Join for FREE | Take the Tour Lost Password?
[x]

deviantART

 
:iconernest-blofeld:

~Ernest-Blofeld

Home of insanity...and cheese!
ProfileGalleryPrintsFavesJournal

The Health Insurance Problem

Tue Jul 21, 2009, 7:43 AM
  • Mood: Neutral
  • Listening to: Mika - Love Today
  • Reading: Making Things Happen - Mastering Project Managemen
  • Watching: Earthian, Cardcaptor Sakura, Aquarian Age
  • Playing: Oblivion (i keep going away and coming back)
  • Eating: Ice Cream
  • Drinking: Orange Soda
Its been a while since I've written about politics. Last time on May 23rd this year, and before that, November 5th last year. So this time: Health Insurance.

America is facing a massive problem. We currently have an industry that survives by making people pay to continue living. Now, I understand that medicine has costs, but if you do the math, the cost of health insurance, while better than paying yourself, is higher than it has to be to take care of people.

Because of the high cost of health insurance, people like me (poor college student) have trouble paying for it. I live with my parents, so their insurance covers me as long as I'm in school. Once I'm out, I'll be doing what I can to get my career started (I'm trying now, but the republican economy is worthless...I'll need to have my degree at this rate if I want to be hired).

From about.com:
“The most recent figures are from 2005, and indicate that the average individual’s job-based premiums were $3,991 that year, while families spent an average of $10,728.”

With our current system, I'd be looking at that $3,991 per year. Odds are, with low income starting out, student loans to pay, and obviously cost of living issues, I won't be able to afford that. Turns out that 10's of millions of Americans are with me there. Since when is being wealthy a prerequisite for life?

And for many people, it really does help them stay alive. I have some kind of chronic condition. We don't know what it is. I've been fairly sick for years. Once I'm out of school, there's the issue of getting my own insurance. I have a "pre-existing condition", though we don't know what it is. I won't be able to afford the grossly overstated prices that health insurance companies charge. Untreated, the conditions we're testing for could make me very sick, or even kill me if they continue to get worse.

The solution to the problem is a system that doesn't have this problem. Corporations, by law, must attempt to make as much money as possible for their shareholders. Health insurance companies are incorporated. Basically, using our lives to extort massive profits out of us is what they do to fulfill their legal obligations. The system itself doesn't work.

We need a system that does not have incentives or requirements that cause prices to go up more than costs. Government systems are the best answer, simply because the government is not for profit.

Now, I know what those stupid commercials keep saying. "If you go to Canada, you'll see that people have to wait a lot for medical procedures." Remember how I said I have a chronic condition? Well I waited two months to see a gastroenterologist. After that, I was told it would be about 6 months more before we could do the procedure that would check for a certain condition that this might be. This is in the USA. I know one person on DA (I forget who) waited a similar amount of time to see a dermatologist.

So what is it that makes Canada's system so bad? It can't be the wait, since we already have that. In fact, it seems like its not so bad.

The final issue with the system is funding. Once we establish that it is the best option to bring the government into the game, we have to figure out how to pay for everything. Obama's people have estimated that this will cost $1 trillion over 10 years, or $100 billion per year. That sure sounds like a lot. There's a big fight in Washington right now about how to fund this thing. The thing I have to wonder is....why?

Is it hard to do division when the numbers have 12 digits? Did everyone in congress fail math? Or maybe there's something I'm missing, because it seems very easy to fund this, assuming these estimates are accurate.

Lets do the math that other people haven't done. $100 billion per year is our starting point. Last July (2008), the US population was at 304,059,724 people. This includes children, but I will assume that parents pay for the children. Divide $100 billion by 304,059,724 people and you get $328.88 per person per year. Divide by 12 and you get $27.41 per month per person. Not so bad, eh?

So if each American paid $27.41 per month (and parents cover kids), then the system is 100% funded. There is one more issue we have to address. What I'm talking about is the issue of people who can not pay. That number ($27.41) can fund the system only if each American can pay. What we need to do is find a number that can fund it even if some can't pay.

