Every day I get messages from MoveOn regarding healthcare that I cannot understand. Yesterday’s MoveOn message was by Robert Reich, someone who I thought was a sensible, intelligent person who generally made sense. When it comes to healthcare, a lot of nonsense is flying around.
You've probably heard about a possible "deal" in the Senate to do away with the public option.
I'm here to tell you that this is no deal: it's a gift to Big Insurance, plain and simple.
The details are sketchy. The only thing that's really clear is the deal would drop the public option from the bill. With no public option, there's no guarantee of real competition. And without real competition, health care costs will continue to be out of control.
[snip]
Without competition from a public option, insurance companies have no incentive to compete—just like now.
So if the government does not have subsidized agency competing with your business, you are receiving a “gift”. Furthermore, if the government is not competing with you, your industry has no competition.
How can this be? I shopped my health insurance twice over the past few years when my premiums increased. There were a lot of options, but ended up staying with BlueCross despite the premium hike. My rough estimate of the risk of someone in my family making a huge claim is that it’s consistent with premiums we’re paying. I would love to believe someone can do it for way less, but I think they would have done it by now if they could. You can monkey around with how the risk is spread, but one way or the other a percentage of the population is going to need expensive treatments costing well beyond a typical $5,000 deductible. Someone has to pay for that. The problem is not that some politically connected companies have a monopoly on insurance products.
All of this makes me wonder why they’re not going after other insurance products. For example, it “feels” like disability insurance is expensive considering my estimation of my chance of becoming disabled for longer than the exclusion period. I also can’t understand why the life insurance on my wife, who appears to be as healthy as I am or healthier, costs significantly more than mine. I can’t understand why my auto insurance was twice as expensive when I lived in Florida than it was when I moved back to Madison.
None of that calls for government intervention. People should keep track of their costs, shop them if they seem out of line, and focus on producing value in their own field. If they really think some industry is on the gravy train, why not compete with that industry instead of bringing the government into the business?
Consider how bizarre the claims are. Suppose the health insurance industry really were on the gravy train. That means large businesses or churches could create their own plan open to their members. They could do a quick underwriting assessment of their members and work out a premium for their own health insurance. They could adjust the premiums each year based on last year’s claims. In other words, they could become an improvised insurance company. All of this is nonsense because the original claim isn’t true. Premiums of real insurance companies are generally fair. An inexperienced organization would not be able to provide what insurance companies provide for the same price.
All of the nonsense takes away from the real problems: a) people who can’t buy insurance because they got a chronic condition and had to change insurance for a job change or other reason beyond their control and b) people who can’t afford to pay for their basic needs. These are real problems, but politicians keep talking as if we could solve this problem and save everyone money just by re-jiggering how we spread the risk and by getting the government in the insurance business.
If it weren’t so serious, it would be laughable. I would love to get inside the heads of people advocating for a gov’t-run insurance agency. Do they just think the government does things better in general? Or do they think claiming they’re working on a way to get people’s premiums down is the only way to sell a healthcare subsidy for the poor to the broad public?