA limits to the 15% to which you refer, so the days of this sector being the main driver of health care costs is pretty much over.

 

A trend that ought to concern you though is the fact that escalating costs to DIRECTLY deliver health care, and the reduced pricing flexibility of health insurance companies, combined with the fact that they can no longer market fraudulent policies (as they did in many of the Red states, where regulation is weaker), has led to a growing concentration of this sector.  

 

Many of the companies which started up when the exchanges were set up, are now broke, this in the SECOND year if operation. They didn't understand the fundamentals of health care economics, and so were under capitalized, priced inappropriately, were unable to cover their costs, and are now being shut down.

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