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#26 2009-10-16 11:17 am
Re: Health insurers get a whiff of blood, move in for the kill
radarman wrote:
I was driving back home yesterday, and saw a billboard on the side of the road that read
"Obamacare will kill us all - write your congressman or senator" and gave the link to some website.
I was doing about 75 at the time, so I didn't get a picture, but I suspect it fits nicely in the local landscape. Insurance companies are working double time to get Americans to reject health care reform. The obvious question is why. Of course, that would require some critical reasoning skills.
If only you'd had a paintball gun and 5 minutes to stop...
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#27 2009-10-16 8:04 pm
- MysticCow
- Junior Assistant Poobah (Probationary)
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- Registered: 2002-07-29
- Posts: 3936
Re: Health insurers get a whiff of blood, move in for the kill
ShnickyShnack wrote:
MysticCow wrote:
ShnickyShnack wrote:
Fascinating analysis.
In the face of customers voting with their feet, insurers will lure them back by ... raising premiums?Because they still have to turn a profit and make shareholders happy. So they either cut services or raise premiums in order to make their shareholders happy.
You baffle me sometimes.
Well, I just refuse to connect the dots and jump from dot a to dot z.
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#28 2009-10-19 8:42 am
- ShnickyShnack
- ::: title edited due to Satanic influences :::

- From: Rockin' out
- Registered: 2001-05-25
- Posts: 22237
Re: Health insurers get a whiff of blood, move in for the kill
Update: More fear mongering ... insurers say health care system will "collapse" if Obama has his way
At issue are what insurance companies consider absurdly low penalties for people who choose not to buy health insurance.
Their concern: People will buy insurance only when they desperately need it, such as after they're diagnosed with cancer or heart disease.
Healthy people might choose to pay the penalty, now proposed at a few hundred dollars per year, because it is far less expensive than buying insurance.
Note: please delete this post.
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#29 2009-10-19 9:34 am
- Ribtorus
- Member

- Registered: 2002-07-11
- Posts: 13736
Re: Health insurers get a whiff of blood, move in for the kill
ShnickyShnack wrote:
Update: More fear mongering ... insurers say health care system will "collapse" if Obama has his way
At issue are what insurance companies consider absurdly low penalties for people who choose not to buy health insurance.
Their concern: People will buy insurance only when they desperately need it, such as after they're diagnosed with cancer or heart disease.
Healthy people might choose to pay the penalty, now proposed at a few hundred dollars per year, because it is far less expensive than buying insurance.
It may be a valid fear unless the legislation adresses it. And so then it probably becomes even more invasive. Perhaps the collapse of private health insurers is a goal and hitting them with unsustainable obligations is the hammer.
when surrounded and left on Afghanistan's plains,
and the women come out to cut up what remains,
just roll to your rifle and blow out your brains,
and go to your god like a soldier...
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#30 2009-10-19 11:07 am
Re: Health insurers get a whiff of blood, move in for the kill
Wow, just wow. I'd probably pay the penalty just out of principle. It's also funny (well, not really) that the insurance companies tend to find any excuse to drop people after... they're diagnosed with cancer or heart disease. But I will admit that I want to see a strong public option because it is a potential method to bring about single payer.
It is an odd thing, but every one who disappears is said to be seen at San Francisco. It must be a delightful city, and possess all the attractions of the next world.
- Oscar Wilde
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#31 2009-10-19 11:11 am
- radarman
- Member
- Registered: 2005-02-28
- Posts: 3589
Re: Health insurers get a whiff of blood, move in for the kill
The Aetna CEO recently admitted that they dropped entire regions because patients were too costly. However, in his defense, it was because they were a minority player in those markets, and couldn't negotiate lower rates.
We groan about the insurance companies, and they are certainly bad actors in this whole mess, but lets not forget hospital and medical companies that are on the other side of the negotiating table. They are jacking up costs for everyone, including insurance companies.
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#32 2009-10-19 8:06 pm
Re: Health insurers get a whiff of blood, move in for the kill
I was once charged $75 for 1 gram of Tylenol while uninsured. Fun times.
There's what you love to do, and then there's what you get paid to do. Those two things are often different.
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#33 2009-10-19 8:17 pm
Re: Health insurers get a whiff of blood, move in for the kill
On the flipside of cost, we demand that hospitals and providers compete. We criticize Canada for how long it takes to get an MRI there. MRI machines cost several hundred thousand dollars a piece. Every hospital has to have one or more and they have to get newer ones to compete. More are spending even more to get the "open MRI" machines to accommodate patients over 300lbs because Americans are getting fat. People demand name brand drugs or newer drugs that are still patented rather than settling for generics. Yes, we are part of the problem, but so is capitalism. We "need" drug patents to give big pharma reason to "innovate" despite the fact that much of the research is already funded by government. Let's also not forget that education costs a lot of money in the US. We set very high standards for physicians and nurses and require more education of them than most other nations. As a consequence they rack up lots of debt and expect to be well-compensated when they do get jobs so they can pay it off. Oh, and due to demand they command higher salaries. They also due have to pay for continuing education and malpractice insurance.
I don't doubt Aetna had issues due to competition. Convincing health care providers to practice in rural areas is difficult. There's also the issue of wellness. Insurance companies certainly aren't the only problem with health care in the US. I think the issue is more fundamental in that we still value rugged individualism and free market economics is practically religious dogma (even though we have plenty of socialism). I think in this case capitalism and the profit motive is the problem. Everyone wants their cut and adds to the cost at every step in the process. Insurance companies are businesses and are making business decisions - as are hospitals and providers. We need a system of health care organizations making health care decisions.
It is an odd thing, but every one who disappears is said to be seen at San Francisco. It must be a delightful city, and possess all the attractions of the next world.
- Oscar Wilde
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#34 2009-10-19 8:28 pm
Re: Health insurers get a whiff of blood, move in for the kill
robco wrote:
Insurance companies are businesses and are making business decisions - as are hospitals and providers. We need a system of health care organizations making health care decisions.
What if the health care organizations were a collaborative group of NFP's?
There's what you love to do, and then there's what you get paid to do. Those two things are often different.
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#35 2009-10-19 8:31 pm
Re: Health insurers get a whiff of blood, move in for the kill
You mean actual NFPs and not just in name only? Technically BCBS is a non-profit. Kaiser is a non-profit, but their physician group isn't. I used to work for a non-profit hospital chain that brought in billions every year and pays its CEO around $4M/year. They still have to compete with for-profit enterprises and well, have to bring in money to pay the bills.
It is an odd thing, but every one who disappears is said to be seen at San Francisco. It must be a delightful city, and possess all the attractions of the next world.
- Oscar Wilde
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#36 2009-10-19 8:32 pm
- Pariah
- James Carville Fan..

