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question everything

(47,470 posts)
Sun Jun 1, 2014, 11:25 PM Jun 2014

Rising health-care costs are enough to make you sick

By Al Lewis

One of my best friends, going back to 6th grade, died in April. He worked as a heavy-equipment mechanic, even as he soldiered through many rounds of exhausting chemotherapy treatments. He remained incredibly strong and fit, mentally and physically. Throughout most of this ordeal, he looked and sounded like he would beat the odds, but he didn’t.

His wife and three school-aged children started packing after his funeral. A long battle with cancer had eaten away their savings. Their home had been foreclosed. They would soon be evicted. They had medical insurance. They had worked hard all their lives. Friends, family, and co-workers sent them checks and put on a fundraiser, raising tens of thousands of dollars. It would never be enough to keep pace with the mounting medical bills that were not covered by insurance.

(snip)

“The average American worker is one serious medical event away from financial hardship,” according to a study released Wednesday by Aflac. Aflac’s 2014 Aflac WorkForces Report gathered responses from 1,856 company benefits decision-makers and 5,209 employees. These are the lucky people in America who still have jobs and company-sponsored health-care plans. And here’s their outlook: 66% said they “wouldn’t be able to adjust to the large financial costs associated with a serious injury or illness.”

(snip)

These concerns persist despite out-of-pocket limits established by Obamacare. The maximum out-of-pocket cost limit can be no more than $6,350 for an individual plan and $12,700 for a family plan in 2014, but this more than what many Americans are prepared to pay. The limit includes deductibles, coinsurance and copays, but it does not include the annual premiums or payments to out-of-network providers that people faced with a life-or-death situation may feel compelled to use. Health-care insurance is not only inadequate to counter the risks for most working Americans, but the premiums keep rising. Premiums have risen 80% since 2003, according to The Kaiser Family Foundation. Inflation over that time has only risen 27%.

(snip)

Annual premiums for employer-sponsored family health coverage hit $16,351 in 2013, and on average workers paid $4,565 of that amount, according to Kaiser. And for what? Plans that might let them go bankrupt or lose a home to foreclosure if they become seriously injured or ill? It seems our health-care issues have been so politicized that no one can fix them. Amid all the dysfunction, costs keep rising for a lot of reasons: Regulators, bureaucracy, technology, the aging baby boomers, the obesity crisis, drug and alcohol abuse, and, let’s not forget, corporate profiteering.

(snip)

Just look at the recent earnings releases of health-care insurers Cigna Corp., WellPoint Inc., and Aetna Inc. You don’t see them missing earnings expectations. They beat them handily — even under the expected strains of Obamacare. Just look at the CEO pay. Mark Bertolini, CEO at Aetna, got $30.7 million in total compensation last year. Cigna CEO David Cordani got. $17.76 million. Wellpoint CEO Joseph Swedish fell just a little short of $17 million, but he was only CEO for nine months of the year.

(snip)

The main reason it still works is because employers providing health benefits to their employees can still find ways to pass these rising costs onto their workers... As long as there is still something more to extract from America’s middle class, the system still works.


http://www.marketwatch.com/story/rising-health-care-costs-are-enough-to-make-you-sick-2014-05-29


9 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
Rising health-care costs are enough to make you sick (Original Post) question everything Jun 2014 OP
get rid of the insurance companies. nt antigop Jun 2014 #1
I'm not worried. The president promised he won't sign a healthcare bill Doctor_J Jun 2014 #2
One of "our" senators opposing the public option was, perhaps still is, Mary Landrieu question everything Jun 2014 #4
Been there, living through it ... slipslidingaway Jun 2014 #3
I am sorry to hear this question everything Jun 2014 #5
Thanks ... slipslidingaway Jun 2014 #6
2014 Milliman Medical Index ... slipslidingaway Jun 2014 #7
And it is just not about the annual out of pocket maximum ... slipslidingaway Jun 2014 #8
US pays twice as much per person for health results that are worse than Eastern Europe. McCamy Taylor Jun 2014 #9
 

Doctor_J

(36,392 posts)
2. I'm not worried. The president promised he won't sign a healthcare bill
Sun Jun 1, 2014, 11:59 PM
Jun 2014

that doesn't contain a public option. So we will be free from insurance companies soon

question everything

(47,470 posts)
4. One of "our" senators opposing the public option was, perhaps still is, Mary Landrieu
Mon Jun 2, 2014, 12:08 AM
Jun 2014

She had an op-ed in the WSJ saying how small business owners are against public option!

