healthmyths
Platinum Member
- Sep 19, 2011
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Insurance companies make decisions as to whether a procedure is covered under the terms of the policy. Their decision is not really about healthcare but an interpretation of the contract. If you appeal, you are no longer at the mercy of the insurance company's medical panel. Also due to ACA, pre-existing conditions and lifetime maximums are no longer an issue.Yes, but not as much so as in years past.
Well, would it still not be fair to say, then, that these so-called death panels aren't really different than the decision-making bodies of private insurance firms?
Since there are no government death panels, I can't make a comparison with a myth.
It appears YOU have little or NO knowledge of risk assessment, i.e. what actuaries do.
For example you want to have complete health coverage by some entity that will exchange some value for a physician to perform a service.
That in a nutshell is what an insurance company does.
In exchange for dollars companies will pay claims.
The question really is how much of the dollars go out to pay the claims and if MORE comes in then goes out the company can pay people to handle the claims
and pay a profit to the investors that put up the original money to start the company, i.e. profits.
NOW because NONE of the members of congress and much less Obama and his people HAD NO real day to day knowledge of how that works, they
assumed insurance companies are greedy evil profiteers.
NOT believing the financial statements that show insurance companies pay out an average of 80% of all premiums in claims leaving 20% to pay out salaries,etc. and 4% net profit to the investors, ACA idiots are mandating two totally incompatible requirements:
1) The idiots raised the medical liability ratio to 85%... and said oh just take it out of those rich executives salaries and shareholders profits. RIGHT
2) And these idiots furthermore added "oh by the way, you won't be able to raise rates for "pre-existing conditions".. because we are compassionate elitists that
know you can take EVERYONE because you are filthy evil profiteers and use that money."
So these golden goose killers are eliminating insurance companies. Which is their ultimate goal!
NOT considering that if there is JUST ONE GIGANTIC SINGLE "PAYER" there is no more consumer choices.
There is no efficiencies gained because the operating costs NEVER were the major cost driver... CLAIMS are! Executive salaries?? less then 2/10ths of one %!
And so you ignorant people that have thought ACA's eliminating "pre-existing conditions" was such a great idea... WAIT!
Wait and watch 1,300 insurance companies go out of health insurance business. Watch $100 billion a year in Federal/State/Local taxes vanish!
Watch 400,000 people get laid off collecting for 99 weeks over $12 billion more!
Then see how much "health insurance premiums" will cost! NOTHING because there will be no value offered as there is now!
Why should any physician take less then they are taking now? Surveys are showing physicians dropping out! Shortages and guess what you totally ignorant people...
WAITING IN LINES will be the RULE! YOU think waiting is bad now... ???