The Austin Lounge Lizards perform their satirical ode to bank bail-outs. Written by Lindsey Eck.
Posted by BuelahMan on June 13, 2009
The Austin Lounge Lizards perform their satirical ode to bank bail-outs. Written by Lindsey Eck.
Posted in Big Banking, Big Money, Economy, Music, Video | Leave a Comment »
Posted by BuelahMan on June 13, 2009
As a Canadian living in the United States for the past 17 years, I am frequently asked by Americans and Canadians alike to declare one health care system as the better one.
Often I’ll avoid answering, regardless of the questioner’s nationality. To choose one or the other system usually translates into a heated discussion of each one’s merits, pitfalls, and an intense recitation of commonly cited statistical comparisons of the two systems.
Because if the only way we compared the two systems was with statistics, there is a clear victor. It is becoming increasingly more difficult to dispute the fact that Canada spends less money on health care to get better outcomes.
Yet, the debate rages on. Indeed, it has reached a fever pitch since President Barack Obama took office, with Americans either dreading or hoping for the dawn of a single-payer health care system. Opponents of such a system cite Canada as the best example of what not to do, while proponents laud that very same Canadian system as the answer to all of America’s health care problems. Frankly, both sides often get things wrong when trotting out Canada to further their respective arguments.
As America comes to grips with the reality that changes are desperately needed within its health care infrastructure, it might prove useful to first debunk some myths about the Canadian system.
Myth: Taxes in Canada are extremely high, mostly because of national health care.
In actuality, taxes are nearly equal on both sides of the border. Overall, Canada’s taxes are slightly higher than those in the U.S. However, Canadians are afforded many benefits for their tax dollars, even beyond health care (e.g., tax credits, family allowance, cheaper higher education), so the end result is a wash. At the end of the day, the average after-tax income of Canadian workers is equal to about 82 percent of their gross pay. In the U.S., that average is 81.9 percent.
Myth: Canada’s health care system is a cumbersome bureaucracy.
The U.S. has the most bureaucratic health care system in the world. More than 31 percent of every dollar spent on health care in the U.S. goes to paperwork, overhead, CEO salaries, profits, etc. The provincial single-payer system in Canada operates with just a 1 percent overhead. Think about it. It is not necessary to spend a huge amount of money to decide who gets care and who doesn’t when everybody is covered.
Myth: The Canadian system is significantly more expensive than that of the U.S.Ten percent of Canada’s GDP is spent on health care for 100 percent of the population. The U.S. spends 17 percent of its GDP but 15 percent of its population has no coverage whatsoever and millions of others have inadequate coverage. In essence, the U.S. system is considerably more expensive than Canada’s. Part of the reason for this is uninsured and underinsured people in the U.S. still get sick and eventually seek care. People who cannot afford care wait until advanced stages of an illness to see a doctor and then do so through emergency rooms, which cost considerably more than primary care services.
What the American taxpayer may not realize is that such care costs about $45 billion per year, and someone has to pay it. This is why insurance premiums increase every year for insured patients while co-pays and deductibles also rise rapidly.
Myth: Canada’s government decides who gets health care and when they get it.While HMOs and other private medical insurers in the U.S. do indeed make such decisions, the only people in Canada to do so are physicians. In Canada, the government has absolutely no say in who gets care or how they get it. Medical decisions are left entirely up to doctors, as they should be.
There are no requirements for pre-authorization whatsoever. If your family doctor says you need an MRI, you get one. In the U.S., if an insurance administrator says you are not getting an MRI, you don’t get one no matter what your doctor thinks — unless, of course, you have the money to cover the cost.
Myth: There are long waits for care, which compromise access to care.There are no waits for urgent or primary care in Canada. There are reasonable waits for most specialists’ care, and much longer waits for elective surgery. Yes, there are those instances where a patient can wait up to a month for radiation therapy for breast cancer or prostate cancer, for example. However, the wait has nothing to do with money per se, but everything to do with the lack of radiation therapists. Despite such waits, however, it is noteworthy that Canada boasts lower incident and mortality rates than the U.S. for all cancers combined, according to the U.S. Cancer Statistics Working Group and the Canadian Cancer Society. Moreover, fewer Canadians (11.3 percent) than Americans (14.4 percent) admit unmet health care needs.
