Guest guest Posted March 22, 2010 Report Share Posted March 22, 2010 Some months ago, I read an interesting article. I will find the link if I can. It was written by a Democrat and called for total a restructuring/rethinking of the way we approach health insurance and health care in this country. He puts forth that the fundamental problem with the system is that we are not using our health insurance like insurance and that this misuse is what is driving up its cost. Insurance was designed to protect against catastrophic (or at least very damaging), unpredictable events.  For instance, we buy auto insurance to protect against the event of a serious collission. We buy homeowners insurance in a case we are robbed or the victim of a fire or hurricane. We do not use our auto insurance to pay for an oil change or new brakes. We do not use our homeowner's insurance to paint our house or service the furnace. If we used our insurance to pay all these routine, predictable expenses, the premiums would certainly rise because the insurance companies would know for certain that every policy holder would have claims every six months. Moreover, the insurance companies would either have to accept the policy holder's claim that s/he had gottent the best estimate or hire a whole lot of new adjustors to double check every claim for routine maintainance. His went on to say that everyone should have catastrophic health insurance and that the government should subsidize that for those who could not afford it. Otherwise, individuals should pay out of pocket for all routine medical care but the government should use income tax breaks, sliding/subsidized fee scales and other means to make sure that people with low incomes could afford routine care.  If people were responsible for paying for their own routine care, even if the money to do so was given them by the government, they would have real consumer choice and power and the health care system would have to compete for their buisness. This, in turn, would force providers of medical services to be much more transparent in their pricing which would give consumers even more leverage. It's worth thinking about. For the record, my support of this arguement is personal and does not necesarily reflect the views of L'Arche as an entity. Thanks andra Conroy Executive Director and Community Leader L'Arche Chicago 1049 S Austin Blvd Chicago IL 60644                     Office:312-226-1273 Home: 773-287-8249   " The secret to l'Arche is relationship: meeting people...heart to heart " . Jean Vanier Visit us on the 2nd Thursday of each month! ________________________________ From: ELLEN BRONFELD <egskb@...> IPADDUnite Sent: Sat, March 20, 2010 6:14:08 PM Subject: Re: Re: Fw: Arc Action Alert Call Today on Health Care Reform  Anyone care to respond to ? He paints a pretty bleak picture... an apocalyptic diatribe on the dangers of governmental control of health care... Is this realistic? Ellen Ellen Garber Bronfeld egskbsbcglobal (DOT) net Arc Action Alert Call Today on Health Care Reform > > The Arc of Illinois > > March 17, 2010 > > Leaders in The Arc: > > We have been waiting for this opportunity forever. > > Call your U.S. House members today! > > Information below. > > Tony auski > > The Arc of Illinois > > 815-464-1832 > > Call Your Representative NOW > Take Action! > > Let's Get Health Care Reform Across the Finish Line! > > > > It is finally here! After decades of waiting and over a year of > negotiating, the vote to pass final health reform is now upon us. > > The House of Representatives will vote to pass the Senate health reform > bill at the end of this week. If that vote fails, health reform is dead for > this year and likely for years to come. We cannot let that happen. > > We are too close to finally passing real reform and too much is at stake > for people with disabilities. Click here to see the provisions that are most > important to people with intellectual and developmental disabilities. > > Even though the House and the Senate have both passed their versions of > health care reform, the only way forward for the bill is for the House to > vote on the Senate version of the bill. > > Some representative in the House are debating on whether to vote for or > against the bill. Even if they voted for the House bill in the past, many are > still weighing their options. > > Your voice matters now more than ever. Call TOLL FREE 1-888-876-6242 > Click on the " Take Action " link to check how your representative voted in > November. If he/she voted for the bill, say thank you and ask for the same > vote this week. If he/she did not vote for the bill, explain how much > health care reform matters to you and why. Sample talking points are provided. > > > > Please click here to be removed from our list. If you still receive emails > from us in the future, please ensure it was not forwarded from another > party or sent to an email address that is different than the one asked to be > removed. DO NOT REPLY TO THIS EMAIL. Or write us at: > The Arc of Illinois > 20901 S. LaGrange Rd. #209 > fort, IL 60423 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 22, 2010 Report Share Posted March 22, 2010 Some months ago, I read an interesting article. I will find the link if I can. It was written by a Democrat and called for total a restructuring/rethinking of the way we approach health insurance and health care in this country. He puts forth that the fundamental problem with the system is that we are not using our health insurance like insurance and that this misuse is what is driving up its cost. Insurance was designed to protect against catastrophic (or at least very damaging), unpredictable events.  For instance, we buy auto insurance to protect against the event of a serious collission. We buy homeowners insurance in a case we are robbed or the victim of a fire or hurricane. We do not use our auto insurance to pay for an oil change or new brakes. We do not use our homeowner's insurance to paint our house or service the furnace. If we used our insurance to pay all these routine, predictable expenses, the premiums would certainly rise because the insurance companies would know for certain that every policy holder would have claims every six months. Moreover, the insurance companies would either have to accept the policy holder's claim that s/he had gottent the best estimate or hire a whole lot of new adjustors to double check every claim for routine maintainance. His went on to say that everyone should have catastrophic health insurance and that the government should subsidize that for those who could not afford it. Otherwise, individuals should pay out of pocket for all routine medical care but the government should use income tax breaks, sliding/subsidized fee scales and other means to make sure that people with low incomes could afford routine care.  