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Greedy Insurance Companies , Really???

  1. lady_love158 profile image60
    lady_love158posted 6 years ago

    http://www.cato-at-liberty.org/medicare … um=twitter

    Does anyone really believe that government health care will be cheaper and better than what we have and without fraud waste and abuse??

    1. bgamall profile image85
      bgamallposted 6 years ago in reply to this

      Nothing is more expensive than what we have now. We pay more for less than any country in the world.

      1. swb78 profile image60
        swb78posted 6 years ago in reply to this

        You really believe that? Really? And how old are you? How many years have you watched Democrats promise the moon and deliver cow pies? Sheez .......I will be so glad when the baby boomer's are too old to talk, what a selfish and stupid generation.

    2. PrettyPanther profile image83
      PrettyPantherposted 6 years ago in reply to this

      There is no "government health care" in the U.S., unless you're talking about health care provided by the Veterans Administration.  Your question makes no sense.

      1. Evan G Rogers profile image83
        Evan G Rogersposted 6 years ago in reply to this

        ermmm...

        Medicaide, Medicare, Social Security, Subsidies to the Health System, the government granted monopoly rights to the ADA.

        There's quite a bit of government in the health care system right now.

        1. PrettyPanther profile image83
          PrettyPantherposted 6 years ago in reply to this

          The government does not employ health care providers to provide health care in those cases; it merely pays for it to be provided by others.  The VA actually does provide "government health care."

    3. bgamall profile image85
      bgamallposted 6 years ago in reply to this

      Agreed, Pretty.

      The reason it could be unconstitutional is because it is not government health insurance. The constitutionality rests on whether the government can force people to buy private insurance.

      Had the public option stayed in, constitutionality would have been no issue.

      1. junko profile image78
        junkoposted 6 years ago in reply to this

        Hey! Lady Love,  I Thank you for that link. I totally agree with Michael F.Cannon's hub. If you and I and Him believe that $48billion was stolen through fraudulent and improper claims to medi-care, who stole the money? Was it the public or private sector?  If this kind of huge fraud of the goverment on the military and defense, education, finance, taxes, and all levels of federal goverment was stopped.  The national's debt could be paid off before the end of obama's second term. This thread proves that the nation needs health reform, financial reforms, tax reforms and more goverment watch dogs to watch and protect the tax payer's money.

    4. profile image61
      kwgluvnaposted 6 years ago in reply to this

      I used to work for a group of doctors - my job was to bill the insurances.  One of my experiances was:  I billed the office visit and received an explantion of benefits (EOB) stating the money the insurance should have paid was going toward the patient's deductible.  I knew he didn't have a deductible (he had and HMO), but when I called the insurance company, I was told it went to the deductible.  So I billed the patient as I do for deductibles.  When the patient came in to complain, because, he didn't have a deductible, he showed me a letter from the insurance company that said the doctor's office did not file the claim on time.  I pulled out MY letter and the two letters were dated the same day.  We called the insurance company together.  They said there must have been some kind of mistake and paid the bill.  The bill was paid several months after the doctor visit and after the patient and I spent time trying to solve the issue.  I wonder how many other people this happens to and they just pay the bill, thinking the insurance company is right.  I do think insurance companies are greedy and immoral.  No one holds them legally accountable for not payin legitimate claims.

      1. lady_love158 profile image60
        lady_love158posted 6 years ago in reply to this

        And a government take over fixes that how? Here's another side I was billed for my deductable by my doctor... after I paid I looked at the bill to see what it was for since I hant seen that doctor in quite some time...it was for an appointment I didn't keep! So I called to get my money back and I did but my insurance company paid for tests I didn have! I wonder how much of this fraud goes on... 48 billion in medicare!

        1. profile image61
          kwgluvnaposted 6 years ago in reply to this

          I don't think a government takeover would fix the insurance problem.  It would make it worse.  We do, however, need to fix our healthcare system.  Other countries have come up with solutions - still not perfect - that we would be wise to study.  That is why I suggested Reid's book.  He explains the different models.  I think we should look at them and choose a solution that would suit the US.

          1. junko profile image78
            junkoposted 6 years ago in reply to this

            We don't need a goverment takeover of healthcare. We need the goverment to arrest, convict, and jail those who exploit and fraudulently steal hundreds of billions every year from tax payers.

            1. junko profile image78
              junkoposted 6 years ago in reply to this

              If the goverment starts a war on fraud, the nation's debt would be paid before the end of obama's second term

    5. AdsenseStrategies profile image72
      AdsenseStrategiesposted 6 years ago in reply to this

      The point (in theory) is that, in a representative democracy, the People have control over government-run services, via their representatives. By definition, the public has no control over a private entity like a corporation. Unfortunately, in practice the Congress, Senate, and President of the United States IN PRACTICE usually represent large corporations -- some of which are health insurance companies....

  2. knolyourself profile image61
    knolyourselfposted 6 years ago

    "government health care". Depends on who is running the government.

    1. lady_love158 profile image60
      lady_love158posted 6 years ago in reply to this

      That's where you're wrong... no matter who's running the government,  the government running health care will be disaster!

      1. John Holden profile image59
        John Holdenposted 6 years ago in reply to this

        The UK provides comprehensive health care at about half the cost of GDP that the US does.

        1. swb78 profile image60
          swb78posted 6 years ago in reply to this

          Hey, government drone.....did you notice the UK health care system is going broke. Check the news and be educated.

          1. John Holden profile image59
            John Holdenposted 6 years ago in reply to this

            Erm, no, I didn't notice that the UK health service is going broke.
            I did notice that we have a right wing government who are trying to destroy any vestige of socialism we have left in this country, even down to getting rid of the May Day holiday, despite them having already renamed it, but what more would you expect from them?

            I suggest that you check the news, preferably not Fox, and get educated. It would be worth while, save you embarrassing your self in public.