Let's start with a nice round number. $50 per person per month. Its not bad, considering Americans pay, on average, $3,991 per year for individual coverage. That means $600 per person per year, compared with the number I just mentioned. Obviously, the cheaper one is the preferable option, when we're talking about people who can't afford the existing system. A lot more people would be able to pay into the system than what we currently have.

So what does that $50 a month do? If each American paid into the system at that rate, then each month, we'd take in $15,252,986,200. Now, if we believe the estimates the government has provided, then what we need each month is $8,361,687,034.84. What we need is only 54.82% of what we'd be taking in in this situation. What that means is that 45.18% of Americans could be completely unable to pay even a penny, and still the system would work. So a system like this could run even if 137 million people were unable to pay. If we also take into account people who can only pay some of that cost, the system is even more well taken care of.

Now, if I remember correctly, Obama said something recently about 2/3 of the cost of this system being covered by commitments by healthcare providers and drug companies to lower costs. I didn't even take that into account, and it already sounds affordable. If we take into account the massive savings that we get from eliminating corporate greed, the system gets easier and easier to fund.

At this point, we can massively increase what it costs and what we charge without coming close to what the insurance industry currently charges. This means that the estimates for the cost of the system could be tripled and yet we could still fund it at a better price than what insurance really charges.

So the only question left is....why aren't we there already?

Devious Comments

love 0 0 joy 0 0 wow 0 0 mad 0 0 sad 0 0 fear 0 0 neutral 0 0
:iconshelly:
i found these links on LJ. both these pieces are written by an american currently living in canada, in which she does a compare-and-contrast of the US and canadian systems... [link] and [link]

canada's system is flawed; but, from what i've been able to ascertain, it's a hell of a lot better than what we have stateside.

i'll quote you what she wrote re: wait times...

3. Wait times in Canada are horrendous.
True and False again -- it depends on which province you live in, and what's wrong with you. Canada's health care system runs on federal guidelines that ensure uniform standards of care, but each territory and province administers its own program. Some provinces don't plan their facilities well enough; in those, you can have waits. Some do better. As a general rule, the farther north you live, the harder it is to get to care, simply because the doctors and hospitals are concentrated in the south. But that's just as true in any rural county in the U.S.

You can hear the bitching about it no matter where you live, though. The percentage of Canadians who'd consider giving up their beloved system consistently languishes in the single digits. A few years ago, a TV show asked Canadians to name the Greatest Canadian in history; and in a broad national consensus, they gave the honor to Tommy Douglas, the Saskatchewan premier who is considered the father of the country's health care system. (And no, it had nothing to do with the fact that he was also Kiefer Sutherland's grandfather.). In spite of that, though, grousing about health care is still unofficially Canada's third national sport after curling and hockey.

And for the country's newspapers, it's a prime watchdogging opportunity. Any little thing goes sideways at the local hospital, and it's on the front pages the next day. Those kinds of stories sell papers, because everyone is invested in that system and has a personal stake in how well it functions. The American system might benefit from this kind of constant scrutiny, because it's certainly one of the things that keeps the quality high. But it also makes people think it's far worse than it is.

Critics should be reminded that the American system is not exactly instant-on, either. When I lived in California, I had excellent insurance, and got my care through one of the best university-based systems in the nation. Yet I routinely had to wait anywhere from six to twelve weeks to get in to see a specialist. Non-emergency surgical waits could be anywhere from four weeks to four months. After two years in the BC system, I'm finding the experience to be pretty much comparable, and often better. The notable exception is MRIs, which were easy in California, but can take many months to get here. (It's the number one thing people go over the border for.) Other than that, urban Canadians get care about as fast as urban Americans do.


--
:meditation: :blackrose: truth always captures the liars :blackrose: :meditation:
:jarkinajar:
:iconernest-blofeld:
thanks ^ ^

--
"Life is like playing a violin in public, but learning as time goes on." - SBY
"The ornament of a house is the friend who frequents it." - Emerson
"Love is an irresistible desire to be irresistibly desired." - Frost

Journal History

Site Map