- From: Belly Of The Beast, Oklahoma!
- Registered: 2001-05-24
- Posts: 18394
Re: Health insurers get a whiff of blood, move in for the kill
Ribtorus wrote:
Perhaps the collapse of private health insurers is a goal and hitting them with unsustainable obligations is the hammer.
The Left's version of "starve the beast". 
"and it's not surprising that they get bitter, they cling to guns or religion or antipathy to people who aren't like them or anti-immigrant sentiment or anti-trade sentiment as a way to explain their frustrations."
Barack Obama
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#37 2009-10-19 8:35 pm
Re: Health insurers get a whiff of blood, move in for the kill
Well Medicare is certainly headed for trouble...
It is an odd thing, but every one who disappears is said to be seen at San Francisco. It must be a delightful city, and possess all the attractions of the next world.
- Oscar Wilde
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#38 2009-10-19 11:02 pm
- Farmerkev
- Official Dementor
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Re: Health insurers get a whiff of blood, move in for the kill
robco wrote:
Well Medicare is certainly headed for trouble...
According to this
http://healthcare-economist.com/2008/06 … -insurers/
medicare denies more claims than private insurance.
Do your part to combat global warming.
Eat a cow.
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#39 2009-10-19 11:52 pm
Re: Health insurers get a whiff of blood, move in for the kill
Medicare also has the problem of products and services being billed directly to them in a predatory fashion. These companies convince the elderly that they need a power chair, and not just any power chair, but their power chair, and will gladly bill Medicare on their behalf. Notice those commercials never talk about how much they're charging Medicare for the chairs, especially since a common part of these advertisements is that the company will cover the costs if Medicare denies the claim, thus Medicare winds up paying for them anyways because of the inflated cost. That means thousands upon thousands of unnecessary power chairs that Medicare has to pay for.
There's what you love to do, and then there's what you get paid to do. Those two things are often different.
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#40 2009-10-20 12:01 am
- radarman
- Member
- Registered: 2005-02-28
- Posts: 3589
Re: Health insurers get a whiff of blood, move in for the kill
Jokotai wrote:
Medicare also has the problem of products and services being billed directly to them in a predatory fashion. These companies convince the elderly that they need a power chair, and not just any power chair, but their power chair, and will gladly bill Medicare on their behalf. Notice those commercials never talk about how much they're charging Medicare for the chairs, especially since a common part of these advertisements is that the company will cover the costs if Medicare denies the claim, thus Medicare winds up paying for them anyways because of the inflated cost. That means thousands upon thousands of unnecessary power chairs that Medicare has to pay for.
In all fairness, for a lot of seniors, those chairs are a big deal. I have no doubt they are absurdly expensive for what you get, but it's not like they are totally useless. For someone with arthritis, or simply weak muscles, it's the difference between laying in bed or on the couch, and getting around.
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#41 2009-10-20 12:02 am
- ShnickyShnack
- ::: title edited due to Satanic influences :::

