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Old 05-21-2012, 06:24 PM
 
Location: San Diego, CA
10,581 posts, read 9,787,000 times
Reputation: 4174

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Some people seem to have a very strange view of what insurance companies do. They point to the problem of people who have a pre-existing condition, trying to sign up for new insurance, only to find the insurance companies won't pay for the the treatment for that pre-existing condition.

Of course they won't. That's not what insurance companies do. Whoever said they did?

Insurance is a gambling game where you bet on what will happen in the future. You "bet" that you will get sick or injured, and the company "bets" that you won't. If you get sick or injured, the company pays you the stipulated amount (paying for a portion of your medical treatment etc.), and if you don't, you pay them (premiums). The purpose is to shield you from the "shock" of suddenly and unexpectedly getting hit with huge medical bills... which is why you agreed to the contract.

A pre-existing condition cannot be insured against. It's like betting on the outcome of a horse race that's already been run - there is no "chance" involved, and no "unexpectedness" to the outcome (any more).

Insurance companies are in the business of selling security - the assurance that you won't be suddenly bankrupted by huge medical bills, rehab bills etc. in the future. They do it by insuring huge numbers of people and getting them to each pay relatively small amounts (their premiums) each. They and their clients all know that most of them will never incur the huge medical bills they are worried about. But since no one knows which few people WILL incur them, they are all happy to pay the premiums, for the knowledge they won't have to pay the huge amounts if they turn out to be the unlucky ones.

Insurance companies sell safety from FUTURE possible disasters. And that's all they sell. Asking them to cover pre-existing conditions, is like asking a submarine designer to design a supersonic jet - it's got nothing to do with his business or his area of expertise, and he never volunteered to design jets in the first place, for good reason.

If you want to set up some kind of universal pool to pay for pre-existing conditions, fine, go ahead. But why drag insurance companies into it? It's got nothing to do with their areas of expertise, and they never volunteered to do it in the first place - for good reason.
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Old 05-21-2012, 06:32 PM
 
Location: Area 51.5
13,887 posts, read 13,676,249 times
Reputation: 9174
I hate insurance companies possibly more than every person on earth, combined.

That said, why would they cover pre-existing? Good grief! Isn't that a little like, oh, I don't know...I'm having a hard time coming up with something equally ridiculous. Buying flood insurance after your home floats down the river. Good luck with that!

It's that entitlement thing again. Always is. WAAAAAAAAAAAAAAAAAAAAAA.

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Old 05-21-2012, 06:42 PM
 
Location: Long Island, NY
19,792 posts, read 13,954,445 times
Reputation: 5661
Quote:
Originally Posted by Little-Acorn View Post
They point to the problem of people who have a pre-existing condition, trying to sign up for new insurance, only to find the insurance companies won't pay for the the treatment for that pre-existing condition.
You have just unwittingly outlined why a mandate is necessary.

It isn't fair to buy insurance the day that you find out that you need an expensive operation. However, if the government mandated that you have to pay into a system for many years, it doesn't sound so bad.
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Old 05-21-2012, 06:49 PM
 
Location: USA
13,255 posts, read 12,131,938 times
Reputation: 4228
Quote:
Originally Posted by Little-Acorn View Post
Some people seem to have a very strange view of what insurance companies do. They point to the problem of people who have a pre-existing condition, trying to sign up for new insurance, only to find the insurance companies won't pay for the the treatment for that pre-existing condition.

Of course they won't. That's not what insurance companies do. Whoever said they did?

Insurance is a gambling game where you bet on what will happen in the future. You "bet" that you will get sick or injured, and the company "bets" that you won't. If you get sick or injured, the company pays you the stipulated amount (paying for a portion of your medical treatment etc.), and if you don't, you pay them (premiums). The purpose is to shield you from the "shock" of suddenly and unexpectedly getting hit with huge medical bills... which is why you agreed to the contract.

A pre-existing condition cannot be insured against. It's like betting on the outcome of a horse race that's already been run - there is no "chance" involved, and no "unexpectedness" to the outcome (any more).

Insurance companies are in the business of selling security - the assurance that you won't be suddenly bankrupted by huge medical bills, rehab bills etc. in the future. They do it by insuring huge numbers of people and getting them to each pay relatively small amounts (their premiums) each. They and their clients all know that most of them will never incur the huge medical bills they are worried about. But since no one knows which few people WILL incur them, they are all happy to pay the premiums, for the knowledge they won't have to pay the huge amounts if they turn out to be the unlucky ones.

Insurance companies sell safety from FUTURE possible disasters. And that's all they sell. Asking them to cover pre-existing conditions, is like asking a submarine designer to design a supersonic jet - it's got nothing to do with his business or his area of expertise, and he never volunteered to design jets in the first place, for good reason.

If you want to set up some kind of universal pool to pay for pre-existing conditions, fine, go ahead. But why drag insurance companies into it? It's got nothing to do with their areas of expertise, and they never volunteered to do it in the first place - for good reason.
Didn't read your post. However, if we had Universal Healthcare non of this would matter. Free health care with privatized options.
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Old 05-21-2012, 06:56 PM
 
Location: Fort Worth, TX
9,394 posts, read 15,696,091 times
Reputation: 6262
Insurance hasn't served as insurance in a very long time. People charge routine check-ups to insurance.
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Old 05-21-2012, 06:59 PM
 
Location: Midwest
38,496 posts, read 25,825,871 times
Reputation: 10789
Why in the world should **Insurance** companies cover pre-existing conditions?

They don't want any sick people, who might cost money, in their risk pool. This is why a National Healthcare plan is so vital to the citizens of our country.
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Old 05-21-2012, 06:59 PM
 
Location: Sango, TN
24,868 posts, read 24,396,474 times
Reputation: 8672
Because everything is a pre-existing condition. Thats why.

Have cancer? Sorry, you didn't get that this year, must have been 5 years ago when you weren't insured with us. Not going to cover it.

Have any kind of health problem? Unless its a 72 hour bug, you must have gotten it before we covered you.

Thats why they need to cover pre-existing conditions. If you're paying for insurance, then by God, they should cover you when you have medical issues.
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Old 05-21-2012, 07:00 PM
 
48,502 posts, read 96,877,697 times
Reputation: 18304
Bascially they will not on individual policies. But in gorups plans they spread the cost over the group and want the profits they see.Its no different than now the acutaries see covering people that get conditions later ;its all covered by cost spread thru the pool. With Obamacare the cost is spread thru pools;taxpayers subsidies and thru placing some on medciad like they are now.Its estimated that 15 millio will be forced on mediaid at lower income levels to make the cost workout by passig part of teh cost on to state startig in 2017 when federal quite paying the additional cost of state portiton. hus its stae taxpayers whpo wil fund those people.Right now that is where part of the 500 billion cut from medciare in next ten years is going.
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Old 05-21-2012, 07:00 PM
 
Location: Midwest
38,496 posts, read 25,825,871 times
Reputation: 10789
Quote:
Originally Posted by Dale Cooper View Post

It's that entitlement thing again. Always is. WAAAAAAAAAAAAAAAAAAAAAA.
How dare people want healthcare!
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Old 05-21-2012, 07:01 PM
 
45,233 posts, read 26,457,645 times
Reputation: 24992
Quote:
Originally Posted by HurricaneDC View Post
Insurance hasn't served as insurance in a very long time. People charge routine check-ups to insurance.
I wonder how long before people expect their auto carrier to pay for oil changes and worn out tires? Think about how premiums would be affected.
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