Private health insurance is the biggest fucking scam ever. The private insurance companies benefit by getting the aggregate healthiest population into their plans (working adults). The most likely to be expensive people, i.e. old people (on medicare) or poor people (on medicaid, or not even on an insurance plan) are on government, tax payer insurance plans. There is literally no reason except for corporate profiteering that Medicare should not be expanded to cover all people.
Also all those conversations, especially in the 2020 election period, were totally bullshit. You say something like M4A will cost 44 trillion dollars or whatever, which sounds like an insane amount of money. What is often left out of the discussion is that estimated cost was 1) over 10 years and 2) has to be weighed against the current costs we already pay for insurance. So the deal was very simple: the overall costs would go down because the overall spending would be less, and at the same time millions of people without coverage would be covered, and at the same time you don’t have to contemplate stupid bullshit like in network, out of network providers. Or ever again talk to your insurance about why something is or isn’t covered. Boils my blood when I think too much about this.
Private insurance (for the average person) in general is dumb. We have a collective need to insure various things against disaster, and realistically the federal government shells out huge amounts for most disasters anyways (after the so called insurance companies go bankrupt).
So why the heck are we paying a premium for all of the overhead of the insurance companies?! It’s this massive inefficient system that doesn’t work, while the “government as insurance” system works great, and doesn’t require nearly as much overhead. There’s no room for private sector insurance to inovate, because there’s nothing to inovate on; IMO, the private insurance industry contributes nothing of value to society except jobs that it pays for by forcing everyone to engage with it.
The insurance industry in general is betting you’ll be fine, and you’re betting “maybe I won’t.” It’s extra bad for medicine because they stick their head even into the small stuff, not just “I need a 10,000 unexpected hospital bill covered.”
Private health insurance is the biggest fucking scam ever. The private insurance companies benefit by getting the aggregate healthiest population into their plans (working adults). The most likely to be expensive people, i.e. old people (on medicare) or poor people (on medicaid, or not even on an insurance plan) are on government, tax payer insurance plans. There is literally no reason except for corporate profiteering that Medicare should not be expanded to cover all people.
Also all those conversations, especially in the 2020 election period, were totally bullshit. You say something like M4A will cost 44 trillion dollars or whatever, which sounds like an insane amount of money. What is often left out of the discussion is that estimated cost was 1) over 10 years and 2) has to be weighed against the current costs we already pay for insurance. So the deal was very simple: the overall costs would go down because the overall spending would be less, and at the same time millions of people without coverage would be covered, and at the same time you don’t have to contemplate stupid bullshit like in network, out of network providers. Or ever again talk to your insurance about why something is or isn’t covered. Boils my blood when I think too much about this.
Not even gonna weigh in on things like how medicare can’t negotiate prescription drug prices (https://www.nytimes.com/2023/07/23/us/politics/medicare-drug-price-negotiations-lawsuits.html), or how dental, vision, and hearing are treated separately from general healthcare, or how med school is prohibitively expensive, or how the residents after med school are overworked because the guy who institutionalize that practice was literally a cokehead. Those are all just bonus topics. The point is we are getting fleeced.
Private insurance (for the average person) in general is dumb. We have a collective need to insure various things against disaster, and realistically the federal government shells out huge amounts for most disasters anyways (after the so called insurance companies go bankrupt).
So why the heck are we paying a premium for all of the overhead of the insurance companies?! It’s this massive inefficient system that doesn’t work, while the “government as insurance” system works great, and doesn’t require nearly as much overhead. There’s no room for private sector insurance to inovate, because there’s nothing to inovate on; IMO, the private insurance industry contributes nothing of value to society except jobs that it pays for by forcing everyone to engage with it.
The insurance industry in general is betting you’ll be fine, and you’re betting “maybe I won’t.” It’s extra bad for medicine because they stick their head even into the small stuff, not just “I need a 10,000 unexpected hospital bill covered.”