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Insurance is a bet you make with the insurance company that you will need their payout. They bet you will not. As you pay your premiums, they get to use that money and invest it to make even more. So, getting more of a payout for one individual is not "leaching" off the system..you "won" your bet, the other premium payers "lost" (everyone wants to "lose" this bet).
The pyramid schemes of government "insurance" are different. Current "premium payers" (taxpayers) are paying for the payouts to current recipients. The government does not get to invest that money. It is financially structurally unsound..it is only a matter of time before that system collapses. It is fairly certain our grandchildren or at least our great grandchildren won't be able to collect from Medicare (or social security). Not unless we have a huge spike in working age population that continues to grow with each generation.
Insurance is SUPPOSED to pay for unexpected expenses. But somehow our society has gotten the idea that it is supposed to pay for routine healthcare. That is not "insurance". That is prepaid healthcare. And that type of system will always be full of inefficiencies in that you have now introduced a middle man in the insurance/government.
How to decrease the corporatizing of healthcare? SIMPLE. 1) allow true catastrophic polices again..which means getting rid of all the mandates the ACA placed. 2) get rid of "facility fees" and reduce stark restrictions which restrict the building of healthcare resources and create scarcities based on monopolies 3) get rid of "individual policies" as they now exist and make all policies "group" based on statewide populations to determine premiums. This would get rid of pre-existing condition clauses 4) you can still have exchanges with subsidies as in Obamacare 5) you can still have Medicaid expansion for states that desire it BUT those states must implement a tax to help pay for it and there can be no phasing out of the federal contribution as was designed in the ACA 6) abandon this "pay for quality" measure meant to replace fee for service.. at least until there is a program which has run this way for at least a decade and proves it is feasible.
Those changes would increase competition, decrease cost and improve quality. All by free market principles. The ACHA does not do it but they are 90% different than the ACA..implementing them is much more than a "tweak" or "fix" to what is a horrible system.
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DJ..a reply to the healthcare thread lower on the board chemosabe 5/4/2017 - 9:26 a.m.