Myth: Canadians are paying out of pocket to come to the U.S. for medical care.Most patients who come from Canada to the U.S. for health care are those whose costs are covered by the Canadian governments. If a Canadian goes outside of the country to get services that are deemed medically necessary, not experimental, and are not available at home for whatever reason (e.g., shortage or absence of high tech medical equipment; a longer wait for service than is medically prudent; or lack of physician expertise), the provincial government where you live fully funds your care. Those patients who do come to the U.S. for care and pay out of pocket are those who perceive their care to be more urgent than it likely is.
Myth: Canada is a socialized health care system in which the government runs hospitals and where doctors work for the government.Princeton University health economist Uwe Reinhardt says single-payer systems are not “socialized medicine” but “social insurance” systems because doctors work in the private sector while their pay comes from a public source. Most physicians in Canada are self-employed. They are not employees of the government nor are they accountable to the government. Doctors are accountable to their patients only. More than 90 percent of physicians in Canada are paid on a fee-for-service basis. Claims are submitted to a single provincial health care plan for reimbursement, whereas in the U.S., claims are submitted to a multitude of insurance providers. Moreover, Canadian hospitals are controlled by private boards and/or regional health authorities rather than being part of or run by the government.
Myth: There aren’t enough doctors in Canada.
From a purely statistical standpoint, there are enough physicians in Canada to meet the health care needs of its people. But most doctors practice in large urban areas, leaving rural areas with bona fide shortages. This situation is no different than that being experienced in the U.S. Simply training and employing more doctors is not likely to have any significant impact on this specific problem. Whatever issues there are with having an adequate number of doctors in any one geographical area, they have nothing to do with the single-payer system.
And these are just some of the myths about the Canadian health care system. While emulating the Canadian system will likely not fix U.S. health care, it probably isn’t the big bad “socialist” bogeyman it has been made out to be.
It is not a perfect system, but it has its merits. For people like my 55-year-old Aunt Betty, who has been waiting for 14 months for knee-replacement surgery due to a long history of arthritis, it is the superior system. Her $35,000-plus surgery is finally scheduled for next month. She has been in pain, and her quality of life has been compromised. However, there is a light at the end of the tunnel. Aunt Betty — who lives on a fixed income and could never afford private health insurance, much less the cost of the surgery and requisite follow-up care — will soon sport a new, high-tech knee. Waiting 14 months for the procedure is easy when the alternative is living in pain for the rest of your life.
Rhonda Hackett of Castle Rock is a clinical psychologist.
Originally posted at DenverPost.com and h/t to AfterDowningStreet
Posted in After Downing Street, Big Insurance, Big Money, Health, Health Insurance, Not-For-Profit Healthcare, Single Payer, Universal Healthcare | Tagged: Denver Post, Rhonda Hackett | 1 Comment »
Posted by BuelahMan on June 13, 2009
I am no money guy, but I have been trying to learn the intricacies of the economics of our country and the world.
One guy I have read a lot of is Paul Krugman. Today he wrote about ARTHUR B. LAFFER‘s article in the Washington Post called Get Ready for Inflation and Higher Interest Rates and basically says it is totaly wrong to think that we will have high inflation right now, due to the “liquidity trap” we are in.
Perhaps Kelso can answer, but my memory and basic understanding of economics is that if the Fed prints paper “notes” with abandon isn’t the normal reaction high inflation that can lead to stagflation? Besides the following quote, Paul has some charts referencing Japan’s Recession and America in the 30′s, but somehow I do not understand the seeming discrepancy in what seems like a common occurrence in economics.
I also don’t know much about the Laffer guy and I have always found Paul’s work on the mark, but this, somehow, rubs me the wrong way:
Way Off Base
Mark Thoma and David Altig both react to Arthur Laffer’s assertion that the increase in the monetary base presages huge inflation.
Let me add, for the 1.6 trillionth time, we are in a liquidity trap. And in such circumstances a rise in the monetary base does not lead to inflation.
I need to understand Paul’s graph better when considering the following from Mr Laffer (I understand this one perfectly):
But as bad as the fiscal picture is, panic-driven monetary policies portend to have even more dire consequences. We can expect rapidly rising prices and much, much higher interest rates over the next four or five years, and a concomitant deleterious impact on output and employment not unlike the late 1970s.