      2. dkroskens profile image60
        dkroskensposted 6 years ago in reply to this

        After being a registered nurse for over 33 years, I can tell you there are many problems with our current health care system, especially in the hospital ( I did all of my career in the diagnostic and surgical areas).  One of the biggest problems is redundent paper work, which costs labor, labor is expensive, and a broad catagory.  Another problem is frivilous law suits which increase the cost of malpractice insurance, and increase the amount of documentation to prevent law suits.  Please, don't get me wrong, legal incentive is one way to keep unethical medical practicioners in line.  Sad but true.  Huge salaries for executives in the hospital, cost of operations in terms of medical supplies, drugs ( enormous....thousands of dollars for patients to get medications to prolong last stage terminal illness, prolong it, including the suffering), poor, poor, poor management of quality services, which results in duplication of service, in addition to management of complications associated with the first service.  Last, but certainly not least, the insurance or lack of it.  Indigent patient costs result in the increase of cost to the paying patients. At least managed care would help everyone.  Insurance companies are the puppeteer of health care.  They will and do determine if you need the service, based on their evaluation of your need.  You better hope your doctor knows how to write the most compelling documentation when he/she is asking for special service.  If not, well your tests are evaluated by a physican who works for the insurance company, and they go by a yes and no chart, and they are no longer actively practicing medicine.  If you ask me, it's crazy and someone besides the insurance company needs to mandate who gets cared for.  Their bottom line is money.  We have laws to protect all Americans, and to make it fair. Do you want your health care in the hands of people in business or medicine ?
        The key is get involved in proposed changes, and be proactive advocates.  Write, write, write your congress people, telephone, or  email.  I am an advocate in our state. I have spoken to many  legislators, and they do listen, and they really do evaluate the situation when enough noise is made about the concern.  On the other hand, they also evaluate the lack of interest by their constituents when nothing is said.
        Please...don't let the media be your only means of information.  Go to your congressperson's website for phone, email addresses and regular mailing addresses. If you don't know who your representative is,  google it with the area you live in.  The government is not the kingdom, it's a representation of you and for you if you will allow it to be.

        1. John Holden profile image59
          John Holdenposted 6 years ago in reply to this

          Welcome.
          Don't be surprised when your experience is shot down in flames or totally ignored.

        2. AnnCee profile image78
          AnnCeeposted 6 years ago in reply to this

          Do you think the IRS along with the 159 new government agencies created to administer health care will help, dk?


          Yeah, I'll be sure to call my Democrat Congressman who didn't read the bill.  Thanks for the good laugh. lol

          1. John Holden profile image59
            John Holdenposted 6 years ago in reply to this

            Hm, seven minutes, that must be a record.

            1. AnnCee profile image78
              AnnCeeposted 6 years ago in reply to this

              I neither discounted or whatever else you said.  I responded with my opinion.  Nor did I make a personal attack which cannot be said of some.

          2. Doug Hughes profile image60
            Doug Hughesposted 6 years ago in reply to this

            The government is not going to 'administer health care'. For the most part, they are enforcing the rules that will REQUIRE the insurance play fair. I don't mind that you disapprove, but continually misrepresenting what the law is does become irritating. I'm sure there's a forum for fiction.

          3. dkroskens profile image60
            dkroskensposted 6 years ago in reply to this

            I can be shot down in flames my friend, but at least I have the right to give you my opinion, and my years of experience in the way of freedom of speech, thanks to the system we call liberty.  You can get involved or you can complain, either way you get to have your say, and I wouldn't trade that for anything, since it seems people have literally spent their life fighting to save it.  Once again, we need to get involved and say it to the people who make the laws.  Mass communication to them works.

            1. junko profile image78
              junkoposted 6 years ago in reply to this

              Fraud, Waste, and Abuse is exactly health care of today. You start off twisting how it is now, as how it will be under healthcare reform. The goverment needs to get involved in stop the fraud thats driving up healthcare.

              1. Moonchild60 profile image84
                Moonchild60posted 6 years ago in reply to this

                Thank you - A voice of reason, they just upped our health care cost AGAIN.  The cost MONTHLY for both my husband and I is climbing above $1300.00 a month!!!!!!!!!!

                Am I the only person who thinks this is exobitant?????  Do a lot of people have that kind of money???? SOMETHING has got to be done as these health insurance people keep stealing from the American public and no one is doing a damn thing about it.

                My husband is diabetic and I am okay, thank god.  He is 57 and I am 50.  We have had the same insurance company for over 7 years.  We keep trying to change, but we can't seem to find any cheaper with the same benefits.  Add to that our community has grown in leaps and bounds with illegals and people with no health care and we have one hospital that isn't the greatest to begin with.  Every 2 years they nearly close because they don't make money with all the illegals they take in through emergency care.  There are not enough legal people out here to absorb that cost. 

                OKay people SOOOO against universal health care, what are your solutions to this nightmare???

                1. AnnCee profile image78
                  AnnCeeposted 6 years ago in reply to this

                  The borders need to be controlled and illegal immigrants exported. 

                  Insurance companies should have to compete nation wide. 

                  States should not pass laws requiring every insurance policy to include specific coverages.  In Colorado every insurance policy whether for man, woman or child must include pregnancy coverage.  That is insane.

                  I'm all for tighter supervision of insurance companies and reasonable regulation of their business and consumer practices.

                  1. Moonchild60 profile image84
                    Moonchild60posted 6 years ago in reply to this

                    I am all for border control or at least give them a NUMBER and tax their wages.  Most of them actually do work.  They should have to pay income tax like the rest of us do.  That would help.  And then we can also keep track of them and they would actually have to pay their bills as well and wouldn't be able to just walk away from responsibility. 

                    I am certain there are a great many alternatives to the way our healthcare system is now if people and the government as well, would just discuss and vote on viable alternatives.

          4. DTR0005 profile image86
            DTR0005posted 6 years ago in reply to this

            I have heard this "I didn't read the bill" or "I didn't have time to read the bill." That is a bunch of crap. You don't think the thousands of lobbyists, on both sides, who are mainly lawyers didn't read the bill? You don't think the staff members that each Congressman/ Senator have didn't have time to read the bill? I read the bill online in about 3.5 hours - and I am not a lawmaker experienced in reading this crap.
            Like it or hate it, but I think the excuse of "no one had time to read the bill" is BS.