If people were responsible for paying for their own routine care, even if the money to do so was given them by the government, they would have real consumer choice and power and the health care system would have to compete for their buisness. This, in turn, would force providers of medical services to be much more transparent in their pricing which would give consumers even more leverage. It's worth thinking about. For the record, my support of this arguement is personal and does not necesarily reflect the views of L'Arche as an entity. Thanks andra Conroy Executive Director and Community Leader L'Arche Chicago 1049 S Austin Blvd Chicago IL 60644                     Office:312-226-1273 Home: 773-287-8249   " The secret to l'Arche is relationship: meeting people...heart to heart " . Jean Vanier Visit us on the 2nd Thursday of each month! ________________________________ From: ELLEN BRONFELD <egskb@...> IPADDUnite Sent: Sat, March 20, 2010 6:14:08 PM Subject: Re: Re: Fw: Arc Action Alert Call Today on Health Care Reform  Anyone care to respond to ? He paints a pretty bleak picture... an apocalyptic diatribe on the dangers of governmental control of health care... Is this realistic? Ellen Ellen Garber Bronfeld egskbsbcglobal (DOT) net Arc Action Alert Call Today on Health Care Reform > > The Arc of Illinois > > March 17, 2010 > > Leaders in The Arc: > > We have been waiting for this opportunity forever. > > Call your U.S. House members today! > > Information below. > > Tony auski > > The Arc of Illinois > > 815-464-1832 > > Call Your Representative NOW > Take Action! > > Let's Get Health Care Reform Across the Finish Line! > > > > It is finally here! After decades of waiting and over a year of > negotiating, the vote to pass final health reform is now upon us. > > The House of Representatives will vote to pass the Senate health reform > bill at the end of this week. If that vote fails, health reform is dead for > this year and likely for years to come. We cannot let that happen. > > We are too close to finally passing real reform and too much is at stake > for people with disabilities. Click here to see the provisions that are most > important to people with intellectual and developmental disabilities. > > Even though the House and the Senate have both passed their versions of > health care reform, the only way forward for the bill is for the House to > vote on the Senate version of the bill. > > Some representative in the House are debating on whether to vote for or > against the bill. Even if they voted for the House bill in the past, many are > still weighing their options. > > Your voice matters now more than ever. Call TOLL FREE 1-888-876-6242 > Click on the " Take Action " link to check how your representative voted in > November. If he/she voted for the bill, say thank you and ask for the same > vote this week. If he/she did not vote for the bill, explain how much > health care reform matters to you and why. Sample talking points are provided. > > > > Please click here to be removed from our list. If you still receive emails > from us in the future, please ensure it was not forwarded from another > party or sent to an email address that is different than the one asked to be > removed. DO NOT REPLY TO THIS EMAIL. Or write us at: > The Arc of Illinois > 20901 S. LaGrange Rd. #209 > fort, IL 60423 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 22, 2010 Report Share Posted March 22, 2010 I think it is naive to assume that insurance companies are not rationing care now; they just do it quietly and under the table. It goes on every day. As far as the gigantic cost of health care reform for this country, at the end of the day I would rather see my hard earned dollars going toward health care than paying for wars all over the world under the guise of national security and protecting the country from weapons of mass destruction. From: Gloria Kern <prentice75@...> Subject: Re: Fw: Arc Action Alert Call Today on Health Care Reform IPADDUnite Date: Monday, March 22, 2010, 2:41 AM  Hi, I've been lurking in the background for a while as so much is going on in my little world that it's hard to sit down and put thoughts on paper. I agree wholeheartedly with . This bill is a first step in a very slippery slope. It adds a large group of people to Medicaid, which is already administrated poorly. At least in my part of the world doctors that will accept Medicaid are few and far between, and they are not usually the best doctors, and they don't know the PERSON they are dealing with, the history, etc. I continue to pay a hefty sum to keep my daughter on my insurance because we have had such bad experiences trying to use Medicaid. I am retired and on my company plan. I believe that ultimately they will drop retiree insurance because of this bill, saying that we can get insurance elsewhere. I have 3 preexisting conditions and my daughter has too many to even count. This was a major consideration throughout my career - the benefits package. Now I foresee it being sucked away. I am an accountant and certainly not qualified to make decisions on medical practices, but I foresee that will be the case in the not to far future - administrative staff reviewing and making decisions. Not enough funding for everyone means there will be allocations. Give a new liver to a 70 year old " drain on the system " or a productive 35 year old who can put funds in? Spend limited funds to provide services to make the life better for a person with disabilities or fund an operation to return a " productive " employee to the system? Why do I assume limited funds? How much can we tax our children and grandchildren before there is a revolution of the have nots vs the haves? We have a system that needs to be upgraded indeed, but this plan will destroy the greatest medical system in the world (or at least one of them). I would start by putting some regulation on the ridiculous litigation rewards, level the playing field on prescriptions where other countries pay far less than we do for the drugs developed in this country. (not sure how this works so I don't know how to do it, but I know there is a