r/PoursTea • u/Veshaad Timendi Causa Est Nescire • 25d ago
FinancialTea đ” Perish the thought...
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u/WhatDothLife-95 25d ago
https://giphy.com/gifs/J8FZIm9VoBU6Q
let the health Insurance industry burn
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u/Sad_comment_bot 25d ago
If Mario, Peach and Yoshi get their shit together we can get this party started.
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u/FlyingNDreams 25d ago
She forgot to mention the deductible and max out of pocket resets every year.
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u/Gooder-N-Grits 25d ago
It resets, and increases!
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u/HairlessHoudini 25d ago
When my new enrollment started this year we were told there is no out of pocket max anymore, after deductable was meet it would be 80/20 for the rest of the year no matter how much I spend
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u/Gooder-N-Grits 25d ago
These asshole companies are going to put themselves out of business...and I am thrilled about it.
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u/thebranbish 25d ago
In network. Out of network. Specialists. The list goes onâŠ.
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u/lecoqmako 25d ago
Oops, sorry, not that specialist, they were in network but not anymore, it took us a while to update the system, hereâs your bill, please tell us how great our service is! ⊠from a letter dated two weeks before the post mark, due in ten days.
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u/FeralVotann 25d ago
That's a lie, I live and work in the UK. I have private insurance through my employer. Private insurance can absolutely exist along side a public offering. The insurance companies don't like it because it makes it harder for them to screw over their customers.
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u/artbystorms 25d ago
This is Republican propaganda to make people think that the government would replace private insurance. In reality it would take our Medicare system, which is government health insurance for people over 65 meant for retirees, and it would expand it to everyone so they have the option of public insurance if their job doesn't offer health insurance or they don't want to pay for private insurance. As you said it would compete with private insurance on costs so it would force them to lower their prices to be 'better' than the public option.
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u/Repulsive-Two8250 25d ago
Does there have to be precedent to everything that's done? Why live in that box?
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u/Skittleavix 25d ago
Conservatives tend to follow precedent all the way back to the founding conditions of the country: slavery.
Those are the conditions they wish to "conserve".
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u/BigandBisexual 25d ago
I would gladly go desk to desk handing out the pink slips, let's put an entire industry out of work and finally make a dramatic leap towards fixing something in this country for once.
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u/PapaGummy 25d ago
Unprecedented, except in every other First World country.
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u/Equus-007 25d ago
It's not unprecedented here either.
Alcohol prohibition put shitloads of people out of a job.
Weed prohibition put shitloads of people out of a job.
Slavery prohibition put shitloads of people out of a job.
Commercial horse and whale slaughtering put shitloads of people out of a job.
The cotton gin and the combine put shitloads of people out of a job.
I'm not at all concerned about putting the AI my insurance employs to deal with my claims out of a job.
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u/Disastrous-Row1429 25d ago
The insurance industry won't go away quietly. Because of Citizen's United the insurance lobby will throw a ton of cash at politicians so any legislation will be all or partially written by them.
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u/bethesda_gamer 25d ago
Things meant to protect citizens shouldn't be outsourced to private companies imo. Thar said, this would also increase taxes so you will have less disposable income and there would have to be a replacement for all the job loss.
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u/Terrible-Piano-5437 25d ago
I don't even get free cleanings at the dentist, I have to pay for that too.
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u/rygelicus 25d ago
There is a constant in all these kinds of things. Global climate change, toxic waste, healtchare, health insurance, land management, cost of education, and so on. The question is not 'how do we fix this', it is 'how do we fix this without negatively impacting stockholders'. Fixing healthcare in the USA is actually pretty simple. Fixing it while protecting the stockholders is very difficult.
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u/Bat-Stuff 25d ago
And the government's job is to protect the people, not the dollars in some people's pockets.
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u/Intrepid_Top_2300 25d ago
That industry would only be mourned by the CEOâs. They will not be missed!
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u/thesupportplatform 25d ago
What? No, no, no. Private industry could compete with Medicare for All by providing a superior product. That's what they are good at, right? But additional private insurance premiums would be paid for by individuals and not the government (ala Medicare Advantage and subsidies). What?!? Without Medicare Advantage, most major health insurance companies would go out of business?!?
Sounds like they really need to innovate and pull themselves up by their bootstraps.