            1. AnnCee profile image78
              AnnCeeposted 6 years ago in reply to this

              I read the bill too.  But apparently Nancy Pelosi et al aren't smart enough to do it.

              And Present Obama sure as the world didn't. 

              He doesn't so much delegate as dodge.



        3. DTR0005 profile image86
          DTR0005posted 6 years ago in reply to this

          dkroskens, I appreciate your heart-felt and real-world-based opinion - we don't often get actual practioners chiming in on the forums.

        4. lady_love158 profile image60
          lady_love158posted 6 years ago in reply to this

          I agree with most of this except indigent care doesn't go away with government control it only spreads the costs... if you really want to lower costs you have to take both the insurance companies and government out of the care equation and keep those decisions.and transactions between the doctor and patient.

          1. Doug Hughes profile image60
            Doug Hughesposted 6 years ago in reply to this

            The medical decisions remain exclusively between patient and doctor. With Obamacare, that is. Under the old system that you would return to, insurance companies retained a clause in individual policies that allowed them to rescind or quit, if you had a condition so expensive that they decided they would lose money.

            1. lady_love158 profile image60
              lady_love158posted 6 years ago in reply to this

              That just ISN'T true! I suggest you peruse the bill... the government will decide what methods of treatment are most appropriate and cost effective.

              1. John Holden profile image59
                John Holdenposted 6 years ago in reply to this

                Why is that any worse then the insurers deciding what methods of treatment are most appropriate and cost effective?

                1. lady_love158 profile image60
                  lady_love158posted 6 years ago in reply to this

                  Well that wasn't the issue... of course having the government decide on your care is troublesome if you ask me.

                  1. John Holden profile image59
                    John Holdenposted 6 years ago in reply to this

                    Answer the question please!
                    Why is it more troublesome having the government decide on your health care than the insurance companies?

        5. profile image61
          kwgluvnaposted 6 years ago in reply to this

          dkrostkins, that was a great post.  I've worked in the medical field and all the paperwork is so frustrating!

          There is a great book by T.R. Reid "The Healing of America".  I feel like congress and the President should have had to read this before drafting any kind of health care bill.  In the book, Mr Reid describes what he sees are the four models of health care around the world.  He then talks about which countries have what model and how they work.  Good information.  Something that Switzerland does makes a lot of sense to me.  Every Swiss cittizen is entitled to a basic level of health care.  Most get it from their work.  The private insurance companies are not allowed to make a profit on this basic policy.  If you can afford to buy a higher level policy, you can.  The higher level policies are where the insurance companies make their profits.  This system keeps the basic policy costs down where it is affordable and the insurance companies can still have their profits.

          1. dkroskens profile image60
            dkroskensposted 6 years ago in reply to this

            Thanks for the info...I appreciate it !  I will be looking into that model.

        6. Ralph Deeds profile image69
          Ralph Deedsposted 6 years ago in reply to this

          Good to hear from someone with actual experience and an open mind.

    2. AnnCee profile image78
      AnnCeeposted 6 years ago in reply to this

      Good point, knol.   How will progressives feel about
      http://resources.stickeryou.com/scratch/assets/9211767812521666553.png?rsize=60x60 Republicans controlling their health care?

      Seems to me they aren't comfortable with fascism unless it is perpetrated by liberals.  Which it always is.

      1. John Holden profile image59
        John Holdenposted 6 years ago in reply to this

        What, you admitting that republicans are fascists!

      2. Evan G Rogers profile image83
        Evan G Rogersposted 6 years ago in reply to this

        Government run Health care is unconstitutional by any party.

  3. knolyourself profile image61
    knolyourselfposted 6 years ago

    "That's where you're wrong... no matter who's running the government,  the government running health care will be disaster!" I have VA. It is great. But what do I know?

  4. knolyourself profile image61
    knolyourselfposted 6 years ago

    "Good point, knol.   How will progressives feel about Republicans controlling their health care? I say it again. What I call pseudo-conservatives or republicans are really progressives. They believe in the progressive accumulation of money and property. Progressives or pseudo-progressives are conservative. They may believe in non-profit, socialism and ecology. Nature is conservative. It does not make a profit.

  5. Doug Hughes profile image60
    Doug Hughesposted 6 years ago

    The greedy insurance companies are still there, with some restrictions that they don't like. They can't cherry pick customers, or cancel coverage when you need it most.

    The doctor patient relationship is the same. The government is not setting rates or limiting coverage.     

    We are providing health care for 32 million people who didn't have it and providing financial help so it's in the reach of every American. We are setting standards for what insurance companies can sell, so the insurance companies you buy WILL pay if you get sick.

    The spin the whiners put on this is just sick.

  6. dkroskens profile image60
    dkroskensposted 6 years ago

    If your congress person republican or democrat didn't read the bill did you ask him why they didn't ?  Did you ask them to explain it to you ?  It sounds like you are pretty sure they didn't.
    I have stood by the bedside of many middle age people with vibrant families who want to know why their family member couldn't have the operation in a timely manner before things became exponentially worse.  The answer is, " we're trying to get the insurance company to approve it " days, weeks, whatever their schedule to get back to us, it's up to them.  Really ???  And you don't want laws against this type of treatment ?  If congress doesn't make the law who will ?

  7. dkroskens profile image60
    dkroskensposted 6 years ago

    BTW, is there any hope for just people being concerned people, even if it maybe just for themselves ?  Must we have the age old tradition of partisan remarks, or can we just think first as people who want good health care ?  It never seemed to matter when someone was dying which side of the aisle they were on.

    1. Hugh Williamson profile image88
      Hugh Williamsonposted 6 years ago in reply to this

      In the opinion of a few in these forums, if you're not ranting along with them, then you must be a (fill in "lefty" or "righty").

      Your post was enlightening and your experience gives it more weight than the usual partisan flame job. Thanks for posting.

  8. Aficionada profile image92
    Aficionadaposted 6 years ago

    dk, I have two questions for you.

