Fines proposed for going without health insurance

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sondo
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Re: Fines proposed for going without health insurance

Post by sondo »

SEL wrote:http://www.pbs.org/moyers/journal/07102009/transcript2.html

http://www.pbs.org/moyers/journal/07102009/watch2.html


Thanks for the link.
I did not read before about this case how CIGNA declined to pay for UCLA doctors prescribed surgery for that teen girl.
Poor girl was covered *twice*, under her mother and father insurances, and still was refused. And died.

And I liked that:

" BILL MOYERS: We obtained a copy of the game plan that was adopted by the industry's trade association, AHIP. And it spells out the industry strategies in gold letters. It says, "Highlight horror stories of government-run systems." What was that about?


WENDELL POTTER: The industry has always tried to make Americans think that government-run systems are the worst thing that could possibly happen to them, that if you even consider that, you're heading down on the slippery slope towards socialism. So they have used scare tactics for years and years and years, to keep that from happening. If there were a broader program like our Medicare program, it could potentially reduce the profits of these big companies. So that is their biggest concern. "

And this just waw:

" WENDELL POTTER: He has, apparently, had a seat at the table of health care discussion. He was recruited by Aetna from WellPoint. Aetna had gone on a buying binge. There's been an enormous amount of consolidation in the health insurance industry over the last several years. Aetna bought a lot of competitors.

It reached 21 million members. And, but what it realized and what investors began to see is that a lot of the businesses that it had bought were not all that profitable. So they were in Aetna was in a pickle. And they saw their stock price starting to plummet. So they brought-- among the things they did was bring Ron Williams in. And Williams, among the first thing he did was order a revamp of the IT system, so that--

BILL MOYERS: The information technology system--

WENDELL POTTER: Exactly, so that the company could determine more about which accounts were not profitable or margining profitable. So with that new system, he was able, and the other executives to identify the accounts that they wanted to get rid of. And over the course of a very few years, they shed eight million members.

BILL MOYERS: Eight million policy holders?

WENDELL POTTER: Eight million people, men, women, and children, yes. "

8 million people in few years were not renewed with Aetna for the sake of profit. Out of 21 mln. That's almost 40% 8O
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Flash-04
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Re: Fines proposed for going without health insurance

Post by Flash-04 »

malyshka wrote:могут, может не у всех хватает денег, но теоретически могут... а еще, можно деньги отложить и платить из своего кармана, тогда нужда в страховке просто отпадет...

я что-то не понял, если у вас практически, т.е. как факт, не хватает денег чтобы купить страховку, то как помогает теоретическая возможность её купить? :pain1: занять денег не предлагать, если у вас постоянный negative cashflow, то вы неизбежно обанкротитесь, и после этого денег уже никто не даст, и не теоретически, а практически.
Not everyone believes what I believe but my beliefs do not require them to.
SEL
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Re: Fines proposed for going without health insurance

Post by SEL »

Flash-04 wrote:
malyshka wrote:могут, может не у всех хватает денег, но теоретически могут... а еще, можно деньги отложить и платить из своего кармана, тогда нужда в страховке просто отпадет...

я что-то не понял, если у вас практически, т.е. как факт, не хватает денег чтобы купить страховку, то как помогает теоретическая возможность её купить? :pain1: занять денег не предлагать, если у вас постоянный negative cashflow, то вы неизбежно обанкротитесь, и после этого денег уже никто не даст, и не теоретически, а практически.

Прекратите задавать практические вопросы! :mrgreen:
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Polinnka
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Re: Fines proposed for going without health insurance

Post by Polinnka »

вводить надо страховки с высоким дедуктибл..10 -15к..
совсем бедным - субсидировать частично...
преезистинг включать туда.

их начали вводить но там максимум 6к на одного и 11к на семью все ораничиваюется....
причем больше продавать через работодателя -- мало кто такие планы имеет..

а то боятся все операции.. а страховаться начинают от сумм покрывающхих простуду и комплете медикал..
и потом жалуытся што дорого..
Sasha3091
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Re: Fines proposed for going without health insurance

Post by Sasha3091 »

KIRK_247 wrote:
ZSM-5 wrote:А что делать бомжам (да и вообще всме людЯм с зиро инкам)? :pain1:


Medicaid отменили уже? Почему я ничего об этом не слышал?

БОМЖ - без определнного места жительства = не имеет права на медикейд, так как не имеет постоянного адреса.
Sasha3091
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Re: Fines proposed for going without health insurance

Post by Sasha3091 »

KIRK_247 wrote:
ZSM-5 wrote:А что делать бомжам (да и вообще всме людЯм с зиро инкам)? :pain1:


Medicaid отменили уже? Почему я ничего об этом не слышал?


А как быть тем, у кого доход выше, чем положено по медикейду - в Нью Йорке, кстати, $325 в месяц? Family Health plus на этот год где-то $ 903 в месяц на 1 человека - http://www.health.state.ny.us/nysdoh/fh ... amilysizex. То есть, зарабатывая даже $1500 в месяц - вы не имеете права на эту страховку. А купить при таких доходах = не можете себе позволить.
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geek7
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Re: Fines proposed for going without health insurance

Post by geek7 »

Звучит ту гуд ту би тру... а главное ничего конкретного. чегож таки напридумали то в трех словах или там 30-и может кто выразить?

Senate Finance Committee completes health-care debate

The Senate Finance Committee completed debate on proposed health-care legislation early Friday.

The Finance Committee was the last congressional panel to consider a health-care reform bill. It finished its work at 2:18 a.m. ET and plans to vote next week, after the bill's final language has been made public and the Congressional Budget Office has provided final cost figures.

Unlike several health-care reform proposals championed by House Democrats, the version that emerged from the Senate Finance Committee does not contain the public option -- it would not create a government program to provide health insurance to all Americans.

President Barack Obama hailed the committee's work as "the culmination of tireless efforts" by it and four other committees and members of Congress on health care reform.

"As a result of this work, we are now closer than ever before to finally passing reform that will offer security to those who have coverage and affordable insurance to those who don't," he said in a White House statement.

Although the health-care debate has often been contentious, the committee's work ended with more of a whimper than a bang.

"For the most part this was conducted in a very gentlemanly and ladylike way and I want to thank you for that," Republican Sen. Charles Grassley of Iowa said to committee chairman Sen. Max Baucus of Montana.

Baucus praised the Finance Committee proposal as one "that will improve the lives of every American ... in a fiscally-responsible way." He said it would significantly expand health coverage while reducing the federal deficit, protecting Medicare benefits for seniors and lowering taxes for "more than 42 million Americans."

"We are offering a fiscally responsible bill that takes good ideas from both sides of the aisle," he said in a statement. "Together, we will deliver a bill that can pass the Senate."

Grassley, however, has said he fears the legislation will eventually lead to the government taking over the health-care system.

"We have a long way to go," Obama said in the statement, "but I am confident that as we move forward, we will continue to engage with each other as productively as the members of the Finance Committee, and will get reform passed this year."
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