In truth, the whole Obamacare debate comes down to:
Would you rather pay your dues to the US government, or to the US insurance industry? (Sorry, but it appears that we’re going to have to choose one or the other.)
Using the United States Post Office, and Medicare as templates on the pro-government side, and Blue Cross/Anthem et al on the pro-insurance industry side, I’ll take my chances with a governmental administration of my money any time. (Keep in mind that private fee-for-service medicine and insurance will most likely still be available to those who desire elective procedures and treatments not covered by Obamacare.) And no, NYCdj, breast reductions are not routinely covered by any private or public insurance, and are insanely expensive and out of pocket ($16K+) for those of us who legitimately need them.
As I’ve mentioned several times before on this forum, the newly-mandated interstate “exchanges” are the death knell of the insurance monopoly, and Obamacare will require that corporate entities like Walmart and McDonalds now actually cover their millions of employees’ health care instead of pawning them off on the taxpayers.
Furthermore, requiring that ALL Americans contribute to the national insurance pool will rejigger the actuarial statistics and lower premium costs significantly– as will a standardized coverage and reimbursement schedule. (See insurance exchanges and free-market competition.)
Those of you who insist that “Obamacare taxes will kill you” have either failed to note that 1.) if you legitimately can’t afford the tax, you will be covered by Medicaid, OR, 2.) you’ve not been currently paying your fair share of the cost of our health care system. And yes, you benefit from our health care system whether you ever see a doctor or go to a hospital or not. (Because at some point in your life you have, or will.) and if you’re not insured, you’re sticking the rest of us with cost of treating you when you do need it.)
So,
Why not take a trick from the insurance industry and buy re-insurance to cover what our high-deductible insurance policies won’t cover?
We pay the first, say, $500 out of pocket to Blue Cross, and buy a REINSURANCE policy (at a much lower premium from say, Lloyds of London,) to cover what THAT doesn’t cover.
Then we buy another policy (at proportionately lower premium, say $50) to cover what THAT doesn’t cover. And another to buy what THAT one doesn’t cover, ($5) etc. until we’ve out-deductibled the insurance company’s co-pays and deductibles!
The folks on this forum, for example, could band together to form a reinsurance exchange to inter-insure everyone one on the blog (selectively underwritten, of course,) passing the costs off to derivative reinsurers and thereby saving ourselves a bloody fortune. 30,000 members, three levels of derivative coverage? We could all get top-notch health insurer’s reinsurance (like our Congress does,) for maybe a thou a year out of pocket– and more importantly, come out of it with a personal insurance company that actually addresses our health care needs!
Seriously. This is how the insurance companies do it. (Look at AIG for an upper tier example of how it works.) If Wall Street can do it, why the eff can’t we? The, ahem, “common” people?”
i just watched the documentary “the weather underground” …didn’t know that these revolutionaries broke dr. timothy leary out of jail (busted for a couple of joints)…and he escaped to algeria with eldridge cleaver…
didn’t know chaka khan was a member of the black panthers….and tupac shakur’s parents where members also.
leaders of the black panthers where killed by the fbi while they slept…
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Comment by ahansen
2012-07-12 23:04:30
We weren’t all passive cretins, angus. Some of us believed in the United States of America back then….
_____________
i wonder if ben would have joined them if he was a bit older back then…
it may have been our last chance to change the system…
“In truth, the whole Obamacare debate comes down to: Would you rather pay your dues to the US government, or to the US insurance industry?”
So in other words, we will enjoy a complete federal government overhaul of the U.S. healthcare insurance system with no loss in the quality of health care services or access thereto?
If everybody agreed that the goals of health insurance were quality medical care and increased access, then YES, we would have that. The mid-levels of government — career employees — are very good at this.
But not everybody agrees on the goals of health insurance. There are some people who agree that the goal of health insurance is to use the pain of the sick to line their pockets. They are undermining the system at the elected levels of government. Fraud and sabotage is why such a system will fail, not flaws in the inherent structure.
A few months ago, I heard Harvard health care economist David Cutler speak at the University of Arizona business school. Toward the end of his talk, he said that the American private health insurance industry was a failure. Why? Because it has not reduced the cost of health care. Nor has it improved the quality of our care.
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Comment by measton
2012-07-13 08:20:48
Farreed Zakaria? had a great health care special on GPS which I think is CNN. Unfortunately I think they charge to watch it again.
Comment by Dale
2012-07-13 08:48:37
Hard to argue the quality of health care has not gone up with the amount of technology that is around today (lasers, MRIs/imaging, laproscopic surgery, molecular medicine, new drugs, etc., etc.). The extended life expectancy pretty much shows that. As for cost, if you die at 65yrs you won’t have to be “treated” (looked after) for years if you get dementia at 80 yrs. I certainly like my chances of surviving a major health issue now than say even fifty years ago. Fifty years from now it will be even better. The newest technologies cost a lot at first but soon become “old” technology available to everyone and health care progresses. Maybe some people don’t have access at first - life/death goes on, but in the long run it gets progressively better. Some of the cost may be related to ridiculous judgements against individual Dr.s and medical companies and the insurance they have to carry.
Comment by RioAmericanInBrasil
2012-07-13 10:11:38
(Health-care quality has improved with technology) The extended life expectancy pretty much shows that.
True, but let’s not make the mistake of using this as an argument against single-payer or universal healthcare.
(Which I don’t think you were)
Most all modern/western countries with “socialized” medicine have higher life expectancies than high-tech USA’s.
Another false argument, predetermined by the initial assumption:
“In truth, the whole Obamacare debate comes down to: Would you rather pay your dues to the US government, or to the US insurance industry?”
I would rather have a CHOICE with insurance companies if I choose to get “health insurance”, which most of this isn’t. It’s mostly about “medicare care” when health is not maintained.
It is not the job of the government or an insurance company to maintain your health. it is your job.
Obesity is a major problem, leading to all kinds of other problems.
the “poor”, eating at the expense of the taxpayers have an especially high level of obesity.
The TRUTH is that most insurance companies are monopolies in States who have stupid rules at to what the companies MUST cover in the State and put all kinds of limitations on policies issued. We don’t have any competition among insurance companies and the result is a MONOPOLY of insurance providers which has created what monopolies create…unfair competition and price fixing. This, combined with the massive interference of Medicaid/Medicare has created all kinds of massive overruns in costs due to unnecessary testing and procedures that provide the most benefit to “providers”. That’ not Insurance companies, but hospitals and doctors.
The Republican plan, which was completely ignored by Obama and the Democrats in closed door sessions, as they wrote the “heathcare takeover plan”, would have allowed more companies to enter into competition in your State, most of which have a handful of “qualifed” companies, as mandated by State lawmakers. And, yes, the insurance companies have lobbied their legislatures to keep the monopolies. And have succeeded.
I want to go to a doctor and pay for services rendered, without any insurance carriers. This usually means higher prices for individuals due to rate schedules shoved down the pike by gov/insurance monopolies.
There are MANY alternatives to insurance reform and the breakdown of medicare/medicaid which would help make the “system” work better for most Americans, but we wouldn’t want to discuss those, now would we?
NO, it’s either the government or Blue Cross/Blue Shield. Really? How did anyone ever get “medical care” without them?
I won’t disagree with anything you’ve said here, Dio. My goal is to get the insurance industry out of our public health care system completely and turn medical care back over to ourselves and our doctors.
I agree that other than palliative care, obesity/tobacco/addiction-related illnesses are not something that should be subsidized by the public health system; rather addressed in the broader sense through education and social regulation.
Notice I said “Public” health system– care as it affects the whole. Interpretation of what that might come to mean is where the debate should be centered.
That said, we all use and benefit from America’s health system (it’s universities and facilities, its researchers and outreach, its regulation and compliance controls, etc.) every day. Just as we (arguably) use and profit from its military, its infrastructure, its schools, et al every day.
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Comment by polly
2012-07-13 08:22:25
Obamacare doesn’t get private insurance out of health care. It may be the first step into people seeing that the private companies are in the way of effectively structured insurance and then moving to their elimination from the system someday in the future, but there is nothing in there yet that eliminates private health insurance. It does eliminate some of the most egregious practices - like kicking people who get seriously ill off their policy for a previously undisclosed, minor, unrelated illness. The last media reported example that I remember was a young man who got very ill (leukemia, maybe?) whose policy was cancelled because they found that he didn’t disclose a case of jock itch that had been cured with over the counter fungal cream. How they found out about it, I have no idea, but that was the report.
Comment by Harry Connick Jr Community College Graduate
2012-07-13 08:34:56
completely and turn medical care back over to ourselves and our doctors.
You know very well that doctors and hospitals don’t want to deal with patients in collecting payments. Hence the birth of Insurance Industry.
Comment by ahansen
2012-07-13 08:39:10
“…Obamacare doesn’t get private insurance out of health care….”
Agreed. As it stands now, it’s actually a give-away to the insurance industry, BUT the provision for creating exchanges will inject interstate competition into the mix, and that gives me hope that we’ll eventually get to a single payer system (with private insurance available for non-covered elective care).
Comment by Blue Skye
2012-07-13 08:52:44
“I agree that other than palliative care, obesity/tobacco/addiction-related illnesses are not something that should be subsidized by the public health system…”
Wouldn’t you have to lump everything in there that involves fault/stupidity on the part of the person needing care and not just cherry pick the PC taboos?
The list of things you can’t do and expect public health care would be very long. Break those rules of the state and it is a death sentence?
Comment by oxide
2012-07-13 09:30:17
And you would also have to prove to me exactly what causes and what cures obesity. I’m going to be a stickler on that.
I will say no more.
Comment by Montana
2012-07-13 09:31:03
I worry that lobbyists will get federal mandates for flakey alt medicine treatments like chiropracty, acupuncture, homeopathy etc. like they’ve done with a bunch of state legislatures.
Comment by ahansen
2012-07-13 09:39:40
Insurance companies pay for this quackery now– and our premiums reflect it. Back in the 1970’s Blue Cross actually paid a $35 reimbursement for something called “Absent Healing” in which a Seventh Day Adventist would sit in a room somewhere and “pray” for you.
Comment by Harry Connick Jr Community College Graduate
2012-07-13 10:01:04
Insurance companies pay for this quackery now– and our premiums reflect it. Back in the 1970’s Blue Cross actually paid a $35 reimbursement for something called “Absent Healing” in which a Seventh Day Adventist would sit in a room somewhere and “pray” for you.
Why do they pay? It’s not like the CEO doesn’t want to deny and enrich himself.
Comment by RioAmericanInBrasil
2012-07-13 10:22:44
obesity/tobacco/addiction-related illnesses are not something that should be subsidized by the public health system;
But why not when looked at in the context of the cost of liberty? Is not smoking a form of freedom and does not the USA have a history of subsidizing freedoms? We’ve funded our military through taxes for over 200 years to subsidize the cost of freedom and freedoms that some do not agree with.
When someone uninsured gets his foot shot off while playing with his Constitutionally protected gun, does Smith & Wesson get the hospital bill? No. Is that not subsidizing the cost’s of gun ownership?
Freedom is not free and is subsidized many ways in the USA.
Comment by MightyMike
2012-07-13 10:32:44
I worry that lobbyists will get federal mandates for flakey alt medicine treatments like chiropracty, acupuncture, homeopathy etc. like they’ve done with a bunch of state legislatures.
That’s something worth worrying about, but you could apply that to every part of government. For example, I worry that, if we have a Department of Defense, lobbyists will convince Congress to purchase military hardware that is overpriced or not actually needed to defend the country. However, I wouldn’t suggest eliminating the Defense Department as a way to address that worry.
Comment by dizzylizzy
2012-07-13 11:15:45
“I worry that lobbyists will get federal mandates for flakey alt medicine treatments like chiropracty, acupuncture, homeopathy etc. like they’ve done with a bunch of state legislatures.”
Contemporary, traditionally-accepted, medical treatments (i.e. drugs prescribed by doctors that barely look at a patient or prescribed over the phone) have failed a lot of people I know and some of these “flakey alt medicine treatments” cost less and cure more.
Check out (not literally since most libraries don’t shelve this) this interesting book. http://www.gutandpsychologysyndrome.com/
I wish they had a lobby. Why should pharma and insurance companies be the only ones in the industry with a lobby?
Comment by stewie
2012-07-13 13:50:20
Preach it dizzy!! So called traditional doctors are too often about treating the symptoms of an affliction rather the addressing the cause. Someone who thinks chiropractors etc. are quacks has never had a pinched nerve or bulging disc causing them great pain. The doctor will just prescribe some pain killers, tell you to get some rest and exercise, and push you out the door to move on to the next patient. Or worse yet, recommend an expensive, painful surgery that in most cases will make things worse later on. I’ve seen it happen more times than I can count.
“I would rather have a CHOICE with insurance companies if I choose to get “health insurance”, which most of this isn’t. It’s mostly about “medicare care” when health is not maintained.
It is not the job of the government or an insurance company to maintain your health. it is your job.”
AMEN.
Insurance is just that, insurance. Yet somewhere along the lines the masses were convinced that insurance meant free checkups, free flu shots, free birth control, free everything.
I’ve made this analogy to auto insurance before… GEICO pays your bills if you get in an accident. They don’t pay each time you get an oil change. Yet for some reason people expect BlueCross to pay for the equivalent of an oil change.
I have a very high deductible plan for the family. The deductible is $20K. The monthly premium is $200 for the whole family. It’s tax deductible since I am self employed so the net cost is about $150/month for 4 people. It’s as bare bones as it gets. Doesn’t cover anything other than state mandate services like kids well check ups and few other things. But nothing else. Which is fine by me. The family is healthy, we seldom see a doctor and when we do we pay for the service. In general, I’d say including the insurance premium, we pay $4000 a year on health care for the whole family. Plus it has an HSA component, so any out of pocket costs are also tax deductible and not subject to the 7.5% AGI rule. In effect I pay for my health care as I needed and have insurance if something horrible were to happen that would require the kind of care that costs $100K or $1M. That is what insurance is for. Not to pay for every dr’s office visit when I have the sniffles.