    (1) How are redundant paper work, frivolous law suits, and huge salaries for executives the fault of the "Greedy Insurance Companies"? and

    (2) How does the Obamacare Bill solve the problems of redundant paper work, frivolous law suits, and huge salaries for executives?

    Has anyone on here, other than DTR0005, read the entire bill?

    The part I read disgusted me so much I had to stop reading it.

  9. dkroskens profile image60
    dkroskensposted 6 years ago

    I'll try to answer the questions as best I can from a nurse's point of view, middle management at best smile.  It's not all about the insurance companies, but they are a huge contributing factor.  Like I said in the beginning, there are many reasons for the high cost of health care, and practically speaking, many of them need to be addressed within the system.  Making it mandatory to meet guidelines of efficiency in health care is one of those things that need to be addressed, and enforced. Otherwise we are using huge amounts of money to perform things which are not in the best interest of the patient, or the public as a whole, paying the bills through taxes. It's a joke to have the joint commission accreditation of hospitals do the surveying of the standards set forth of best practice.  They come in announced, and everyone knows when they will be there, and everything is just the way it should be, until they leave.  That's the truth.  Some things are outrageously unsafe, but because some one had a a law suit, it became a best practice standard, even though it makes no sense in the majority of cases.  I could go on and on, but many costs of operating could be changed.  It's all part of the big picture to trim the fat, and increase the quality of care.

    1. Aficionada profile image92
      Aficionadaposted 6 years ago in reply to this

      But the "Greedy Insurance Companies, Really???" actually are the topic of this forum thread.

      From the linked article, there's this:

      "In a newly released report, the Government Accountability Office (GAO) estimates that, in fiscal year 2010, $48 billion in taxpayer money was squandered on fraudulent or improper Medicare claims. Meanwhile, the nation’s ten largest health insurance companies made combined profits of $12.7 billion in 2010 (according to Fortune 500). In other words, for every $1 made by the nation’s ten largest insurers, Medicare lost nearly $4...

      "Actually, it may have been even worse than that: The GAO writes that this $48 billion in taxpayer money that went down the drain doesn’t even represent Medicare’s full tally of lost revenue, since it “did not include improper payments in its Part D prescription drug benefit, for which the agency has not yet estimated a total amount.”"

      Why does Medicare not count as government-run and government-mandated health insurance?  How did it get a free pass to be exempt from scrutiny?

      1. AnnCee profile image78
        AnnCeeposted 6 years ago in reply to this

        Great questions.  Tick tock.

        Progressives want universal health care because they want it.

        It's about control.  Control control control.  It's a progressive thing.

      2. junko profile image78
        junkoposted 6 years ago in reply to this

        Medicare was a deal made with the greatest generation. A paid in vested  health insurance policy.

  10. AnnCee profile image78
    AnnCeeposted 6 years ago

    My question remains.  Who expects that the government can do a better job?

    1. dkroskens profile image60
      dkroskensposted 6 years ago in reply to this

      If we are involved, I do.

    2. PrettyPanther profile image83
      PrettyPantherposted 6 years ago in reply to this

      I have three friends who each had a parent pass away within the past year.  All three of them said that dealing with the insurance companies was a nightmare of delays and nitpicking while social security and medicare issues were dealt with quickly and with a surprisingly small amount of paperwork.

      Anecdotal, but true.

      1. AnnCee profile image78
        AnnCeeposted 6 years ago in reply to this

        Here's my anecdote.  My family has NEVER had a single problem with an insurance company and I know not a single person who has.  Not one.

        1. junko profile image78
          junkoposted 6 years ago in reply to this

          AnnCee: You need the get out more and talk to people more, not at them to them. Get in a small gathering and ask "Has anyone here ever had a problem with an insurance company",  Than you will know somebody, maybe more than one single person.

          1. AnnCee profile image78
            AnnCeeposted 6 years ago in reply to this

            Thanks for the advice.  http://images.zaazu.com/img/paranoid-paranoid-suspicious-doubt-smiley-emoticon-000669-facebook.gifAre you watching me through binoculars from a tree somewhere?

  11. dkroskens profile image60
    dkroskensposted 6 years ago

    All health insurance companies perform at different levels of quality and efficiency.  Medicare need reform as well.  One of the biggest factors facing American healthcare today is this; we have a growing population of older Americans, the baby boomers ( I am one of them...yuck, I said it smile) More and more of us are living longer, healthier lives, eating better, being treated preventively, and exercising like never before. We want to live long and healthy lives.  However, it presents a numbers problem.  We have more of us who are living longer, and we will have varying degrees of age related health problems, inevitiably. With that goes a place to care for us, a staff to care for us, programs, instrumentation, technical services,equipment, medications, supplies, education, etc, etc.  So if anything is in our best interest to be a part of, it's medicare reform ( for those who find themselves a little over 25 smile).  When medicare was introduced I don't think the writers of the program had any idea medicine  would grow and advance at the rate it has in preventing and promoting longevity.  It's not designed to care for the sheer numbers we are facing.  It's an antiquated system.  It wasn't created by anyone who is in office today. The times they are a changin' and we better be part of the solution, otherwise we have no right to complain. I WILL stand behind this one statement, in every situation "You the patient are your own best advocate, ask questions, and ask again, and then tell them you want to know what is happening in your own care, always !"

  12. JON EWALL profile image47
    JON EWALLposted 6 years ago

    hubbers
    I recently wrote a comment about the problems in Wisconsin. Since this hub is about '' greedy insurance companies'', I thought the comments that I made would be of some interest. Please note that the Obama Administration has granted waivers to LABOR  unions to be exempt from the Healthcare Bill. Previously President Obama said that unions would not be exempt from the Healthcare Reform Bill. Just another untrue statement by President Barak Obama to appease the public?