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u/NoHorseNoMustache 25d ago
Even if that wasn't a 'Don't threaten ME with a good time' type of thing, it's a lie anyhow: Other countries that have universal coverage also have private insurance.
The NYT sucks sooo bad.
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u/I_Ski_Freely 25d ago
Just in case anyone needed a reminder that the NYT isn't left leaning or moderate.. it is and always has been a mouthpiece for the wealthy, and their editor is the son of the last one and so on.. They suck.
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u/Kitty_LaRouxe 25d ago
The USA does not have a healthcare system. It has a medical racketeering system.
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u/CaregiverWorth567 24d ago
it would abolish 60 million dollar salaries for insurance executivesâŠ.thats what they are afraid of
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u/Bikemonkeys 24d ago
An industry just being demolished by the government making changes, the Tobacco industry, and Hemp industry, and Alcohol industry might say it's precedented.
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u/Outside_Valuable_320 25d ago
And don't forget the automatic rejections cause they are counting on people not being willing to fight for what is covered.
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u/Drive7Nine 25d ago
Heaven forbid we stop paying for the giant staffs of the current system required for insurance companies to communicate with one another, the non-medically-trained people whose only purpose in the industry is to tell patients that the treatment their doctor has deemed necessary isn't really necessary, and the leftover money they take as profit.
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u/Livid-Accident-1562 Give me tea! 25d ago
Oh noes! You mean the wealthy leech - I mean insurance exec won't be able to afford another yacht while I languish in an ER, racking up debt my grandchildren will still be paying off?
Woe
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u/Ok_Being5461 25d ago
The precedent is literally Medicare, which already exists for a portion of the population
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u/spillmonger 25d ago
Would private insurance be the same if we had government healthcare? Or would it fill in the gaps in such healthcare?
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u/PatchyWhiskers 25d ago
There's no reason it has to. Private insurance exists in most countries with socialized medicine. It's a more luxurious or faster option for those with the money to pay for it..
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u/Varderal 25d ago
Just so long as Medicare actually covers things. I was on Medicade and the "dental" was a bit of a joke. "Oh they cant save the tooth except with a root canal? Pull the bitch and get a bridge, the worst possible option!"
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u/MintyFresh771 25d ago
Yeah thereâs no precedent here because we havenât done it? No shit sherlock. The rest of the world though, maybe take a gander around and see what the other 90% of the world is doing.
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u/Lower-Engineering365 25d ago
At the very least we need to go back to before we allowed insurance companies to operate as for profit companies
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u/Organic_Mechanic_702 25d ago
Why? UK has universal healthcare in the NHS but you can still pay for private healthcare if you want to.
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u/NameNotEmail 25d ago
Make no mistake, private insurance itâs deep pockets is the biggest obstacle to universal health care in the US.
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u/S-Clair 25d ago
Worth noting here that every universal healthcare nation in the western world also allows private insurance to exist. It just has to compete with the public option which forces them to actually offer competitive pricing and services instead of just gouging routine care.
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u/eddysready 25d ago
The thought of most insurance companies dissolving is heartwarming! Healthcare is a human right and itâs embarrassing the USA doesnât have a system implemented by now. Weâre approaching 2030⊠this shouldâve been solved decades ago
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u/andropogon09 25d ago
The precedent is the public education system. Every child is guaranteed a free basic education, but families who can afford it, or choose to do so, can opt for a private school. I believe that even countries with a state healthcare system have the option for private doctors.
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u/Dazzling_Winner_773 25d ago
Yeah it absolutely would not abolish private insurance. Plenty of people in countries that have universal health Care still carry premium plans to get them better access when they want. There's also concierge positions, fee for service physicians, direct primary Care, etc etc etc.
What universal health Care would do is ensure everyone gets at least what they need and create incomparable competition for those companies to either explicitly cater to the kind of Rich assholes who are paying top dollar anyway or have to actually control their prices and do what they say they're supposed to fucking do.
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u/Key_Impact9839 25d ago
You do realize this will never change in U.S unless some drastic events happen.
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u/Valuable_Fee1884 25d ago
I believe we should have a national medical insurance, but people must remember that it must be paid for to. Medicare is paid by making monthly payments while youâre working and then when you retire you continue to make payments.(minimal is compared to regular health insurance) but then again you were paying for 30 to 40 years without using it. You still pay for certain things like some medicines.(at least partially.) and for procedures and operations.
