It bothers me that America spends all this money on Healthcare, but a lot of it doesn't go to medicine, or treatment, or doctors or anything that actually makes us healthy. It goes to profit.
Today I'm picking on this poor millionaire Stephen Hemsley at United Healthcare

Including those stock option he makes this much money.

Let's just take his salary and bonuses for last year, 3.2 million, that's $3,200,000
That means that per day he made $8,767.12...... every day of the year, even weekends and holidays. almost $9 thousand per day? really? I guess it's because he does such important work right... making people wealthy by denying medical treatment to millions of Americans.
I guess he's getting richer by the day, I looked it up on Forbes.com and they say he's worth $5 billion now.
See for Yourself

And he's not at the top of the list either.
Americans are going bankrupt all the time because of Healthcare bills. Over half of all personal bankruptcies are due to healthcare bills, the average cost of those bills is around $12,000. Funny thing is, 75% of those people, had Health Insurance when they got sick. Either it was canceled, part of it wasn't covered, or whatever

... But this guy makes $16,000 on the weekend.
Public vs Private Health Insurance Options
Critics of Obama's Healthcare plan are most upset about the "Public Option" they don't want to see a "government takeover" of the healthcare system, This is one of the main sticking points in the Senate Finance Committee, people like Chuck Grassley ask "Why do we need a public Option?"
I think the question really should be, why do we need a private option at all? We have publicly funded options like Medicare, and it's very successful.
Then why do we even need the insurance companies? What constructive role do they play? What benefit do they bring to the table? The whole point of the market is to increase efficiency and innovation and productivity, do Health Insurance Companies do any of these things?
I think they're parasites who make money by denying care. We've enabled this economy to exist, but all they do is waste our money.
I think the market and the entire economy would function better without Health Insurance companies and without the burden of worrying about how you're going to afford to protect your family from illness. All that worry and cost creates friction in our economic engine.
Think about it,
Guy works for large company, thinks he could do a better job than his boss, has a great idea, BUT if he leaves and tries to start a new business he loses healthcare for his family..... American companies are sacrificing quality to save money, they have to compete with Japanese companies that don't pay for healthcare, our companies aren't competitive overseas, and our balance of trade is awful which leads to a declining standard of living in the US..... Labor in the US is expensive, partly because of the cost of Healthcare, so companies move jobs out of the country..... Businesses pay more for healthcare every year, this eats up money that should go to expanding the business, buying equipment, marketing, moving the economy...... Individuals pay more every year too, that money should be going into home improvement, neighborhood businesses, vacations....... That's the story of the economy slowing down.
Here's the big question:
"Why are we wasting our money on an industry that brings us no value?"
Yea, Free Market at all costs... but if you look at it objectively, you start to realize that the economy would function better without the burden of healthcare.
.......
More on how Insurance Companies make money
think about it
Medicare for All
HR 676

