By Yael T. Abouhalkah, Kansas City Star Editorial Page columnist
Love the new warning from the U.S. insurance industry: Employer coverage is dead if the Obama administration passes a government-run health care plan.
In other words, the insurance industry that's gotten rich off Americans for decades doesn't want more competition -- competition that might drive down prices and improve health-care outcomes.
America’s Health Insurance Plans and the Blue Cross Blue Shield Association, in a letter, essentially claim the government would run the private providers of insurance out of business.
Yet President Barack Obama correctly attacked that kind of reasoning at his Tuesday press conference.
It's preposterous, he said, to claim on one hand that the government can't do anything well, yet claim this incompetent government will be able to run an entire, monied industry out of business.
The insurance industry has the perfect right to yelp about the problems it might run into if the government gets more deeply into the health-care business.
But Obama is correct to continue plugging ahead on what a government-run system might offer, what it might cost and how it might compete with the private insurance industry.









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to bigal
I thought other people were imagining things talking about deleted posts. But my response to you went through with only part of it deleted, the part where I said I guessed in advance that there was no point in discussing this with you.
So now when I name a successful gov't program like the CDC or the NIH you say that you think "they have had their share of missteps," though you don't actually name any. Successful apparently is defined as perfect in your mind. I guess private companies never make any missteps, just gov't agencies.
You end by saying that your demand is now for a cabinet level agency. And the standard is that they have to be perfect. You don't want to have a discussion, you just want to vent. I was right that there is no point in engaging you on this matter. You don't need me. Fume away.
Yes, Jenniferm got her request for editing answered.
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rising medical costs?..or rising health insurance co.'s profits?
You know...the nation that has evidenced Health Insurance companies' profits rising from 2+ billion $$ in 2000 to over 12+billion $$ in 2007...but, hey...don't look here: www.HealthCareforAmericaNow.org
Oversized Profits, Executive Pay
Profits at 10 of the country’s largest publicly traded health insurance companies in 2007 rose 428 percent from 2000 to 2007, from $2.4 billion to $12.9 billion, according to U.S. Securities and Exchange Commission filings.
In 2007 alone the chief executive officers at these companies collected combined total compensation of $118.6 million—an average of $11.9 million each. That is 468 times more than the $25,434 an average American worker made that year.
The rising premiums paid by employers and families not only generate oversized net earnings, they also fuel controversial financial maneuvers designed to pump up insurers’ stock prices, which in turn help executives reach their personal bonus targets. From 2003 through 2008 the seven largest publicly traded health insurers, which cover 116 million Americans, spent $52.4 billion buying back their own shares. Buybacks reduce the number of shares that are publicly traded, raising the value of existing shareholders’ stakes. Companies make share repurchases with excess cash on hand or with borrowed funds. Buybacks are a way of removing money from a company’s balance sheet for the benefit of investors, reflecting management’s decision not to invest in improving a company’s operations, making the health system run more efficiently or reducing customers’ premiums.
The companies prefer to hand over the money to Wall Street investors and executives whose soaring compensation packages depend on reaching earnings-per-share goals that often would not be achieved without buybacks.
full state-by-state analysis and more: http://hcfan.3cdn.net/dadd15782e627e5b75_g9m6isltl.pdf
To Big Steve
If with the military you mean successful from an economic point of view, which is what i am referring to, than not sure how you could include the military given that almost every major weapons program has cost overruns on a large scale. There are also lots of cases of fraud there or just outright waste where they paid too much, or didn't get what they paid for and did nothing.
Did you actually respond with NASA? Remember the first space shuttle that blew up? Not sure that I would argue CDC or NIH either, they have had their share of missteps.
But if you come up with a real answer, I will wait patiently for you to come up with one.
If you want some examples of wasteful military spending, here are just a few well known ones:
-The B-2 (the flying turkey)
-V-22 Osprey
-Divads air defense system
-Bradley IFV in its earlier days
-Zumwalt class destroyer
-The recent tanker debacle (USAF)
Need I go on?