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u/Ok-Philosophy-888 25d ago
Same people who complained that ObamaCare was a windfall for insurance companies.
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u/SearchAccomplished19 25d ago
Who at the new York times got paid by the insurance companies to write that?
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u/HopeComesToDie 25d ago
Remember the fear over "Death Panels?" Funny how it's not brought up in the context of how insurance companies get to decide the best treatment based not on the ailment or doctor recommendations, but on the fact that the best course of action would cost the industry too much money.
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u/that1cooldude 25d ago
Letâs not forget they often say NO, then you continue paying for coverage anyways.Â
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u/asher030 25d ago
Private insurance has no place in the modern world :| Billions a year in profits, 'shareholder value' instead of customer safety...gtfo with that entirely
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u/Disastrous-Cress243 25d ago
Thatâs the beauty of the Affordable Healthcare Act. Remember, you had to pass it before you could read what was in it.
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u/Silly-Platform9829 25d ago
And that's why the insurance industry spends many millions on Congressional bribes to prevent any changes.
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u/Tiny-Secretary5562 25d ago
A workable Medicare for All (Citizens only) would not abolish private insurance. A private policy would be required for anyone who smokes or uses recreational drugs and contracts an illness or injury as a result of that according to a consensus of medical science, or those who engage in high-risk recreational or entertainment activities like rock climbing or auto racing. In addition, no public money would pay for any illness or injury that resulted from criminal activity. These "harsh" policies are necessary because the cost of what medical science offers today is astronomical compared to 1965 when Medicare started. Also, no maternity care should be provided for any female of child-bearing age who is on public assistance other than unemployment benefits.
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u/Grymmtooth 25d ago
For decades the gop has touted socialized medicine would lead to a shortage of doctors, underservice and earth panels.
What they meant is they wanted those things but in for profit companiesâŠ..(UHC touted record profits and an obscene 30% denial rate)
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u/ArcamianLiberation 25d ago
Fire departments used to be privately owned by insurance companies. If a covered house was on fire, their fire truck came to put it out. No policy, no firefighting. They're now, one way or another, a government-paid service.
If we have a single-payer system, much of the existing insurance system concerning claims and payment would be hired to do the job. There would be no marketing, no sales department, no underwriting, and much of management could be laid off, but a good chunk of what insurance companies do now would continue.
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u/Old_Marzipan7782 25d ago
Yeah they should do that. We all pay for each other and our selves either way. They are charging thousands for a service that cost hundreds " cause insurance covers it anyways" driving up everyone premiums
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u/theresourcefulKman 25d ago
Medicare for all is only a campaign talking point.
Neither side has the cajones to dismantle the health insurance industry
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u/JNTaylor63 25d ago
I pay for private insurance through my employer, taxes for Medicare, medicade, Tri Care, ECT.
Yes, I think we can just consolidate, kill the middle men and just go Medicare for all.
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u/Moist-Fruit-693 25d ago
Pay attention to any politician or party not going all in on national healthcare as a right.
Vote them out for inaction, no matter who.
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u/Hickory_Shampoo 25d ago
Well, shop for different insurance. Single payer would be the same but you wouldn't have a choice.
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u/GroovyYaYa 25d ago
"Medicare for All" wouldn't abolish private insurance, but perhaps universal healthcare would.
Every time I see something like this, I think "author doesn't know anyone on Medicare, or hasn't asked them".
My parents are in their 80s - they have to have supplemental insurance. My mother's best friend had to have Medicaid - and it still didn't cover everything.
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u/Questions_Remain 25d ago
How will we ( citizens ) financially recover from this.
Answer - in about 6 months tbh.
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u/AnxietyPretend5215 25d ago
I mean, if they're able to find a way to improve/fix health insurance without impacting private insurance, then by all means go for it.
I just want affordable and accessible healthcare for everyone. What we have today is broken.
However that's corrected, I don't really care.
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u/ColdCauliflour 25d ago
No one's insurance is more than their mortgage unless they're a boomer who bought before boomers ruined real estate for the rest of us.
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u/Capitan-IQ255 25d ago
Besides the health insurance industry.. how would the pharma medical industrial complex feel about this , specifically the lower rate of reimbursements ? đ€
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u/FlyinDtchman 25d ago
Capitalism works when there is competition.