About eight months ago, starting in early September 2008, the Bernanke Fed did an abrupt about-face and radically increased the monetary base — which is comprised of currency in circulation, member bank reserves held at the Fed, and vault cash — by a little less than $1 trillion. The Fed controls the monetary base 100% and does so by purchasing and selling assets in the open market. By such a radical move, the Fed signaled a 180-degree shift in its focus from an anti-inflation position to an anti-deflation position.
The percentage increase in the monetary base is the largest increase in the past 50 years by a factor of 10 (see chart nearby). It is so far outside the realm of our prior experiential base that historical comparisons are rendered difficult if not meaningless. The currency-in-circulation component of the monetary base — which prior to the expansion had comprised 95% of the monetary base — has risen by a little less than 10%, while bank reserves have increased almost 20-fold. Now the currency-in-circulation component of the monetary base is a smidgen less than 50% of the monetary base. Yikes!
Posted in Big Banking, Big Money, Economy, Federal Reserve, REAL State of the Union | Tagged: Arthur Laffer, Paul Krugman | 2 Comments »
Posted by BuelahMan on June 12, 2009
by Greg Palast
Friday, June 12, 2009
For Air America Radio’s Ring of Fire
There’s an easy way to find oil. Go to some remote and gorgeous natural sanctuary, say Alaska or the Amazon, find some Indians, then drill down under them.
If the indigenous folk complain, well, just shoo-them away. Shoo-ing methods include: bulldozers, bullets, crooked politicians and fake land sales.
But be aware. Lately the Natives are shoo-ing back. Last week, indigenous Peruvians seized an oil pumping station, grabbed the nine policemen guarding it and, say reports, executed them. This followed the government’s murder of more than a dozen rainforest residents who had protested the seizure of their property for oil drilling.
Again and again I see it in my line of work of investigating fraud. Here are a few pit-stops on the oily trail of tears:
In the 1980s, Charles Koch was found to have pilfered about $3 worth of crude from Stanlee Ann Mattingly’s oil tank in Oklahoma. Here’s the weird part. Koch was (and remains) the 14th richest man on the planet, worth about $14 billion. Stanlee Ann was a dirt-poor Osage Indian.
Stanlee Ann wasn’t Koch’s only victim. According to secret tape recordings of a former top executive of his company, Koch Industries, the billionaire demanded that oil tanker drivers secretly siphon a few bucks worth of oil from every tank attached to a stripper well on the Osage Reservation where Koch had a contract to retrieve crude.
Koch, according to the tape, would, “giggle” with joy over the records of the theft. Koch’s own younger brother Bill ratted him out, complaining that, in effect, brothers Charles and David cheated him out of his fair share of the looting which totaled over three-quarters of a billion dollars from the Native lands.
The FBI filmed the siphoning with hidden cameras, but criminal charges were quashed after quiet objections from Republican senators.
Then there are the Chugach Natives of Alaska. The Port of Valdez, Alaska, is arguably one of the most valuable pieces of real estate on Earth, the only earthquake-safe ice-free port in Alaska that could load oil from the giant North Slope field. In 1969, Exxon and British Petroleum companies took the land from the Chugach paid them one dollar. I kid you not.
Wally Hickel, the former Governor of Alaska, dismissed my suggestion that the Chugach deserved a bit more respect (and cash) for their property. “Land ownership comes in two ways, Mr. Palast.” explained the governor and pipeline magnate, “Purchase or conquest. The fact that your granddaddy chased a caribou across the land doesn’t make it yours.” The Chugach had lived there for 3,000 years.
No oil company would dream of digging on the Bush family properties in Midland, Texas, without paying a royalty. Or drilling near Malibu without the latest in environmental protections. But when Natives are on top of Exxon’s or BP’s glory hole, suddenly, the great defenders of private property rights turn quite Bolshevik: lands can be seized for The Public’s Need for Oil.
Some Natives are “re-located” through legal flim-flam, some at gunpoint. The less lucky are left to wallow, literally, in the gunk left by the drilling process.
Take a look at this photo here, taken in the Amazon rainforest in Ecuador. It’s from an investigation that I conducted for BBC TV, now in the film “Palast Investigates.” I’m holding up a stinking, black glop of crude oil residue pulled from an abandoned Chevron-Texaco waste pit. A pipe runs from the toxic pit right into the water supply of Cofan Indians.