- From: Rockin' out
- Registered: 2001-05-25
- Posts: 22237
Re: Health insurers get a whiff of blood, move in for the kill
Pariah wrote:
Ribtorus wrote:
Perhaps the collapse of private health insurers is a goal and hitting them with unsustainable obligations is the hammer.
The Left's version of "starve the beast".
A part of me still wonders whether Obama's reason for handing it off to Congress was that, in the event of (likely) failure, he'd be able to push for something far deeper and more wide-ranging in the aftermath.
Note: please delete this post.
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#42 2009-10-20 12:11 am
Re: Health insurers get a whiff of blood, move in for the kill
radarman wrote:
Jokotai wrote:
Medicare also has the problem of products and services being billed directly to them in a predatory fashion. These companies convince the elderly that they need a power chair, and not just any power chair, but their power chair, and will gladly bill Medicare on their behalf. Notice those commercials never talk about how much they're charging Medicare for the chairs, especially since a common part of these advertisements is that the company will cover the costs if Medicare denies the claim, thus Medicare winds up paying for them anyways because of the inflated cost. That means thousands upon thousands of unnecessary power chairs that Medicare has to pay for.
In all fairness, for a lot of seniors, those chairs are a big deal. I have no doubt they are absurdly expensive for what you get, but it's not like they are totally useless. For someone with arthritis, or simply weak muscles, it's the difference between laying in bed or on the couch, and getting around.
The problem is that they aren't representing their product responsibly. Yes, there are those that need them. There are also those that would rather get around without the possibility of their feet getting tired. These companies don't distinguish between the two, they're just after the sale.
There's what you love to do, and then there's what you get paid to do. Those two things are often different.
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#43 2009-10-20 10:10 am
- user
- Your plastic pal who's fun to be with

- From: I'm not getting you down, am I
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Re: Health insurers get a whiff of blood, move in for the kill
I would imagine that Medicare requires a Dr's prescription for those chairs. And, really, the number of people who would want to ride around in a chair out of laziness would have to be very very low. It's a pain in the butt to accommodate something like that in your house.
Aw, he's no fun, he fell right over.
Unless you become as little children, there's no way you will believe this crap.
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#44 2009-10-20 12:45 pm
Re: Health insurers get a whiff of blood, move in for the kill
Farmerkev wrote:
robco wrote:
Well Medicare is certainly headed for trouble...
According to this
http://healthcare-economist.com/2008/06 … -insurers/
medicare denies more claims than private insurance.
The article doesn't mention fraud, a big problem with Medicare. They also neglect to mention that Medicare is by far the nation's largest insurer. Their numbers are going to be higher.
Last edited by robco (2009-10-20 12:47 pm)
It is an odd thing, but every one who disappears is said to be seen at San Francisco. It must be a delightful city, and possess all the attractions of the next world.
- Oscar Wilde
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#45 2009-10-20 12:56 pm
- Ribtorus
- Member

