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-   -   Proposal to help control health care costs: (https://www.talkofthevillages.com/forums/villages-florida-non-villages-discussion-93/proposal-help-control-health-care-costs-126314/)

Tennisnut 09-09-2014 06:56 PM

Quote:

Originally Posted by Pointer (Post 935452)
I believe Vermont is having great success with its single payer state run programs. Having lived by the Canadian boarder for many years and having had a child who spent 6 years going to school there, I can say that I knew a lot of people who preferred that system to ours. Especially when it came to catastrophic care. ie pregnancy or birth complications and cancer. Canadians sure don't want to get rid of their medical system for ours. I'm benefiting from Obama Care now that I'm here in Florida and know many others who are as well. My attitude was and is still a wait and see how it works one. And so far so good. So I'm willing to entertain a state by state single payer system as a possible improvement. With so many more people now having coverage I'm looking forward to the reduced costs of the now preventative health care vs the more costly emergency care.

Sounds good to me! Too bad many more people have not heard these positive experiences and expectations. I have just found out my health premiums are decreasing next year!

Tennisnut 09-09-2014 06:59 PM

Quote:

Originally Posted by tedquick (Post 935567)
She did indeed say exactly what you said, however those were not the only words that she has ever spoken with regards to Exxon. The statements I quoted were not made up, in fact, they were copied from my referenced article. BTW, here are some other facts about Exxon in 2011 and I copy: Often ignored fact: ExxonMobil makes pennies per gallon on gasoline, diesel and petroleum products it refines and sells in the United States. In the first and second quarters of this year, ExxonMobil made 7 cents and 8 cents, respectively, on the gasoline, diesel and other petroleum products it refined and sold in the United States. Comparatively, local, state and federal gasoline taxes average nearly 49 cents per gallon nationally, with a high of 67 cents in states such as California and New York.

Another way of saying it is that Exxon pays more in local, state and federal gasoline taxes to the tune of 6 to 7 times as much as is their profit. With that being the case, this question must be asked: Who is the greedy one, the one who makes 7 cents per gallon in profit or the entity who takes 49 cents a gallon from you and me in taxes?

A correction here -- Exxon does not pay more in taxes than is its profit, instead you and I pay those taxes to the tune or 6 to nearly 10 times (in some cases) what Exxon's profits are. Sorry for my mis-statement. But, who is greedy?

And what does this have to do with health care costs?

wendyquat 09-09-2014 07:08 PM

Quote:

Originally Posted by tedquick (Post 935226)
LoriAnn, you wrote: WellPoint had a profit of 38%.

I question the veracity of your informational source. In 2008, WellPoint had an after-tax profit of 4.1% of revenues. That same year the healthcare insurance industry as a whole ranked 35th (out of the 53 identified industries) with a profit of 2.2% of revenue. They were surpassed by both the healthcare facilities industry (34th) and the pharmaceutical industry (ranked 30th) with a meager 3.0% of revenue profit, hardly an enviable number. The before -tax profit of WellPoint in 2013 was 5.4% of revenue, down from 6.2% in 2012. Those numbers seem quite modest to me.

You are proposing a single-payer system. Allow me to offer the following example as one of dozens that could have been chosen: the Department of Energy was formed in 1977, in a large part to reduce our dependence on foreign oil. At that time we imported around 40% of our oil needs. 35 years later, in 2012 we still imported about 35% of those needs and yet, that year, for the first time ever, we produced as much oil as we used. Our oil industry has been able to create those kinds of resources in spite of the government’s contrarian attempts to slow production down.

So I must ask you: do you really want your healthcare needs to be handled by such incompetence? And we must never forget that the efforts driving us to a “single-payer system” are being orchestrated and propagandized by that same inefficient and ineffective bureaucracy.

Remember a few years ago when a politician thought that Exxon’s $40 billion profits were obscene and should be turned over to the government for redistribution? What was never mentioned was that Exxon had paid over 110 billion dollars in taxes that same year or nearly 3 times as much as they made in profit, but that important fact was ignored. That was politics and it was dirty because it misled those who were unaware.

This is not a political statement. Instead it is a statement of facts. It is a statement based on real numbers and it is intended to show that propaganda pieces only sell to those who are unaware.

As Ayn Rand said, “we can ignore reality, but we cannot ignore the consequences of ignoring reality”.

:agree:

graciegirl 09-09-2014 07:11 PM

Quote:

Originally Posted by zcaveman (Post 935419)
You do realize that since 1965 you have been paying into Medicare as part of your FICA taxes? Don't you think that you should get your money back?