But again, note that you have yet to come up with a major cabinet level department that even you, a diehard liberal, will say is efficient. I think that pretty much proves my point.
Interface,I don't expect
Interface,
I don't expect the price of postage to go down, I just don't believe that government involvement automatically will inspire cost effectiveness like apop apparently does.
My own experience with the government leads me to believe the contrary.
APOP, Try again. What is
APOP,
Try again. What is your source for your percentages?
Besides, in 50 years of mailing letters I don't ever recall the price of stamps going down.
postage costs
track inflation pretty closely:
http://www.swivel.com/graphs/show/10868557
Why would you expect postage costs to go down, given the reality of inflation?
what's the point?
Here's some alphabet soup of successful federal programs for you, just off the top of my head: CDC, NIH, NOAA, NTSB, NASA, USMC, USN, USAF...
source
http://shop.usps.com/webapp/wcs/stores/servlet/ProductCategoryDisplay?catalogId=10152&storeId=10001&categoryId=26402&langId=-1&parent_category_rn=11826&top_category=11826&WT.ac=26402
Name one government agency that is known for success
I can't believe some people are this clueless. You really want the government to run health care? As if the debacles known as Medicare, Medicaid and the VA are not examples enough? But wait, lets not stop there, lets look at some other government agencies that are stellar performers: The Department of Defense (yeah, no waste there), Dept. of Ag. (no waste or fraud at all in the food stamp program), the IRS or HHS (HHS is just too easy a target). So knowing how poor of a job that these agencies do of managing their (whoops, make that our) money, do you really want to literally entrust your life to them? Oh sorry, I forgot to mention Fannie Mae and Freddie Mac, which were quasi gov't agencies but now fully govt owned and run as poorly as ever.
And once again, why are democrats mysteriously leaving tort reform off of the table? Okay, we know why, with lawyers like Obama and Edwards in the party, you know that was off limits.
To me, insurance is not broken. If I get sick, I go to the doctor, pay my $25 copay, end of story. I had to go to the ER last year, it was not cheap, but my flex spending account had enough to cover it. Oh yeah, the Dems plans call for those to be gone too, plus they want to tax health benefits. Why on earth would you want to take something out of consumers hands that allows them to spend their money (pretax) for their health care needs? The answer, of course, is that the government sees dollar signs, they could tax that.
As to employers dropping coverage, some almost certainly will if the government plan is cheaper and they no longer get a tax break for providing it. Not all companies will, but if you run a company just barely getting by, and you can cut that cost without the employees losing coverage, you would be stupid not to look at that. Again, this is a tough concept for many liberals to grasp, but a company actually needs profits to pay their suppliers and employees. Not everyone gets a bailout from the government. Those profits being taxed is what pays for all these pie in the sky projects that liberals love to start with other people's money.
The real answers to the health care coverage are things like wellness plans, which my company has and I am using. That plan also results in reduced premiums for both my employer and myself. Better education about health issues would help. For example, the food stamp program should come with only healthy choices (no more frozen pizza, 70% lean ground beef, pop and lunchables) and mandatory nutrition counseling. Keep in mind that the biggest part of the health care issue is poor people not having coverage, not getting preventative care and then going to the ER when they have acute symptoms. The bill usually runs in the thousands or more, they can't pay, so the rest of us pay for it. Had they used preventative care, their problem could have been easily prevented and at a far lower price if caught early or prevented altogether. At some point you have to take responsibility for yourself, get educated about your health, have a healthy diet (again, that does not include frozen pizza, pop, lunchables and candy) exercise and live a smarter life.
The Postal Service
And once again, why are democrats mysteriously leaving tort reform off of the table? Okay, we know why, with lawyers like Obama and Edwards in the party, you know that was off limits.