With Obamacare, this plan will no longer be available and I will be forced to pay more to have a lower deductible plan which I neither want or need. It won’t do anything to lower costs for me or improve my access to health care. Only thing it will do is make me pay more money to insurance companies.
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Comment by ahansen
2012-07-13 09:43:33
Oh, Smithers….
Wait until (heavens forfend) one (or more) of your family develops a serious chronic illness or suffers a catastrophic injury and then get back to me on how that 20K/year/person deductible is going for you, kay?
Comment by Harry Connick Jr Community College Graduate
2012-07-13 10:08:39
Wait until (heavens forfend) one (or more) of your family develops a serious chronic illness or suffers a catastrophic injury and then get back to me on how that 20K/year/person deductible is going for you, kay?
You seem not to understand the purpose of Insurance or the meaning of insuring. I am sure Smitty knows about that and has plans. Sure the Insurance company can deny some coverage, so can the government I suppose. Then again if it’s a serious chronic illness, does a family ever come out of physical, mental and financial exhaustion whether the insurance covers it or the government covers it. I am sure there’s gonna be quite a financial cost to a family even in government system.
Comment by RioAmericanInBrasil
2012-07-13 10:44:21
Yet somewhere along the lines the masses were convinced that insurance meant free checkups, free flu shots, free birth control,…
I know. It’s crazy. It’s like they spoke with someone who got all those “free” things in Canada and France and now expect it in America.
Canada spends about $3,900 per person per year on health-care while the USA spends almost $8,000. That’s why Canada gets “free” checkups and we don’t. Because Canada insures everyone while the USA does not come close. Does this make more sense now?
Comment by Housing Wizard
2012-07-13 12:02:54
The only reason the Americans accepted the Insurance Health care system was because originally the Employer ‘
paid most the costs ,and the costs were pretty low to begin with . Originally we didn’t have this long term drugs health care system to the degree it evolved into . I don’t see how this current insurance system has reduced costs ,as most insurance systems do by spreading out the costs .
Add to this the cash cow of when Medicare came in and it just set the stage for the development of a medical system
that makes the Pharma Industry one of the biggest industries in the World,with profit margins that are off the chart .
I see it all the time in the 55 and older tract I live in . The seniors on a bunch of Pharma drugs get to the breakdown point ,they end up in and out of the hospitals with expensive break downs of body systems medical care ,and some die and some live a little longer . The ones that are
healthy at advanced age are the ones that aren’t on Pharma drugs who eat a decent diet and exercise . Now this is just a 10 years observation in my little world were I live . The ones on anti-depression drugs really check out early .
But my point is how are the people going to afford what this Health Care Industry is demanding ,for what I would call questionable health care that isn’t designed to really cure diseases.
Comment by Mr. Smithers
2012-07-13 14:01:34
“Wait until (heavens forfend) one (or more) of your family develops a serious chronic illness or suffers a catastrophic injury and then get back to me on how that 20K/year/person deductible is going for you, kay?”
$20K/family. $7500/per person. And yes, I’d be fine with it if the alternative is pay $1000/month for a policy with a $500 deductible.
Comment by Mr. Smithers
2012-07-13 14:03:38
“Canada spends about $3,900 per person per year on health-care while the USA spends almost $8,000. That’s why Canada gets “free” checkups and we don’t. Because Canada insures everyone while the USA does not come close. Does this make more sense now?”
And that’s why Canada has a 6 month wait for routine surgery that can have performed tomorrow if I choose. Does this make more sense now? But hey what’s 6 months of waiting in pain…it’s all good since it’s FREEEEEEE!!
Comment by ahansen
2012-07-13 14:42:50
So who’s stopping them from paying top dollar to a private physician to perform that surgery on a more convenient time schedule? Were it for a life-threatening condition, they’d be triaged to the front of the line in Canada. If not, they get to wait their turn. Pretty much like we do here for non-emergency surgeries.
But then, if you’d actually had any experience in these matters, you’d know that.
Comment by howiewowie
2012-07-13 15:23:06
“$20K/family. $7500/per person. And yes, I’d be fine with it if the alternative is pay $1000/month for a policy with a $500 deductible.”
Since your against Obamacare, when the exchanges open up and offer you a policy to pay $400 a month for a policy with a $500 deductible…or better…you won’t be jumping on that, right?
Comment by Pete
2012-07-13 16:25:58
“free checkups, free flu shots, free birth control, free everything……. I’ve made this analogy to auto insurance before… GEICO pays your bills if you get in an accident. They don’t pay each time you get an oil change. Yet for some reason people expect BlueCross to pay for the equivalent of an oil change.”
OK, an oil change is the preventative medicine. But Geico has no financial interest in paying for our oil change. When we get in an accident, it likely has nothing to do with an oil change. The health insurance companies, however, have a vested interest in our bodies’ oil changes–if we take care of ourselves, they’re less likely to be paying out big-time when we get really sick. And they are then likely to make more money collecting insurance from the healthy.
So in other words, we will enjoy a complete federal government overhaul of the U.S. healthcare insurance system with no loss in the quality of health care services or access thereto?
Color me deeply skeptical…
Assuming that you have private insurance now, you’ll get to experience a personal overhaul when you turn 65. My father worked at a big company and had good employer-provided insurance. Now that he’s retired, Medicare (aka the government) pays for his health care. I haven’t heard any complaints from him about any sudden drastic reduction in quality or access.
Just try pitching a fit if the US Bureaucrat in charge of your case rules that your medical problem doesn’t deserve attention. Or,
Your cancer isn’t bad enough and/or because you’re a smoker you deserve the cancer but not the medical care.
Just imaging sitting in a room (similar to the Dept of Motor Veh) with 100’s of other people, waiting, with the bureaucrats having a break in full view of the crowd.
Did you know that the government would rather you have your prostrate checked via the old fashioned way, rather than a simple drug test that is 100% reliable? (sorry I don’t know if it means anything to you but it definitely bothers me!)
IMO that’s where the Unaffordable Health Care Bill in taking us.
“That’s the trouble with universal government programs. You start out with a simple concept, like universal health insurance, and you end up screwing the majority to serve the favored few. Some people get a special deal because they are helpless victims, others because they are powerful special interests. Pretty soon everyone is gaming the system.”
I have a friend whose wife came down with cancer a few years back. Her Dr said it wasn’t a big deal and told her to come back in 3 months. Well, they pitched a fit, he looked into it more and then decided to do the surgery. So far she’s doing fine.
Now how would a bureaucrat react to this same person pitching a fit? My guess is they’d call the police.
I know all insurance cos aren’t the best, but the government will do whatever they want to do. Once we give them the right to decide, the never give it back.
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Comment by Dale
2012-07-13 09:04:38
“Now how would a bureaucrat react to this same person pitching a fit?”
Possibly the same way the TSA reacts when you object to them groping you at the airport? Nothing worse than a government employee with a power complex and the full weight of the government behind them.
Comment by Mr. Smithers
2012-07-13 09:19:33
It is amusing how some people here and elsewhere go ape s**t at the mere mention of TSA or the Federal Reserve ….yet want the govt to control every aspect of their health care.
Comment by ahansen
2012-07-13 09:25:53
Curious, isn’t it how the “bureaucrats” at Medicare seem to manage patient satisfaction quite nicely. In fact Medicare patients report a far-higher doctor satisfaction than do private insured.
While I’ve not a clue as to your ex wife’s diagnosis, I’m guessing it was likely a benign or slow-growing lesion or tumor of some sort which merited watchful waiting. The administrator probably told the doc to go ahead and take it off/out (unnecessarily) to collect the additional billing, not because it was medically indicated. Practices like this (as Dio mentioned above) are why our premiums and costs are inflated beyond sustainability.
Even with Medicare however, people buy supplemental insurance because Medicare doesn’t cover it all.
That’s the fallacy with the “choice” between single payer or private insurance.
Take the UK for an example. People have government sponsored healthcare, but it isn’t good enough (fast enough, etc.), so people ALSO have private insurance.
In the US, if Medicare is any guide (with people buying supplemental), that is where we would end up in the US.
Comment by MightyMike
2012-07-13 09:51:21
There is no provision in the Affordable Care Act to turn all doctors into bureaucrats.
On the other hand, we do have a health care system in which the hospitals are owned by the government and the doctors and nurses are federal employees. It’s called the Veterans Administration and it delivers quality health care with even less waste and bureaucracy than Medicare, which in turn has less waste and bureaucracy than the insurance companies.
Comment by Northeastener
2012-07-13 11:11:35
Practices like this (as Dio mentioned above) are why our premiums and costs are inflated beyond sustainability.
Have to disagree with you on this. The reason costs are out of control are the following:
1. A preference for treating the symptoms (via drugs) of medical problems vs treating the causes (lifestyle, eating habits, etc). Call this the “profit motive” for the industry as well as the “lazy American” effect.
2. Increased demands from an aging population (boomers) as well as an increasing population (illegals/minorities) with generally poor health (again, lifestyle)
3. Emergency room care for all, regardless of ability to pay or whether covered by insurance
4. Illegal immigration (see 2 and 3 above)
5. A lack of tort reform
Fix the above and costs come down. This crap about increasing the insurance pool to reduce costs and price-fixing for services is exactly that, crap. Increase demand for a limited supply of product and you increase price, economics 101. All cost-fixing does is create supply constraints. Doctors will go out of business rather than lose money on cost-fixing. Overall quality of care will decrease, not increase through this. Do you honestly think medical schools will lower tuition because doctors make less money? Do you honestly think the best and brightest will flock to become doctors because prices are fixed at a level that doesn’t allow doctors to make money? Learn from the ’70’s people…
Having said that, the few good things Obamacare does is open competition with the exchanges and prevent insurance companies from dropping people who make claims… but the mandate is still crap. Americans forced to buy a product from a private company or pay a tax? Come on!
Is health care a right or a privilege? If it is a right, a government take over of the industry is warranted. If it isn’t, then stop with the fascist crap… it’s about as Un-American as you can get.
Comment by Northeastener
2012-07-13 13:09:10
It’s called the Veterans Administration and it delivers quality health care with even less waste and bureaucracy than Medicare, which in turn has less waste and bureaucracy than the insurance companies.
Ask all the vets coming back from the sandbox how the VA is treating them. Many have PTSD, among other issues. Most are going un-diagnosed…
It’s called cost-containment at the expense of the afflicted. Yes, even the government-run system has problems.
Medicare supplemental policies cover the 20% co-pays. They generally aren’t for additional services. My mother was trying to convince me that standard blood work tests didn’t have co-pays because it has been so long since she paid one. I kept telling her she didn’t have co-pays because of her supplemental insurance on top of Medicare and that I would have to pay co-pays. I still don’t think she believes me.
Comment by ahansen
2012-07-13 14:25:59
NE–
You know, I listened to these same arguments back when Medicare was first being suggested in the early 1960’s. Doctors will choose to go out of business rather than accept socialized medicine! Government bureaucrats will come between you and your doctor! Quality of care will be compromised!
Except we had a public health service then and doctors DID accept a salary rather than a fee-for-service. Not all of them certainly, but the ones who worked for the public health service did. And they still somehow managed to eke out a decent living. Today many doctors work for HMO’s and giant corporations– and they, too, manage to get by.
No one is saying that private practice dox should have to accept fixed rates for non-standard outcomes– the human body doesn’t work that way. But there’s no reason why reading a normal chest x-ray should reimburse at $95 in one facility and $5 in another. Or why a flu shot should cost $99 at one office and $15 at another. Or why a physician should have to bill $80,000 to collect $10,000 for a surgery. (Well, there ARE reasons, some of which you noted above, but the main one is that middlemen have inserted themselves at every step along the road to Wellville– and that Americans are by and large undisciplined slobs in their health habits and profligate in their expectations.)
The whole IDEA of Medicare was to move away from what was referred to as “two-tiered medicine”. (One standard of care for private payers and another for clinic patients.) What I’m saying is that maybe it’s time we consider returning to that two-tiered system.
A drug test for prostate cancer? Do you mean a blood test? The PSA test is not even close to 100% reliable. The guy who developed it is horrified that it is being used for that purpose.
The only reliable way to check for prostate cancer is a prostate biopsy, and even that can be inaccurate if the cancer cells are localized to an area that isn’t biopsied or if the slides are read wrong.
My Dr gave me a test that he said was much more reliable than the normal method. Call me crazy, but I trust him a lot more than I trust the government.
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Comment by RioAmericanInBrasil
2012-07-13 10:53:59
Call me crazy, but I trust (my doctor) a lot more than I trust the government. who regulates him.
Comment by polly
2012-07-13 11:23:36
Your doctor did the PSA test because it is a procedure and they get paid more for a procedure. Also, he may own shares in the testing facility.
Again, there is NO accurate test for prostate cancer other than a biopsy and even that can be wrong in the circumstances I offered above.
The other option is a finger up the butt and that doesn’t detect cancer. It can detect an enlarged prostate. They don’t get paid extra for sticking a finger up your butt.
Comment by Housing Wizard
2012-07-13 12:23:26
Call me crazy but thinking Doctors are the way they use to be would be the same as thinking stock brokers are the same as they were prior to deregulation of the financial markets. The Pharma industry are in the Medical schools now making sure that the Pharma created ‘Standard of Care ” ,is taught .
Comment by chilidoggg
2012-07-13 18:40:19
The way you describe it takes all the romance out of it.
Of course Lip this has never happened with Medicare and is very common with private insurance.
They drop people or small companies all the time when people get sick. They deny treatment all the time. They cap payouts in a way that patients don’t understand. They delay paying doctors or reimbursing patients.
Seriously who would you rather make a decision about a treatment you get. The gov which has open books and no profit motive or an private insurance company with a ceo that expects to make 100,000,000 dollars this year, and makes sure his workers understand this.
Also tell us about all the information you can get information from United Health and if they are bound to supply information when you request it.
Comment by Lip
2012-07-13 15:03:09
Measton,
When is the last time the US Govmnt had an audit of their books? It would be impossible I think.
I am not here to suggest that all insurance companies are worth their insurance policies. “IF” the government would get out of the way, competition between insurers would provide us with the ability to choose. Choose different policies, different deductibles (a way to self insure), different types of coverages for different types of illnesses, etc.
