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Saturday, October 27, 2007

SCHIP and the Rigged Health Insurance Game

This is a very interesting article because I agree with a lot of it, but I disagree with his primary premise. He says that the SCHIP program would actually be a terrible thing for the health insurance community. I don't understand how having the government provide money to pay for HEALTH INSURANCE would necessarily point out the evil insurance companies. I would think that the insurance companies would be for the SCHIP program because the government pays for the insurance rather than forcing the individual to pay it.

I agree however with his remarks about the profit incentive for the health insurance companies. There is a problem with the capitalist model for health insurance because it encourages discrimination. It encourages companies to deny coverage to the sick because they make more money if they only insure those people who will have fewer claims. However what this article misses is the fact that insurance companies negotiate lower prices from the providers to keep the health care costs in check. So while it is bad that insurance companies try to maximize their profits through devious ways, it is good that one way to maximize profits is to negotiate much lower rates with providers than an individual would be allowed to pay.

I agree that the profit needs to be taken out of the health insurance system. I know that the cost of health care is the problem. People who do not have health insurance are not the problem. The government should focus less on the income of people needing health care and more on the health of the people who need health care and the system could work. If the government guaranteed a safety net for sick people who would be declined for health insurance, then that would be sufficient to satisfy the actual need for health care in this country.

Blue Cross Blue Shield association was set up as a non-profit insurance company. That is the best vehicle to provide payment for health care. The non-profit system ensures that health care costs are kept in check through negotiations to lower provider prices. The problem is that now the Blue Cross association plans are no longer non-profit companies. They make as much money as for profit companies. And some like Anthem are even traded as well.

Again, I agree that the system is flawed. I don't agree that this SCHIP program and the defeat of it is a sign of the corruption from the health insurance lobby. Still though I disagree, I think it is well written and well thought out. Enjoy the article.


Eric Haas

The House on Thursday passed a modified version of the SCHIP bill, with a vote that was seven votes shy of a veto-proof majority. There were 142 members of Congress who voted against extending health care to more poor children. Behind their rhetoric, their intentions are clear: they want to protect the health insurance market and the huge profits that go with it.

But the huge profits are killing health care. We all know that now. Profit-maximizing insurance companies are bad economics. They make money by denying care, which is a terrible way to try to keep us healthy.

And, profit-maximizing health insurance does more harm than that. It is also killing our sense of community. It pits us one against another to get the limited number of insurance policies, strangling the trust and cooperation we need to thrive. If we can't come together when we need each other most--when we're sick, injured or dying--without our vulnerability being used as an opportunity to maximize profits, then the U.S. is a hollow shell. The community that makes our nation a family is dead.

Continue reading the article here.

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