way). Why do so many world leaders and the wealthiest come to America for major medical? Because they don't want to wait in line for the services with the rest of their societies, and we have the best. I'd love to see a poll of how many Canadians cross the border for medical services. Cutting Medicare at a time when the ranks of seniors is increasing due to the " boomers " ? How about hiring people to catch the fraud? I know my mom is happy with Medicare, but she never sees the bills for her stays in hospitals or nursing homes. When I have tried to get them it has been such a runaround and finger pointing that I've given up wasting my time, but I guarantee that if we could see the bills there would be fraud and we would see charges for services she didn't receive. Yet we've never had anyone ask us to review anything or verify services. Why can't she bring her meds to the nursing home for them to provide at appropriate times rather than having Medicare pay ridiculous amounts per pill for 90 days? Forcing people to buy insurance? Sorry that sounds wrong. If they don't have insurance, then they assume responsibility for their bills (there's that nasty word RESPONSIBILITY) . Hospitals are required to do charity work and I know personally that many of them would work with people if people asked for the help instead of ignoring the bills. As a young person working my way through college I went without insurance, paid for my doctor visits and drugs. I knew I was taking a risk, but I was young and healthy. That was my right. Now our kids can't find good paying jobs and often get no benefits and we are going to fine them for deciding that they can take a risk? I've probably said more than I should, getting paranoid about " big brother " and voicing opinions on computers!!! Gloria Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 22, 2010 Report Share Posted March 22, 2010 I think it is naive to assume that insurance companies are not rationing care now; they just do it quietly and under the table. It goes on every day. As far as the gigantic cost of health care reform for this country, at the end of the day I would rather see my hard earned dollars going toward health care than paying for wars all over the world under the guise of national security and protecting the country from weapons of mass destruction. From: Gloria Kern <prentice75@...> Subject: Re: Fw: Arc Action Alert Call Today on Health Care Reform IPADDUnite Date: Monday, March 22, 2010, 2:41 AM  Hi, I've been lurking in the background for a while as so much is going on in my little world that it's hard to sit down and put thoughts on paper. I agree wholeheartedly with . This bill is a first step in a very slippery slope. It adds a large group of people to Medicaid, which is already administrated poorly. At least in my part of the world doctors that will accept Medicaid are few and far between, and they are not usually the best doctors, and they don't know the PERSON they are dealing with, the history, etc. I continue to pay a hefty sum to keep my daughter on my insurance because we have had such bad experiences trying to use Medicaid. I am retired and on my company plan. I believe that ultimately they will drop retiree insurance because of this bill, saying that we can get insurance elsewhere. I have 3 preexisting conditions and my daughter has too many to even count. This was a major consideration throughout my career - the benefits package. Now I foresee it being sucked away. I am an accountant and certainly not qualified to make decisions on medical practices, but I foresee that will be the case in the not to far future - administrative staff reviewing and making decisions. Not enough funding for everyone means there will be allocations. Give a new liver to a 70 year old " drain on the system " or a productive 35 year old who can put funds in? Spend limited funds to provide services to make the life better for a person with disabilities or fund an operation to return a " productive " employee to the system? Why do I assume limited funds? How much can we tax our children and grandchildren before there is a revolution of the have nots vs the haves? We have a system that needs to be upgraded indeed, but this plan will destroy the greatest medical system in the world (or at least one of them). I would start by putting some regulation on the ridiculous litigation rewards, level the playing field on prescriptions where other countries pay far less than we do for the drugs developed in this country. (not sure how this works so I don't know how to do it, but I know there is a way). Why do so many world leaders and the wealthiest come to America for major medical? Because they don't want to wait in line for the services with the rest of their societies, and we have the best. I'd love to see a poll of how many Canadians cross the border for medical services. Cutting Medicare at a time when the ranks of seniors is increasing due to the " boomers " ? How about hiring people to catch the fraud? I know my mom is happy with Medicare, but she never sees the bills for her stays in hospitals or nursing homes. When I have tried to get them it has been such a runaround and finger pointing that I've given up wasting my time, but I guarantee that if we could see the bills there would be fraud and we would see charges for services she didn't receive. Yet we've never had anyone ask us to review anything or verify services. Why can't she bring her meds to the nursing home for them to provide at appropriate times rather than having Medicare pay ridiculous amounts per pill for 90 days? Forcing people to buy insurance? Sorry that sounds wrong. If they don't have insurance, then they assume responsibility for their bills (there's that nasty word RESPONSIBILITY) . Hospitals are required to do charity work and I know personally that many of them would work with people if people asked for the help instead of ignoring the bills. As a young person working my way through college I went without insurance, paid for my doctor visits and drugs. I knew I was taking a risk, but I was young and healthy. That was my right. Now our kids can't find good paying jobs and often get no benefits and we are going to fine them for deciding that they can take a risk? I've probably said more than I should, getting paranoid about " big brother " and voicing opinions on computers!!! Gloria Quote Link to comment Share on other sites More sharing options...
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