Now we are going to be told that “all” policies will cover all of these things. Then the Unaffordability Healthcare Bill tells insurance companies that they have to provide all of these coverages but they aren’t allowed to charge for all of the exposure. Therefore:
The Unaffordability Healthcare Bill is designed to push all private insurers out of business, so you will get your choice if BHO is re-elected. But thankfully, his chances are much poorer than the current polls would suggest.
“Seriously who would you rather make a decision about a treatment you get. The gov which has open books and no profit motive or an private insurance company with a ceo that expects to make 100,000,000 dollars this year, and makes sure his workers understand this.”
Yes indeed let’s let the people who run Medicare (trillions in debt), SS (even more trillions in debt), USPS (hundreds of billions in debt), Amtrak (God only knows how much in debt) and the military ($1500 hammers and $26/gallon bio-diesel) run the entire health care system. Because nothing spells efficient process like US GOVERNMENT.
Just try pitching a fit if the US BureaucratBlue Cross BeanCounter in charge of your case rules that your medical problem doesn’t deserve attention.
It happens a thousand times a day but it’s OK because the “producers” are making a big profit on it. And as we’ve all been told, profit is all that matters when it comes to life and death health-care in the USA.
profit is all that matters when it comes to life and death health-care in the USA.
Is healthcare a right or a privilege? If it’s a privilege, then profit is understood by the private companies that offer insurance and the doctors who provide services… or should we just embrace Communism because “for profit” healthcare is “evil”?
Oh, wait, Communism as an economic and political system has proven a failure, everywhere. Remove the profit motive and you have Communism. A. Failed. Political. Economic. System.
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Comment by alpha-sloth
2012-07-13 13:41:48
Remove the profit motive and you have Communism.
So all charities and churches are communist?
Comment by TheNYCdb
2012-07-13 21:01:40
And soldiers, don’t forget us.
Comment by RioAmericanInBrasil
2012-07-14 10:05:08
or should we just embrace Communism because “for profit” healthcare is “evil”?
My observation is that the health Insurance Companies keep
getting the Doctors to give drugs ,than another drug to address the side effects you end up getting from the original drug .Than finally the person ends up in emergency care
when the drugs designed to mask symptoms ,but never cure the underlying disease ,cause so much damage there is a
organ break down .
It’s kinda what happens with a eventual home foreclosure .
Come on ,does anyone here think they are deficient in a unnatural chemical base drug that you would have to take it everyday like food .
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Comment by polly
2012-07-13 14:02:36
Yes, some people need medication to keep them healthy. And they need it every day. Would they be healthier if they didn’t need it? Yes. That doesn’t mean they don’t need it. Can drugs have side effects? You bet. That doesn’t mean the side effects are worse than the person would be without it.
Does any of this mean we should take as much of it as we can when we don’t really need it? No, of course not.
Comment by Housing Wizard
2012-07-13 15:25:52
Polly , maybe if your given a pill that immediately takes away any other options you might of had ,such as changing your lifestyle ,you stay with the conventional medical
approach ,which encourages a quick fix ,because you don’t know any better .
Comment by TheNYCdb
2012-07-13 21:05:02
Last I checked there wasn’t an effective lifestyle treatment for cancer, or a broken leg. Although I suppose a sedentary lifestyle would reduce the risk of a broken leg.
Comment by Housing Wizard
2012-07-14 01:09:17
Never would suggest that cancer shouldn’t be treated . But ,lifestyle could be highly contributory to the development of cancer to begin with ,along with environment toxins ,possible diet ,and some doctors think that stress can cause cancer and other diseases .
Never would suggest that a broken bone shouldn’t be treated , thats considered a accident and should be treated .
Just try pitching a fit if the… Blue Cross BeanCounter in charge of your case rules that your medical problem doesn’t deserve attention.
It happens a thousand times a day
Exactly. Anyone who thinks that the government will refuse to cover some medical procedures, but a private company will not, either has zero knowledge about health insurance, or is a propagandist. Private companies do it all the time, right now.
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Comment by Dale
2012-07-13 16:56:06
… but at least with health care in private hands you could go elsewhere even if it costs you more. At least you could get it done if you decided it was worth the cost. What happens when the govt. is the only game in town? Surely there is some advantage to having many competing options.
I guess there is always medical tourism. Lots of good surgeons in India that have been trained in the US.
Comment by alpha-sloth
2012-07-13 17:00:23
but at least with health care in private hands you could go elsewhere even if it costs you more
Is such a thing forbidden under Obamacare?
Comment by Neuromance
2012-07-13 19:00:11
… but at least with health care in private hands you could go elsewhere even if it costs you more.
The problem here is that medical care is typically an urgency, not a luxury, other than routine checkups.
If you’re lying on the side of the road with shattered bones, you get taken to the ER and they get to work. No shopping.
If you get a diagnosis of something serious, you look to your doctor to hook you up with the specialists. No internet research, picking doctors at random, spending days trying to figure out which one is better.
That’s the nature of the beast.
Differential shopping for medical care, because of its urgency and complexity, is a wildly different beast than shopping for the cheapest can of baked beans or box of cereal.
“Just try pitching a fit if the US Bureaucrat Blue Cross BeanCounter in charge of your case rules that your medical problem doesn’t deserve attention.
It happens a thousand times a day but it’s OK because the “producers” are making a big profit on it. And as we’ve all been told, profit is all that matters when it comes to life and death health-care in the USA.”
DOWN WITH PROFITS!!
DOWN WITH CAPITALISM!!
ALL HAIL COLLECTIVISM!
Hey didn’t we try this stupidity for 70 odd years already?
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Comment by RioAmericanInBrasil
2012-07-14 10:07:18
DOWN WITH PROFITS!!
DOWN WITH CAPITALISM!!
ALL HAIL COLLECTIVISM!
Lots of insurance companies cover them…or there wouldn’t be so so many doctors making a great living at it….just browse google and 90% just don’t need them…its just a cash generation machine..and its politically correct…don’t want to mess there.
And no, NYCdj, breast reductions are not routinely covered by any private or public insurance, and are insanely expensive and out of pocket ($16K+) for those of us who legitimately need them.
Once again you demonstrate that don’t know what you’re talking about dj. Just because an advertisement says that a procedure will be covered by “your insurance” doesn’t make it so. In fact, very few MD’s are qualified to do reduction mammoplasty, and insurers rarely cover it even partially, let alone fully, unless there is a demonstrable medically-indicated need for the procedure. And their interpretation of “demonstrable” is highly subjective.
That said, it’s not the sort of surgery someone has for cosmetic reasons, and it’s a long and painful recovery.
Demonstrably false, whoever was addressing aNYCdj. My 67 year old aunt in NY was given a breast reduction through Medicare, after they found a pre-cancerous lump.
I think it’s interesting that you used Anthem as a comparative example. When people cry about the lower compensation doctors will receive under Obamacare, I think of when I live in Cincinnati in 2000 and Anthem was in the news for conducting an analysis of how study of how little they could get away paying doctors while still retaining them. At the same time you were reading about shortages of doctors in the critical care, ED, etc. of local hospitals.
But on the other hand, in my opinion, the health care system is so broken that Obamacare is just a bandaid on the whole system. Even the notion of insurance is misleading. As you referenced, we will all need health care at one point in our lives, and most of us will require some significant care, whether a broken bone, child delivery, heart attack, etc. The concept of insurance is to lump everyone into a pool in the expectation that only a tiny fraction will ever require some payout. Health care, on the other hand, will require some payout to the vast majority of participants. This is not insurance, per se, but a fundamental service provided by some entity, be it private or public. And we can see the downward spiral in privately–managed health care, so something must be done (although I am not enamored by this current plan).
So even the discussion of mandated “insurance” shows the fundamental flaws in our logic.
Was only partially tongue-in-cheek, turkey. Insurance companies (including health insurers) ALL reinsure their risk. As do THEIR reinsurers– hence the AIG bailout. This is how individual companies avoid being wiped out and unable to pay claims in the event of catastrophe.
Some enterprising venture might do well to capitalize on this dynamic on behalf of the the consumer rather than the insurer. Hey, it worked for Wall Street….
But re-insurance led to the creation of derivatives, which, combined with CDOs and fraudulently rated securities of all types, caused the recent recession when the bottom fell out of the RE industry. And THAT was caused by being able to make fraudulent loans for the sole purposes of fee generations and then CDO bundling.
But, as we now see, the entire financial industry is nothing BUT fraud. The above was the “spark,” so to speak, that blew it all up.
“In truth, the whole Obamacare debate comes down to:
Would you rather pay your dues to the US government, or to the US insurance industry? ”
Sorry, but this is not the truth. The truth is you STILL get your medical insurance from nobody BUT the insurance industry. The new regs do not change that. They only create a high risk for those who cannot afford insurance, made up of… wait for it… private companies.
Take away the Private Insurance Companies ,and have a single pay system that is Government run and we will save
about 15% or more off health care costs . This will also eliminate price fixing to the up side by Insurance Companies /providers ,and maybe the Goverment can be the price fixing entity who would price fix to the down side .Or only allow a 5% profit margin for private insurance companies if you really want then to collect the money . For profit health care seems to be impossible to have anything but greed and fraud and profiteering ,rather than honest health care .
Regarding getting inferior care if the system was government run , people could purchase supplement insurance .
But ,my real contention is that actually the less you engage in
Western Medicine and Pharma drugs its more likely you will have better health . Some sources list the current Medical system as the 4th cause of preventable death a year in the United States ,some rate it now as the number one cause of preventable deaths ( some estimates at 700k a year ) Proven fact that when Doctors go on strike in varies Countries the death rate goes down dramatically .
Without knocking any good medicine or any life saving medicine,or emergency medicine that does exist , the rest is more like “Engage in this at your own risk ,because the side effects are the price you pay .”
What is really alarming is the greater diseases and surgery that will be required for the damage done by long term use of Pharma drugs ,especially for the pill popping Baby Boomers .
So ,one of the first things that needs to be done is a release of liability to health care providers for all damage done for the last 50 years . Than you can clean up the system by
actually having a system that refuses to give drugs that creates greater damage and health costs down the road ,where drugs aren’t actually regulated and tested for their
real dangers and effectivness . We simply can’t afford this type of death causing ,profit moviated ,chemical based health care ,just so Pharma Business and Doctors make a big profit pushing it .
Than you put some bucks into preventive care ,
Perhaps you can overhaul the system in which only emergency care or basic care is provided by a single payer Government taxed payed system and everything else is Insurance provided ( all the elective medical stuff ) .
But I really don’t know how the Health Industry is going to be able to take this much of the monthy income of the average American ,or take less but give a shitty policy that doesn’t cover anything . That’s the problem with price fixing monopolies ,or price fixing insurance monopolies ,your health comes second .
Greenspans says that we will run out of ability to pay full pop on SSI by the year 2030 . That isn’t very many years away actually . What will the state of the Health care system be at by that time ? We really can’t afford to not overhaul the health care system correctly NOW ,or another 20 years will go by with massive profit taking by to few hands , while the health care gets worse for Americans . Some reports state that 50% of the population have diseases now . That tells me something is wrong with the food supply ,the environment ,
and the lifestyles of the folks , lack of effectiveness of chemical based Pharma drug ,and maybe stress in general
is creating a lot of disease now .
Would people really take these Pharma and anti-depression drugs if they really knew what the short term or long term side effects are,or what the true risk of death was ,or how many years they take off your lifespan ?
Nobody was really happy with the Health Care Bill .
It use to be that everybody was working for the weekend .Now its everybody is working to support the health care industry .Much like we are working to support the corrupt financial systems and one percenters.
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Comment by Diogenes (Tampa, Fl)
2012-07-13 12:16:24
Some reports state that 50% of the population have diseases now . That tells me something is wrong with the food supply ,the environment ,
and the lifestyles of the folks , lack of effectiveness of chemical based Pharma drug ,and maybe stress in general
is creating a lot of disease now .
I suggest your sources are a bunch of government-take-over left-wing lunatics, with an axe to grind against any form of free enterprise.
We’ve come a long way from “limited government” under the Federalist idea, but I think you may have gone over the edge.
You have NO basis for saying we will save 15% or 20% or whatever basis bureaucrats devise with their “models”.
Here is a simple rule of LIFE: You can’t change x without effecting y or z. Every stinking time.
When you make “healthcare” free or so cheap that it’s free, DEMAND will increase.
If everyone is paying “something” they will feel entitled to MORE service, for less money. they will line up at the doctor’s office like cowboys at a rodeo, all wanting in on the new game in town.
You are correct. The costs are out of control and most of the increasing costs have been due to government regulations and intervention. FRAUD is especially rampant in government because they have no interest in cost-control. The FRAUD in the system should have been the highest priority of “Fixing” the problems. That wouldn’t expand government much, so no, we won’t worry about that.
TORT lawyers have a good time with private insurance companies.
It’s the so-called “justice” when they refuse to pay for things they probably shouldn’t have to pay for anyway, but spare us the court costs.
Will we be able to sue the government Board or Agent that refuses services? HUmmmm??? Maybe not.
IF we can, then who pays? Oh, the government? so, will costs increase, or will Tort lawyers run out of business?
Government NEVER does anything better than private companies…..at least at the same cost. You can always do better for MORE money. But we are talking about REDUCING costs. How’s that work? Oh, no profit. That’s the problem. Spend what would be a profit on something else.
Yea, that’ll work just fine. Let’s see who gets prosecuted for skimming the system.
Comment by ahansen
2012-07-13 12:57:16
Wiz,
Interesting how those of us with most extensive experience in the medical insurance industry are the ones screaming loudest for a single payer system.
I’ve not only worked in it from a medical malpractice POV, I’ve been subjected to it as a catastrophic patient and as the member of a medical family. Whether the board of review is commissioned by the government or the insurance industry is immaterial, the decisions as to what will and will not be covered and why will be made by physicians and public health officials.
The only reason for single-payer, is across-the-board consolidation to cut down on fraud and inefficiency. The rest is just politics and special interest spin.
Comment by Housing Wizard
2012-07-13 12:58:16
Some of the information was taken from the FDA websites ,
so I guess the left or right wing nut jobs must be influencing Government regulatory data .
