Healthcare Secrets - Some true facts
Health care represents 1/7 of our economy, approaching one trillion dollars a year. Of that total, what percentage would you say is paid by insurance companies? Insurance companies are the major villain in health-care reform. How much of the mess is their fault? In round numbers -- 60%, 40%, or 30%?
The correct answer is less than 15% of health-care costs are paid by private insurance. And I apologize for the trick question. In 1990, insurance companies paid $90 billion of the $675 billion total, or 13.3%. (Sources below. Excludes private HMOs, because we're looking only at actual third-party insurance.)
Government insurance spent nearly twice as much, $174 billion, for Medicare and Medicaid alone. And costs for these government plans are increasing nearly twice as fast as private plans. That's the first well-kept secret: government plans dominate the health-care market, and do the worst at controlling costs.
We keep hearing the private sector has failed. But if the auto industry is in trouble, do we blame the smallest supplier, Chrysler?
In autos as in health care, the largest supplier (GM) is the least efficient. For health care, the evidence suggests the private sector should be taking over the government plans. We're doing it backwards.Herbalife
Here's another well-kept secret: Three major proposals, including the President's, will require higher local taxes for many schools and cities.
When I was a school board member, we saved tens of thousands of dollars per year by self-insuring employee health costs. We reimbursed expenses ourselves, up to a "stop-loss" maximum (high-deductible insurance).Herbalife
Do your city and schools self-insure? If so, your local taxes could increase, when the President makes these savings illegal for employers of fewer than 1,000.
A May 19 Wall Street Journal op-ed piece reported that 405,000 small-medium businesses now self-insure their employees. Administrative costs average only 6%. The Independent Grocers Association manages a self-funded plan for IGA grocery stores, providing coverage for 37,000 families. But because each store is an independent small business, that coverage would be banned.
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