To me, insurance is not broken. If I get sick, I go to the doctor, pay my $25 copay, end of story. I had to go to the ER last year, it was not cheap, but my flex spending account had enough to cover it. Oh yeah, the Dems plans call for those to be gone too, plus they want to tax health benefits. Why on earth would you want to take something out of consumers hands that allows them to spend their money (pretax) for their health care needs? The answer, of course, is that the government sees dollar signs, they could tax that.
As to employers dropping coverage, some almost certainly will if the government plan is cheaper and they no longer get a tax break for providing it. Not all companies will, but if you run a company just barely getting by, and you can cut that cost without the employees losing coverage, you would be stupid not to look at that. Again, this is a tough concept for many liberals to grasp, but a company actually needs profits to pay their suppliers and employees. Not everyone gets a bailout from the government. Those profits being taxed is what pays for all these pie in the sky projects that liberals love to start with other people's money.
The real answers to the health care coverage are things like wellness plans, which my company has and I am using. That plan also results in reduced premiums for both my employer and myself. Better education about health issues would help. For example, the food stamp program should come with only healthy choices (no more frozen pizza, 70% lean ground beef, pop and lunchables) and mandatory nutrition counseling. Keep in mind that the biggest part of the health care issue is poor people not having coverage, not getting preventative care and then going to the ER when they have acute symptoms. The bill usually runs in the thousands or more, they can't pay, so the rest of us pay for it. Had they used preventative care, their problem could have been easily prevented and at a far lower price if caught early or prevented altogether. At some point you have to take responsibility for yourself, get educated about your health, have a healthy diet (again, that does not include frozen pizza, pop, lunchables and candy) exercise and live a smarter life.
Where else on the planet can I put a piece of paper in an envelope and send it from NY to LA in 2 days for 44 cents.
Public safety. When I call 911 they come - right away.
Infrastructure - there is a nice working sidewalk in front of my house and the roads I drive in are in good condition and well maintained.
Interstate Highways - see above
Nice argument apop
Given that we are talking about the federal government here, not sure how 911 is relevant. Maybe you have different service where you are, but 911 is a local program genius, not run by the feds. Also,I must have missed the Dept. of 911 in the cabinet lineup, who is the secretary or director of 911 again apop?
I will grant that paying 44 cents to mail a letter is a bargain, but then again, usps is more a business then a government agency, according to their own website their last subsidy was in 82. That was not a terrible example, but the USPS mostly pays their own way, not really that dependent on the government. Strike two.
Interstate highways- are they really a total success? Many are not in the best of shape, and in fact I recall the democrats saying we have an infrastructure crisis looming, the interstates are a part of that. Also, the feds provide 90 % of the money for the interstates but the states actually take care of them. This doesn't speak to the condition of just the interstates (but a drive on I70 across missouri, especially in KC will), but the American Society of Civil Engineers gave our bridges a grade of C and our roads a grade of D- so not sure the interstates our a great example either. But again, I apologize, I did not realize that the interstates were a government agency. Perhaps I am just confused, maybe I just missed Obama naming his secretary of the interstate highway system and that person's confirmation hearings.
What else have you got for me? Surely one of you can do better than that?
If Yael has any evidence
If Yael has any evidence that government participation in anything has a track record of driving down prices, I sure would like to see it.
As someone who has worked in healthcare for 40 years I can testify that the present exorbident cost of healthcare is directly a result of the government institution of "prospective payment"
effective October 1, 1984.
It's just a case of "since your are the problem, you don't have a snowball's chance in Hell of being part of the solution".
Govt run health care has lower administrative costs
As someone who has worked in healthcare for 40 years I can testify that the present exorbident cost of healthcare is directly a result of the government institution of "prospective payment"
effective October 1, 1984.
It's just a case of "since your are the problem, you don't have a snowball's chance in Hell of being part of the solution".
Govt health care admin costs - less than 10%
Private admin costs - 40%
source apop??????
.
What a surprise
Yael has horrible wealth envy.
wealth envy?
Note that the article isn't at all against "wealth" per se, but rather is critical of a system that is tilted towards enriching the insurance industry at the expense of the insured.