But it seems like the big question is “Who is going to pay”,and just how fair is it going to be ,or who is really going to end up footing the bill . No doubt ,based on what has been going on lately in terms of policy and laws/taxes ,the
decreasing middle class /upper middle class will pay and
the poor won’t and the 20 percenters will make the profit off the system .
Comment by scdave
2012-07-13 13:23:55
Ahansen…Yesterday you said you burned through both insurance & assets…Was that due to the lifetime CAP or that they would not cover you ??
Comment by turkey lurkey
2012-07-13 13:45:40
50% have diseases.
And millions don’t care and would deny them treatment while claiming government interference, incompetence and tyranny for trying to help those people.
But yes, there is also a lot of poor lifestyle choices. Our culture seems to CREATE a lot of mental illness. Maybe it’s the 24/7 advertising propaganda of want, want, want? Naw, couldn’t be.
Comment by Carl Morris
2012-07-13 14:11:08
Some reports state that 50% of the population have diseases now . That tells me something is wrong with the food supply ,the environment ,
and the lifestyles of the folks , lack of effectiveness of chemical based Pharma drug ,and maybe stress in general
is creating a lot of disease now .
Or we’ve managed to keep a bunch of diseased people alive that would otherwise be dead.
Comment by ahansen
2012-07-13 15:03:38
SCdave,
I’ve maintained a private-payer insurance policy for 30+ years, (still have it, actually) but what they deemed “reasonable and customary” and “medically-indicated” differed substantially with what my physicians and I felt. Moreover, my policy has exclusions for ophthalmic, dental, and cosmetic procedures (and drugs) which were pretty much the only things I needed.
Bottom line is they fudged and weaseled, postposed and obfuscated, denied and challenged as critical time factors and protocols were allowed to run out. I have a high-deductible policy which resets every year whether or not I’m in the middle of a protocol or not, so that, combined with all the denials of service and co-pays knocked my $2,500 deductible up to about 15K a year before they kicked in for a maximum of 70% of billing.
My reconstruction was a multi-year project with several surgeries and procedures approaching 100K apiece. Even fully “covered” $100K a year in expenses comes to $30K– and that’s after all the deductibles have been satisfied. Then there are all the procedures and associated expenses (travel, multi-month lodging, private nursing, supplies and meds) that they didn’t cover at all.
At the same time the economy was tanking and all this was going on, I had a kid in college and an ex-husband in psychiatric in-patient. Let’s just say that I went through my retirement funds pretty quickly.
Comment by Dale
2012-07-13 17:19:56
“Some reports state that 50% of the population have diseases now .”
I am guessing that would be closer to 100%. From the day you are born you start to die.
“Sorry, but this is not the truth. The truth is you STILL get your medical insurance from nobody BUT the insurance industry. The new regs do not change that. They only create a high risk for those who cannot afford insurance, made up of… wait for it… private companies.”
Insurance companies will be nothing more than 3rd party processing centers for the govt. There are so many rules and regulations in Obamacare that in effect insurance companies will be indistinguishable from each other. They all have to offer the exact same plan with the same co-pays (or lack thereof), same deductibles, and charge everyone the same amount….all rules and regs created by and enforced by the govt.
The only choice you as a consumer will have is which company you want to pay for your coverage. But you will have zero choice in what type of plan you have.
In effect it will be govt run health care with the administration outsourced to private entities called “insurance” companies. But insurance will have nothing to do with anything anymore. Forcing an “insurance” company to issue a policy to anyone, regardless of risk, ceases to be insurance.
“The only choice you as a consumer will have is which company you want to pay for your coverage. But you will have zero choice in what type of plan you have.”
Would you like a Chevy or a GM? You can have any color you like as long as it is blue.
What is going to prevent the insurance exchanges from price fixing ? A paltry 10% discount for fake competition isn’t going to do it for a lot of people .
The exchange, although operated by the insurance industry, will be paid by the government through subsidies for those people who can’t afford full rates. Price caps also go into effect in 2 years.
Ask those folks who are in jail for Medicare and Medicaid fraud how that worked for them.
Ok ,turkey ,turkey ,why not a examination of the medical system itself ,why the high costs, ect, ,how valid are the pharma drugs , before we try to figure out the way to fund this system that operates at a 50% higher cost than other Countries .
I’m all for a single pay system as long as the corruption is weeded out , and we take a re-look at the Pharma business
at the Pharma business .
Couple big breaking stories lately of Big Pharma getting busted for bribery ,watering down vaccines , false reports on tests on drugs ,
And since they don’t test the drugs for 40 or 50 years to actually know the long term side affects these days ,I guess your going back their arrogant and self serving claims of effectiveness . But just wait about 7 years and almost every new drug gets the classic Lawyer ad about if you used this or that drug contact this lawfirm .
“3/4’s of the stuff you did has no effect on your credit score at all.”
Polly, if you would be so kind, could you perhaps share with me, say, three simple things I can do to make my credit score high? I used to hover around 825, but I never even gave it a second thought.
I suppose if I wait 4-5 years, I have a shot at being a cash buyer.
The obvious is no late pays, 30, 60, 90 days late or collections. Percent utilization is a big factor, keep balances of all available credit lines below 10%. Age of accounts helps, having existing credit lines 10+ years. Keep number of “hard” inquiries low, hard meaning inquiries resulting from credit applications, a “soft” inquiry for employment screening or buying insurance doesn’t affect this.
Regarding the latter, my car insurance co lists credit factors affecting policy rates, among them, mix of types of credit, specifically that not having a mortgage has a negative impact. This is a scam, the squad has no late pays or collections, car loan (paid off), student loans paid on time, minimal hard inquiries.
Working for TARP bank several years ago in indirect auto lending, the squad can’t recall ever seeing a 800+ score on someone who did not have an existing or paid off mortgage loan…
There are websites that are far better at that, than I would be, though you have to be careful of where the information comes from. However, fully 1/3 of your score (I think) comes from you ratio of available credit to used credit, and I think the absolute amount matters some too. So you have to have credit cards, and you want a moderately high limit on them, and then you want to have no balance. I have two credit lines (one has both a Mastercard and a Visa on it). The total credit available to me is a little over a third of my salary. The cards typically have less than $200 on them at the end of the billing cycle. Every once in a while it is more than that (if I just purchased vacation tickets), but it gets paid off right away. You don’t have to leave it on the card for a few months. You don’t have to have cards that charge fees. FICO doesn’t measure whether you are a profit generating credit card customer (you are anyway because they collect a fee on every purchase you make). It measures whether you are likely to pay off any debt you take on. Having substantial credit available to you and not using it much is an indicator that you are a good risk for lending because you don’t really NEED the credit.
A lot of the rest is paying things scrupulously on time and that means so the company has time to cash it before the due date. You don’t know if their internal controls are such that the part that reports to the credit agencies is tied in to the check arriving or the account actually being paid. On-line direct bill pay can help with this, but I don’t recommend letting it happen automatically. I tell my bank when and what to pay. I don’t let the company tell my bank what to pay them - too risky if they have made a mistake.
You also should look at your report. See what is on there. Do you have a lot of monthly payments (like insurance) that aren’t being reported? Can you call the companies and find out why they don’t report? I doubt they would do it based on your call, but it is worth asking.
Polly, is there any chance of rent payments ever being included in FICO? I understand that they are currently not. I think of rent payments as debt payment, and why not? It’s no different from running up the credit card and paying it off every month. Why shouldn’t it be counted?
I think there has been a move to put more monthly payments into FICO. I’m not sure if rent is currently excluded or not. If it is included, it only counts if your landlord reports it. They don’t have to.
This is a bit outside my area of expertise. I’m working on what I’ve heard and read from various sources, not personal knowledge of the process.
Rent isn’t credit, therefore payments wouldn’t be factored in FICO. But if you don’t pay then it will count against you (assuming it is reported).
It’s like a utility bill. The fact you pay your $50 gas bill every month doesn’t show up in a credit report. Miss a few payments however, and it will show up as not being paid.
Also as to car insurance companies using FICO…nothing to do with whether a bad driver has good credit or vice versa. Bad credit = higher risk of insurance fraud. Makes perfect sense that premiums are based in part on credit. Same goes for home insurance.
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Comment by goon squad
2012-07-13 15:16:58
Smithers, using lack of having a mortgage loan among “credit mix” for auto insurers to determine premiums is total BS. Having a credit file 15+ years old with all accounts either paid off or paying as agreed (their terms) should be enough to demonstrate responsible payment.
The FICO industrial complex are SCUM, totally ties into turkey lurkey’s post “Maybe it’s the 24/7 advertising propaganda of want, want, want?”
If you’re stupid enough to buy now but can’t afford current inflated asking prices, commit financial suicide and borrow. If you can’t afford the mere pittance of a 3.5% downpayment, you can always go deeper in the hole and Uncle Sam is right there to help you dive head first into an empty swimming pool.
Do it. Borrow all the money you can and then buy. The banks need you to do this.
The banks have a lot of junk they need to get rid of but they can’t find enough buyers with money so they need to somehow sell their junk to those who have no money.
This is a tough thing to do, to sell something to somebody who has no money, but nevertheless it has to be done.
“…they can’t find enough buyers with money so they need to somehow sell their junk to those who have no money.”
That’s where it comes in right handy if Uncle Sam gives them the money, including not only the loan, but also the down payment, plus a guarantee of principle on the mortgage…
“FHA Down Payment Grants”
Doesn’t handing a minority family a downpayment grant to make it easier to financially hang themselves with an FHA subprime loan amount to discrimatory lending?
Poor banks. First Uncle Sam hammers them for not making enough loans to minority families; next He hammers them for making too many. It’s kind of hard to avoid discriminatory lending when the government mandates it.
I’m going out on a limb and assuming that no Wells Fargo loan officer ever put a gun to anybody’s head to make them sign on to a “high-priced” subprime loan. If I am right about this, I am wondering how the Justice Department tested the null hypothesis that non-minority borrowers could have signed up in equal numbers for the same loan offers the minority borrowers willingly took, but didn’t?
Justin Sullivan/GETTY IMAGES - DALY CITY, CA - JULY 12: Customers use ATMs at a Wells Fargo Bank branch office on July 12, 2012 in Daly City, California. The Justice Department announced Thursday that Wells Fargo Bank, the largest residential home mortgage originator in the United States, will pay nearly $175 million to settle accusations of discrimination against qualified African-American and Hispanic borrowers between 2004 and 2009. The alleged discrimination is in violation of fair-lending laws. (Photo by Justin Sullivan/Getty Images)
By Ylan Q. Mui, Published: July 12
In one of the largest fair-
lending payouts in history, Wells Fargo agreed on Thursday to spend at least $175 million to settle federal accusations that it steered black and Latino borrowers into high-cost loans and charged them excessive fees.
The settlement with the nation’s largest home mortgage lender is rooted in a lawsuit filed four years ago by Baltimore over fair-lending violations. It culminated Thursday in what federal officials called “systemic discrimination” spanning 36 states and involving more than 34,000 minority customers over five years.
“This is a case about real people — African American and Latino — who suffered real harm as a result of Wells Fargo’s discriminatory lending practices,” said Thomas E. Perez, assistant attorney general for civil rights.
…
Did they bother to count the number of white people who were steered into high-cost loans and charged excessive fees? Only minorities can be victims apparently.
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Comment by ahansen
2012-07-13 13:00:28
“White” neighborhoods weren’t systematically discriminated against simply because they were full of white people. Similar credit scores deserve similar interest rates and fees.
Comment by MightyMike
2012-07-13 13:08:54
Presumably, they would have to count whites and non-whites to make a case. If the bank screwed everyone without regard to race, it wouldn’t be discrimination.
It hit me: The ability of the FIRE sector to generate bad loans (or engage in other risky activities), have the US government pay them off when things go bad is the ability to impose ad hoc taxes. A variable amount of tax money goes to compensate those companies.
I heard a good one on the radio a few days ago…..”Taxation by Misrepresentation”, to describe “obamacare”.
He said no new taxes. Said the bill wasn’t a tax. Told the American people there were no new taxes in the “bill” he signed and then “his team” argued before the Supreme court, that, well, it really was a tax, but that when all the goodies starting getting handed out that everyone would love it so, it’s really not a problem whether they had higher taxes or not….vote for me…yeah.
If you can’t afford insurance, the government will help pay for it, so it won’t be the poor. Or you again.
So tell me, who will actually be paying that tax?
As for the tax itself, it amounts to approx ONE MONTH of many people’s current premiums. so if someone can afford insurance, but choose not to buy it, they’re still getting off cheap. After all, they become the one that everyone complains about having to pay for.
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Comment by Mr. Smithers
2012-07-13 14:26:01
“But who will actually pay that tax?
If you already have insurance, it won’t be you.”
What if I have it and don’t want it anymore? Guess what? It will be me.
Comment by Mr. Smithers
2012-07-13 14:27:34
“it amounts to approx ONE MONTH of many people’s current premiums.”
Wrong again. My premium is $200. If I were to decide I don’t want insurance the ObamaTax (that he swore wouldn’t apply to me since I make less than $250K a year) would be $2000.
Comment by alpha-sloth
2012-07-13 14:37:32
If I were to decide I don’t want insurance the ObamaTax (that he swore wouldn’t apply to me since I make less than $250K a year) would be $2000.
No it’s not. The FIRE sector has representation, and so does everybody else. Of course the big money of the FIRE sector helps them get a lot more attention from the representatives, but that’s the fault of our campaign finance and lobbying rules. Those who support those rules are to blame. The money = speechers.
When Foreclosure Supplies Fall, the Bottom Falls Out of Housing
Published: Tuesday, 10 Jul 2012 | 1:04 PM ET:
Diana Olick
CNBC Real Estate Reporter
In Minneapolis, Minn., for example, 35 percent of home sales are foreclosures; prices there rose just over 13 percent from a year ago. The same in Columbus, Ohio where prices rose 14 percent, given that nearly 34 percent of sales were of foreclosed properties.