Oh don't get me wrong. I would love for everyone to have the same, fantastic, level of care. I just don't know how that's possible. And medicare (specifically medicaid) is sort of seen as the lowest common denominator. At least it's insurance, and the docs will be paid- but it's not great.
The sad truth is that, in some specialties (more elective type stuff) the most important piece of information in a person's medical history is: what insurance do they have. And certain doctors just won't accept certain plans. I have seen plenty of patients turned away because we don't accept their insurance. And patients with medicare/medicaid get shuffled to the "clinic"- where maybe they still get good care, but they do not get the VIP treatment that privately insured patients do.
So if we could come up with some amazing plan that is like some super premium HMO that everyone just gets for free, that doesn't bankrupt employers, and that still reimburses the doctors well- I'd say hell, go for it.
I just fear that SOMEone will get screwed with a big universal plan- whether it's patients getting lousy coverage/long waits/less choice, or doctors getting lousy pay/no autonomy...
But maybe there will be some universal minimum plan... like everyone gets some bare bones plan for free, and those who want more, can buy it? But I guess that's sort of what we have now...
The thing is, to be honest I know next to nothing about the whole situation, and am just speaking on my gut feelings (which isn't something I usually like to do, b/c I'm embarrassed at how little I know about the issue).
Jenks, I ask because you work in health care (a term, in this debate, that insufficiently defined as it means both insurance and treatment), but what is so bad about a one size fits all approach? I mean, because I have diabetes I have certain needs, but I don't see why covering those needs for both me and someone who is perfectly healthy is such a bad thing. Giving me, someone like Stephen Hawking (poor chap, pulled into this debate in the strangest way) and Joe on the street the same coverage seems wonderful to me.
But you have more experience with this. What is your opinion?
I for one would prefer blue cross to medicare.
Maybe private insurance companies should be not for profit- but I do not think a giant one-size-fits-all medicare type program is the best solution.
But, i'm not sure what is.
I want to be the guy that works for the insurance company that looks at the employess to see how much of a risk they are for cosmetic surgery.
Or maybe they would just farm it out to hotornot.com
It's all good, it does show that people will still buy insurance even if there is Medicare for all, for things like cosmetic surgery, or other non-necessary stuff.
I'm just wondering if anyone can think of a reason to keep Private Insurance companies. Do they add any value to the system? can we afford them? How do they help the economy? Or is it we just don't trust government, so, it's not an option.
I did think of one reason to keep private insurance companies, it enables some people to become millionaires. I mean, it doesn't matter where the money comes from.
WHAT! That is some crazy shit! Why on earth would they have that in the contract?
I mean, if it was free, sure. But why would an insurance company even offer that?
This world. It is made of crazy.
ack, and dave, sorry for hijacking. again. :(
from a quick google search- Granted it's 2004. But it seems to me there are better ways to spend that 1.5mil.
"Cosmetic surgery, it’s not a big issue with us,†said Phil Rumore, president of the Buffalo Teahers Federation. “It’s something that was part of our contract for years. It used, it didn’t cost anything for the districts to provide it. It was sort of like a throwaway.â€
Today, that “throwaway†is costing taxpayers millions of dollars.
----In 2004, the city school district paid $1.5 million for 2,400 elective cosmetic surgery procedures, both for employees and their families.---
“It’s not an issue that we’re going to throw down our lives for. It was something that was part of the contract for years and years and years. It’s gotten to be a big issue cause it’s something to point to,†said Rumore."
Yes, cosmetic rider. maybe it's not there any more (I would hope not) but it absolutely was a couple years ago.
I've got a note out to a number of teacher friends in the district. I'm asking them if the cosmetic rider is still there, or if it went away.
I doubt any public plan would cover cosmetic riders. If you are rich and you want to pay for extra stuff there's one option.
Jaime Moses referencing the cosmetic rider.
:::link:::
I really wish I could just see the damned contract.
It's called a cosmetic rider.
Ok, sorry, I don't know the details. And I guess I meant city employees, not state. (I just meant 'not private'). And it is the teachers/firefighters/police I am talking about- they have a special/different contract?
I obviously don't know everything about this.
But I know that I have A- performed cosmetic procedures on more than one teacher, and was informed that this would be 'free' to them (i.e. covered by their insurance), and B- there was a big article about it in the buffalo news a few years ago that got me all fired up.
Things very well may have changed since then.
I found that in '06, Donna Fernandes was the commencement speaker at the UB GSE, and she said then that elective cosmetic surgery was covered by the teacher's union contract. Eh, anecdotal. I do recall a big todo about it back then. I don't know if it has been re-negotiated since. It wouldn't shock me in the least to have it be in there.
cops and teachers are not state employees and each union has a different contract. I have the same health coverage and compensation as the members of the state's white collar union and I can tell you that we do not have any such part in our contract. In fact, I have the same plan as most city works excluding teachers, firefighters, and police. I couldn't tell you what their contracts are like but I am willing to bet you are wrong about the cosmetic surgery.
Yeah.
There are no words for how much that infuriates me.
When we are in a massive healthcare crisis, fucking insurance CEOs should not be making 3 million dollars. Say he made 1 million dollars, or even 2, (still a pretty cushy salary) and put the rest back into the system...
Another one that kills me- that buffalo state employees (cops, teachers, etc) have some crazy healthcare plan that includes a "cosmetic rider". I guess it came up years ago from independent health and blue cross (or whatever) competing for the huge contract...
Bottom line- when buffalo is in a major budget crisis, I would think that fucking breast implants and hair plugs for teachers and cops could be CUT before, say, school funding.
Argh.