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View Full Version : How Money & Lobbyists Fuck Up Our Healthcare



crb
09-06-2008, 11:15 AM
http://online.wsj.com/article/SB121201589150427551.html?mod=opinion_main_review_ and_outlooks

Michigan doesn't have near this problem, AFAIK anyways, my healthcare coverage is pretty barebones.

This is exactly where lobbyists are bad, and also this is exactly how Democrats enable lobbyists. Lobbyists feed off regulation and mandates, and Democrats favor more regulation and mandates.

Not to say Lobbyists don't/can't also influence Republicans, but by and large Republicans are against (yes, there are exceptions, on both sides) regulation and mandates, big government, etc. However, it is the Democrats who right now are running that anti-lobbyist war and yet it is liberal policies that allow them to be so influential.

Chiropractor association lobbies to make chiropcractic coverage mandatory on all health insurance? Why? Money of course. So regulations and mandates are added, then health insurance goes up. Someone who might not want or need a chiropractor ends up HAVING to pay for insurance coverage for it because of a mandate. Add in all the other quasi-medicine fields, elective bullshit, etc, and you have huge mandates making coverage more expensive.

Most people would be happy just buying actual medical insurance, but instead they're forced to buy health insurance that covers numerous unnecessary things that they don't want. They're forced to buy the cadillac.

This, exact same type of lobbying, is why environmentalists are so dangerous. A lobby got us the wasteful and harmful corn ethanol mandate. California is/did going to/has ban incandescent bulbs in favor of mercury polluting CFLs (cfl bulb manufacturers paid for that). Solar companies lobby big time for government incentives for them, which in the end helps keep the lower quality manufacturers in business instead of letting the cream rise to the top.

None of these things are necessarily bad, but excessive government mandates fuck up what would otherwise be normal market forces and create increased costs for consumers, as well as retarding quality advancement.

Whenever the government creates a regulation or a mandate they need to be very careful and think of all the possible consequences, and too often they do not.

One thing you have to realize is that even universal healthcare is wanted by many of these groups. For instance some new age medicine person then merely must lobby a few democratic congressmen to get full federal coverage for their bullshit procedure, thus increasing the cost for everyone and lining the pockets of the quack.

With a single payer system there is no competition, no comparison.

If you have two insurance providers with no mandates restricting them, one might say "Okay, we will cover weekly chiropractor visits, but our coverage is $50 more per month." The other would say "We will not cover chiropractor visits, our coverage is $50 less per month." People can then pick what they want.

with a big bureaucratic mandate system like what we partially have and what the Democrats want to give us more of you don't get that. In a single payer system it'd be a monopoly and so no competition on those matters, in a mandated and heavily regulated system the insurance providers are restricted from competing on coverage packages. Either system results unnecessarily high costs.

Of course, no one wants to see someone get misled into buying coverage that doesn't cover all that they want, but would they? Look at car insurance, car insurance providers advertise the coverage they provide. If you don't cover something important, your competitor will run an ad saying so, educating the public. And the government can run public education campaigns too, there is nothing wrong with that. But a universal mandate is no replacement for simple public education.

Warriorbird
09-06-2008, 11:42 AM
I thought that according to you 'lobbyists were a good thing!'

It might be news to you... but all Congress creatures spawn lobbyists... it doesn't matter the party.

TheRoseLady
09-06-2008, 12:01 PM
http://online.wsj.com/article/SB121201589150427551.html?mod=opinion_main_review_ and_outlooks

Michigan doesn't have near this problem, AFAIK anyways, my healthcare coverage is pretty barebones.




In all seriousness CRB, do you work for a large company or a small company? This is really important when it comes to your actual coverage. (I'm not trying to bait you, just wondering because there are stark differences.)

crb
09-06-2008, 12:21 PM
I own a small company. I buy my own insurance out of pocket.

TheRoseLady
09-06-2008, 05:42 PM
With a single payer system there is no competition, no comparison.

Who is proposing mandated single payer coverage?


with a big bureaucratic mandate system like what we partially have and what the Democrats want to give us more of you don't get that. In a single payer system it'd be a monopoly and so no competition on those matters, in a mandated and heavily regulated system the insurance providers are restricted from competing on coverage packages. Either system results unnecessarily high costs.
Mandates are state driven. For example the state of Washington mandates that massage therapists are considered a recognized provider. Thereby mandating that fully insured plans must pay for massage therapy. I believe all but six states have a diabetic mandate that dictates to the insurance companies what they must cover. New Jersey is by far the most mandated even going so far as to mandate that "children" to the age of 30 are eligible to be covered under their parents insurance.

In contrast large employers who are self-funded ie Walmart, Bank of America, Hilton Hotels, Honda of America, Starbucks etc etc - are not bound by these state mandates. They can choose to include or exclude whatever they want with their plans. They are also not governed by the Insurance commissioners of various states.



But a universal mandate is no replacement for simple public education.
While I agree that patient education is critical there are other factors that need to be worked out. Consumers need to be better educated on their own healthcare and coverage. Providers need to be paid on performance via quality not quantity. (Medicare effective October 1, will no longer pay for avoidable errors. ie leaving a sponge in when doing surgery, bedsores from improper care, infections gained while in the hospital due to poor infection control practices and procedures.) Several insurers are following this plan. Refusal to pay does not mean that those bills will be passed onto the patients, the facilities will have to eat them.

Imagine someone is rushed to the ER of a small hospital, they do various tests including expensive MRIs and it's decided that they need to transport the patient to a larger more experienced hospital. None of those test results go with the patient, they are performed again at the next facility. The lack of electronic access and investment in this technology results in repeated tests, wasted time and money.

Interestingly enough, McCain's healthcare plan has virtually no plans to address some of the big issues with health insurance companies. ie The whole pre-existing condition problem, compelling insurance companies to reveal how much of the premiums go toward patient care vs. administrative costs.