- Registered: 2002-07-11
- Posts: 13736
Re: Health insurers get a whiff of blood, move in for the kill
robco wrote:
Farmerkev wrote:
robco wrote:
Well Medicare is certainly headed for trouble...
According to this
http://healthcare-economist.com/2008/06 … -insurers/
medicare denies more claims than private insurance.The article doesn't mention fraud, a big problem with Medicare. They also neglect to mention that Medicare is by far the nation's largest insurer. Their numbers are going to be higher.
It stands to reason that medicare would reject more claims. People must first qualify for it, and only then can a claim be passed up a level. Presumably, one knows whose one's private insurer is. Also, I suspect many of those covered by medicare are, because of their circumstances of age or other debilitation, the least able to properly understand the system they're in. If you or your employer are paying for private health insurance, there's an extra imperative to know what you're paying for.
when surrounded and left on Afghanistan's plains,
and the women come out to cut up what remains,
just roll to your rifle and blow out your brains,
and go to your god like a soldier...
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#46 2009-10-20 6:30 pm
Re: Health insurers get a whiff of blood, move in for the kill
Jokotai wrote:
radarman wrote:
Jokotai wrote:
Medicare also has the problem of products and services being billed directly to them in a predatory fashion. These companies convince the elderly that they need a power chair, and not just any power chair, but their power chair, and will gladly bill Medicare on their behalf. Notice those commercials never talk about how much they're charging Medicare for the chairs, especially since a common part of these advertisements is that the company will cover the costs if Medicare denies the claim, thus Medicare winds up paying for them anyways because of the inflated cost. That means thousands upon thousands of unnecessary power chairs that Medicare has to pay for.
In all fairness, for a lot of seniors, those chairs are a big deal. I have no doubt they are absurdly expensive for what you get, but it's not like they are totally useless. For someone with arthritis, or simply weak muscles, it's the difference between laying in bed or on the couch, and getting around.
The problem is that they aren't representing their product responsibly. Yes, there are those that need them. There are also those that would rather get around without the possibility of their feet getting tired. These companies don't distinguish between the two, they're just after the sale.
Those chairs could be made better, sturdier, lighter, smaller and just about everything else.
Think about what goes into manufacturing a good bicycle, $1500 - $2000 will get you a 17 lb wonder machine with Ultegra hubs, Mavic or similar quality hoops, an 853 steel frame (or aluminum or carbon fiber if you so choose) I postulate that manual wheelchairs could weigh 25 pounds, motorized ones could come in at under 40, and be manufactured and delivered to people in need for between $2000 and $4,000 dollars.
Stack that up against what Medicare is being forced to reimburse for because of sweetheart deals with manufacturers who make what is basically crap.
The hugely ignored part of health care reform is the issue that government in other countries tells these manufacturers and providers what they can charge.
So how much is that MRI machine?
Perhaps this?
Maybe this?
How much is the procedure?
Perhaps a second opinion?
Ohhh, my goodness, look at that. . .
Wow. . .
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================= (_)/ (_)
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#47 2009-10-20 10:28 pm
- Farmerkev
- Official Dementor
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- Registered: 2003-01-03
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Re: Health insurers get a whiff of blood, move in for the kill
robco wrote:
Farmerkev wrote:
robco wrote:
Well Medicare is certainly headed for trouble...
According to this
http://healthcare-economist.com/2008/06 … -insurers/
medicare denies more claims than private insurance.The article doesn't mention fraud, a big problem with Medicare. They also neglect to mention that Medicare is by far the nation's largest insurer. Their numbers are going to be higher.
The number is given as a percentage.
Do your part to combat global warming.
Eat a cow.
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#48 2009-10-20 10:43 pm
- ShnickyShnack
- ::: title edited due to Satanic influences :::

- From: Rockin' out
- Registered: 2001-05-25
- Posts: 22237
Re: Health insurers get a whiff of blood, move in for the kill
Farmerkev wrote:
robco wrote:
Farmerkev wrote:
According to this
http://healthcare-economist.com/2008/06 … -insurers/
medicare denies more claims than private insurance.The article doesn't mention fraud, a big problem with Medicare. They also neglect to mention that Medicare is by far the nation's largest insurer. Their numbers are going to be higher.
The number is given as a percentage.
That sure is a nice blog post you have there. Nice of him to do all the analysis for us. No need to look at the actual numbers or indeed the article he was referring to. Trust him, he's on the Internet!
Note: please delete this post.
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#49 2009-10-20 10:45 pm
- Farmerkev
- Official Dementor
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- Registered: 2003-01-03
- Posts: 18609
Re: Health insurers get a whiff of blood, move in for the kill
ShnickyShnack wrote:
Farmerkev wrote:
robco wrote:
The article doesn't mention fraud, a big problem with Medicare. They also neglect to mention that Medicare is by far the nation's largest insurer. Their numbers are going to be higher.The number is given as a percentage.
That sure is a nice blog post you have there. Nice of him to do all the analysis for us. No need to look at the actual numbers or indeed the article he was referring to. Trust him, he's on the Internet!
Then you go and prove his numbers wrong and make him look foolish.
I'll wait.
Do your part to combat global warming.
Eat a cow.
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#50 2009-10-20 10:55 pm
- ShnickyShnack
- ::: title edited due to Satanic influences :::

- From: Rockin' out
- Registered: 2001-05-25
- Posts: 22237
Re: Health insurers get a whiff of blood, move in for the kill
Farmerkev wrote:
ShnickyShnack wrote:
Farmerkev wrote:
The number is given as a percentage.That sure is a nice blog post you have there. Nice of him to do all the analysis for us. No need to look at the actual numbers or indeed the article he was referring to. Trust him, he's on the Internet!
Then you go and prove his numbers wrong and make him look foolish.
I'll wait.




While you're waiting, feel free to visit the only place this story seems to appear, on right-wing pro-corporate blogs. Then you can come back with more unattributed factoids!
Note: please delete this post.
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