    Wisconsin public sector union jobs:

    For example, the union controls the healthcare insurance payments and sends the money to the insurer. The insurer is owned by the unions, sounds like a conflict of interest?
    The governor said that using the states insurer, the cost would be 25/35% lower. In plain English the employees are paying too much, problem their paying with the taxpayers money. That’s similar to the union using union dues to put Democrats in office. Again the taxpayer money indirectly being used against the taxpayer. The teachers are not losing the take home pay, the savings are in the fringe benefits coming down to the cost in the market and the savings are passed down to the cities. Doesn’t that sound fair to the taxpayers?
    President Obama's comments regarding the protesting in Wisconsin favoring the unions should be of concern to the average citizen.

    1. DTR0005 profile image86
      DTR0005posted 6 years ago in reply to this

      So Jon with your argument, if I am a public employee (state) and I receive my paycheck and purchase, say dope or beer, or spend it on a hooker, is the state "supporting" these vices because I choose to spend my money, earned from them, in that way? I mean it's an interesting argument which I have heard brought up time and again by conservatives on talk radio and in print, but it falls apart when you apply logic to it. You could say the same thing if you are an employee of Anthem Blue Cross-Blue Shield. You get paid and you spend your money on something that this private company might not approve of or that is antithetical to the company, can you accuse this private company of "subsidizing" something against its interest? No.. not really.

      And in the private sector, you have a member of a union who works for company X. The union and the company may not be on the best terms with each other, but the worker works his time and gets his pay. Part of that pay goes back to the union, in dues, which is in turn possibly operating against the company's best interest. So can we say the company is subsidizing an entity agasint its own self interest? Well you could I guess, but when you go down that slippery slope, where do you stop???

      1. lady_love158 profile image60
        lady_love158posted 6 years ago in reply to this

        The difference is in your example you are freely making a choice to spend your money on whatever... in the case of public service unions you have no choice... either to join or not or what your dues will be spent on. In the case of th WI unions the dues were deducted right from the checks! Everythin about this system is anti freedom!

        1. DTR0005 profile image86
          DTR0005posted 6 years ago in reply to this

          You have no choice in private unions either - you can't arbitrarily opt out if you work at a union shop. And your dues are deducted out of your check automatically.  But the point is this: once you have earned the money, regardless of who paid for it, it's yours - if you are a member of a public employees' union and they take dues out, that's fine - it's not the state's money once you have earned it. The only choice I know of to not join a union is with Federal Employees (not sure about the Postal Union on this one)  - there is a union, but you are not required to join. And even if you don't join/pay, they are still required to represent you if requested to do so.

          1. Doug Hughes profile image60
            Doug Hughesposted 6 years ago in reply to this

            I am a mail carrier and you are correct - joining is voluntary and union representation is required whether the carrier is a union member or not. In a lot of cases,  the local steward does not know who isn't in the union.

            Participation is overwhelming. The carriers know management will balance the budget in the backs of the workers, while they feather their own nest. So for decades, voluntary participation has worked.

            1. AnnCee profile image78
              AnnCeeposted 6 years ago in reply to this

              Well I'm not a good stalker so I don't really keep up with you much, Doug, but you do seem to be perennially present here at this forum. 

              http://www.best-of-web.com/_images/080508-185910-849007.jpg

              You aren't one of those guys who piles mail in your attic are you?

  13. Mighty Mom profile image90
    Mighty Momposted 6 years ago

    Why are people so terrified of improving our health care system in the US? As previously stated, we pay more here for among the worst care in the world. There is nothing EXCEPTIONAL about our health care system, that's for sure!
    I am not talking here about medical research. We are great at that. And that is not the issue.
    I'm talking about a country not taking care of the health needs -- and they are basic HUMAN NEEDS -- of its citizens.
    It's shameful, really.

    When you talk about not knowing ANYONE who has had a problem with an insurance company. Maybe you're asking the wrong question. Try asking how many people have been DENIED health insurance coverage even though they were willing to pay for it. You won't have to look far. I'll offer up two examples from my own family: my husband and my son.

    1. lady_love158 profile image60
      lady_love158posted 6 years ago in reply to this

      Other than your personal experience there isn't a single fact in your statement!
      Insurance companies exist to limit your liability they are not a pile of cash to be accessed when you lack the funds for something you need. No insurance company will issue you a fire policy after your house burns down... asking Insurance companies to cover pre existing conditions is essentially welfare.

      1. DTR0005 profile image86
        DTR0005posted 6 years ago in reply to this

        Precisely why the insurance model, as a delivery for healthcare, is a horrible model. To handle fires, vandalism, water damage - the insurance model works great. To handle the ongoing maintenance of health, the insurance model falls flat on its face. And that is precisely why it is so expensive and out-of-reach to so many in the US. And that is precisely why the majority of the world has abandoned it as a mode to pay for healthcare delivery.
        Come up with another "workable" model to deliver healthcare to 300,000,000 plus people using a private business model Lady Love and the world will beat a path to your doorstep. But it isn't insurance - even "insurance" knows it isn't insurance, but it's damn profitable so they soldier on...

        1. lady_love158 profile image60
          lady_love158posted 6 years ago in reply to this

          Make the patients responsible for paying the provider health care costs will be cut in half over night!

          1. junko profile image78
            junkoposted 6 years ago in reply to this

            Lady Love  Stop what the thread is base on medi-care Fraud, problem solved.  I left you an important comment 40 minutes ago on this hub.

          2. Doug Hughes profile image60
            Doug Hughesposted 6 years ago in reply to this

            I was hospitalized overnight last year. Testing for two days ran up a $14,000 tab,  but I have HUBS from work. Under your theory,  (unsupported by any scientific study) that cost could be cut in half by pay-as-you-go, but who has $7,000 laying around?

            This is a reality-based example that shows how weak your critical thinking skills are. That's why I hold your posts in contempt. They aren't even intended to solve problems - just wound democrats. This country has work to do and narrow ideology which denies facts and even the existence of the problem becomes a problem in and by itself.