Chief Emergildo Criollo told me how oil company executives helicoptered into his remote village and, speaking in Spanish – which the Cofan didn’t understand – “purchased” drilling rights with trinkets and cheese. The Natives had never seen cheese. (“The cheese smelled funny, so we threw it in the jungle.”)
After drilling began, Criollo’s son went swimming in his usual watering hole, came up vomiting blood, and died.
I asked Chevron about the wave of poisonings and deaths. According to an independent report, 1,401 deaths, mostly of children, mostly from cancers, can be traced to Chevron’s toxic dumping.
Chevron’s lawyer told me, “And it’s the only case of cancer in the world? How many cases of children with cancer do you have in the States? … They have to prove that it is our crude,” which, he noted with glee, “is absolutely impossible.”
Big Oil treats indigenous blood like a cheap gasoline additive. That’s why the Peruvians are up in arms. The Cofan of Ecuador, unlike their brothers in Peru, have taken no hostages. Rather, they have heavily armed themselves with lawyers.
But Chevron and its Big Oil brethren remain dismissive of the law. This week, Shell Oil, to get rid of a nasty PR problem by paying $15 million to the Ogoni people and the family of Ken Saro-Wiwa for the oil giant’s alleged role in the killing of Wiwa and his associates, activists who had defended these Nigeria Delta people against drilling contamination. Shell pocketed $31 billion last year in profits and hopes the payoff will clear the way for a drilling partnership with Nigeria’s government.
Congratulations, Shell. $15 million: For a license to kill and drill, that’s a quite a bargain.
Posted in Big Military, Big Money, Big Oil, Greg Palast, REAL State of the World | Tagged: Alaska, Peru | 1 Comment »
Posted by BuelahMan on June 12, 2009
I post this, not because it is funny (it is not), but because Stephen just allowed a puppet on his show to spread the bullshit lies about the Iraq War and the purpose of us being there. It is high time we stop that silly charade and tell it like it is.
Posted in Big Military, Big Money, Humor, Iraq War, The Colbert Report, Video | Leave a Comment »
Posted by BuelahMan on June 11, 2009
If this ain’t the time, I don’t know when is:
Naked man, covered in feces Tased after truck burglary
Daily NewsDESTIN — A man walked out to his vehicle June 6 to find a naked man sleeping in his truck.
According to an Okaloosa County Sheriff’s Office arrest report, the nude man was 27-year-old Shane Albert King.
King had entered a 1995 Ford Explorer first and pulled out all the contents of the glove compartment before moving on to a Ford F-150 to do the same.
When a deputy arrived at the scene shortly before 7:30 a.m., he tried to wake up King and saw there was feces throughout the interior of the truck and all over King, the report said.
As King woke up, the deputy quickly placed him in handcuffs and assisted him out of the truck, the report said. The deputy also wrote that King had open sores all over his backside and legs.
King began to yell, “(Expletive) you, pigs. I’ll (expletive) all over you too. I’m going to throw my (expletive) in your mouth.”
The report said that’s when King began reaching down toward feces that had gathered on his leg. Both deputies that were on scene placed him on the ground. King began to kick and pull away from them.
One deputy told King to be still or he would be Tased. King replied, “Tase me, mother (expletive).”
King continued to resist and the deputy removed the cartridge from his M26 Taser and applied a five-second cycle to King’s right side.
King was arrested on felony charges of burglary to a vehicle, resisting arrest with violence, criminal mischief and exposure of sexual organs.
h/t DailyRotten
Posted in Crazies, Daily Rotten, Odd, Weird and Generally Strange | 1 Comment »
Posted by BuelahMan on June 11, 2009
The words ‘Nous ne sommes pas seuls‘ or ‘We are not alone’ will be somberly pronounced this week by a senior Government official of the nation that brought the world ‘Liberté, égalité, fraternité‘. France is set to concede that it is aware of an alien presence on earth by no later than Friday.
Paris has chosen follow the lead of maverick UFO nation Brazil and resist US pressure to continue delaying disclosure until America feels it is ready for the event.
It is believed that a telephone hot-line has been set up in Paris to deal with queries from panicky citizens. A special division of France’s police department is also to be established: to handle UFO reports.
