Private health insurance and the National Health Care Bill part 4

The author, Ted Wolk, has over 30 years experience in the life and health insurance industry, looks at the National Health Care Bill and shares his thoughts on the core problems related to this Issue. PART 4

Business sense and common sense needs to prevail.

(Basic common sense class 101=.Refer back to economics 101)

You cannot be taxing the medical suppliers and raising taxes on insurance companies (as indicated in this Bill) and having another layer of government agencies involved and expect the insurance premiums to go down. Even the simplest mind has to realize that those costs will have to be passed through to the consumer. (Of course, our elected leaders never attended Economics 101) Their operating economic policies are called (Economics deep pockets 101), meaning they can just continue to tax the people to make something work. No scientific data needed here.

Another big bucket of our money for the Washington Boys to play with

But here is the really big concern. If this health bill passes, all we have done is give the thieves in Washington another bucket of money to play with and they will use to meet deficits and then tell us they need to raise taxes again. Just like social security and Medicare, they used those funds till they broke the bank and now they have no way to pay that back. And they now want to add another entitlement program. Are we going to really let them do this to us at such a critical time in our economy? They have never run any of those programs in a business-like manner. Why, because we just let them keep taxing us, taxing us and taxing us, because they know they can get into the taxpayers deep pockets by just raising taxes. What part of the word stupid don’t we understand?

To quote Margret Thatcher “socialism is a great idea till you run out of other people’s money.

Well guess what, this is really what is happening today. We are screwing our next generation big time. The government is already printing bogus money, borrowing billions from China, (Our Leaders have given already China a first mortgage on our country’s assets last year.)

They are now looking to create another tax bucket, as well as creating new ways to tax the free enterprise community, etc.  Why, because they cannot make due by taxing the entire working force. So they move to the next level and then the next level and so on. They can’t get enough money from the entire working population, so let’s tax, the rich, let’s tax the business community, and let’s penalize those who won’t play our health care game, and so on.

The way for real change

Yes there needs to be changes in the health care system. But how we are approaching it is the absolute wrong way. Our culture towards the health care delivery system must change. We need to streamline health care in our society. The insured’s, the doctors, hospitals, lawyers and insurance companies need to sit down and come together and start taking accountability for the problems that each segment is creating. If not, this national health bill concept will tax us to levels beyond our imagination.

Remember, there is only 100 cents in a dollar.

Our Country, our morality, our integrity, our freedom, our American way is being given away piece by piece, day by day and these politicians cannot see it, because they live in their world and not ours. Please speak up and write or E-mail this article or any parts of it to your senators and congress people if you agree with any of this.

We need some other people to chime in on what they think. Let us know your thoughts.

Thanks…Ted

See Part 1 on the National Health Care Bill

Private health insurance and the National Health Care Bill part 3

The author, Ted Wolk, has over 30 years experience in the life and health insurance industry, looks at the National Health Care Bill and shares his thoughts on the core problems related to this Issue. PART 3

We are not identifying the real problems facing our health care.

These so called politicians are just that, and they have no business sense or economics sense. They are on a feeding frenzy like a pack of sharks. They are selling us hype. They are all dealing under the mob mentality syndrome. (If you don’t know how that works. Please look it up on the internet) and they are now wanting to add another bucket of money to their coffers and drag us, the taxpayers into it.

Why do we have a bill that is over 2100 pages in length? Because you have over 400 politicians writing a bill, and they have to all protect their own interests instead of the interests of all the American citizens. Otherwise it would probably be limited to 10 percent of those pages.

As usual our government leaders are dealing in a reactive way rather than a proactive way. Think about it, they are attacking the problem from the wrong direction. They are treating the problems rather than fixing the problems. Just like someone having to clean water out of their basement every time it rains, rather than fixing the crack in basement wall. The problems need to be fixed first.

And herein lays the problem, no one wants to be accountable and attack or control the real core problems. No one is even discussing how we remove or control all the issues that are creating the higher costs. If we could make them more manageable and control them, then insurance companies could probably offer more lucrative coverage, which would result in the spreading of the risk, (more people owning and paying) which would then result in more people affording it. The National health Bill is trying to somewhat do this, but they are approaching it from the wrong direction. Their concept and approach only adds more fuel to the fire.

Some more problems

It is a known fact that certain doctors continue to have and refer patients for unneeded tests and procedures. Who is suppose to slap their hands and say stop that. And how many specialty clinics do we really need to have?  These just continue to drive up doctor’s overhead and operating costs.