            1. lady_love158 profile image60
              lady_love158posted 6 years ago in reply to this

              Why was the bill 14000 dollars... why were you hospitalized? What tests were done? Were they all necessary or was much of this done just because you had coverage and the hospital knew they would get paid for the claims? You didn't bother to ask! Why? Because you don't care ... its the insurance company's problem! Im sure if you had to pay you would have questioned EVERYTHING! Having a 3rd party responsible for payment leads to greater demand for unnecessary proceedures driving up costs. Oh and im sure if you look at your bill you'll see you were charged 20 dollars for asprin!

              1. DTR0005 profile image86
                DTR0005posted 6 years ago in reply to this

                Lady, you bring up a very good point. Very few people do scrutinize their medical bills. When you are paying a higher percentage of medical bills on your own, you do tend to look more carefully at the bill. A prime example is with plans with high deductibles, etc.
                But in order to thoroughly review your medical bills, you have to have an idea of what is being billed, etc. Medicine is not like plumbing - there is no time and material breakdown of the goods and services. Do we agree on that? And the irony of all ironies, in my opinion, is that the insurance industry "invented" this cryptic billing system - fee for service. So we are back to where we started. With the insurance model, the profit incentive dictates medical providers throw everything that might "stick" at the insurance company, everything that might fly through billing in order to get paid. And this is precisely why healthcare insurance actually drives up the cost of medical care in the US.

          3. dkroskens profile image60
            dkroskensposted 6 years ago in reply to this

            I have a hard time believing that anyone has never had any problems with any insurance company unless they have an " in " with one, or write policy, or possibly manage an insurane company.  Maybe they have had the good fortune of never using insurance for health issues ?  That is very rare.
              I think it's hard to compare a burned and destroyed structure with a human life.  A house can be replaced, exactly like the other one. Try duplicating  your best friend,  a grandparent or a parent to another living human. The inflluence  of one life over another can make the difference between night and day, between a problem solver and a problem maker, between a complainer and a worker. I hope  we never get to that point of devaluing life, because then we may as well be terrorists.  Lives become immaterial in our pursuit of accomplishing our goal.
            Health care involves life. Period.  Please do not misunderstand me, I am not about spending incredible amounts of money to extend suffering, it's cruel and unsual punishment.  I am however all about helping someone enjoy their life with a little repair, or education, medication, etc. You never know when you might be the one looking up out of a hospital bed, asking for help, and being told, sorry....come up with $250.000.00 and we can do it, otherwise your insuance company has denied coverage.  There has to be a better way.  It starts, in my opinion with our attitude.

            1. AnnCee profile image78
              AnnCeeposted 6 years ago in reply to this

              My family certainly doesn't have an "in" with anyone.  We have never had a claim disputed or denied.  We have never had a policy canceled.   I have had no major health problems but a member of my family has.  In one hospitalization we did find some hospital billing discrepancies and we notified the insurance company which investigated and ended up paying less than originally billed. 

              In another case I visited the emergency room to meet a gastroenterologist for an endoscopy because it was Friday late afternoon and my doctor felt I should have the procedure ASAP.   My doctor called the gastro guy to see if he could see me and it turned out he was on call at the hospital.   It turned out to be nothing but the effect of a strong antibiotic and pain medication for a sinus infection had caused some stomach bleeding.  The hospital billed the insurance company for level 5 care when all I was in the emergency room for was to meet the doctor.  The nature of my experience there was hideous and confused, even rude and painful with a nurse digging around in my arm to insert an IV the doctor had not ordered.   I waited over two hours for the doctor until I finally called my husband and he called the doctor who it turned out had been waiting for the hospital to let him know I was there.  They never called him at all.   I wrote a letter to protest the bill describing the circumstances.  I received a very apologetic letter stating that it had been a billing error, that it was being adjusted and that a patient care policy review would take place.

              In my experience it is always good to advocate for yourself and if more people did it there would be far fewer abuses and mistakes.

              1. John Holden profile image59
                John Holdenposted 6 years ago in reply to this

                And you think this is a good system!

                1. AnnCee profile image78
                  AnnCeeposted 6 years ago in reply to this

                  I didn't need the government to advocate for me, did I?

                  Maybe I should advocate for the government.  Medicare lost $43 Billion to fraud.

                  1. John Holden profile image59
                    John Holdenposted 6 years ago in reply to this

                    Then maybe with the government there would be no need for an advocate.

                  2. John Holden profile image59
                    John Holdenposted 6 years ago in reply to this

                    And how much do the insurance companies lose to fraud?

                    I suspect considerably more than $43 billion if the stories on here are anything to go by.

  14. Mighty Mom profile image90
    Mighty Momposted 6 years ago

    .
    Really?
    Of course, I'm sure you will find some reason to disqualify the WHO as a source of credible information. Notwithstanding, here is their ranking.

    The World Health Organization's ranking
    of the world's health systems:

    Rank       Country   

    1         France
    2         Italy
    3         San Marino
    4         Andorra
    5         Malta
    6         Singapore
    7         Spain
    8         Oman
    9         Austria
    10        Japan
    11        Norway
    12        Portugal
    13        Monaco
    14        Greece
    15        Iceland
    16        Luxembourg
    17        Netherlands
    18        United  Kingdom
    19        Ireland
    20        Switzerland
    21        Belgium
    22        Colombia
    23        Sweden
    24        Cyprus
    25        Germany
    26        Saudi Arabia
    27        United  Arab  Emirates
    28        Israel
    29        Morocco
    30        Canada
    31        Finland
    32        Australia
    33        Chile
    34        Denmark
    35        Dominica
    36        Costa Rica
    37        United States of America