The French have gone to so much effort to protect their culture from encroaching ‘Anglo-Saxon’ influences and now they are preparing to protect their culture from what might be even more powerful extraterrestrial forces.
It is believed Holland and Germany are set to soon follow France’s lead. //M. Cohen
h/t Disinfo
Posted in Amazing, Odd, Weird and Generally Strange | 3 Comments »
Posted by BuelahMan on June 11, 2009
Mos Def
Man, you hear this bullshit they be talkin’
Every day, man
It’s like these motherfuckers is just like professional liars
YouknowwhatI’msayin? It’s wild
Listen
[Hook - Mos Def]
Bin Laden didn’t blow up the projects
It was you, nigga
Tell the truth, nigga
(Bush knocked down the towers)–[Jadakiss]
Tell the truth, nigga
(Bush knocked down the towers)–[Jadakiss]
Tell the truth, nigga
Bin Laden didn’t blow up the projects
It was you, nigga
Tell the truth, nigga
(Bush knocked down the towers)–[Jadakiss]
Tell the truth, nigga
(Bush knocked down the towers)–[Jadakiss]
[Verse 1 - Immortal Technique]
I pledge no allegiance, nigga fuck the president’s speeches
I’m baptized by America and covered in leeches
The dirty water that bleaches your soul and your facial features
Drownin’ you in propaganda that they spit through the speakers
And if you speak about the evil that the government does
The Patriot Act’ll track you to the type of your blood
They try to frame you, and say you was tryna sell drugs
And throw a federal indictment on niggaz to show you love
This shit is run by fake Christians, fake politicians
Look at they mansions, then look at the conditions you live in
All they talk about is terrorism on television
They tell you to listen, but they don’t really tell you they mission
They funded Al-Qaeda, and now they blame the Muslim religion
Even though Bin Laden, was a CIA tactician
They gave him billions of dollars, and they funded his purpose
Fahrenheit 9/11, that’s just scratchin’ the surface
[Hook - Mos Def]
Bin Laden didn’t blow up the projects
It was you, nigga
Tell the truth, nigga
(Bush knocked down the towers)–[Jadakiss]
Tell the truth, nigga
(Bush knocked down the towers)–[Jadakiss]
Tell the truth, nigga
Bin Laden didn’t blow up the projects
It was you, nigga
Tell the truth, nigga
(Bush knocked down the towers)–[Jadakiss]
Tell the truth, nigga
(Bush knocked down the towers)–[Jadakiss]
[Verse 2 - Immortal Technique]
They say the rebels in Iraq still fight for Saddam
But that’s bullshit, I’ll show you why it’s totally wrong
Cuz if another country invaded the hood tonight
It’d be warfare through Harlem, and Washington Heights
I wouldn’t be fightin’ for Bush or White America’s dream
I’d be fightin’ for my people’s survival and self-esteem
I wouldn’t fight for racist churches from the south, my nigga
I’d be fightin’ to keep the occupation out, my nigga
You ever clock someone who talk shit, or look at you wrong?
Imagine if they shot at you, and was rapin’ your moms
And of course Saddam Hussein had chemical weapons
We sold him that shit, after Ronald Reagan’s election
Mercenary contractors fightin’ a new era
Corporate military bankin’ off the war on terror
They controllin’ the ghetto, with the failed attack
Tryna distract the fact that they engineerin’ the crack
So I’m strapped like Lee Malvo holdin’ a sniper rifle
These bullets’ll touch your kids, and I don’t mean like Michael
Your body be sent to the morgue, stripped down and recycled
I fire on house niggaz that support you and like you
Cuz innocent people get murdered in the struggle daily
And poor people never get shit and struggle daily
This ain’t no alien conspiracy theory, this shit is real
Written on the dollar underneath the Masonic seal
(I don’t rap for dead presidents
I’d rather see the president dead
It’s never been said but I set precedents)–[Eminem]
[Hook - Mos Def]
Bin Laden didn’t blow up the projects
It was you, nigga
Tell the truth, nigga
(Bush knocked down the towers)–[Jadakiss]
Tell the truth, nigga
(Bush knocked down the towers)–[Jadakiss]
Tell the truth, nigga
Bin Laden didn’t blow up the projects
It was you, nigga
Tell the truth, nigga
(Bush knocked down the towers)–[Jadakiss]
Tell the truth, nigga
(Bush knocked down the towers)–[Jadakiss]
(Shady Records was 80 seconds away from the towers
Some cowards fucked with the wrong building, they meant to hit ours)– [Eminem]
Posted in 911, Big Banking, Big Media, Big Military, Big Money, Big Oil, Big Prison, Bush, Imperialism, Iraq War, Music, Neocon Criminals, New World Order | Tagged: Mos Def | Leave a Comment »
Posted by BuelahMan on June 11, 2009
Prepare to be totally grossed out:
(I warned you… h/t ListVerse)
More extremely disturbing videos clips of movies at that article. Truly bizarre.