If the government had invested all of the money that they have taxed out of us for SS and Medicare into the right places and not stolen it for other programs, these programs would be solvent for ages.

Z


Hey Frank. Z is right.

tedquick 09-09-2014 07:46 PM

I'm laughing
 
Quote:

Originally Posted by Tennisnut (Post 935656)
And what does this have to do with health care costs?

My wife and I just had a bite to eat and I commented to her that where I ended up had nothing whatsoever to do with the OP. While I could tie big-government taxing into the healthcare discussion we would simply be too far afield from the original intent of the string. Sorry I got off track.

tcxr750 09-09-2014 08:49 PM

My wife had surgeries over the past several years that totaled over $30,000. Medicare paid and supplemental health insurance paid. The final billing to us was quite small. What we have paid by government deductions from our paychecks over the years would not cover the cost of these procedures. I would imagine that if there were no medicare and only private health insurance, the so called "free market" would determine the cost of medical procedures based on what insurance companies would be willing to pay. The option for people who couldn't afford the premiums would be to book a flight to a third world country for the procedures.
When the cost of call center personnel in the USA went over $13.00 per hour the jobs were shipped to India and the Phillipines. In the age of a Global Economy you just need to seek the providers who give the best return on hard earned dollars after the currency conversion.

Tennisnut 09-09-2014 10:57 PM

Quote:

Originally Posted by zcaveman (Post 935419)
You do realize that since 1965 you have been paying into Medicare as part of your FICA taxes? Don't you think that you should get your money back?

If the government had invested all of the money that they have taxed out of us for SS and Medicare into the right places and not stolen it for other programs, these programs would be solvent for ages.

Z

I have been paying for years on home owners insurance and auto insurance and haven't got a nickle back! Does anyone know how I get some return on that investment! I know I paid a lot more money than that measly 2% they use to pay for SS back in the 1930s and 40s. I bet a lot people got a great return on investment from those years!

blueash 09-10-2014 07:28 AM

Quote:

Originally Posted by zcaveman (Post 935419)
You do realize that since 1965 you have been paying into Medicare as part of your FICA taxes? Don't you think that you should get your money back?

If the government had invested all of the money that they have taxed out of us for SS and Medicare into the right places and not stolen it for other programs, these programs would be solvent for ages.

Z

This is a recurring comment the essence of which is "I'm only getting back my own money" and it is wrong. If you want data rather than diatribe here is a good starting point

Medicare and Social Security: What you paid compared with what you get | PolitiFact

Seniors Don't Pay Full Medicare, Social Security Share - US News

http://www.urban.org/UploadedPDF/412...a-Lifetime.pdf

Social Security and Medicare: Do you get back what you pay in? - CSMonitor.com

And these analyses don't even include the cost of disability insurance you received all your working years nor the insurance provided for your family via social security disability. 20% of SS recipients are disabled and receiving benefits not because of their age.

Bavarian 09-10-2014 12:08 PM

Quote:

Originally Posted by CFrance (Post 935536)
[/B]
The same thing we do when we're living in Europe and need a doctor--either take out medical insurance or pay cash. And believe you me, the cost for the same medical care in France and Spain, where I've had experience, is a helluva lot cheaper than it is in the US.

And I would like to see some facts to back up your statement about Canadians flocking to the US for medical care. Because according to this site, that is the #1 myth about Canadian healthcare. Canada vs. US Health Care Systems - Debunking Canadian Health Care Myths - AARP

I will quote part: 99.39% of Canadians do not come to the US for medical care.

First, I do not believe anything AARP says, they were started by Colonial Penn Insurance ways back to sell health insurance. They do not support my values and were not interested in fixing WPO and WEP that limits SS to spouses of retired Feds.
I see facts on the ground.

When my mother was sick, she always had to leave the Hospital still not being able to breathe well because of Medicare. Then she had to be readmitted. I was not allowed to use by late Father's insurance to cover the two days. She may have lived much longer. Keep Government out of control of Healthcare.

CFrance 09-10-2014 12:11 PM

Your facts on the ground need to be substantiated. Anecdotal evidence doesn't count. And your opinion of AARP does not render AARP wrong! That's just your opinion.

Why would AARP lie about how many Canadians come to the US for health care?

rubicon 09-10-2014 12:55 PM

Quote:

Originally Posted by Tennisnut (Post 935744)
I have been paying for years on home owners insurance and auto insurance and haven't got a nickle back! Does anyone know how I get some return on that investment! I know I paid a lot more money than that measly 2% they use to pay for SS back in the 1930s and 40s. I bet a lot people got a great return on investment from those years!