    38        Slovenia
    39        Cuba
    40        Brunei
    41        New Zealand
    42        Bahrain
    43        Croatia
    44        Qatar
    45        Kuwait
    46        Barbados
    47        Thailand
    48        Czech Republic
    49        Malaysia
    50        Poland
    51        Dominican Republic
    52        Tunisia
    53        Jamaica
    54        Venezuela
    55        Albania
    56        Seychelles
    57        Paraguay
    58        South     Korea
    59        Senegal
    60        Philippines
    61        Mexico
    62        Slovakia
    63        Egypt
    64        Kazakhstan
    65        Uruguay
    66        Hungary
    67        Trinidad and Tobago
    68        Saint     Lucia
    69        Belize
    70        Turkey
    71        Nicaragua
    72        Belarus
    73        Lithuania
    74        Saint Vincent  and the   Grenadines
    75        Argentina
    76        Sri  Lanka
    77        Estonia
    78        Guatemala
    79        Ukraine
    80        Solomon   Islands
    81        Algeria
    82        Palau
    83        Jordan
    84        Mauritius
    85        Grenada
    86        Antigua   and Barbuda
    87        Libya
    88        Bangladesh
    89        Macedonia
    90        Bosnia-Herzegovina
    91        Lebanon
    92        Indonesia
    93        Iran
    94        Bahamas
    95        Panama
    96        Fiji
    97        Benin
    98        Nauru
    99        Romania
    100       Saint Kitts and Nevis
    101       Moldova
    102       Bulgaria
    103       Iraq
    104       Armenia
    105       Latvia
    106       Yugoslavia
    107       Cook Islands
    108       Syria
    109       Azerbaijan
    110       Suriname
    111       Ecuador
    112       India
    113       Cape Verde
    114       Georgia
    115       El   Salvador
    116       Tonga
    117       Uzbekistan
    118       Comoros
    119       Samoa
    120       Yemen
    121       Niue
    122       Pakistan
    123       Micronesia
    124       Bhutan
    125       Brazil
    126       Bolivia
    127       Vanuatu
    128       Guyana
    129       Peru
    130       Russia
    131       Honduras
    132       Burkina   Faso
    133       Sao Tome and Principe
    134       Sudan
    135       Ghana
    136       Tuvalu
    137       Ivory Coast
    138       Haiti
    139       Gabon
    140       Kenya
    141       Marshall Islands
    142       Kiribati
    143       Burundi
    144       China
    145       Mongolia
    146       Gambia
    147       Maldives
    148       Papua New Guinea
    149       Uganda
    150       Nepal
    151       Kyrgystan
    152       Togo
    153       Turkmenistan
    154       Tajikistan
    155       Zimbabwe
    156       Tanzania
    157       Djibouti
    158       Eritrea
    159       Madagascar
    160       Vietnam
    161       Guinea
    162       Mauritania
    163       Mali
    164       Cameroon
    165       Laos
    166       Congo
    167       North Korea
    168       Namibia
    169       Botswana
    170       Niger
    171       Equatorial Guinea
    172       Rwanda
    173       Afghanistan
    174       Cambodia
    175       South     Africa
    176       Guinea-Bissau
    177       Swaziland
    178       Chad
    179       Somalia
    180       Ethiopia
    181       Angola
    182       Zambia
    183       Lesotho
    184       Mozambique
    185       Malawi
    186       Liberia
    187       Nigeria
    188       Democratic Republic of   the Congo
    189       Central   African   Republic
    190       Myanmar

    1. lady_love158 profile image60
      lady_love158posted 6 years ago in reply to this

      You only prove my point we aren't the worst!

      1. Moonchild60 profile image84
        Moonchild60posted 6 years ago in reply to this

        We are 37th for Christ sake and people have the audacity to go around screaming how we are the greatest country in the world and we don't even take care of our own?  37th?  seriously?

        1. John Holden profile image59
          John Holdenposted 6 years ago in reply to this

          But you are near the top for third world countries!

  15. Mighty Mom profile image90
    Mighty Momposted 6 years ago

    Exactly. Insurance companies DO often deny coverage for frivolous reasons!!
    They are in business to make money.
    Keeping our citizens alive and healthy should not be a profit-making business. That's the whole problem.

  16. Mighty Mom profile image90
    Mighty Momposted 6 years ago

    AnnCee -- where are you getting those fabulous graphics? Or is it a "personal trademark secret" (which I can understand if it is smile).

    1. AnnCee profile image78
      AnnCeeposted 6 years ago in reply to this

      I emailed you, Mighty Mom.

  17. AnnCee profile image78
    AnnCeeposted 6 years ago

    http://www.businessweek.com/magazine/co … 042070.htm


    And WHY does the US spend so much on health care?  Because of big stupid government, that's why.  And progressives want to make it BIGGER.



    http://blogs.forbes.com/aroy/2011/03/04 … priceless/

    1. John Holden profile image59
      John Holdenposted 6 years ago in reply to this

      Are you being deliberately obtuse or does it just happen?

      1. AnnCee profile image78
        AnnCeeposted 6 years ago in reply to this

        I'm flattered that you're once again flummoxed into reaching out with personal insults. big_smile

        1. John Holden profile image59
          John Holdenposted 6 years ago in reply to this

          No insult, just a question!

          1. AnnCee profile image78
            AnnCeeposted 6 years ago in reply to this

            Are you deliberately being an arrogant pettifogger or does it just happen?

            1. John Holden profile image59
              John Holdenposted 6 years ago in reply to this

              Now that is an insult smile

  18. Hugh Williamson profile image88
    Hugh Williamsonposted 6 years ago

    There are a lot of falsehoods being promoted about the health care law -- by both sides. Here's 7 false things that are promoted as facts:

    Government Will Decide What Care I Get (a.k.a. they won’t give grandma a hip replacement). False.

    Health care overhaul "will be paid for.” False, at least not yet.

    Private Insurance Will Be Illegal. False.

    The House Bill Requires Suicide Counseling. False.

    Families Will Save $2,500. False - that's a maximum amount.

    Medicare Benefits Will Be Slashed. False.

    Illegal Immigrants Will Be Covered. False.

    Most of these misleading statements are rooted in campaign attack ads.

    http://www.factcheck.org/2009/08/seven- … alth-care/

    More whoppers? OK:

        * Requires patients to be implanted with microchips. (No, it doesn’t.)

        * Cuts benefits for military families and retirees. (No. The TRICARE program isn’t affected.)

        * Exempts Muslims from the requirement to obtain coverage. (Not specifically. It does have a religious exemption, but that is intended for Old Order Amish.)