Posted in Uncategorized | 2 Comments »
Posted by BuelahMan on June 10, 2009
The fresh squash I picked 5 minutes before cooking is stewed (not my favorite, but BuelahLady’s Mom is in the hospital and asked for it… I like it fried).
But never fear, I did have some fresh green tomato to fry up.
(If you never tried ‘em, you should. Cut thin and covered in cornmeal… Ummm Mmmm)
The green beans are frozen from last year (but delish, nonetheless). Got my own planted this year…
(Lest I forget all seasoned with an onion pulled up today and a piece of fatback)
Some grilled pork chops and grilled Texas Toast
And you have a nice, cheap, redneck-country dinner for 3/4 (3, if you are a lard-ass like me). I also have the satisfaction of knowing I grew things my family and I consume*
(*My best cabbage was attacked by a dog’s turd one day. The next day he pissed on it)
Posted in B'Man's Wicked Garden, BuelahWorld | 1 Comment »
Posted by BuelahMan on June 10, 2009
Rep. Andrews Opening Statement
Rep. Rob Andrews, chair of the Health, Employment, Labor, and Pensions Subcommittee, delivers his opening statement at a hearing examining the Single Payer Health Care Option on June 10, 2009
Rep. Conyers Testimony
Rep. John Conyers, Jr., (D-MI) testifies at a hearing examining the Single Payer Health Care Option on June 10, 2009.
Geri Jenkins Testimony
Ms. Jenkins testifies at a hearing examining the Single Payer Health Care Option on June 10, 2009.
Walter Tsou Testimony
Dr. Tsou testifies at a hearing examining the Single Payer Health Care Option on June 10, 2009.
Marcia Angell Testimony
Dr. Angell testifies at a hearing examining the Single Payer Health Care Option on June 10, 2009.
Posted in Big Insurance, Big Money, Health Insurance, Not-For-Profit Healthcare, Single Payer, Universal Healthcare, Video | Tagged: Geri Jenkins, Marcia Angell, Rep John Conyers, Rep Rob Andrews, Walter Tsou | Leave a Comment »
Posted by BuelahMan on June 10, 2009
Dammit. We missed having this guy for POTUS because you numbnuts are too stupid to realize that the rest of them are screwing you with a big nasty grin and you seem to enjoy it. What a miserable bunch of idiots I live among.
You squandered away the best chance we had.
Kucinich on Supplemental: “Cash for Clunkers and Bunkers”
Washington, June 9, 2009
Congressman Dennis Kucinich D-OH today made the following statement against the war supplemental on the House floor:
“It is good that our Administration is reaching out to the Muslim world. It is bad to spend another $100 billion to keep wars going which will kill innocent Muslims in Iraq, Afghanistan and Pakistan.
“It is good that we try to create an incentive for people to buy efficient cars. It is bad that the car vouchers will not be expressly for the purchase of cars made in America. It is even worse that we tie such an incentive to a war funding bill. Cash for clunkers and bunkers in the same bill!
“Cash for more war in Iraq, Afghanistan, and Pakistan. Cash to help China sell its cars to Americans.
“Meanwhile, back in the U.S. of A., factories and auto dealers are closing, people are losing their businesses, their jobs, their homes, their health care, their investments, their retirement security.
