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Obama admin. knew millions could not keep their health insurance

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  • #16
    Originally posted by BBII View Post
    Insurance isn't the whole industry. But even that, take the 2.2% or 3% average quoted in the article I posted. Banish it. Then watch one year of medical inflation eat that amount up and probably still outpace regular inflation on top of it.

    What did you just really solve? Other than getting a few of those "Give Richie Rich What He Had Comin'" goosebumps and tingles you kids live for.
    I really don't have to bother arguing about it. Universal, single payer health care in America is as inevitable as snow in winter. Health care ain't widgets. Continuously trying to market it as if it were just proves a kind of intransigent stupidity that will eventually be bulldozed by history. Sayonara.

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    • #17
      Originally posted by BBII View Post
      Not sure where you're getting those percentages. Health Insurers aren't all that profitable. 5% is a great year for them. If you want profitable, look at Pharma and Health services. That's where most of the money goes.

      http://economix.blogs.nytimes.com/20...nce-companies/
      It was a rule in the ACA, 80 cents of a dollar collected has to go to direct care, other wise the premium payor gets refunded. It hard to discuss this when people don't even care to know what is in the legislation.

      So the question is, what the heck are they doing with 20 cents of every dollar? They process claims, does 20 cents of every dollar we spend in the US as premium really need to a TPA to process claim? Its all computerized, you get a contract in place, assign values to CPT codes and cross them wiht ICD9's, and pay or don't pay. I understand denials and appeals, but 20% of every dollar?

      By Health services do you mean hospitals? We run on 3-5% profit margins... that ain't high on the hog.

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      • #18
        Originally posted by Rohirrim View Post
        I really don't have to bother arguing about it. Universal, single payer health care in America is as inevitable as snow in winter. Health care ain't widgets. Continuously trying to market it as if it were just proves a kind of intransigent stupidity that will eventually be bulldozed by history. Sayonara.
        Free Markets simple don't work efficiently in Healthcare. Everybody wants to the product, very few can pay for it outright in serious cases and as a nation we may sure everybody gets it for humanitarain reasons.

        What other industries work like that? That's right, none.

        Single Payor with scaled deductibles and copays for everyone. Make the Tax Imposed small, put more Americans in a place to budget for their health expenses by covering a chuck upfront. Let hospitals band together to buy drugs and supplies in mass... streamline billing and establish a National EMR so we have WAY less waste time and reosurces.

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        • #19
          Originally posted by B-Large View Post
          It was a rule in the ACA, 80 cents of a dollar collected has to go to direct care, other wise the premium payor gets refunded. It hard to discuss this when people don't even care to know what is in the legislation.

          So the question is, what the heck are they doing with 20 cents of every dollar? They process claims, does 20 cents of every dollar we spend in the US as premium really need to a TPA to process claim? Its all computerized, you get a contract in place, assign values to CPT codes and cross them wiht ICD9's, and pay or don't pay. I understand denials and appeals, but 20% of every dollar?

          By Health services do you mean hospitals? We run on 3-5% profit margins... that ain't high on the hog.
          There are some arguments over how much it should cost to manage claims. But there's a reason that Medicare is the most defrauded insurance in the world. And it's defenders call that "efficiency"

          The problem with 'set it and forget it' automation instead of good claims management is that once you lock a system in place, providers find out what it is.

          So if you're willing to pay for w,x,y, and z under a given diagnosis code, instead of providers sometimes ordering x and z or w and y depending on the situation, they'll order all of it. Everything the system is configured to pay for. And they have software that cookbooks it all for them.

          Good claim management tells the provider "Hey, you might have to defend this decision at some point, and act in the interest of efficiency for your client"

          If the patient was paying directly, providers would do this intrinsically. But the idea that that can be substituted with a few coding filters is extremely naive.

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          • #20
            Originally posted by B-Large View Post
            By Health services do you mean hospitals? We run on 3-5% profit margins... that ain't high on the hog.
            I mean the whole sector. As for Hospitals, like many interests, they have ways of putting money different places.

            http://money.usnews.com/money/blogs/...lousy-villains

            Overall, the profit margin for health insurance companies was a modest 3.4 percent over the past year, according to data provided by Morningstar. That ranks 87th out of 215 industries and slightly above the median of 2.2 percent. By this measure, the most profitable industry over the past year has been beverages, with a 25.9 percent profit margin. Right behind that were healthcare real-estate trusts (firms that are basically the landlords for hospitals and healthcare facilities) and application-software (think Windows). The worst performer was copper, with a profit margin of minus 56.6 percent.

            ...

            Health insurers turn out to be underperformers compared with the other parts of the healthcare sector. Pharmaceutical companies have a profit margin of 16.4 percent—seventh highest of the 215 industries that Morningstar tracks. Others segments of healthcare with margins well above the median include healthcare information (9.4 percent), home healthcare firms (8.5 percent), medical labs (8.2 percent), and generic drugmakers (6.5 percent).