“First is the artificial lack of distressed supply, which is the market in all of the miracle ‘recovery’ regions. As I have pounded the table over for years … ‘investors and first timers are thin and volatile cohorts that have been known to up and leave markets in a matter of a month or two leading to a demand collapse’. But equally responsible are Zombie Homeowners; those without enough equity to pay a Realtor 6 percent and put 20 percent down on a new house and/or good enough credit or strong enough income to secure a new mortgage loan,” writes Hanson.
Hanson calls the lack of distressed supply “artificial” because he believes banks are holding back some distressed inventory and/or that many of the loan modifications being worked out will inevitably fail. He points out that distressed supply is vital to a market like Phoenix, because 66 percent of its current borrowers owe more on their mortgages than their homes are currently worth, and are therefore stuck in place, unable to buy or sell.
“Without repeat buyers in the market leaving a unit of supply when they move up, laterally or down (in the case of empty nesters), supply is simply removed from the market and not replaced,” notes Hanson.
Phoenix is not unique. California, Florida, much of the Midwest will likely see the same, as will Atlanta, which is still mired in a foreclosure crisis with recovery nowhere in sight. Given that supply scenario, it is likely that many of these national gains (which as I’ve argued before are artificial anyway) will give some back before finding solid footing.
Bottom line, until this housing market is no longer dependent on distressed supply to support overall home sales, calling a bottom to the national housing market is premature.
“He points out that distressed supply is vital to a market like Phoenix, because 66 percent of its current borrowers owe more on their mortgages than their homes are curently worth, and are therefore stuck in place, unable to buy or sell.”
When prices rise to the point where they can sell is when they will put their houses on the market. If enough people do this then the market will be flooded with houses for sale. And because 66 percent of current borrowers are underwater it looks as if this flood will be a big one.
And a flood of houses for sale will do what to prices?
There won’t be a “flood.” When house price fall just a little, most of that inventory will be yanked just as quicky as it was listed, stabilizing prices again. When prices rise, they will release a little more inventory, like a morphine pump. It’s a buffered system, and expect prices to bounce along the bottom for 3-4 years until the inventory is gone.
And yeah, at the end of those 3-4 years, the last inventory will drop way down in price. Why? Because by then it will be decrepit and need 10s of $K in repair.
“…they will release a little more inventory, like a morphine pump.”
Which ‘they’ are you talking about? It almost sounds as though you buy into all the rumors about some kind of banking sector collusion to manipulate inventory.
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Comment by Albuquerquedan
2012-07-13 06:47:55
You don’t believe? There are no markets these days only governmental interventions.
Comment by oxide
2012-07-13 06:59:03
By “they” I mean everybody who can, p-bear.
It could be underwater FB’s who are current but thinking to list. They can list and yank their own homes whenever they please.
It could be Fannie/Freddie. They can time-release those bulk sales whenever they want.
It could be individual banks. They could allow a short sale to go “under contract” and then refuse the sale (i’ve seen this more than once.)
It could be lying realtors playing games flipping or flopping their own listings, depending on which direction prices are going and whether they are best buds with the FB.
All parties with property are simply listing and delisting their own properties in response to the trend. Since they have the same goal, they all respond to a trend in the same way at roughly the same time. But that does not mean they are colluding. It’s simply the invisible hand.
That’s not how decentralized markets work. I don’t think you can get the kind of coordination you suggest without collusion and coordination from the top.
Comment by Albuquerquedan
2012-07-13 08:20:36
And as you posted earlier about Libor and I saw a similar article: Documents obtained by Reuters earlier on Friday showed that U.S. Treasury Secretary Timothy Geithner pressed the British central bank in June 2008 to make changes to the way that the widely used interest rate benchmark was set.
This is the point, it is at the top, financial repression=war of savers, various government programs with the government making virtually all of the loans, etc. are all designed to allow a slow decline in real prices while maintaining nominal prices until the inventory is worked off.
Comment by polly
2012-07-13 08:33:48
“I don’t think you can get the kind of coordination you suggest without collusion and coordination from the top.”
Garbage. Read the rest of what she wote. Everyone making similar decisions based on the same information isn’t the same as collusion.
Comment by measton
2012-07-13 10:06:06
After reading up on what happened at BOA during the collapse I’m inclined to think there is collusion or rather pressure from central banks.
These are people who have already waited 3-5 years for a recovery….you don’t think they’ll stick to their price when they finally DO list?
What made prices fall are DIFFERENTLY motivated sellers (sellers motivated by speed, not price–banks, and people who bought foreclosures to quickly flip for a buck). The sellers that you talk about are clearly motivated by price, not speed (or they wouldn’t have waited 3-5 years).
‘investors and first timers are thin and volatile cohorts that have been known to up and leave markets in a matter of a month or two leading to a demand collapse’
I’m looking forward to saying “I told you so” when this eventually happens…
I’m partial to “The Dream”. I was a young rock musician in the army, but my horn-playing friends were into other things. One guy in the barracks listened to Sanborn non-stop for a few months and it kind of grew on me. Seemed like every sax player went through their Sanborn phase and their Charlie Parker phase…except my wife who only plays classical sax. Not a lot of gigs for that…
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Comment by Arizona Slim
2012-07-13 16:40:30
I would SO turn out for a classical sax performance, Carl. If your wife ever plays Tucson, I’ll be there with bells on.
Rent minus all the interest, insurance, maintenance and real estate taxes (adjusted for income tax deductions) he didn’t pay by buying. The only “savings” you have while paying a mortgage is the amount that goes to principle.
I don’t know see how floods of houses are to be avoided in the Phoenix area. Whether collusion or not, the reduction in foreclosed inventory is astounding. It may not even be the 66% of loans underwater that matters the most. It is the high percentage of extremely underwater loans. I don’t have complete data, but Phoenix is much like Vegas with the $250-$300K loans on places worth half that or less. Even if the artificially diminished inventory allows the place that would have sold for $80K to sell for $100K, maybe more, that does little for the extremely underwater loans.
Whether processed as short sales or as full-blown trustee sales, those houses will make it onto the pile one way or another. I have had a front-seat view of this stuff for over seven years. A couple relatives ended up in this common scenario, one in 2007 and one 3 weeks ago (Trustee Sale Date). There are folks who do not even want the drama and just leave. I know a couple who moved into a rental house months ago, leaving their exurban Garage Majal before even receiving a Trustee Sale Notice. I wonder how that place and others like it are doing in this blistering heat. It undoubtedly will remain untouched until at least late Fall. I am not saying that I approve of any of these people’s actions, although I am most disappointed in their choosing to take on these ridiculous 2005-2006 era loans at peak bubble prices in the first place.
“Clearly American consumers were not well-protected during the historic housing boom, nor during the ensuing bust.”
WHAT?
American consumers were not well-protected during the ensuing bust?
What do you call Short sales with no tax implications or $18 million for not paying a $1 million cash out refi or 4 years of free living or collecting $50k in rent checks while you don`t pay the mortgage and get a workout on a house you don`t live in or HARP or HAMP or Hardest Hit etc…..
Don’t Bogart That Joint Lyrics Little Feat
Roll another one
Just like the other one
You’ve been holding on to it
And I sure would like a hit
Don’t Bogart that joint my friend
Pass it over to me
Don’t Bogart that joint my friend
Pass it over to me
As Foreclosures Ramp Up, New Roadblocks Ahead
Published: Monday, 9 Jul 2012 | 4:25 PM ET
By: Diana Olick
CNBC Real Estate Reporter
The majority of the 5.5 million properties whose mortgages are either delinquent or already in the foreclosure process will end up on the auction block.
There is a strong argument that the housing market needs to heal itself before it can grow again, no matter how painful that healing process may be. Clearly American consumers were not well-protected during the historic housing boom, nor during the ensuing bust. Laws needed to be changed, and banks needed to be held accountable and punished for fraudulent practices.
I am sorry for posting this entire article but I had to so I could show the 2 Comment(s)
Updated: 7:30 a.m. Friday, July 13, 2012 | Posted: 4:39 p.m. Thursday, July 12, 2012
Lake Worth man in jail, accused of stabbing ex-lover’s boyfriend and his dog
By Cynthia Roldan
Palm Beach Post Staff Writer
A Lake Worth man was in jail Thursday, a day after allegedly stabbing another man and his dog.
Glenn Scott Baker, 60, is being held at the Palm Beach County Jail in lieu of $53,000 bail. He is facing charges of aggravated battery with a deadly weapon and animal cruelty.
Baker was arrested Tuesday after Palm Beach County Sheriff’s deputies were dispatched to the 400 block of K Street at 5:45 p.m. to reports of a stabbing. Arriving deputies found a man bleeding “heavily” from two chest wounds. The man was flown to Delray Medical Center. His name and condition are unknown.
A woman at the residence, identified in the arrest report as the injured man’s girlfriend and Baker’s ex-girlfriend, told deputies that Baker had antagonized her boyfriend. The commotion “excited” the dog, which prompted Baker to say that he was going to “kill this dog,”the report said.
When the boyfriend heard his dog, Rusty, being stabbed in the living room, he grabbed a tire iron to defend himself, the report states. But he was stabbed by Baker instead.
Rusty was checked out by a Palm Beach County Animal Care and Control worker, who determined it had suffered “minor cuts” to its head, shoulder and right paw.
Meanwhile, Baker, who also was flown to Delray Medical, told deputies that he had drank about seven beers before he came home. Baker added that though he and the woman were no longer dating, he still loved her, the report said.
Baker said the reason he stabbed Rusty was because it came at him, according to the report.
2 Comment(s)
Posted by hlinfl at 6:31 p.m. Jul. 12, 2012 Report Abuse
This article is confusing to me….i am dizzy now-must lay down….
Posted by metalisback at 3:47 a.m. Jul. 13, 2012 Report Abuse
Dancing on his nut sack with a pogo stick seems like a fair and just punishment for stabbing the dog.
Arizona Slim’s Radio Alert: I’ll be returning to the airwaves on Tucson’s community radio, KXCI-FM 91.3, at 4:00 a.m. MST tomorrow. Get ready for a two-hour set of meditative and dance-able electronica.
Sunday, July 15 marks the return of Jazz Women! It’s a one-hour special featuring names you know. And names worth getting to know. Tune in at 5:00 p.m. MST.
On Sunday, July 22, I may be on the air again at 5 p.m. That is, if I’m not pre-empted by the KXCI kids’ deejay class show. If my show’s a go, it’s Rock -n- Roll Women!
Thanks for the video links! I bookmarked ‘em for later listening enjoyment.
And let’s see what I can do to raise The Catholic Girls’ profile in Tucson. That is, if the regular host of the Sunday music-by-women show doesn’t kill me first. She has this way of getting very annoyed at my irrepressible sense of humor.
Today the Obama Administration issued a new directive stating that the traditional TANF work requirements can be waived or overridden by a legal device called the section 1115 waiver authority under the Social Security law (42 U.S.C. 1315).
Section 1115 states that “the Secretary may waive compliance with any of the requirements” of specified parts of various laws. But this is not an open-ended authority: Any provision of law that can be waived under section 1115 must be listed in section 1115 itself. The work provisions of the TANF program are contained in section 407 (entitled, appropriately, “mandatory work requirements”). Critically, this section, as well as most other TANF requirements, are deliberately not listed in section 1115; they are not waiveable.
In establishing TANF, Congress deliberately exempted or shielded nearly all of the TANF program from the section 1115 waiver authority. They did not want the law to be rewritten at the whim of Health and Human Services (HHS) bureaucrats. Of the roughly 35 sections of the TANF law, only one is listed as waiveable under section 1115. This is section 402.”
Buying Democrat votes, one welfare check at a time.
Good. The same way that Republicans say “we shouldn’t be raising taxes during a recesson,” we shouldn’t be allowing people to starve either. Maybe if the job creators created some jobs with those tax breaks, we wouldn’t need so much welfare.
Between Turkey’s corporate welfare queens and the run-of-the-mill poor welfare queens, it’s any wonder I have anything left in my check come payday…
FWIW, this is how insurrections begin. It’s not the poor or the wealthy who revolt, but the educated middle class who gets screwed out of their hard work and decides to do something about it other than talk…
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Comment by turkey lurkey
2012-07-13 13:55:40
“Between Turkey’s corporate welfare queens and the run-of-the-mill poor welfare queens, it’s any wonder I have anything left in my check come payday…”
Truer words were never spoken. This is a fact of life for millions of hard working honest people in this nation.
Or Iraqi WMDs. (funny how nobody mentions that anymore, isn’t it?)
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Comment by Dale
2012-07-13 18:01:31
Does anyone find it a little odd that the govt is worried about Syria using gas/chemical and biological weapons and they know that Syria has one of the largest stock piles in the area. A few years ago Hussein was a bigger nut than Assad yet no one could find any WMDs in Iraq.
The Clinton/Gingrich welfare reform act basically said we’ll give you welfare but you have to work or at least try to find work. Obama has now said, don’t worry about that whole work thing. We’ll give you welfare no matter what.
But thanks for playing Who Wants To Be A Strawman?
Buying Democrat votes, one welfare check at a time.
Not just Obama. Recent article in the Boston globe on how the Patrick Administration (MA) recently prevented non-Union contractors from bidding on a major infrastructure project. Union-only labor allowed…
It must be an election year as the favors for votes is coming fast and furious…
But, it’s for the “middle class”… as my taxes go up to pay for inflated labor costs of Union goons on public works projects.
“JP morgan’s london whale’s loss is officially up to $4.4 billion (bbc) or $5.8 billion (news.com.au)”
James Dimon bought a coconut
He bought it for a dime.
Goldman Sachs had another
They paid it for the lime.
They put the lime in the coconut
they drank them both up.
*3
They put the lime in the coconut
they called Bernanke, woke him up, and said
“Bernanke, ain’t there nothing I can take”
I said, “Bernanke, to relieve this belly ache?”
I said, “Bernanke ain’t there nothing I can take”
I said, “Bernanke, to relieve this belly ache?”
Now let me get this straight;
You put the lime in the coconut
You drank them both up
You put the lime in the coconut,
You drank them both up
put the lime in the coconut,
you drank them both up
put the lime in the coconut,
called the Fed Chief, woke him up, and said,
“Bernanke, ain’t there nothing I can take”
I said, Bernanke, to relieve this belly ache?”
