Why Health Insurers Make Lousy Villains

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Kenny, please read the article carefully. Note the sentence, "Profit margins basically reflect the percentage of revenue left over after paying salaries, expenses, taxes and lots of other things."

We "libs" do know Econ 101. Profit is what is left over after ALL the overhead costs have been deducted.

Skipb48 of MI 2:53PM August 20, 2011

If Germany is so great, Charles of NY, why don't you apply to immigrate? There are numerous flights to Frankfurt every day. I notice that you didn't mention that Germany's corporate tax rate is much lower than ours at 15%. And by the way universal single payer run by the government is most decidedly NOT capitalism.

Waynester of GA 9:55AM July 30, 2011

All these big and small health insurance companies have thousands and thousands of executives, clerks, info techs, actuaries and etc., etc., basically doing the same things across companies. There would likely be tremendous economies of scale with a single payer system, where one set of employees would do it all. After all, that's a prime reason private companies merge. Sure, there would be some government waste, but not enough to equal all the expensive wasted duplicated salaries of the hundreds (thousands?) of private companies. And speaking as someone who has worked for large corporations both before and after mergers, there is enormous waste there also. Enough to make you laugh - or cry.

Question: Since when has Germany had public universal health coverage?

a) 1975

b) 1951

c) 1936

d) 1870

Answer: d

Not only that, but their dynamic economy is decidedly not in recession. And they are weaning themselves from nuclear power. We could learn a few things from the Germans. They may have committed the worst crime in history, but on the other hand they are now showing the way for a capitalist society to do the right things for its people and thrive in the 21st century. They have cooperation between government and industry that goes far beyond the stale cliches that American politicians fight and gridlock over, and that undergirds perhaps the strongest capitalist economy in the world.

Charles of NY 10:45AM June 14, 2011

PROFIT, and I cant believe we are doing remedial economics, is the money left after ALL of your bills are paid, after ALL of the costs of running the business have been deducted. I dont understand how you are trying to claim 13 to 17 percent profitability, so these businesses are not supposed to pay data entry persons, mail clerks, postage, managers, seriously, how do you expect them to stay in business providing the services they provide and employing the millions of americans they employ. If all they pay out in wages is 10-14 percent of what they bring in I'd have to say thats pretty lean, most restaurants pay 18-25 percent of what they take in on wages and thats just for the individual store location that doesnt include the wages paid to the executives running the company. You libs are unbeliveable and should probably try managing a business for a while so you can get a clear understanding of profitability, or take some entry level economics classes at you local community college.

Kenny of FL 11:51PM June 04, 2011

Ever heard of fuzzy math? Unless I missed the obvious - which I can - that's what you have. If, under the old rules, 25% of revenue is left for profit, you then extrapolate a 13% profit margin of total revenue as an "actual" margin. When in fact, it is six of one and half the other. A dollar amount is what was outlayed and a dollar amount was kept. These two values are equal. What you compare them to has changed to make your argument. What I find to be important is the fact this industry is demanded to spend a minimum amount in services. Which begs the obvious question. Where else has socialism profited enough to produce competition and inovation?

Steve of ME 9:15PM May 23, 2011

Profit margins are exactly what they sound like, they are what's left over after all the expenses, so it doesn't matter if we're talking about $10 or a billion, 3.4% is 3.4%. Look at it this way, if the average family is paying $10,000 per year for coverage, then $340 goes to profit, big deal, your share of the national debt is $46,000, so for a family of 4 its $184,000, just to give some perspective. As for all the other numbers the people claimed in the comments, it really doesn't matter, the CBO estimates the administrative costs for health insurance companies across the board was 12%, and for large companies it was 7%, which INCLUDES profit and advertising, so does anyone think the government could be more efficient than that? I'm sure there are those out there who would make that claim, but they'd be dead wrong. Grim, yes, 96.6% goes to keep those companies running, most of which is paid out in benefits. People keep talking about the rising costs of health care, with little consideration as to what you are getting for your money, the TRUE culprit is technology and medical breakthroughs and advancement, but I'd bet my life that the government is responsible for more of the rising costs by FAR than any health insurance company. It now costs about $1,000,000,000 to research, develop and manufacture a single drug these days because of all the government regulations pharmaceutical companies must go through to get it approved, so who is the real villain here? The GOVERNMENT!

Scott Beasley of TN 11:23PM May 12, 2011

You keep saying that insurer profit margins are 3.4% -- but 3.4% of what? If calculated against total revenue, that's misleading. Even at the time you wrote this, in 2009, state-level regulations imposed minimum medical loss ratios (MLRs) on insurers that required them to spend some minimum percentage of premium revenue on care. The minimum averaged about 75%, depending on the state and type of policy. After Jan. 1, 2011 -- thanks to the 2010 reform law -- it is supposed to average 80% to 85%. So the relevant measure of profitability is net income divided by percentage of revenue the insurer is allowed to retain as profit. What you call a 3.4% margin is really a 13% margin under the old ratios, and a 17% margin under the new federal rules. That's pretty profitable by most standards.

And even if profits really were 3.4%, there's no justification for using 3.4% of premiums to pay shareholders and C-level managers when that money could be going for actual care. For-profit insurers don't add value; all they add is cost.

Chris of NY 8:30PM May 04, 2011

Doesn't matter what the dollar amount is cause you cannot fathom the size of the industry. It means 96.6% of total company income goes into keeping the companies running. Percentages are what statistics are meant to be.

John of AL 3:08PM January 16, 2011

They speak only in percentages, but no dollar amounts. What are they hiding?

Bob Stone of KS 1:21AM January 14, 2011

obviously this is someone who believes that health insurance companies are doing the right thing by denying people the care they need.

Fire of CA 9:06AM November 24, 2010

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Rick Newman

Rick Newman

The global economy is mysterious, even scary. Chief Business Correspondent Rick Newman connects the dots. In addition to his writing for U.S. News, Rick is the co-author of two books: Firefight: Inside the Battle to Save the Pentagon on 9/11, and Bury Us Upside Down: The Misty Pilots and the Secret Battle for the Ho Chi Minh Trail.


Read Rick's latest blog entries here.

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