Striper Talk Striped Bass Fishing, Surfcasting, Boating

     

Left Nav S-B Home FAQ Members List S-B on Facebook Arcade WEAX Tides Buoys Calendar Today's Posts Right Nav

Left Container Right Container
 

Go Back   Striper Talk Striped Bass Fishing, Surfcasting, Boating » Striper Chat - Discuss stuff other than fishing ~ The Scuppers and Political talk » Political Threads

Political Threads This section is for Political Threads - Enter at your own risk. If you say you don't want to see what someone posts - don't read it :hihi:

 
 
Thread Tools Rate Thread Display Modes
Old 12-09-2010, 02:19 PM   #1
Jim in CT
Registered User
 
Join Date: Jul 2008
Posts: 20,441
[QUOTE=RIJIMMY;817178]
Quote:
Originally Posted by RIROCKHOUND View Post
I chose the status quo argument. This is different than someone at United or BlueCross making the very same decisions how?

QUOTE]

its opening up a huge can of worms that the government has no business in. Nothing good will come out of this.
"This is different than someone at United or BlueCross making the very same decisions how? "

Here's how. Look at the difference between the US Post Office and FedEx. Government cannot do anything better than private companies. The larger role the government plays, the more waste there is, menaing less money to pay for actual care, meaning MORE families are told "no", compared to having private companies handle these things.

You really, really don't get that? That's why I want private companies in this space, and not just the feds. Private companies have an incentive to be as lean as possible. The feds would have all kinds of ineffecencies, plus unions to placate.

Lile you, I wish everyone had good healthcare. But if the choice is between limited care provided by the feds, or limited care provided by private enterprise, I'll take private enterprise.
Jim in CT is offline  
Old 12-09-2010, 02:24 PM   #2
RIROCKHOUND
Also known as OAK
iTrader: (0)
 
RIROCKHOUND's Avatar
 
Join Date: Apr 2003
Location: Westlery, RI
Posts: 10,413
Quote:
Originally Posted by Jim in CT View Post

"This is different than someone at United or BlueCross making the very same decisions how? "

Here's how. Look at the difference between the US Post Office and FedEx. Government cannot do anything better than private companies. The larger role the government plays, the more waste there is, menaing less money to pay for actual care, meaning MORE families are told "no", compared to having private companies handle these things.

You really, really don't get that? That's why I want private companies in this space, and not just the feds. Private companies have an incentive to be as lean as possible. The feds would have all kinds of ineffecencies, plus unions to placate.

Lile you, I wish everyone had good healthcare. But if the choice is between limited care provided by the feds, or limited care provided by private enterprise, I'll take private enterprise.
Another fundamental difference.

In the goal of being leaner, I see the private companies saying 'no' more than the feds IMHO.....

Last edited by RIROCKHOUND; 12-09-2010 at 02:39 PM..

Bryan

Originally Posted by #^&#^&#^&#^&#^&#^&#^&#^&#^&#^&#^&
"For once I agree with Spence. UGH. I just hope I don't get the urge to go start buying armani suits to wear in my shop"
RIROCKHOUND is offline  
Old 12-09-2010, 02:27 PM   #3
scottw
Registered User
iTrader: (0)
 
scottw's Avatar
 
Join Date: Nov 2007
Posts: 12,632
[QUOTE=RIROCKHOUND;817189
I don't see the difference, you are trading one decider for another. My hope is that the current HC plan allows more people to have insurance, rather than go to the Social service Agency in the first place.

Another fundamental difference.

In the goal of being leaner, I see the private companies saying 'no' more than the feds IMHO.....[/QUOTE]

thick as a brick
scottw is offline  
Old 12-09-2010, 02:40 PM   #4
Jim in CT
Registered User
 
Join Date: Jul 2008
Posts: 20,441
[QUOTE=RIROCKHOUND;817189]
Quote:
Originally Posted by Jim in CT View Post

Another fundamental difference.

In the goal of being leaner, I see the private companies saying 'no' more than the feds IMHO.....
Wrong again.

See, for now at least, we have this thing called the "free market". If a company had a reputation of saying "no" (unreasonably) to save money, no one would buy the product from that company...everyone would buy from the company that delivered the most possible coverage you could afford.

In a single payer system, the consumer has no such protection.
Jim in CT is offline  
Old 12-09-2010, 04:07 PM   #5
likwid
lobster = striper bait
iTrader: (0)
 
likwid's Avatar
 
Join Date: Jul 2002
Location: Popes Island Performing Arts Center
Posts: 5,871
Send a message via AIM to likwid
Quote:
Originally Posted by Jim in CT View Post

Wrong again.

