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Perhaps not, but it's pretty likely that he will get something expensive over the course of his life. The point is that self-insured does not work well usually.
Quote:
Originally Posted by nana053
It is NOT that everyone gets more in benefits than they pay into the system.
Of course, while people might try to bargain down the costs, there is no guarantee that they would be able to do so. And, taking out loans to pay for health care can lead to medical bankruptcies.
So which is it? You've now covered both bases. You've said both that self-insured does not work out well usually and not everyone gets more in benefits than they pay into the system. If you couple in the relatively large number of catastrophic losses, the math just doesn't work out. You either need a lot of people getting back far less than they pay in or you need a pretty low and hard cap on expenses.
I think more likely is that you are conflating self-insurance, which is a real thing, with no insurance, which is just sort of hoping nothing bad ever happens. My large company self-insures, which means they allocate appropriate amounts of reserves to cover expected medical expenses and then paying for those expenses out of their reserves.
Unless would fit better, and the majority of Americans do not get cancer, nor suffer from major heart disease. Majority do not use $9k of service in a year. That is why typically employers pay $7k for single coverage a year, and at least $1k = profit.
Ah, but they do. The #1 cause of death in Americans is heart disease, followed by cancer. Being a cheapskate doesn't mean going without insurance is a good idea.
Don't mean to sound harsh, but it really doesn't matter to me if you have insurance or not--your choice. People act like liberals take opposition to the ACA personally. They don't.
Good luck with a payment plan for cancer. An associate came down with a nasty strain of pneumonia and his hospital bill was well over $100K. Granted--with insurance.
I am aware that doctors and hospitals charge less to cash customers than to insurance companies, but even then--I don't think they will discount it to affordable. If it was that easy, people would not be declaring bankruptcy due to medical bills.
And I have, in fact, heard of hospitals going after deadbeats and going so far as to garnish their wages. Hospitals now have collection agencies on retainer.
Still wont get me to opt into the ACA, I'll just go to the VA
Trump wants to cross state lines to have healthy competition and get more value for the cost of healthcare. Trump wants to close the borders to illegals who get FREE HEALTHCARE ON THE AMERICANS DIME...
The democrats have no good healthcare option.. fact is, the more hospitals have to give treatment to illegals who don't pay ,the hospitals have to charge more for health care TO AMERICANS to cover the expense of giving free healthcare to illegals..THANK THE DEMOCRATS FOR HIGH HEALTH CARE COSTS... the democrats are forcing the cost of healthcare up for Americans while illegals get it free. Democrats are stupid .. really stupid..THAT FREE HEALTHCARE FOR ILLEGALS , AMERICANS HAVE TO PAY FOR, EITHER THOUGH OBAMACARE OR PRIVATE INSURANCE OR OUT OF POCKET.
So convenient when economic self-interest can be given a quick veneer of a noble & principled stance.
Anyway, someone tell Volobjetc. about open enrollment periods, I think I've had enough for one day.
First, my plans are a well funded HSA and a really solid medical plan through my employer, as it has been for the last 31 years. And if I get cancer, unless whatever treatment has a 100% chance to cure me completely and for a relatively low cost, my money will be going to those named in my will, not the medical or insurance industries.
But the preexisting mandate plus community pricing mandates = adverse selection, and this is what fans of ObamaCare wished for, and they got it. I won't actually do it because I have ethics and morals, but I wouldn't fault anyone for playing the game to their advantage. End of the day, ObaamCare is naked tyranny foisted upon the people, so anyone choosing to give a hearty FU to the tyrants for their trouble...bravo zulu, I say.
I don't really have these worries though. As I said, well funded HSA says my health concerns are mere nuisance. Amazing how far you can go taking care of yourself.
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