        * Allows insurance companies to continue denying coverage to children with preexisting conditions. (Insurance companies have agreed not to exploit a loophole that might have allowed this.)

        * Will require 16,500 armed IRS agents to enforce. (No. Criminal penalties are waived.)

        * Gives President Obama a Nazi-like "private army." (No. It provides a reserve corps of doctors and other health workers for emergencies.)

        * "Exempts" House and Senate members. (No. Their coverage may not be as good as before, in fact.)

        * Covers erectile-dysfunction drugs for sex offenders. (Just as it was before the new law, those no longer in jail can buy any insurance plan they choose.)

        * Provides federal funding for abortions. (Not directly. But neither side in the abortion debate is happy with the law.)

    http://www.factcheck.org/2010/04/more-m … alth-care/

  19. Mighty Mom profile image90
    Mighty Momposted 6 years ago

    Just out of curiosity, what "generation" are you, and what positive contributions have your generation made to our country?

  20. Mighty Mom profile image90
    Mighty Momposted 6 years ago

    *observation not directly related to the OP*
    It's refreshing to see the level of verbal sparring at a level befitting a WRITERS' community!
    Obtuse - good word!
    Flummoxed - very good!
    Arrogant pettifogger - fabulous!

  21. Mighty Mom profile image90
    Mighty Momposted 6 years ago

    WHAT??? Why in the world would there be a requirement that all policies cover pregnancy? That makes no sense -- unless somehow spreading that risk across males and post-menopausal women is financially beneficial to the insurance companies...

    But by the same token, think about the implications of this!
    Pregnancy is a natural process and part of life.
    But in insurance terms, it's a "high risk" behavior.
    What's wrong with this picture??
    Instead of celebrating it, we penalize people for it.

    1. DTR0005 profile image86
      DTR0005posted 6 years ago in reply to this

      Mighty Mom, Insurance is just the wrong model for healthcare delivery/payment. I have said this since my first forum post. Working in the industry it takes about 5 minutes of "insurance 101" to see why this model doesn't work. I am not certain what will though I have my ideas.

  22. Mighty Mom profile image90
    Mighty Momposted 6 years ago

    Agree with you 110%, DTR.
    I see healthcare as a basic human right.
    It should be taken out of the capitalist framework.
    Maybe then the USA could rank in the top 10 or even top 20 countries. Maybe even be #1!!!

  23. Evan G Rogers profile image83
    Evan G Rogersposted 6 years ago

    i like the mentality of "greedy insurance companies"

    newsflash: everyone is greedy.

    1. John Holden profile image59
      John Holdenposted 6 years ago in reply to this

      I'm not!

      1. Misha profile image74
        Mishaposted 6 years ago in reply to this

        Most likely you are in denial. We all are greedy, to some extent. smile

        1. John Holden profile image59
          John Holdenposted 6 years ago in reply to this

          I've never been to Egypt!

          I am seriously not greedy.

          1. Misha profile image74
            Mishaposted 6 years ago in reply to this

            Don't you advocate forcefully taking other people money and using it for your needs? Newsflash: this is greed smile

            1. John Holden profile image59
              John Holdenposted 6 years ago in reply to this

              No, I don't.

              1. Evan G Rogers profile image83
                Evan G Rogersposted 6 years ago in reply to this

                I dunno, you work for profit, and then spend the profit on luxuries instead of giving it to charity.

                Greedy!

                1. Moonchild60 profile image84
                  Moonchild60posted 6 years ago in reply to this

                  Thats not greedy.  That's needing to pay your bills to survive.  A certain percentage should go to charity for sure.  That is both supposedly, the Christian way and the Jewish way.  States 10% in the Kabbalah.  You would drop dead if you knew the amount of money I have "given away"!!  But then I am just grateful that I could.

                2. John Holden profile image59
                  John Holdenposted 6 years ago in reply to this

                  Perhaps it's the lateness of the hour but your point eludes me.

                  I make enough to live off and for luxuries. I also make enough to pay taxes and give to charity and no, I'm not rich.

  24. Ralph Deeds profile image69
    Ralph Deedsposted 6 years ago

    The health care insurance companies have one goal--maximizing their profits any way they can including practices to avoid paying claims such as canceling policies when faced with a big claim because of minor discrepancies in information furnished when the policy was obtained years before, use of fine print excluding certain kinds of claims and lifetime or annual caps, and so forth. The health care reform act will correct many of this unconscionable behavior.

    Several of the big health care insurers have also screwed their stockholders as well as their policy holders. E.g., United Health care whose chairman was forced to disgorge huge ill-gotten gains and should have gone to jail. Richard Scrushy of HealthSouth had sticky fingers also.
    http://hubpages.com/hub/Richard_Scrushy … tten_Gains

    http://hubpages.com/hub/Leeches_Contrib … Care_Costs

  25. JON EWALL profile image47
    JON EWALLposted 6 years ago

    Ralph Deeds

    ''The health care reform act will correct many of this unconscionable behavior''.

        Try this one out ------ a Medicare patient

    A 75 year old with diabetic neuropathy, drop foot having a knee replacement. Ambulance picked her up at hospital, delivered her to a nursing home for rehab. The woman was  removed from hospital on a Gurnee ( unable to walk ) and delivered  her on Gurnee to the nursing  facility. A $1000 bill for the service, the ambulance company accepts Medicare reimbursement.
    Medicare rejects claim ''they do not pay because the  patient could have gone to the  nursing home without  the use of an ambulance.  The Medicare rejection was unwarranted simply because the hospital dismissal report  stated ’’ patient required a stretcher for removal ’’ Medicare ignored status of patient and simply denied payment. Right or wrong?
    Obama healthcare bill will cut $500 million from Medicare. Is this how Medicare intends to make cuts?
    The above is not Medicare fraud, just simply as to how the government intends to cut costs at the expense of Medicare members.
    To be continued.

    1. John Holden profile image59
      John Holdenposted 6 years ago in reply to this

      A $1000 to shift a patient from hospital to a care facility!
      Exactly how far was that? 50, a 100 miles! Or four or five?

 
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