I said, Bernanke, ain’t there nothin’ I can take”
I said, Bernanke, to relieve this belly ache?”
You put the lime in the coconut, you drink them both together,
put the lime in the cocount, then you’ll feel better.
Put the lime in the coconut, and drink them both up,
Put the lime in the coconut, and call me in the morning.”
They put the lime in the coconut
they drank them both up.
they put the lime in the coconut
Called Bernanke, woke him up, and said
“Doctor, ain’t there nothing I can take”
I said, “Bernanke, to relieve this belly ache?”
I said, “Bernanke ain’t there nothing I can take”
I said, “Bernanke”
Name:Ben Jones Location:Northern Arizona, United States To donate by mail, or to otherwise contact this blogger, please send emails to: thehousingbubble@gmail.com
PayPal is a secure online payment method which accepts ALL major credit cards.
In truth, the whole Obamacare debate comes down to:
Would you rather pay your dues to the US government, or to the US insurance industry? (Sorry, but it appears that we’re going to have to choose one or the other.)
Using the United States Post Office, and Medicare as templates on the pro-government side, and Blue Cross/Anthem et al on the pro-insurance industry side, I’ll take my chances with a governmental administration of my money any time. (Keep in mind that private fee-for-service medicine and insurance will most likely still be available to those who desire elective procedures and treatments not covered by Obamacare.) And no, NYCdj, breast reductions are not routinely covered by any private or public insurance, and are insanely expensive and out of pocket ($16K+) for those of us who legitimately need them.
As I’ve mentioned several times before on this forum, the newly-mandated interstate “exchanges” are the death knell of the insurance monopoly, and Obamacare will require that corporate entities like Walmart and McDonalds now actually cover their millions of employees’ health care instead of pawning them off on the taxpayers.
Furthermore, requiring that ALL Americans contribute to the national insurance pool will rejigger the actuarial statistics and lower premium costs significantly– as will a standardized coverage and reimbursement schedule. (See insurance exchanges and free-market competition.)
Those of you who insist that “Obamacare taxes will kill you” have either failed to note that 1.) if you legitimately can’t afford the tax, you will be covered by Medicaid, OR, 2.) you’ve not been currently paying your fair share of the cost of our health care system. And yes, you benefit from our health care system whether you ever see a doctor or go to a hospital or not. (Because at some point in your life you have, or will.) and if you’re not insured, you’re sticking the rest of us with cost of treating you when you do need it.)
So,
Why not take a trick from the insurance industry and buy re-insurance to cover what our high-deductible insurance policies won’t cover?
We pay the first, say, $500 out of pocket to Blue Cross, and buy a REINSURANCE policy (at a much lower premium from say, Lloyds of London,) to cover what THAT doesn’t cover.
Then we buy another policy (at proportionately lower premium, say $50) to cover what THAT doesn’t cover. And another to buy what THAT one doesn’t cover, ($5) etc. until we’ve out-deductibled the insurance company’s co-pays and deductibles!
The folks on this forum, for example, could band together to form a reinsurance exchange to inter-insure everyone one on the blog (selectively underwritten, of course,) passing the costs off to derivative reinsurers and thereby saving ourselves a bloody fortune. 30,000 members, three levels of derivative coverage? We could all get top-notch health insurer’s reinsurance (like our Congress does,) for maybe a thou a year out of pocket– and more importantly, come out of it with a personal insurance company that actually addresses our health care needs!
Seriously. This is how the insurance companies do it. (Look at AIG for an upper tier example of how it works.) If Wall Street can do it, why the eff can’t we? The, ahem, “common” people?”
i just watched the documentary “the weather underground” …didn’t know that these revolutionaries broke dr. timothy leary out of jail (busted for a couple of joints)…and he escaped to algeria with eldridge cleaver…
didn’t know chaka khan was a member of the black panthers….and tupac shakur’s parents where members also.
leaders of the black panthers where killed by the fbi while they slept…
Reply to this comment
Comment by ahansen
2012-07-12 23:04:30
We weren’t all passive cretins, angus. Some of us believed in the United States of America back then….
_____________
i wonder if ben would have joined them if he was a bit older back then…
it may have been our last chance to change the system…
“In truth, the whole Obamacare debate comes down to: Would you rather pay your dues to the US government, or to the US insurance industry?”
So in other words, we will enjoy a complete federal government overhaul of the U.S. healthcare insurance system with no loss in the quality of health care services or access thereto?
Color me deeply skeptical…
If everybody agreed that the goals of health insurance were quality medical care and increased access, then YES, we would have that. The mid-levels of government — career employees — are very good at this.
But not everybody agrees on the goals of health insurance. There are some people who agree that the goal of health insurance is to use the pain of the sick to line their pockets. They are undermining the system at the elected levels of government. Fraud and sabotage is why such a system will fail, not flaws in the inherent structure.
A few months ago, I heard Harvard health care economist David Cutler speak at the University of Arizona business school. Toward the end of his talk, he said that the American private health insurance industry was a failure. Why? Because it has not reduced the cost of health care. Nor has it improved the quality of our care.
Farreed Zakaria? had a great health care special on GPS which I think is CNN. Unfortunately I think they charge to watch it again.
Hard to argue the quality of health care has not gone up with the amount of technology that is around today (lasers, MRIs/imaging, laproscopic surgery, molecular medicine, new drugs, etc., etc.). The extended life expectancy pretty much shows that. As for cost, if you die at 65yrs you won’t have to be “treated” (looked after) for years if you get dementia at 80 yrs. I certainly like my chances of surviving a major health issue now than say even fifty years ago. Fifty years from now it will be even better. The newest technologies cost a lot at first but soon become “old” technology available to everyone and health care progresses. Maybe some people don’t have access at first - life/death goes on, but in the long run it gets progressively better. Some of the cost may be related to ridiculous judgements against individual Dr.s and medical companies and the insurance they have to carry.
(Health-care quality has improved with technology) The extended life expectancy pretty much shows that.
True, but let’s not make the mistake of using this as an argument against single-payer or universal healthcare.
(Which I don’t think you were)
Most all modern/western countries with “socialized” medicine have higher life expectancies than high-tech USA’s.
Thanks, Oxide — you pretty much nailed my concerns.
Another false argument, predetermined by the initial assumption:
“In truth, the whole Obamacare debate comes down to: Would you rather pay your dues to the US government, or to the US insurance industry?”
I would rather have a CHOICE with insurance companies if I choose to get “health insurance”, which most of this isn’t. It’s mostly about “medicare care” when health is not maintained.
It is not the job of the government or an insurance company to maintain your health. it is your job.
Obesity is a major problem, leading to all kinds of other problems.
the “poor”, eating at the expense of the taxpayers have an especially high level of obesity.
The TRUTH is that most insurance companies are monopolies in States who have stupid rules at to what the companies MUST cover in the State and put all kinds of limitations on policies issued. We don’t have any competition among insurance companies and the result is a MONOPOLY of insurance providers which has created what monopolies create…unfair competition and price fixing. This, combined with the massive interference of Medicaid/Medicare has created all kinds of massive overruns in costs due to unnecessary testing and procedures that provide the most benefit to “providers”. That’ not Insurance companies, but hospitals and doctors.
The Republican plan, which was completely ignored by Obama and the Democrats in closed door sessions, as they wrote the “heathcare takeover plan”, would have allowed more companies to enter into competition in your State, most of which have a handful of “qualifed” companies, as mandated by State lawmakers. And, yes, the insurance companies have lobbied their legislatures to keep the monopolies. And have succeeded.
I want to go to a doctor and pay for services rendered, without any insurance carriers. This usually means higher prices for individuals due to rate schedules shoved down the pike by gov/insurance monopolies.
There are MANY alternatives to insurance reform and the breakdown of medicare/medicaid which would help make the “system” work better for most Americans, but we wouldn’t want to discuss those, now would we?
NO, it’s either the government or Blue Cross/Blue Shield. Really? How did anyone ever get “medical care” without them?
then segment the Food stamps…add $50 for fresh fruits veggies No high fat foods, and it use it or lose it each month
the “poor”, eating at the expense of the taxpayers have an especially high level of obesity.
I won’t disagree with anything you’ve said here, Dio. My goal is to get the insurance industry out of our public health care system completely and turn medical care back over to ourselves and our doctors.
I agree that other than palliative care, obesity/tobacco/addiction-related illnesses are not something that should be subsidized by the public health system; rather addressed in the broader sense through education and social regulation.
Notice I said “Public” health system– care as it affects the whole. Interpretation of what that might come to mean is where the debate should be centered.
That said, we all use and benefit from America’s health system (it’s universities and facilities, its researchers and outreach, its regulation and compliance controls, etc.) every day. Just as we (arguably) use and profit from its military, its infrastructure, its schools, et al every day.
Obamacare doesn’t get private insurance out of health care. It may be the first step into people seeing that the private companies are in the way of effectively structured insurance and then moving to their elimination from the system someday in the future, but there is nothing in there yet that eliminates private health insurance. It does eliminate some of the most egregious practices - like kicking people who get seriously ill off their policy for a previously undisclosed, minor, unrelated illness. The last media reported example that I remember was a young man who got very ill (leukemia, maybe?) whose policy was cancelled because they found that he didn’t disclose a case of jock itch that had been cured with over the counter fungal cream. How they found out about it, I have no idea, but that was the report.
completely and turn medical care back over to ourselves and our doctors.
You know very well that doctors and hospitals don’t want to deal with patients in collecting payments. Hence the birth of Insurance Industry.
“…Obamacare doesn’t get private insurance out of health care….”
Agreed. As it stands now, it’s actually a give-away to the insurance industry, BUT the provision for creating exchanges will inject interstate competition into the mix, and that gives me hope that we’ll eventually get to a single payer system (with private insurance available for non-covered elective care).
“I agree that other than palliative care, obesity/tobacco/addiction-related illnesses are not something that should be subsidized by the public health system…”
Wouldn’t you have to lump everything in there that involves fault/stupidity on the part of the person needing care and not just cherry pick the PC taboos?
The list of things you can’t do and expect public health care would be very long. Break those rules of the state and it is a death sentence?
And you would also have to prove to me exactly what causes and what cures obesity. I’m going to be a stickler on that.
I will say no more.
I worry that lobbyists will get federal mandates for flakey alt medicine treatments like chiropracty, acupuncture, homeopathy etc. like they’ve done with a bunch of state legislatures.
Insurance companies pay for this quackery now– and our premiums reflect it. Back in the 1970’s Blue Cross actually paid a $35 reimbursement for something called “Absent Healing” in which a Seventh Day Adventist would sit in a room somewhere and “pray” for you.
Insurance companies pay for this quackery now– and our premiums reflect it. Back in the 1970’s Blue Cross actually paid a $35 reimbursement for something called “Absent Healing” in which a Seventh Day Adventist would sit in a room somewhere and “pray” for you.
Why do they pay? It’s not like the CEO doesn’t want to deny and enrich himself.
obesity/tobacco/addiction-related illnesses are not something that should be subsidized by the public health system;
But why not when looked at in the context of the cost of liberty? Is not smoking a form of freedom and does not the USA have a history of subsidizing freedoms? We’ve funded our military through taxes for over 200 years to subsidize the cost of freedom and freedoms that some do not agree with.
When someone uninsured gets his foot shot off while playing with his Constitutionally protected gun, does Smith & Wesson get the hospital bill? No. Is that not subsidizing the cost’s of gun ownership?
Freedom is not free and is subsidized many ways in the USA.
I worry that lobbyists will get federal mandates for flakey alt medicine treatments like chiropracty, acupuncture, homeopathy etc. like they’ve done with a bunch of state legislatures.
That’s something worth worrying about, but you could apply that to every part of government. For example, I worry that, if we have a Department of Defense, lobbyists will convince Congress to purchase military hardware that is overpriced or not actually needed to defend the country. However, I wouldn’t suggest eliminating the Defense Department as a way to address that worry.
“I worry that lobbyists will get federal mandates for flakey alt medicine treatments like chiropracty, acupuncture, homeopathy etc. like they’ve done with a bunch of state legislatures.”
Contemporary, traditionally-accepted, medical treatments (i.e. drugs prescribed by doctors that barely look at a patient or prescribed over the phone) have failed a lot of people I know and some of these “flakey alt medicine treatments” cost less and cure more.
Check out (not literally since most libraries don’t shelve this) this interesting book. http://www.gutandpsychologysyndrome.com/
I wish they had a lobby. Why should pharma and insurance companies be the only ones in the industry with a lobby?
Preach it dizzy!! So called traditional doctors are too often about treating the symptoms of an affliction rather the addressing the cause. Someone who thinks chiropractors etc. are quacks has never had a pinched nerve or bulging disc causing them great pain. The doctor will just prescribe some pain killers, tell you to get some rest and exercise, and push you out the door to move on to the next patient. Or worse yet, recommend an expensive, painful surgery that in most cases will make things worse later on. I’ve seen it happen more times than I can count.
“I would rather have a CHOICE with insurance companies if I choose to get “health insurance”, which most of this isn’t. It’s mostly about “medicare care” when health is not maintained.
It is not the job of the government or an insurance company to maintain your health. it is your job.”
AMEN.
Insurance is just that, insurance. Yet somewhere along the lines the masses were convinced that insurance meant free checkups, free flu shots, free birth control, free everything.
I’ve made this analogy to auto insurance before… GEICO pays your bills if you get in an accident. They don’t pay each time you get an oil change. Yet for some reason people expect BlueCross to pay for the equivalent of an oil change.
I have a very high deductible plan for the family. The deductible is $20K. The monthly premium is $200 for the whole family. It’s tax deductible since I am self employed so the net cost is about $150/month for 4 people. It’s as bare bones as it gets. Doesn’t cover anything other than state mandate services like kids well check ups and few other things. But nothing else. Which is fine by me. The family is healthy, we seldom see a doctor and when we do we pay for the service. In general, I’d say including the insurance premium, we pay $4000 a year on health care for the whole family. Plus it has an HSA component, so any out of pocket costs are also tax deductible and not subject to the 7.5% AGI rule. In effect I pay for my health care as I needed and have insurance if something horrible were to happen that would require the kind of care that costs $100K or $1M. That is what insurance is for. Not to pay for every dr’s office visit when I have the sniffles.