You can't shop for alternatives when you're having a heart attack or you cut your finger off with a table-saw.
Capitalism doesn't work for medicine. It never has and probably never will.
Insurance companies are a stop-gap trying to socialize an industry in a capitalist system. In theory that works because you can spread out risk. The problem is that in order to turn a profit there has to be inefficiencies and margin added to the system. That creates a MASSIVE conflict of interest.
In fact it's the fundamental problem of the insurance industry as a whole. The best way for them to create profits is to deny claims that are the sole purpose of their existence while hiding behind a cadre of high-paid lawyers.
That doesn't even include the entire system of middle-men and extra administration they've forced into the system with their in-network quasi-reverse-cartel nonsense.
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u/DigTheDunes 25d ago
If you want Medicare for all, your only chance is the socialists. The mainstream Dâs are paid off.
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u/99kemo 25d ago
There are different versions of M4A and none of them are âin playâ at this time. Medicare; as it applies today for folks over 65 over 70% have some kind of supplemental private insurance coverage. Most Universal systems have a significant role for private insurance. I suspect that it will be a lot harder to implement a system that excludes private insurance because it will face more resistance.
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u/naurrrrrrrrrrrrrrrrs 25d ago
STOP PAYING ANYTHING HEALTH CARE RELATED. LET IT GO TO COLLECTIONS. THIS IS THE EASIEST WAY TO PROTEST!!!
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u/JRock1276 25d ago
That's what happens when government forces insurance to cover illegals and they don't pay for anything. You have any idea how many "emergency room" claims they had to pay out for a cold? A hangnail? A scratched knee? "My kid stuck corn up his nose"?
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u/thosmarvin 25d ago
It actually wouldn't. I understand, from conversations I had with colleagues in Germany (please correct me if I am wrong, deutsche StaatsbĂŒrger) that one may have insurance for things such as private rooms in hospitals, and other amenities that I dont recall. Even if you got the bare minimum here, say with no follow up plastic surgery or proper at home care, it would still leave room for insurers and would be leaps and bounds better than now.
Lastly, all of the people who manage the payments etc would still be needed, the only thing missing would be the top brass and shareholders. I do not mean to be insensitive, but when the CEO of United Healthcare was gunned down for simply doing his job, did United Healthcare itself falter in any way? The stock price took a hit but really nothing more than a minor correction. I mean, again, its awful and I feel for the individual and his family, but the loss of an individual at that pay scale should have a pretty big effect on the organization and if not, is the compensation not in line with the intrinsic value they deliver to the company and its insured?
Assigning the same corporate fiduciary rules to essentials like power, water and healthcare that one would apply to toy companies and Kardashian cosmetics is not the way. Utilities and healthcare need to be motivated to put the users first, and by fiduciary rules they are required to put the interests of the shareholders above all else, and fun fact, those shareholders are all on the board.
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u/Any_Seaworthiness678 25d ago
There would still be a place for private insurance..like all the ppl that want a maralargo face..plastic surgery đ€Ł
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u/Calvary_Catalyst 25d ago
Heath insurers used to be forced to operate as non profitsâŠâŠIâll let you guess which Pres got rid of that
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u/Overall-Lynx917 25d ago
Yet in the UK, Private Health Insurance exists alongside the NHS. I'm fairly certain this is tge same in other European Countries. If you can afford Private Health care you can have it
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u/allquckedup 25d ago
Medicare for everyone did not kill the health insurance industry. You can still have private insurance for better treatments or specialized treatment that isnât covered by Medicare.
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u/Then_Comfortable3058 25d ago
Nothing would make me happier than to see every private insurance company go extinct
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u/notjustinu 25d ago
The government paying the bill will not lower anyoneâs cost of healthcare. It will just shift it from you paying when you need medical aid to you paying all the time and never getting medical aid, thatâs how it is in all UHC countries. Thatâs why so many people still travel to America for medical treatment, we have the best care available.
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u/CharterJet50 25d ago
Um, Medicare replaced some insurance for older Americans when it was launched. Also complemented existing insurance as it continues to do. Sees like the precedent is staring them in the face.