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            • #21
              Obamacare Lies Exposed -- Data Proves ACA Not Responsible For Growth In Part-Time Jobs

              One of the more popular economic myths spun by the anti-Obamacare forces is the suggestion that employers are avoiding the law by moving to an employee model based on part-time workers rather than full-time employees.

              For those committed to destroying the Affordable Care act by any means possible, who can blame them for seeking to misdirect based on using only a small part of the data as it pertains to employment when telling the full story blows up the entire meme? Such a claim is, after all, ear candy for an audience looking for any reason to hate the law, even if they don’t quite know why they so are so displeased.

              The problem, however, is that this popular line of attack comes with a rather significant flaw—the claim is provably false.

              While there are, no doubt, a few companies out there moving to increase part-time employees at the expense of full-time workers—mostly involving retail and fast food companies that have always depended heavily on a part-time employee model—it turns out that the frantic claims arguing that the ACA is causing some massive loss of full-time work is simply not supported by the empirical data.

              While we will get to that data in just a moment, to better understand how the opponents of healthcare reform are selling this bit of disinformation, it is important to know the basis of their claim.

              It begins by acknowledging that 27 million Americans are currently employed in part-time jobs—a number that is, in fact, well above the historical norms.

              Left on its own, that bit of information ties in quite nicely with the suggestion that we can hold Obamacare responsible for these numbers when one considers that employing full-time workers holds the potential for greater benefits obligations for a company with 50 or more employees.

              However, when one looks just one layer beneath the surface—a bit of research one might expect honest brokers to perform before informing the public that the sky is falling—a very different picture emerges.

              There are—as defined by the Bureau of Labor Statistics (BLS)—two classifications of part-time workers.

              Those who are working 35 hours or less because they cannot accomplish the full-time employment they desire are called “part-time for economic reasons”, while those who work 35 hours or less because that is all the work they want are part-time by choice.

              A more careful review of the latest BLS jobs report out last week—a review in which the anti-Obamacare forces do not want you to engage in—reveals that while we do, indeed, currently have 27 million part-time workers in the economy, only 8 million of these people are working part-time because they cannot find a full-time job.

              That means that 19 million Americans are working part-time because that is all the work they desire to have.

              What’s more, not only does the September jobs report reveal that the number of part-timers wishing for full-time work showed no increase when compared to the previous month’s numbers, the report provides a piece of data far more important—

              In September of 2012, the number of part-timers seeking full-time work comprised 6 percent of the workforce. One year later, the September jobs report reveals that the number has shrunk to 5.5 percent.

              http://www.forbes.com/sites/rickunga...art-time-jobs/

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              • #22


                "I KNOW NOTHING!"
                Last edited by UltimateHoboW/Shotgun; 10-29-2013, 12:33 PM.

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                • #23
                  <iframe width="420" height="315" src="//www.youtube.com/embed/wfl55GgHr5E" frameborder="0" allowfullscreen></iframe>

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                  • #24
                    Originally posted by UltimateHoboW/Shotgun View Post

                    Millions of Americans knew it as well, but as many here have demonstrated repeatedly with their deliberate ignorance, they just couldn't believe this good and decent man gave less than two sh 1 ts about them. Some here were predicting this in 2009, btw.

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                    • #25
                      The crazy liberal that lives down the street from me is outside on his porch crying about getting a cancellation notice in his mail. He is now pissed at Obama. It's hilarious to watch. The low information fools are getting dropped left and right. It's only gonna get worse.

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                      • #26

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                        • #27
                          Originally posted by Drunken.Broncoholic2 View Post
                          The crazy liberal that lives down the street from me is outside on his porch crying about getting a cancellation notice in his mail. He is now pissed at Obama. It's hilarious to watch. The low information fools are getting dropped left and right. It's only gonna get worse.
                          Millions of people. Leading to at least hundreds of thousands, if not millions of newly uninsured come Jan 1. Law of averages says some will become significantly ill.

                          Interesting news angle on each and every one of those who now have zero coverage thanks to Obamacares.

                          This new Democratic practice of calling the uninsured dirtbag freeloaders isn't going to hold up well to that kind of reality.

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                          • #28
                            I don't know what's more frightening: Obama knew about all these things and lied to everybody or, he really didn't know about anything and is really this stupid.

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                            • #29
                              My democrat buddy just found out he's getting kicked off his wife's family plan at her work. He's ****ing pissed.

                              I told him. Be careful what you wish for like I've been telling you all! What a disaster.

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                              • #30
                                Originally posted by Meck77 View Post
                                My democrat buddy just found out he's getting kicked off his wife's family plan at her work. He's ****ing pissed.

                                I told him. Be careful what you wish for like I've been telling you all! What a disaster.
                                . You should ask him if he still wants to vote Dem/Lib?

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