With Obamacare, this plan will no longer be available and I will be forced to pay more to have a lower deductible plan which I neither want or need. It won’t do anything to lower costs for me or improve my access to health care. Only thing it will do is make me pay more money to insurance companies.
Oh, Smithers….
Wait until (heavens forfend) one (or more) of your family develops a serious chronic illness or suffers a catastrophic injury and then get back to me on how that 20K/year/person deductible is going for you, kay?
Wait until (heavens forfend) one (or more) of your family develops a serious chronic illness or suffers a catastrophic injury and then get back to me on how that 20K/year/person deductible is going for you, kay?
You seem not to understand the purpose of Insurance or the meaning of insuring. I am sure Smitty knows about that and has plans. Sure the Insurance company can deny some coverage, so can the government I suppose. Then again if it’s a serious chronic illness, does a family ever come out of physical, mental and financial exhaustion whether the insurance covers it or the government covers it. I am sure there’s gonna be quite a financial cost to a family even in government system.
Yet somewhere along the lines the masses were convinced that insurance meant free checkups, free flu shots, free birth control,…
I know. It’s crazy. It’s like they spoke with someone who got all those “free” things in Canada and France and now expect it in America.
Canada spends about $3,900 per person per year on health-care while the USA spends almost $8,000. That’s why Canada gets “free” checkups and we don’t. Because Canada insures everyone while the USA does not come close. Does this make more sense now?
The only reason the Americans accepted the Insurance Health care system was because originally the Employer ‘
paid most the costs ,and the costs were pretty low to begin with . Originally we didn’t have this long term drugs health care system to the degree it evolved into . I don’t see how this current insurance system has reduced costs ,as most insurance systems do by spreading out the costs .
Add to this the cash cow of when Medicare came in and it just set the stage for the development of a medical system
that makes the Pharma Industry one of the biggest industries in the World,with profit margins that are off the chart .
I see it all the time in the 55 and older tract I live in . The seniors on a bunch of Pharma drugs get to the breakdown point ,they end up in and out of the hospitals with expensive break downs of body systems medical care ,and some die and some live a little longer . The ones that are
healthy at advanced age are the ones that aren’t on Pharma drugs who eat a decent diet and exercise . Now this is just a 10 years observation in my little world were I live . The ones on anti-depression drugs really check out early .
But my point is how are the people going to afford what this Health Care Industry is demanding ,for what I would call questionable health care that isn’t designed to really cure diseases.
“Wait until (heavens forfend) one (or more) of your family develops a serious chronic illness or suffers a catastrophic injury and then get back to me on how that 20K/year/person deductible is going for you, kay?”
$20K/family. $7500/per person. And yes, I’d be fine with it if the alternative is pay $1000/month for a policy with a $500 deductible.
“Canada spends about $3,900 per person per year on health-care while the USA spends almost $8,000. That’s why Canada gets “free” checkups and we don’t. Because Canada insures everyone while the USA does not come close. Does this make more sense now?”
And that’s why Canada has a 6 month wait for routine surgery that can have performed tomorrow if I choose. Does this make more sense now? But hey what’s 6 months of waiting in pain…it’s all good since it’s FREEEEEEE!!
So who’s stopping them from paying top dollar to a private physician to perform that surgery on a more convenient time schedule? Were it for a life-threatening condition, they’d be triaged to the front of the line in Canada. If not, they get to wait their turn. Pretty much like we do here for non-emergency surgeries.
But then, if you’d actually had any experience in these matters, you’d know that.
“$20K/family. $7500/per person. And yes, I’d be fine with it if the alternative is pay $1000/month for a policy with a $500 deductible.”
Since your against Obamacare, when the exchanges open up and offer you a policy to pay $400 a month for a policy with a $500 deductible…or better…you won’t be jumping on that, right?
“free checkups, free flu shots, free birth control, free everything……. I’ve made this analogy to auto insurance before… GEICO pays your bills if you get in an accident. They don’t pay each time you get an oil change. Yet for some reason people expect BlueCross to pay for the equivalent of an oil change.”
OK, an oil change is the preventative medicine. But Geico has no financial interest in paying for our oil change. When we get in an accident, it likely has nothing to do with an oil change. The health insurance companies, however, have a vested interest in our bodies’ oil changes–if we take care of ourselves, they’re less likely to be paying out big-time when we get really sick. And they are then likely to make more money collecting insurance from the healthy.
So in other words, we will enjoy a complete federal government overhaul of the U.S. healthcare insurance system with no loss in the quality of health care services or access thereto?
Color me deeply skeptical…
Assuming that you have private insurance now, you’ll get to experience a personal overhaul when you turn 65. My father worked at a big company and had good employer-provided insurance. Now that he’s retired, Medicare (aka the government) pays for his health care. I haven’t heard any complaints from him about any sudden drastic reduction in quality or access.
That overhaul will have to reassess some of our current policies and priorities. No doubt some sacred cows will get the axe.
And yes, standardizing reimbursement and billing codes will save US a buttload.
ahansen
I posted a reply to your kind words in yesterdays Bits Bucket.
ahansen,
Just try pitching a fit if the US Bureaucrat in charge of your case rules that your medical problem doesn’t deserve attention. Or,
Your cancer isn’t bad enough and/or because you’re a smoker you deserve the cancer but not the medical care.
Just imaging sitting in a room (similar to the Dept of Motor Veh) with 100’s of other people, waiting, with the bureaucrats having a break in full view of the crowd.
Did you know that the government would rather you have your prostrate checked via the old fashioned way, rather than a simple drug test that is 100% reliable? (sorry I don’t know if it means anything to you but it definitely bothers me!)
IMO that’s where the Unaffordable Health Care Bill in taking us.
“That’s the trouble with universal government programs. You start out with a simple concept, like universal health insurance, and you end up screwing the majority to serve the favored few. Some people get a special deal because they are helpless victims, others because they are powerful special interests. Pretty soon everyone is gaming the system.”
Read more: http://www.americanthinker.com/2012/07/hard_days_ahead_for_obamacare.html#ixzz20VepRGED
Dear Lip,
Have you dealt with a health insurance company lately?
Yes, I have two kids and an ex wife.
I have a friend whose wife came down with cancer a few years back. Her Dr said it wasn’t a big deal and told her to come back in 3 months. Well, they pitched a fit, he looked into it more and then decided to do the surgery. So far she’s doing fine.
Now how would a bureaucrat react to this same person pitching a fit? My guess is they’d call the police.
I know all insurance cos aren’t the best, but the government will do whatever they want to do. Once we give them the right to decide, the never give it back.
“Now how would a bureaucrat react to this same person pitching a fit?”
Possibly the same way the TSA reacts when you object to them groping you at the airport? Nothing worse than a government employee with a power complex and the full weight of the government behind them.
It is amusing how some people here and elsewhere go ape s**t at the mere mention of TSA or the Federal Reserve ….yet want the govt to control every aspect of their health care.
Curious, isn’t it how the “bureaucrats” at Medicare seem to manage patient satisfaction quite nicely. In fact Medicare patients report a far-higher doctor satisfaction than do private insured.
While I’ve not a clue as to your ex wife’s diagnosis, I’m guessing it was likely a benign or slow-growing lesion or tumor of some sort which merited watchful waiting. The administrator probably told the doc to go ahead and take it off/out (unnecessarily) to collect the additional billing, not because it was medically indicated. Practices like this (as Dio mentioned above) are why our premiums and costs are inflated beyond sustainability.
and doctors just love their Medicare patients, don’t they?
Even with Medicare however, people buy supplemental insurance because Medicare doesn’t cover it all.
That’s the fallacy with the “choice” between single payer or private insurance.
Take the UK for an example. People have government sponsored healthcare, but it isn’t good enough (fast enough, etc.), so people ALSO have private insurance.
In the US, if Medicare is any guide (with people buying supplemental), that is where we would end up in the US.
There is no provision in the Affordable Care Act to turn all doctors into bureaucrats.
On the other hand, we do have a health care system in which the hospitals are owned by the government and the doctors and nurses are federal employees. It’s called the Veterans Administration and it delivers quality health care with even less waste and bureaucracy than Medicare, which in turn has less waste and bureaucracy than the insurance companies.
Practices like this (as Dio mentioned above) are why our premiums and costs are inflated beyond sustainability.
Have to disagree with you on this. The reason costs are out of control are the following:
1. A preference for treating the symptoms (via drugs) of medical problems vs treating the causes (lifestyle, eating habits, etc). Call this the “profit motive” for the industry as well as the “lazy American” effect.
2. Increased demands from an aging population (boomers) as well as an increasing population (illegals/minorities) with generally poor health (again, lifestyle)
3. Emergency room care for all, regardless of ability to pay or whether covered by insurance
4. Illegal immigration (see 2 and 3 above)
5. A lack of tort reform
Fix the above and costs come down. This crap about increasing the insurance pool to reduce costs and price-fixing for services is exactly that, crap. Increase demand for a limited supply of product and you increase price, economics 101. All cost-fixing does is create supply constraints. Doctors will go out of business rather than lose money on cost-fixing. Overall quality of care will decrease, not increase through this. Do you honestly think medical schools will lower tuition because doctors make less money? Do you honestly think the best and brightest will flock to become doctors because prices are fixed at a level that doesn’t allow doctors to make money? Learn from the ’70’s people…
Having said that, the few good things Obamacare does is open competition with the exchanges and prevent insurance companies from dropping people who make claims… but the mandate is still crap. Americans forced to buy a product from a private company or pay a tax? Come on!
Is health care a right or a privilege? If it is a right, a government take over of the industry is warranted. If it isn’t, then stop with the fascist crap… it’s about as Un-American as you can get.
It’s called the Veterans Administration and it delivers quality health care with even less waste and bureaucracy than Medicare, which in turn has less waste and bureaucracy than the insurance companies.
Ask all the vets coming back from the sandbox how the VA is treating them. Many have PTSD, among other issues. Most are going un-diagnosed…
It’s called cost-containment at the expense of the afflicted. Yes, even the government-run system has problems.
Veterans fight to keep ptsd diagnosis
Rental Watch,
Medicare supplemental policies cover the 20% co-pays. They generally aren’t for additional services. My mother was trying to convince me that standard blood work tests didn’t have co-pays because it has been so long since she paid one. I kept telling her she didn’t have co-pays because of her supplemental insurance on top of Medicare and that I would have to pay co-pays. I still don’t think she believes me.
NE–
You know, I listened to these same arguments back when Medicare was first being suggested in the early 1960’s. Doctors will choose to go out of business rather than accept socialized medicine! Government bureaucrats will come between you and your doctor! Quality of care will be compromised!
Except we had a public health service then and doctors DID accept a salary rather than a fee-for-service. Not all of them certainly, but the ones who worked for the public health service did. And they still somehow managed to eke out a decent living. Today many doctors work for HMO’s and giant corporations– and they, too, manage to get by.
No one is saying that private practice dox should have to accept fixed rates for non-standard outcomes– the human body doesn’t work that way. But there’s no reason why reading a normal chest x-ray should reimburse at $95 in one facility and $5 in another. Or why a flu shot should cost $99 at one office and $15 at another. Or why a physician should have to bill $80,000 to collect $10,000 for a surgery. (Well, there ARE reasons, some of which you noted above, but the main one is that middlemen have inserted themselves at every step along the road to Wellville– and that Americans are by and large undisciplined slobs in their health habits and profligate in their expectations.)
The whole IDEA of Medicare was to move away from what was referred to as “two-tiered medicine”. (One standard of care for private payers and another for clinic patients.) What I’m saying is that maybe it’s time we consider returning to that two-tiered system.
Thanks for that Polly.
A drug test for prostate cancer? Do you mean a blood test? The PSA test is not even close to 100% reliable. The guy who developed it is horrified that it is being used for that purpose.
The only reliable way to check for prostate cancer is a prostate biopsy, and even that can be inaccurate if the cancer cells are localized to an area that isn’t biopsied or if the slides are read wrong.
Polly,
Yes, that is what I meant.
My Dr gave me a test that he said was much more reliable than the normal method. Call me crazy, but I trust him a lot more than I trust the government.
Call me crazy, but I trust (my doctor) a lot more than I trust the government. who regulates him.
Your doctor did the PSA test because it is a procedure and they get paid more for a procedure. Also, he may own shares in the testing facility.
Again, there is NO accurate test for prostate cancer other than a biopsy and even that can be wrong in the circumstances I offered above.
The other option is a finger up the butt and that doesn’t detect cancer. It can detect an enlarged prostate. They don’t get paid extra for sticking a finger up your butt.
Call me crazy but thinking Doctors are the way they use to be would be the same as thinking stock brokers are the same as they were prior to deregulation of the financial markets. The Pharma industry are in the Medical schools now making sure that the Pharma created ‘Standard of Care ” ,is taught .
The way you describe it takes all the romance out of it.
Of course Lip this has never happened with Medicare and is very common with private insurance.
They drop people or small companies all the time when people get sick. They deny treatment all the time. They cap payouts in a way that patients don’t understand. They delay paying doctors or reimbursing patients.
Seriously who would you rather make a decision about a treatment you get. The gov which has open books and no profit motive or an private insurance company with a ceo that expects to make 100,000,000 dollars this year, and makes sure his workers understand this.
Govnmt, “open books????”
LOL, that is just outrageous, they can’t even find the books!!!
en.wikipedia.org/wiki/Freedom_of_information_in_the_United_States
You didn’t answer the question.
Also tell us about all the information you can get information from United Health and if they are bound to supply information when you request it.
Measton,
When is the last time the US Govmnt had an audit of their books? It would be impossible I think.
I am not here to suggest that all insurance companies are worth their insurance policies. “IF” the government would get out of the way, competition between insurers would provide us with the ability to choose. Choose different policies, different deductibles (a way to self insure), different types of coverages for different types of illnesses, etc.
Now we are going to be told that “all” policies will cover all of these things. Then the Unaffordability Healthcare Bill tells insurance companies that they have to provide all of these coverages but they aren’t allowed to charge for all of the exposure. Therefore:
The Unaffordability Healthcare Bill is designed to push all private insurers out of business, so you will get your choice if BHO is re-elected. But thankfully, his chances are much poorer than the current polls would suggest.
