Why Health Insurers Make Lousy Villains

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John, if you think that insurers are just hiking your premiums to turn around and invest... you are out of your mind, and you don't understand the insurance industry, nor do you understand apparently how head actuaries decide how to invest and how much to invest. They must maintain a large amount of liquid assets to respond to even the most dramatic spike in claims. You speak as if they are taking your money and throwing it down on the roulette table. I have news for you.... THAT IS WHAT EVERY GOOD BUSINESS DOES. They invest the assets that they can afford to invest. Now this might shock you, but over the course of the recession... EVERY BUSINESS AND BUSINESS PERSON TOOK HITS ON THEIR INVESTMENTS. Considering it would seem you have the business savvy of an 8 year old, you may not have felt it much in your local savings account interest rates. But seriously John, even at the highest figure you sight, of 8% profit, do you think that they are somehow mistreating you? Because they run a profitable business at 8%? If you feel that way, you might want to get Computer software reform to target those big jerks at Microsoft and Google, you may be surprised to know what kind of profit they are reaping in, and heaven forbid, how much they have lost in their investments over the past few years. If you come around to actually being interested in where the healthcare system went wrong (news flash: this isn't a problem that developed during the recession when all those evil insurance companies went gambling with the huge profits they were making off you), then maybe you will do the unthinkable and take a look at history. (I know how much the left hates those pesky facts and economic laws that have manifest themselves time and time again). In 1954 Congress voted to make healthcare benefits tax exempt. It all goes downhill from there. The reason being because it was the beginning of the feeling of entitlement to healthcare people have gotten to. Because people have become so detached from the cost of healthcare, the system is abused, and gets more and more expensive. If we were to remove that tax credit, employers would stop providing healthcare for people, and would instead have to offer the cash equivalent. This would cause people to become much more interested in the cost of their care, which would drive a competitive market. Physicians would compete on pricing, and insurers would compete on pricing. Then if you remove the mandates that force insurers to ensure things like drug and alcohol abuse, then people can purchase health insurance a la carte, only subscribing for what they want or need. This kind of flexibility, on top of reapplying the current tax break giving to employers, would drive the cost down rapidly and significantly. Then with the mandates removed, it becomes easy to purchase across state lines, further driving competition, and allowing the economy to force prices down naturally, instead of artificially by the government.

Spencer of CA 11:18PM March 22, 2010

Regarding The Question isn't Framed Properly>>>

There already is a public agency that handles healthcare, it's called CMS. CMS handles Medicare. A few years ago, it went by another name and because of it's long history of fraud, mis-management and unable to operate at an effective level, it had to undergo a reorganization. At the current rate of Medicare spending, the system will be bankrupt by 2017, there will be less doctors accepting Medicare reimbursements and as a whole, the entire population will suffer. If you don't believe me, take a look at the huge number of "Medicare Supplement plans" considering the government can't seem to cover it all. Oh and by the way, the only reason Medicare seems to stay alive has been because the government has asked insurance companies to distribute the plans.

By the way, when was the last time you saw an efficient and effective public agency that stayed within budget and delivered on what it was meant to do? If you want government sponsored care, go to Canada or Europe!

Javier of CA 11:34AM March 22, 2010

So what is the issue here. I have attempted to read the bill which was passed last night as closely as I can. My questions are still the same.

1. Does it really help those who need the help?

2. What is the real story with how much money the health insurance companies are making?

-I am guessing that if the pharmacuetical companies are making so much profit, there is a reason premiums continue to rise. It is apparent that they are making more than the 3.4 % as claimed. The recession has to have dented that number.

3. Will the new law really impact my waiting time for a medical services?

DJ Nimphius of NJ 10:06AM March 22, 2010

Your use of current insurance profits of under 3% is very misleading. The fact oif the matter is that insurance companies typically make 6% - 8% yearly. Until the latest economic recession, that is. You see, the way insurance works is that the insured pay premiums, which the insurance company then invests, until the time that they would have to pay out a claim. Well in the last few years the insurance companies went bonkers and invested in risky derivatives and such, and thus they lost a bundle. THAT'S why their current profit is less than 3% (even after jacking up my premiums 20% last year, and ANOTHER 40% this year!). Bad business practices, that we are now paying for.

John Tiscornia of NJ 2:32AM March 22, 2010

It's not a matter of what the profit margins are...it's a matter of the inappropriateness of having insurance companies standing between people and essential services that literally determine life and death. They simply don't belong there. Remove them, replace them with a public agency that oversees and pays for these services out of equitably derived tax revenue, and we'll save 30%-35% and be much happier.

Rick of NY 8:49AM March 20, 2010

As one reader put it: "I dont know who's to blame for our current system but it must be reformed, there's no question about that." I agree that we need reform. What most people don't seem to realize though is that it's all about incentives. As long as the patient (read the insured) has no skin in the game, costs will continue to escalate out of control.

David W of FL 3:57PM March 19, 2010

Proper Villains? Or perhaps scapegoats. Clearly you don't seem to have an issue with Pharmaceutical companies raising costs of medicine and "supporting a bad system", to use your terminology. Maybe you should consider the circumstances of a health insurance company: I bet you already know why they are raising premiums and the price for plans? I'm sure you already know that they have to raise their prices as doctors and hospitals raise costs to them. And I'm sure- since you're so clearly well informed- you know that the number one financial burden/expenditure for hospitals is paying for the care of illegal immigrants and uninsured people. The cost of this care gets bounced back to insurance companies and then passed along to their clients. I'm sure you know that the logicial solution to stop "supporting a bad system" would be to stop allowing others (especially noncitizens) to exploit the system and use our money for their advantage. Instead, the Obama administration wants to INCREASE the burden upon those who pay for insurance in order to increase the benefits to those who do not have it. Before you comment on any other articles and spread your ignorance any further, get your facts straight.

Fed up with FED handouts of GA 11:56AM March 18, 2010

They are villains because they support a bad system. Regardless if they have small margin profits. Hell that just makes it worse as it means they have less monetary incentive to do it then if they had good profit margins

Maxwell of LA 10:07AM March 18, 2010

Interesting to see the profit margins. But some of the comments here seem to be off. Many still dont see how even if they have a job that pays for their insurance that without reform that may not last for long.

I dont know who's to blame for our current system but it must be reformed, there's no question about that.

sam of NC 5:24PM March 16, 2010

You are wrong

Fd of NY 5:52PM March 11, 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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