There’s an article on the internet news from the AP regarding major insurers willing to make some concessions that they have long resisted. This is great news, but certainly not an altruistic one. They are simply recognizing the writing on the wall.
Here’s the link: http://news.yahoo.com/s/ap/20090324/ap_on_he_me/insurers_sick_people
Of course, they’re still standing firm (so far) on having different rates based upon which state you live in, which is of course like money in the bank. If I move my family from one state to another, the same policy, from the same company, can be double the cost, or more, because every state has different insurance regulations. It’s an absurd idea that you can start fixing the problems without first fixing the regulation from state law, to federal law. Unfortunately, most state elected officials are either in the insurance business, or lawyers, and they can’t seem to work in the best interests of the Americans that elected them to office. There’s absolutely no reason for a major insurance company to charge more for the same very same policy, to the same people, at almost twice the price if you change your state of residence. Start with federal regulation solving that single problem, and you’ll have made tremendous progress. Include in that legislation that changes in policy pricing can only be done based upon reliable information that the increase is warranted, and allow increases only by “policy group” as a whole. In other words, if it’s a small business policy, for businesses with less than 50 people, then every business with that type policy would have to be changed, not the policy for a particular small business. This is already required in many states. The idea that they’ll somehow survive the uproar and be able to hold onto that is just another nail in the company’s collective coffins. Amazingly, they’re digging their own graves and building their own coffins. So what should be incremental change that could immediately allow people to keep the insurance they already have when they change locations at a rate they can afford, the insurance companies will further erode the possibilities that they can remain part of the solution. Everybody should have health insurance available to them, not necessarily for free, but at least available at a reasonable cost.
President Obama and Congress could almost instantly solve a major part of the health care problem, by using FEDERAL LAW to mandate insurance costs must be kept the same by insurance companies that operate in multiple states, but despite his impassioned rhetoric, they seem unwilling to bite the hands that feed their campaign contributions tremendous sums of money every year. A complete revamp of the system will take years, and trillions of dollars. Start small, and fix the easiest problems. Do not allow additional fees for pre-existing conditions, or even, as Texas does, allow a 67% increase if you have high blood pressure. Do not allow them to charge different rates for the same coverage in different states. Make sure every person that can afford insurance is able to continue it, at a reasonable price if they can pay the premiums, regardless of where they move in order to find work. These aren’t difficult problems, except for the campaign contributions problem.
It’s time we had a President and a Congress that cared more about their constituents than they do about their campaign ”war chests”. Good luck on that one. No, President Obama needs to call the CEO’s of all of the companies to a large room, and have a closed door meeting with them. He needs to tell them only one thing. Either they’re going to be part of a comprehensive overhaul of their policies, policed by Federal Law, or they’re going to continue to be part of the problem, and they’ll be locked out of the healthcare reform. Government health care would be a disaster, but at this point, it would be pretty difficult to make it worse than it is with all the “for-profit” companies trying every possible method to keep insurance available only the healthy, and only at a very steep price. Unless they change, they should have no seat at the table, period.
So now’s their opportunity. Change and continue to exist and make money, or become extinct. Trust me, possible extinction is an extremely strong motivator to “help” change happen. Get “big pharma” in the next room, and let the President explain, in terms everyone can understand, that the ludicrous profits on prescription drugs is a major problem and it won’t be allowed to continue.
There are so many relatively easy fixes, they are just going to take some courage to insist that these changes start taking place, not in 2010 or 2011 like the s0-called credit card reform, but now. President Obama is correct, we are spending far too much for health care. We have emergency rooms clogged by people with relatively minor health issues that should be dealt with at a normal health clinic. So setup 24 hour minor clinics that operate under the same rules as the ER, nobody can be turned away because they lack insurance. Triage them immediately as they enter and determine whether it’s an ER case or a minor clinic case. Sure, it would cost money to build and staff these clinics, but surely it would be less expensive than treating them in the ER, probably the most expensive department in the hospital to care for sick patients.