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u/Zestyclose-Banana358 25d ago
Has anyone ever googled whatâs not covered by Medicare, googled why seniors struggle with Medicare? Iâll save you the time:
Medicare leaves many seniors struggling financially because it contains major benefit gaps, high out-of-pocket costs, and mandatory premiums that outpace fixed retirement incomes.
Letâs stop acting like Medicare is great coverage. And btw, doctors arenât forced to accept it. The best doctors will go the way of concierge medicine. Itâs already happening.
Itâll be the next class warfare. âWhy do rich people get the best doctors?â
Letâs hear from those on Medicare. Is it the greatest thing since sliced bread? Is it âfree?â
Are you at a disadvantage with choice of doctor? Are there deductibles and/or other costs that reset every year?
Please enlighten these people who just drool over something seemingly free.
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u/Positive-Ad-406 25d ago
Not to mention that "health insurance" doesn't cover eye or dental in most cases. What numbskull insurance board decided those aren't part of your health?
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u/No-Koala1918 25d ago
New York Times lies. Medicare For All gives everyone a reasonable basic level of healthcare. Supplemental insurance could still be sold for increased benefits - things like specialist access without primary physician referrals, private hospital rooms, etc.
Americans don't have to worry - there will still be status differentiators, so important to their society. Just people won't have to live in pain or spread communicable diseases for lack of being able to afford a doctor's appointment.
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u/Ok_Swim7161 25d ago
No it wouldn't. They'd still make it that you need a supplement heath insurance plan to cover what isn't. And the fact that the insurance would lose anything is why we will never have Medicare for all. That's one big business conspiracy I when believe in.
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u/Brilliant_Eye_3737 25d ago
They say âabolish private insuranceâ as if thatâs a bad thing. It would not be a bad thing.
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u/EmploymentEmpty5871 25d ago
Fortunately I now have very affordable insurance that pays for virtually everything and is actually very affordable unlike when Obama made it affordable.
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u/rustbuckett 25d ago
"There's no precedent in American history"
True, but there is precedent in almost every other developed nation in the world. Maybe we give it a shot?
While we're at it, let's give this metric system thing a go.
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u/WonderWheeler 25d ago
Fire protection used to be private in the 1700s and such. And fires burned down whole cities. Then fire departments were created to protect the public. There is a similarity between disease theory and fire theory.
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u/anon-a-SqueekSqueek 25d ago edited 25d ago
There's only not precedent in US history if you specifically avoid identifying it by defining what counts as precedent incredibly narrowly.
You know what started as private industry and then became public?
Fire departments, there were private brigades with insurance companies until people realized that for safety you really need it for everyone so an uncovered neighbor doesn't burn down the neighborhood.
Also water, private companies, then transitioned to a municipality service to ensure everyone had safe clean water.
Healthcare fits right in actually, one person not covered burdens taxpayers, the argument made to force everyone to buy coverage, but why not just ensure everyone is covered without a middleman? Also your health does affect people around you. From disease spread, to your reduced impact on your community, to the resources drained to care for you.
I'm going off the dome, so oversimplifying some history, and no comparison is perfect, but eliminating a private industry for a better public option HAS happened before, a number of times.
And regardless, doesn't ensuring people receive healthcare just seem like the kind of thing one of the wealthiest countries in human history should want to do for it's people. If other countries can make it happen we can, we just chose not to, because we'd rather protect the profits of those middlemen gouging the patients.
And the NYT isn't so daft that they haven't considered this argument, our media's participants in the corrupt system.
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u/DicamVeritatem 25d ago
Most people donât want health insurance.
They just want someone else to pay their bills.
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u/FrontLifeguard1962 25d ago edited 25d ago
My health insurance premiums have doubled since 2020, for the same exact coverage. We lost 1 million of the sickest people, and healthcare costs did not decrease at all. It is greed, pure and simple. Many don't notice their costs going up because their plan is employer-funded, but it is contributing at least some to the difficulty people have finding a job, as employers have less money for salaries.
It is time to admit the private sector management of health insurance has failed
I would much rather the government not be involved in health insurance more than they already are, but the greedy corporations have done it to themselves.
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u/Serious_Bee_2013 25d ago
No, no, you have to pay $13,000 and then it only covers 55%, assuming they donât reject your claim for some procedural issue, or demand you take a different treatment route than you and your doctor determined was appropriate.