See, for now at least, we have this thing called the "free market". If a company had a reputation of saying "no" (unreasonably) to save money, no one would buy the product from that company...everyone would buy from the company that delivered the most possible coverage you could afford.

In a single payer system, the consumer has no such protection.
amednews: Coverage denials by 4 major insurers rise nearly 50% :: Oct. 25, 2010 ... American Medical News

Here's your free market.

Coverage denials by 4 major insurers rise nearly 50%
Preexisting conditions were used to reject more than 651,000 applicants during a three-year period, says a House committee report.

Also part of the bill is written to stop insurers from denying insurance to children (like this one) with pre-existing conditions.

Ski Quicks Hole
likwid is offline  
Old 12-09-2010, 04:22 PM   #6
scottw
Registered User
iTrader: (0)
 
scottw's Avatar
 
Join Date: Nov 2007
Posts: 12,632
Why would a government health care program (e.g. Medicare) deny more claims than private insurers?

"According to the American Medical Association’s National Health Insurer Report Card for 2008, the government’s health plan, Medicare, denied medical claims at nearly double the average for private insurers: Medicare denied 6.85% of claims. The highest private insurance denier was Aetna @ 6.8%, followed by Anthem Blue Cross @ 3.44, with an average denial rate of medical claims by private insurers of 3.88%

In its 2009 National Health Insurer Report Card, the AMA reports that Medicare denied only 4% of claims—a big improvement, but outpaced better still by the private insurers. The prior year’s high private denier, Aetna, reduced denials to 1.81%—an astounding 75% improvement—with similar declines by all other private insurers, to average only 2.79%."

just sayin'
scottw is offline  
Old 12-09-2010, 06:28 PM   #7
Jim in CT
Registered User
 
Join Date: Jul 2008
Posts: 20,441
Quote:
Originally Posted by scottw View Post
Why would a government health care program (e.g. Medicare) deny more claims than private insurers?

"According to the American Medical Association’s National Health Insurer Report Card for 2008, the government’s health plan, Medicare, denied medical claims at nearly double the average for private insurers: Medicare denied 6.85% of claims. The highest private insurance denier was Aetna @ 6.8%, followed by Anthem Blue Cross @ 3.44, with an average denial rate of medical claims by private insurers of 3.88%

In its 2009 National Health Insurer Report Card, the AMA reports that Medicare denied only 4% of claims—a big improvement, but outpaced better still by the private insurers. The prior year’s high private denier, Aetna, reduced denials to 1.81%—an astounding 75% improvement—with similar declines by all other private insurers, to average only 2.79%."

just sayin'
Thank you Scott W!

Likwid, rirockhound, this is game, set & match. Ask any fair-minded doctor which payer is more likely to pay out, and which is more likely to balk at payment...medicare/medicaid, or private insurers. Why do you think that more and more doctors refuse to accept medicare/medicais patients? Because the docs lose money on those folks.

If you'd put down your Obama worshipping glasses for 2 seconds and look at this objectively, it would be cclear.

Put the word "public" in front of ANYTHING, and it implies something that is dirty, ineffective, dysfunctional, and scary. "Public" parks, schools, golf courses, rest rooms, just name it.
Jim in CT is offline  
Old 12-09-2010, 08:37 PM   #8
scottw
Registered User
iTrader: (0)
 
scottw's Avatar
 
Join Date: Nov 2007
Posts: 12,632
Quote:
Originally Posted by Jim in CT View Post
Thank you Scott W!


Put the word "public" in front of ANYTHING, and it implies something that is dirty, ineffective, dysfunctional, and scary. "Public" parks, schools, golf courses, rest rooms, just name it.
public transit, public sector unions, public housing, public enemies...some would argue that they are all simply underfunded otherwise they'd be "utopia"
scottw is offline  
Old 12-14-2010, 11:55 AM   #9
Fly Rod
Registered User
iTrader: (0)
 
Fly Rod's Avatar
 
Join Date: Mar 2003
Location: Gloucester Massachusetts
Posts: 2,678
Quote:
Originally Posted by likwid View Post
amednews: Coverage denials by 4 major insurers rise nearly 50% :: Oct. 25, 2010 ... American Medical News

Also part of the bill is written to stop insurers from denying insurance to children (like this one) with pre-existing conditions.
You are partially correct. Prior to that part of the bill taking effect, private insurers rushed to notify parents of children that they were no longer insured.

Who won, who lost?
Fly Rod is offline  
 

Bookmarks


Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Forum Jump


All times are GMT -5. The time now is 08:45 PM.


Powered by vBulletin. Copyright ©2000 - 2008, Jelsoft Enterprises Ltd.
Please use all necessary and proper safety precautions. STAY SAFE Striper Talk Forums
Copyright 1998-20012 Striped-Bass.com