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What is the middle ground between single payer and private insurance?

#72

(02-04-2019, 07:53 AM)jj82284 Wrote:
(02-04-2019, 02:52 AM)wrong_box Wrote: Most policies have a certain amount of time from the day you add something to  it until you can use it, however, once diagnosed with cancer,diabetes,and.such, it becomes a pre-existing condition. Without the elimination of insurance companies right to deny coverage for pre-existing conditions, and your company changes health care providers the following year,you would not be able to pick up health care. Simply put, if health insurance providers could choose not to provide health insurance to people with pre-existing conditions, they certainly would and many people would go with out their meds and die. You couldn't save enough in a HSA to pay for diabetic meds or supplies or any other chronic disease. Try having to pay for dialysis without health care or through a HSA. My wife has two kinds of arthritis. She takes one shot a week that cost $1k each. If insurance companies could deny her every time the company changes health insurance providers, she wouldn't get her shots

With respect, it just doesn't work that way.  If you completely eliminate underwriting then the actuarial cost of insurance skyrockets.  

Insurance should never have been tied to employment anyway.  That's a symptom of the last time govt.  Tried to institute price controls.  Most if not all group plans even b4 the aca didn't reject pre-conditions they just had a waiting period.  Why?  Insurance companies actually competed for the group business.  

We need a separate track for risk management for the chronically ill, we need to make premiums and HSA contributions tax deductible, we need to allow more permanent group and association plans.  We need to incentivise and allow cooperative & concierge practices to debundle chronic/morbid risk from primary healthcare.

Agree that health care shouldnt be tied to employer. That began as a benefit to attract workers,now it's a mandate. Also disagree with most of your last paragraph other than tax deductible. The biggest problem to make health care work in the free market but it never work the way it is. Eleventy six years ago I did a report on health care companies and found that there is five or six companies that .own the majority of health care providers with the same BOD from each of the big five or six sitting on the BOD of all of them.  So the majority stock holders of the companies owning the majority of health care companies are/we're the same people then and probably still are. The free market can't work that way
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RE: What is the middle ground between single payer and private insurance? - by wrong_box - 02-04-2019, 10:33 AM



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