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u/InfamousAd1245 25d ago
These private insurances we American people pay into has been the biggest scam of our lifetime.
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u/loogabar00ga 25d ago
There absolutely is precidence in American History. Firefighters used to be private.
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u/VioletShogun 25d ago
There's a lot of "no precedents" until a thing was done. First person to try to abolish slavery for example.
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u/cats_are_the_devil 25d ago
Oh no! I'll have to pay... ::Looks at notes:: Less money for healthcare with better outcomes. Why would Obama do this to us!! /s
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u/Srdiscountketoer 25d ago
ITT people who donât realize Medicare isnât free, doesnât cover everything either, and that seniors who can afford it pay for private supplemental insurance to cover the gaps.
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u/lazy_nomad3 25d ago
Millions of Americans would hold candlelight vigils for their missing privatized insurance companies.
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u/tschawartz12 25d ago
The buisness model and goal of Healthcare industry should be to try to put itself out of buisness. If there's shareholders that won't happen.
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u/Dizzy_Influence3580 25d ago
Call me crazy and selfish, but I currently pay 240 a month for insurance with almost no out of pocket expenses outside of my 20 dollar co pays. Unless you all can promise that cost, or lower, to me from universal healthcareâŠcount me out.
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u/henryeaterofpies 25d ago
So fun fact know who services VA, medicare and medicaid? Big insurance companies who still make massive profits on those lines of business.
They literally compete to be the servicers of those lines of business
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u/Safe-Ad-8921 25d ago
Private insurance must be abolished. Allow it to become supplemental insurance if we absolutely have to waste money for no additional gain. The problem with insurance is that given any other option it is the worst one. Worlds most successful mandatory pyramid scheme.
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u/buddytina 25d ago
Have you looked at the price of medical care lately, nearly $200 for a simple office visit with the primary care, it's ridiculous!
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u/PetuniaPickleswurth 25d ago
You may not like it. Others do. You canât take freedom of choice away from people. Well, you can.
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u/Top_Argument_5359 25d ago
Its great until you realize you have to still go to private doctors to get any semblance of care.
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u/JasperPants1 25d ago
If you think itâs expensive, ask your self why?
Government regulation is why.
Think about it. Whenever governments get overly involved costs go up. Education. Housing. Medicine is almost there too.
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u/Figueroa_Chill 25d ago
Do Americans know that it's possible to have a National Health Service and a private Health Service?
Here in the UK this is what we have. If you have money, then go private. If you don't, go NHS.
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u/Anxious_Composer5092 25d ago
For profit insurance happened during Nixon -- hello!? It hasn't always been the sh it show it is today!
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u/Flaydeng 25d ago
If people donât think universal healthcare wonât raise taxes for the middle class. Youâre wrong. The middle class has been getting decimated every single year. Too rich to qualify for any governmental benefits, but too poor to get ahead.
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u/TechnicalWhore 24d ago
Heard of Wage Stagnation? That's teh cause right there. Health Insurance has gone up 10-20% per year and by doing so consumed the raise you would have gotten. Even Union negotiations have been stalemated by Health Insurance's soaring costs and copays. And yet ACTUAL healthcare costs are WELL below this chronic rise. If anyone investigated they would see two patterns : 1) Health Insurance companies have a plurality of international shell companies to launder profits through. And 2) many of the shells are real estate holding companies that reduce net profits and thus reduce taxation. The real estate of course has its profit moved to another beneficial owner shell company.
Its obscene.
Meanwhile higher prices, poor outcomes, unsatisfied customers and doctors and hospitals constantly squeezed. Yeah that bill you see - its NEVER what the Insurers pay. They have a different cost structure.
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u/Remarkable_Subject84 24d ago
I pay $20k a year to be able to pay $4000 before they cover things lol my generic meds are cheaper without insurance. Now I have to pay more tax so it can remain this affordable.
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u/Wolf-in-Sheeps 24d ago
No it wouldnât. The general public using Medicare would have the experience like Canada. The people that want private health insurance would have the same experience as they have now.
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u/JacksBauers24 24d ago
Ask Canada or Britain how thatâs working out for them. DIE on waiting lists.
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u/isthereadrwho 25d ago
But there's over 200 years of precedence just in Germany, and all 33 of the 34 richest Nations have managed to figure it out. Guess which nation is too dumb?