Saturday, December 19, 2009

Top 10 reasons to kill the health care bill


  1. Adding a cap of 10% profits to insurance companies will encourage increases in health care prices because higher prices will provide a means to increase to total profits.
  2. A 10% overhead is still higher than what Medicare has.
  3. The health care bill does not protect against accounting tricks that hide profits and make them look less profitable than they really are.
  4. The bill still includes yearly maximum coverage limits
  5. Health care companies can charge higher costs for pre-existing conditions and the elderly.
  6. A public mandate goes into effect before costs are verified to be under control.
  7. We are allowing further restrictions to personal liberties through the mandate and increased abortion controls.
  8. Insurance companies can now play states against each other for which one has the weakest regulations.
  9. The insurance industry still retains its ability to hold monopoly status.
  10. Reconciliation could be used for a Medicare buy in for everyone and rescission and pre-existing conditions could also get in because without such things Medicare would become a dumping ground for more costly individuals and thus impact the budget.
Issues with the bill that I am not well enough informed on that would cause me to also put down the bill:
  1. I don't know what is going to happen to the poor when the bill's subsidies run out.
  2. I don't know how this bill handles the inefficiencies caused by pay-per-service.
  3. I don't know how this bill helps with long term demand care such as helping with health care education costs that could help staff for increasing demand in the future due to aging baby boomers.
  4. I don't know where the cost containment comes in. Given: Studies show an excise tax will not handle price increases, a Medicare commission is delayed and only provides theoretical savings at some point in the future, yearly and the 10% cap with yearly seems to actually provide incentive to increase overall prices.

Update 1/11/11: I should have also noted that an ineffective health care bill would help fuel a bad political environment and kill the short term chances of effective legislation.

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