Tennisnut: You did get a return it was the value of the insurance coverage you paid for that gave you peace of mind and allowed you to leverage your income because you understood that loss of home or being sued you were protected.
Frankly consideration yourself fortunate that you did not need to use your auto or homeowners.

I keep reading were people brag that they got more out of medicare then they paid in. Well nothing is free and if the premium pys can't support the benefits going out something has to give. Add fraud and abuse to the legitimate catastrophic health care losses and you can see insolvency in the future....nothing is free

Tennisnut 09-10-2014 07:29 PM

Quote:

Originally Posted by rubicon (Post 936010)
Tennisnut: You did get a return it was the value of the insurance coverage you paid for that gave you peace of mind and allowed you to leverage your income because you understood that loss of home or being sued you were protected.
Frankly consideration yourself fortunate that you did not need to use your auto or homeowners.

I keep reading were people brag that they got more out of medicare then they paid in. Well nothing is free and if the premium pys can't support the benefits going out something has to give. Add fraud and abuse to the legitimate catastrophic health care losses and you can see insolvency in the future....nothing is free

Actually, I was being kinda facetious and stating that Medicare, social security is lot like auto and health insurance in that it provides peace of mind for the elderly that was not available prior to their implementation. As we are all aware, unfortunately there is fraud and abuse in auto/health/medicare/social security and basically every kinda of monetary transaction known to man. My contributions to my insurance companies have helped to allow them to remain solvent and the hard choices will be made to allow the social security and medicare to also remain solvent.

Dr Winston O Boogie jr 09-10-2014 07:59 PM

Quote:

Originally Posted by Tennisnut (Post 935744)
I have been paying for years on home owners insurance and auto insurance and haven't got a nickle back! Does anyone know how I get some return on that investment! I know I paid a lot more money than that measly 2% they use to pay for SS back in the 1930s and 40s. I bet a lot people got a great return on investment from those years!

I think that you may have a misconception about what insurance actually it. Insurance is basically a wager. You put up money to bet the insurance company that your home will burn down or that you'll have an auto accident or whatever the terms of the insurance state. If none of these things happen, you lose the bet. The insurance company gets to keep your money. If you total your car, you win. The insurance company has to pay you.

At no time should insurance be considered an investment that you'll se a return on.

Unfortunately, what we now refer to as health insurance ceased being health insurance decades ago. What we now have is basically pooled health care coverage. We buy this so called health insurance and we expect it to pay for every medical expense that we have. I'm not defending health insurance companies, but I can't possibly see how they can make a profit from me. I have several prescription medication that they pay for and knew they were going to pay for when I signed the agreement. They know that I have several medical conditions that are going to need ongoing care from specialists. How am I risking anything? I'm just paying small amount to get my huge medical expenses paid.

KayakerNC 09-10-2014 08:59 PM

Quote:

Originally Posted by Dr Winston O Boogie jr (Post 936332)
I think that you may have a misconception about what insurance actually it. Insurance is basically a wager. You put up money to bet the insurance company that your home will burn down or that you'll have an auto accident or whatever the terms of the insurance state. If none of these things happen, you lose the bet. The insurance company gets to keep your money. If you total your car, you win. The insurance company has to pay you.

Insurance is definitely not an investment and I'm not comfortable with calling it a wager.
What it is, in truth, is a transfer of risk.
I sleep better at night knowing that I've protected myself and my family from occurances that could cause financial disaster.

Tennisnut 09-10-2014 10:41 PM

Quote:

Originally Posted by Dr Winston O Boogie jr (Post 936332)
I think that you may have a misconception about what insurance actually it. Insurance is basically a wager. You put up money to bet the insurance company that your home will burn down or that you'll have an auto accident or whatever the terms of the insurance state. If none of these things happen, you lose the bet. The insurance company gets to keep your money. If you total your car, you win. The insurance company has to pay you.

At no time should insurance be considered an investment that you'll se a return on.

Unfortunately, what we now refer to as health insurance ceased being health insurance decades ago. What we now have is basically pooled health care coverage. We buy this so called health insurance and we expect it to pay for every medical expense that we have. I'm not defending health insurance companies, but I can't possibly see how they can make a profit from me. I have several prescription medication that they pay for and knew they were going to pay for when I signed the agreement. They know that I have several medical conditions that are going to need ongoing care from specialists. How am I risking anything? I'm just paying small amount to get my huge medical expenses paid.

Boogie, you probably did not see my later post. My earlier post was in response to someone who felt he would not get all his money back from medicare/SS. Actually, I would not worry about the insurance companies profit margins. They are doing quite well as any health care ETF would demonstrate the past few years. (Vanguard VHT up over 20% per year over the last 5 years)


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