For the life of me I don't know whey business owners should be in the health care business.

slipslidingaway

(21,210 posts)
3. Been there, living through it ...
Mon Jun 2, 2014, 12:06 AM
Jun 2014

"...A long battle with cancer had eaten away their savings... They had medical insurance. They had worked hard all their lives. Friends, family, and co-workers sent them checks ... It would never be enough to keep pace with the mounting medical bills that were not covered by insurance..."


slipslidingaway

(21,210 posts)
6. Thanks ...
Mon Jun 2, 2014, 12:37 AM
Jun 2014

we are more fortunate than many others, but still it has altered our path forward. I cannot imagine not having a decent support system and all of the associated out of pocket expenses. We really needed to have an open discussion of HC systems back in 2008 instead of a law requiring a mandatory for profit system that bankrupts people.

I appreciate those whose keep the issue alive





slipslidingaway

(21,210 posts)
7. 2014 Milliman Medical Index ...
Mon Jun 2, 2014, 12:45 AM
Jun 2014
http://pnhp.org/blog/2014/05/23/2014-milliman-medical-index/

"The Milliman Medical Index (MMI) is an important number because it represents the actual cost of health care, excluding health plan administrative costs and profits, for a typical family of four insured by an employer-sponsored PPO (preferred provider organization). Keep in mind that the workforce and their young families are a relatively healthy sector of our society, yet the health care costs for that family in 2014 are now $23,215.

We are reassured that the rate of increase is the lowest in years – only 5.4%. But that is not so reassuring when you consider that the rate is still well above the rate of growth in the CPI (consumer price index). In fact, over the last ten years, the MMI has increased an average 7.6% whereas the increase in the CPI has averaged only 2.3%.

Although the rate of increase in the MMI has decreased to 5.4%, that is still a one year increase in health spending of $1,185. That is quite a hit for a family that has seen stagnant wages for the last couple of decades.

Another important observation is that increasing proportions of the cost increases have nominally been shifted to the family – through higher payroll deductions and greater out-of-pocket costs. In actuality, most economists agree that the employer’s share of the costs is actually paid by the employee in the form of forgone wage increases..."



slipslidingaway

(21,210 posts)
8. And it is just not about the annual out of pocket maximum ...
Mon Jun 2, 2014, 01:01 AM
Jun 2014

but also the costs of things that are not covered ... then the lost wages associated with one's illness. Those costs are difficult to calculate, but they are real.



McCamy Taylor

(19,240 posts)
9. US pays twice as much per person for health results that are worse than Eastern Europe.
Mon Jun 2, 2014, 02:42 AM
Jun 2014

We are being ripped off. We are being bled dry. We are paying twice as much per person per year as any other country in the world for health care---and that includes Canada and the UK and France---and we get crappy results that would make Eastern Slovenia hang its head in shame.

Our health care system is so broken our health care system needs its own single payer health insurance. Or a bullet to the head.

Health insurance profits are only a small portion of the excess. We also lose out because we invest close to zero in prevention and pile up everything on end of life futile care. We pay way too much for drugs that the rest of the world gets cheaper---including Europe, where many of the drugs are manufactured.

If the government had an actual public health policy designed to prevent disease we could slash health care spending---but that would be like asking the Koch Brothers to advocate for mass transit. The Kochs want us to guzzle oil and the Medical Industrial Complex wants us to smoke, overeat and sit around on the couch getting fat.

During Bush ALL the federal money was going towards bioterrorism preparedness. Know how many bioterrorist attacks we have had in this country in the last decade? Know how many Americans have died of preventable diseases?

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