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Old 04-18-2012, 02:22 PM
 
Location: Dallas, TX
31,767 posts, read 28,920,770 times
Reputation: 12341

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Quote:
Originally Posted by Mathguy View Post
Most people have no idea just how low the profit margins are in most personal lines insurance policies.

ie) You have $10 in capital and sell a $100 policy making a $2 profit.
Your return is 2/10 = 20%.
Volume makes up for it. Health care is something every person gets into, sooner or later.
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Old 04-18-2012, 05:39 PM
 
Location: A coal patch in Pennsyltucky
10,372 posts, read 10,766,278 times
Reputation: 12718
Quote:
Originally Posted by villageidiot1 View Post
I don't think we are talking about the same thing. I was responding to nighcrawler's comment. People expect health insurance to cover all of their expenses. That eliminates competition. Look at how costs have come done for Lasik surgery since health insurance is not involved.
Quote:
Originally Posted by Katiana View Post

1. I'm not so sure that's true.

2. Lasik is elective; you don't have to get it. You have plenty of time to shop around. That's not the case when you or your kid gets sick.
You are not so sure that it is true that people expect health insurance to cover all of their healthcare expenses? Most people are accustomed to paying a copay for office visits, prescriptions, physical therapy, etc. As soon as most people here that their insurance might not cover something, than it is not so critical. My research found that Cialis received FDA approval for BPH. I asked my physician to write a prescription and he agreed. It turns out my insurance company will only approve Cialis at four pills per month for ED. My BPH symptoms are not serious enough for me to pay out of pocket for Cialis.

Regarding elective health care and competition, most of the healthcare that my immediate family has received has been elective. Obviously we have been lucky. With serious illness, you are not price shopping, and the system doesn't give you the opportunity even if you wanted to. My example of Lasik surgery is a procedure that could easily have been picked up by insurance. The price of Lasik surgery has been drastically reduced by competition. What if there was competition for other things like radiology procedures and lab tests? Could this drive down the overall cost of healthcare? Instead of paying a higher health insurance premium, you would pay a lower premium and not have coverage for those procedures. I would then be free to take the money I have saved on insurance premiums and shop for the best price for lab tests and radiology procedures.
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Old 04-18-2012, 10:50 PM
 
33,387 posts, read 35,000,404 times
Reputation: 20035
Quote:
Originally Posted by EinsteinsGhost View Post
Volume makes up for it. Health care is something every person gets into, sooner or later.
only to a point. if there is an outbreak where a lot of money is being paid out by the insurance companies, they can very easily get to the point where they are losing money, and lots of it, very quickly. that is one of the problems with a small profit margin.
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Old 04-23-2012, 11:32 PM
 
Location: Chandler, AZ
5,800 posts, read 6,591,859 times
Reputation: 3151
Our current President's intractable hostility against HSAs is one reason, but there's plenty of blame to go around, starting with the scores of mandates which state governments require all of the insurance companies within their jurisdictions to cover, including FORTY-NINE in California.
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Old 04-24-2012, 08:01 AM
 
Location: Long Island, NY
19,792 posts, read 14,004,700 times
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Quote:
Originally Posted by Marv101 View Post
Our current President's intractable hostility against HSAs is one reason, but there's plenty of blame to go around, starting with the scores of mandates which state governments require all of the insurance companies within their jurisdictions to cover, including FORTY-NINE in California.
How many of those 49 are really subsidiaries of the same company?
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Old 04-24-2012, 09:08 AM
 
Location: A coal patch in Pennsyltucky
10,372 posts, read 10,766,278 times
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Quote:
Originally Posted by Marv101 View Post
Our current President's intractable hostility against HSAs is one reason, but there's plenty of blame to go around, starting with the scores of mandates which state governments require all of the insurance companies within their jurisdictions to cover, including FORTY-NINE in California.
Quote:
Originally Posted by MTAtech View Post
How many of those 49 are really subsidiaries of the same company?
You are misinterpreting what the first poster is saying. He is saying there are 49 health mandates, not 49 health insurance companies. There are 21 insurance companies licensed to sell health insurance in California.
List of Health Carriers Offering Group & Individual Policies
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Old 04-24-2012, 09:15 AM
 
Location: it depends
6,369 posts, read 6,433,668 times
Reputation: 6388
The OP was about health insurance and car insurance. The right question is, what would happen to the price of auto-body repair if government programs paid for half of all repairs done, which means that half the customers absolutely do not give a damn how much it costs? Body shops would market to crappy drivers just like health care providers market to the chronically ill.
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Old 04-24-2012, 10:08 AM
 
Location: Dallas, TX
31,767 posts, read 28,920,770 times
Reputation: 12341
Quote:
Originally Posted by rbohm View Post
only to a point. if there is an outbreak where a lot of money is being paid out by the insurance companies, they can very easily get to the point where they are losing money, and lots of it, very quickly. that is one of the problems with a small profit margin.
Which is also something larger players desire, so they have less competition to worry about. There's a reason why small businesses dislike having a Walmart as a neighbor.

Quote:
Originally Posted by marcopolo View Post
The OP was about health insurance and car insurance. The right question is, what would happen to the price of auto-body repair if government programs paid for half of all repairs done, which means that half the customers absolutely do not give a damn how much it costs? Body shops would market to crappy drivers just like health care providers market to the chronically ill.
Let totaled bodies?
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Old 04-24-2012, 11:25 AM
 
Location: Gone
25,231 posts, read 17,002,201 times
Reputation: 5932
[quote=Robeaux;23863464]Iquote]
Why can't health insurance be like car insurance?
You mean Mandatory? Or did ya forget that minor fact?

Last edited by Casper in Dallas; 04-24-2012 at 11:52 AM..
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Old 04-24-2012, 11:40 AM
 
Location: A coal patch in Pennsyltucky
10,372 posts, read 10,766,278 times
Reputation: 12718
Quote:
Originally Posted by marcopolo View Post
The OP was about health insurance and car insurance. The right question is, what would happen to the price of auto-body repair if government programs paid for half of all repairs done, which means that half the customers absolutely do not give a damn how much it costs? Body shops would market to crappy drivers just like health care providers market to the chronically ill.
I see your point but there are some major differences. Car insurance companies are marketing to individuals. There is plenty of competition among sellers. They compete on service and price. Health insurance companies advertise but are mostly selling to the benefits departments of corporations and other large organizations.

Most people don't use their car insurance that often. I haven't filed a claim since I hit a deer around 10 years ago. Virtually everyone uses health insurance at least once a year.

Car insurance doesn't pay for routine maintenance like oil changes and new tires. Many people feel comfortable taking larger deductibles and saving on their premium.

Once a car insurance claim is filed, people don't really care how much it costs. In that way car insurance and health insurance are similar.

Regarding your comment about, "if government programs paid for half of all repairs done," I don't think it is limited to government programs. What difference does it make if my insurance is government provided like Medicare or a private insurance company like United Healthcare? In both cases, there is no incentive for customers to give a damn about how much it costs.
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