“Who are these people who keep coming up with these innovative ideas to keep wars going and to move jobs out of America? Who are these people?”
h/t Dandelion Salad
Posted in B'Man's Patriot Watch, Dennis Kucinich | 2 Comments »
Posted by BuelahMan on June 10, 2009
THOUGHTS ON SINGLE PAYER HEALTH INSURANCE
Richard Scheerer – Early in my work history, the manager of our personnel department came to me with a moral, ethical, and legal dilemma he was facing. Once a month, the president of the company directed this manager to provide him with a copy of the group medical claim report prepared by our plan administrator. From this report, the president could determine which employees or dependents had medical expenses and the severity of the condition involved. If the conditions had the potential of reoccurring costs, the president would indicate his dissatisfaction to the employee’s superior leading to the employee being terminated or better yet, being forced to resign without unemployment benefits. Even valued employees or company officers did not escape; they would be slowly stripped of responsibilities and would never again qualify for a raise or promotion. What makes this situation so reprehensible and eye opening is that this was an insurance company that sold personal health insurance policies.
This is no longer an isolated situation as employers today continue to eliminate employees for medical reasons to reduce health care costs. The “downsizing” craze of a few years ago was a way to get rid of older long term employees and the higher expenses associated with them – salaries, longer vacations, higher health care costs, higher pension contributions, etc.
I have spent most of my career as an officer of various insurance companies and finished my career as a reinsurance intermediary. My insurance colleagues may look disdainfully upon this writing, but I strongly believe that private health insurance can not, and will not, result in the greater good for our society. I have watched the health insurance industry completely change. At one time, probably 30% of all life insurance companies and a number of casualty companies sold medical insurance. Today we are down to a handful that sell individual medical plans; probably no more that five to ten in any one state including a few national marketers.
The employer group insurance choices are not much better. Although there are a limited number of insurance companies offering group health insurance plans, there are a number of insurance companies and non-insurance administrators that provide claim services for employer self-insurance plans. Self-insured plans have become the trend in recent years as another way to control costs. Even these plans need reinsurance for excess and catastrophic losses, but here again we are down to only a few reinsurers willing to offer such coverage. Have one or two large claims and lose a reinsurer, and your plan is in real trouble.
The real problem with our system of reliance on private insurance, whether individual, group or for that matter employer self-insurance plans, is that no plan wants to pay claims. The primary goal of any private company operating under our capitalistic system is to generate as much profit as possible; as a result, the structure of our private health insurance system operates against good public health policy. Care is not the goal; profit is. The welfare our society is not considered. Greatest profit occurs by charging high premium and eliminating or restricting claims. Underwriting, pre-existing condition clauses and terminations are used to eliminate potential claims by assuring only the healthiest receive coverage. With high deductibles, coinsurance percentages, pre-certification, coverage restricted to certain providers, most plans are designed to reduce claims costs to the insurer and transfer these costs directly to the insured. Additionally, it is becoming common for plans to limit one’s choice of providers and to limit treatment by requiring the provider have prior approval.
We spend 15% of our gross national product, basically twice that of most other developed countries, to insure 80-85% of our population. Are we getting twice the benefit? The answer appears to be no, as we have higher infant mortality, lower life expectancy, 50 million uninsured, and many more underinsured – the latter being the number one cause of bankruptcy. Since our system is not universal and public based, we are probably in the worst position of all developed countries to handle a epidemic or pandemic. Our employers are at a competitive disadvantage due to health care costs.
There are two insurance programs that are directly related to health care that also need discussion. First, almost all medical plans, group or individual, eliminate coverage for occupational accident and sickness. Employers are generally required to carry or furnish occupational sickness and accident coverage under mandatory worker’s compensation laws. The cost of mandated workers compensation alone exceeded the wages in many third world companies; a reason in itself for outsourcing.
The second insurance program not being discussed is medical payment coverage under automobile insurance policies. This should not be confused with liability coverage. Medical coverage is immediate and does not require the assessment of liability. This is duplication of costs, but not a duplication of benefits. Injuries can be collected on only one policy.
There is only one true reform that addresses all – universal single payer health. Anything other than universal single payer will simply be a costly government band-aid to continue a broken system that is destined to fail. A universal single payer system will cover everyone. It could eliminate the need and costs of medical coverage under worker’s compensation, and reduce auto insurance premiums by eliminating redundant medical coverage. Universal single payer health care is not a question of additional cost, but a reallocation of that which we already spend.
Richard Scheerer is President Intermediaries Plus
Article found in Excerpts From Reader Comments at UNDERNEWS
Posted in Big Insurance, Big Money, Health Insurance, Single Payer, UnderNews, Where In The World Is Universal Healthcare? | Tagged: Richard Scheerer | 1 Comment »