Hospitals and doctors’ offices can sometimes over bill or double bill patients. Who watch’s out for the patient? Who audits the bill? When they send the patients bills to the insurance companies, the patient don’t care what’s on that bill as long as it is paid. Who takes ownership of these problems?

Additionally, each and every doctor sends out their own bill and there is no uniformity. Because of this, unless the patient is a CPA, they cannot figure those bills out. (Been there, done that. it’s a nightmare)

Malpractice need to be brought under control. There needs to be a common sense approach to this issue. Should someone age 50 who is earning $40,000 a year be given a $12,000,000 (million dollars) settlement, when they may only have the ability to earn another $700,000 in their life time?  Maybe they should be given $2,000,000 and have all associated medical costs taken care of during their life time. If insurance companies had a cap on malpractice they could start dealing with a known factor vs. an unknown factor and that would help reduce rates.

These and other unknown factors are a serious problem.

When you start to add or include additional unknown factors into the health insurance premium equation (such as pre-existing conditions, fraud, unethical claims, malpractice lawsuits) then the health insurance companies must deal with these unknown factors. We cannot continue to have these ongoing core problems persist and think National Health care will solve them.

Remember economics 101.  You need to accept the reality that there is only 100 cents in a dollar.

As an analogy…Let’s say you fill your gas tank in Rapid City, knowing you can drive from Rapid City to Sioux Falls on Interstate 90, based on the exact mileage of 329 miles. But let’s say, along the way, you run into a detour and you have to go off the interstate and travel down to Nebraska to get to Sioux Falls, then this unknown factor you had to deal with is going to require you put more gas in your tank to get there. Then you run into a ditch and have to get towed out. So because you had to deal with all these unknown factors that you had no control over, it costs you more money, so the price to get there goes up.  This is same problem Insurance Company’s face.  Unknown factors (“There is only 100 cents in the dollar.”)

See Part 4 on the National Health Care Bill

See Part 1 on the National Health Care Bill

Private health insurance and the National Health Care Bill part 2

The author, Ted Wolk, has over 30 years experience in the life and health insurance industry, looks at the National Health Care Bill and shares his thoughts on the core problems related to this Issue. PART 2

So who is really at fault for higher premiums?

Is it really the health insurance company’s fault that premiums have gone sky high?

Let’s look at the real business world and not the fantasy world. Health Insurance premiums rates are based on claims and morbidity rates, in other words, hard undisputed realistic data. Life insurance companies use mortality tables and health insurance companies use morbidity tables. These are very accurate actuarial tables, actuarial tables that are built on proven and scientific data.

However, when you continue to throw in unknown variables such as increasing malpractice claims, fraud, illegal claims, double billing, etc., it throws everything out of whack, so unless these issues are brought under control, how will you ever be able to lower or get health insurance costs under control? You never will.

What do insurance companies really do?

Insurance companies only pay claims that are submitted to them by the clients, patients and the doctors and hospitals. They have no control of these claims. Let me say that once more. Insurance companies only pay claims.

What do I mean by no control?

As an example, they have no control of all the malpractice claims that they must pay. They have to pay out all the large malpractice claims that are allowed under our current laws. Insurance Companies have no control of these claims or the amounts, or when they will have to be paid.

And because they have to dish out money for malpractice claims, they have to raise the rates for doctor’s malpractice insurance and guess what, the doctors then pass these increases along to you. It adds to their overhead and expenses. This then results in a pass through expense to your health insurance company, thereby raising your premiums. (Remember 100 cents in a dollar)

So in reality, both of these factions, (insurance companies) and (doctors/hospitals) are in a catch 22 situation – no win situation.

So again, I ask, how does it become the insurance companies fault if they have to raise rates to make ends meet at the end of every year, when they have no control of issues like this?

Who gets the Bad press for trying to keep insurance premiums down?

Insurance companies that want to keep the costs down always  end up getting bad press when they will pay only so much for certain procedures. Why? Because those payments are based on actuarial tables or on sound business principles.  No one ever seems to jump on the hospitals and doctors. It is always the insurance companies fault. Why is that? Because most people don’t know what type of coverage they really have till they are in the hospital. (Note: It would b nice if insurance companies could get rid of all that small print, but that won’t happen till all these lawsuits gets under control.

See Part 3 on the National Health Care Bill

See Part 1 on the National Health Care Bill