Peace, have a nice weekend.
“Seriously who would you rather make a decision about a treatment you get. The gov which has open books and no profit motive or an private insurance company with a ceo that expects to make 100,000,000 dollars this year, and makes sure his workers understand this.”
Yes indeed let’s let the people who run Medicare (trillions in debt), SS (even more trillions in debt), USPS (hundreds of billions in debt), Amtrak (God only knows how much in debt) and the military ($1500 hammers and $26/gallon bio-diesel) run the entire health care system. Because nothing spells efficient process like US GOVERNMENT.
Just try pitching a fit if the
US BureaucratBlue Cross BeanCounter in charge of your case rules that your medical problem doesn’t deserve attention.It happens a thousand times a day but it’s OK because the “producers” are making a big profit on it. And as we’ve all been told, profit is all that matters when it comes to life and death health-care in the USA.
profit is all that matters when it comes to life and death health-care in the USA.
Is healthcare a right or a privilege? If it’s a privilege, then profit is understood by the private companies that offer insurance and the doctors who provide services… or should we just embrace Communism because “for profit” healthcare is “evil”?
Oh, wait, Communism as an economic and political system has proven a failure, everywhere. Remove the profit motive and you have Communism. A. Failed. Political. Economic. System.
Remove the profit motive and you have Communism.
So all charities and churches are communist?
And soldiers, don’t forget us.
or should we just embrace Communism because “for profit” healthcare is “evil”?
Can’t you fit in anymore buzzwords than 2 there?
My observation is that the health Insurance Companies keep
getting the Doctors to give drugs ,than another drug to address the side effects you end up getting from the original drug .Than finally the person ends up in emergency care
when the drugs designed to mask symptoms ,but never cure the underlying disease ,cause so much damage there is a
organ break down .
It’s kinda what happens with a eventual home foreclosure .
Come on ,does anyone here think they are deficient in a unnatural chemical base drug that you would have to take it everyday like food .
Yes, some people need medication to keep them healthy. And they need it every day. Would they be healthier if they didn’t need it? Yes. That doesn’t mean they don’t need it. Can drugs have side effects? You bet. That doesn’t mean the side effects are worse than the person would be without it.
Does any of this mean we should take as much of it as we can when we don’t really need it? No, of course not.
Polly , maybe if your given a pill that immediately takes away any other options you might of had ,such as changing your lifestyle ,you stay with the conventional medical
approach ,which encourages a quick fix ,because you don’t know any better .
Last I checked there wasn’t an effective lifestyle treatment for cancer, or a broken leg. Although I suppose a sedentary lifestyle would reduce the risk of a broken leg.
Never would suggest that cancer shouldn’t be treated . But ,lifestyle could be highly contributory to the development of cancer to begin with ,along with environment toxins ,possible diet ,and some doctors think that stress can cause cancer and other diseases .
Never would suggest that a broken bone shouldn’t be treated , thats considered a accident and should be treated .
Just try pitching a fit if the… Blue Cross BeanCounter in charge of your case rules that your medical problem doesn’t deserve attention.
It happens a thousand times a day
Exactly. Anyone who thinks that the government will refuse to cover some medical procedures, but a private company will not, either has zero knowledge about health insurance, or is a propagandist. Private companies do it all the time, right now.
… but at least with health care in private hands you could go elsewhere even if it costs you more. At least you could get it done if you decided it was worth the cost. What happens when the govt. is the only game in town? Surely there is some advantage to having many competing options.
I guess there is always medical tourism. Lots of good surgeons in India that have been trained in the US.
but at least with health care in private hands you could go elsewhere even if it costs you more
Is such a thing forbidden under Obamacare?
The problem here is that medical care is typically an urgency, not a luxury, other than routine checkups.
If you’re lying on the side of the road with shattered bones, you get taken to the ER and they get to work. No shopping.
If you get a diagnosis of something serious, you look to your doctor to hook you up with the specialists. No internet research, picking doctors at random, spending days trying to figure out which one is better.
That’s the nature of the beast.
Differential shopping for medical care, because of its urgency and complexity, is a wildly different beast than shopping for the cheapest can of baked beans or box of cereal.
“Just try pitching a fit if the US Bureaucrat Blue Cross BeanCounter in charge of your case rules that your medical problem doesn’t deserve attention.
It happens a thousand times a day but it’s OK because the “producers” are making a big profit on it. And as we’ve all been told, profit is all that matters when it comes to life and death health-care in the USA.”
DOWN WITH PROFITS!!
DOWN WITH CAPITALISM!!
ALL HAIL COLLECTIVISM!
Hey didn’t we try this stupidity for 70 odd years already?
DOWN WITH PROFITS!!
DOWN WITH CAPITALISM!!
ALL HAIL COLLECTIVISM!
You’re the strawman king today.
Lots of insurance companies cover them…or there wouldn’t be so so many doctors making a great living at it….just browse google and 90% just don’t need them…its just a cash generation machine..and its politically correct…don’t want to mess there.
And no, NYCdj, breast reductions are not routinely covered by any private or public insurance, and are insanely expensive and out of pocket ($16K+) for those of us who legitimately need them.
Once again you demonstrate that don’t know what you’re talking about dj. Just because an advertisement says that a procedure will be covered by “your insurance” doesn’t make it so. In fact, very few MD’s are qualified to do reduction mammoplasty, and insurers rarely cover it even partially, let alone fully, unless there is a demonstrable medically-indicated need for the procedure. And their interpretation of “demonstrable” is highly subjective.
That said, it’s not the sort of surgery someone has for cosmetic reasons, and it’s a long and painful recovery.
That said, it’s not the sort of surgery someone has for cosmetic reasons, and it’s a long and painful recovery.
A neighbor had that surgery last year. It was done to reduce her (substantial) cancer risk.
And roger on the long and painful recovery. That’s exactly what she experienced.
Demonstrably false, whoever was addressing aNYCdj. My 67 year old aunt in NY was given a breast reduction through Medicare, after they found a pre-cancerous lump.
I think it’s interesting that you used Anthem as a comparative example. When people cry about the lower compensation doctors will receive under Obamacare, I think of when I live in Cincinnati in 2000 and Anthem was in the news for conducting an analysis of how study of how little they could get away paying doctors while still retaining them. At the same time you were reading about shortages of doctors in the critical care, ED, etc. of local hospitals.
But on the other hand, in my opinion, the health care system is so broken that Obamacare is just a bandaid on the whole system. Even the notion of insurance is misleading. As you referenced, we will all need health care at one point in our lives, and most of us will require some significant care, whether a broken bone, child delivery, heart attack, etc. The concept of insurance is to lump everyone into a pool in the expectation that only a tiny fraction will ever require some payout. Health care, on the other hand, will require some payout to the vast majority of participants. This is not insurance, per se, but a fundamental service provided by some entity, be it private or public. And we can see the downward spiral in privately–managed health care, so something must be done (although I am not enamored by this current plan).
So even the discussion of mandated “insurance” shows the fundamental flaws in our logic.
Buying insurance on your insurance defeats the whole purpose.
At that point, you’re better off saving the money.
The reason insurance companies can do this is because they’re overcharging us.
(BTW, at first I thought I was reading an article from the Onion :lol;)
Was only partially tongue-in-cheek, turkey. Insurance companies (including health insurers) ALL reinsure their risk. As do THEIR reinsurers– hence the AIG bailout. This is how individual companies avoid being wiped out and unable to pay claims in the event of catastrophe.
Some enterprising venture might do well to capitalize on this dynamic on behalf of the the consumer rather than the insurer. Hey, it worked for Wall Street….
I hear ya. Industry re-insurance is big business.
Little known facts: http://en.wikipedia.org/wiki/History_of_insurance
I hear ya. Industry re-insurance is big business.
Little known facts: http://en.wikipedia.org/wiki/History_of_insurance
But re-insurance led to the creation of derivatives, which, combined with CDOs and fraudulently rated securities of all types, caused the recent recession when the bottom fell out of the RE industry. And THAT was caused by being able to make fraudulent loans for the sole purposes of fee generations and then CDO bundling.
But, as we now see, the entire financial industry is nothing BUT fraud. The above was the “spark,” so to speak, that blew it all up.
“In truth, the whole Obamacare debate comes down to:
Would you rather pay your dues to the US government, or to the US insurance industry? ”
Sorry, but this is not the truth. The truth is you STILL get your medical insurance from nobody BUT the insurance industry. The new regs do not change that. They only create a high risk for those who cannot afford insurance, made up of… wait for it… private companies.
“…high risk pool…”
Take away the Private Insurance Companies ,and have a single pay system that is Government run and we will save
about 15% or more off health care costs . This will also eliminate price fixing to the up side by Insurance Companies /providers ,and maybe the Goverment can be the price fixing entity who would price fix to the down side .Or only allow a 5% profit margin for private insurance companies if you really want then to collect the money . For profit health care seems to be impossible to have anything but greed and fraud and profiteering ,rather than honest health care .
Regarding getting inferior care if the system was government run , people could purchase supplement insurance .
But ,my real contention is that actually the less you engage in
Western Medicine and Pharma drugs its more likely you will have better health . Some sources list the current Medical system as the 4th cause of preventable death a year in the United States ,some rate it now as the number one cause of preventable deaths ( some estimates at 700k a year ) Proven fact that when Doctors go on strike in varies Countries the death rate goes down dramatically .
Without knocking any good medicine or any life saving medicine,or emergency medicine that does exist , the rest is more like “Engage in this at your own risk ,because the side effects are the price you pay .”
What is really alarming is the greater diseases and surgery that will be required for the damage done by long term use of Pharma drugs ,especially for the pill popping Baby Boomers .
So ,one of the first things that needs to be done is a release of liability to health care providers for all damage done for the last 50 years . Than you can clean up the system by
actually having a system that refuses to give drugs that creates greater damage and health costs down the road ,where drugs aren’t actually regulated and tested for their
real dangers and effectivness . We simply can’t afford this type of death causing ,profit moviated ,chemical based health care ,just so Pharma Business and Doctors make a big profit pushing it .
Than you put some bucks into preventive care ,
Perhaps you can overhaul the system in which only emergency care or basic care is provided by a single payer Government taxed payed system and everything else is Insurance provided ( all the elective medical stuff ) .
But I really don’t know how the Health Industry is going to be able to take this much of the monthy income of the average American ,or take less but give a shitty policy that doesn’t cover anything . That’s the problem with price fixing monopolies ,or price fixing insurance monopolies ,your health comes second .
Greenspans says that we will run out of ability to pay full pop on SSI by the year 2030 . That isn’t very many years away actually . What will the state of the Health care system be at by that time ? We really can’t afford to not overhaul the health care system correctly NOW ,or another 20 years will go by with massive profit taking by to few hands , while the health care gets worse for Americans . Some reports state that 50% of the population have diseases now . That tells me something is wrong with the food supply ,the environment ,
and the lifestyles of the folks , lack of effectiveness of chemical based Pharma drug ,and maybe stress in general
is creating a lot of disease now .
Would people really take these Pharma and anti-depression drugs if they really knew what the short term or long term side effects are,or what the true risk of death was ,or how many years they take off your lifespan ?
Nobody was really happy with the Health Care Bill .
It use to be that everybody was working for the weekend .Now its everybody is working to support the health care industry .Much like we are working to support the corrupt financial systems and one percenters.
Some reports state that 50% of the population have diseases now . That tells me something is wrong with the food supply ,the environment ,
and the lifestyles of the folks , lack of effectiveness of chemical based Pharma drug ,and maybe stress in general
is creating a lot of disease now .
I suggest your sources are a bunch of government-take-over left-wing lunatics, with an axe to grind against any form of free enterprise.
We’ve come a long way from “limited government” under the Federalist idea, but I think you may have gone over the edge.
You have NO basis for saying we will save 15% or 20% or whatever basis bureaucrats devise with their “models”.
Here is a simple rule of LIFE: You can’t change x without effecting y or z. Every stinking time.
When you make “healthcare” free or so cheap that it’s free, DEMAND will increase.
If everyone is paying “something” they will feel entitled to MORE service, for less money. they will line up at the doctor’s office like cowboys at a rodeo, all wanting in on the new game in town.
You are correct. The costs are out of control and most of the increasing costs have been due to government regulations and intervention. FRAUD is especially rampant in government because they have no interest in cost-control. The FRAUD in the system should have been the highest priority of “Fixing” the problems. That wouldn’t expand government much, so no, we won’t worry about that.
TORT lawyers have a good time with private insurance companies.
It’s the so-called “justice” when they refuse to pay for things they probably shouldn’t have to pay for anyway, but spare us the court costs.
Will we be able to sue the government Board or Agent that refuses services? HUmmmm??? Maybe not.
IF we can, then who pays? Oh, the government? so, will costs increase, or will Tort lawyers run out of business?
Government NEVER does anything better than private companies…..at least at the same cost. You can always do better for MORE money. But we are talking about REDUCING costs. How’s that work? Oh, no profit. That’s the problem. Spend what would be a profit on something else.
Yea, that’ll work just fine. Let’s see who gets prosecuted for skimming the system.
Wiz,
Interesting how those of us with most extensive experience in the medical insurance industry are the ones screaming loudest for a single payer system.
I’ve not only worked in it from a medical malpractice POV, I’ve been subjected to it as a catastrophic patient and as the member of a medical family. Whether the board of review is commissioned by the government or the insurance industry is immaterial, the decisions as to what will and will not be covered and why will be made by physicians and public health officials.
The only reason for single-payer, is across-the-board consolidation to cut down on fraud and inefficiency. The rest is just politics and special interest spin.
Some of the information was taken from the FDA websites ,
so I guess the left or right wing nut jobs must be influencing Government regulatory data .
But it seems like the big question is “Who is going to pay”,and just how fair is it going to be ,or who is really going to end up footing the bill . No doubt ,based on what has been going on lately in terms of policy and laws/taxes ,the
decreasing middle class /upper middle class will pay and
the poor won’t and the 20 percenters will make the profit off the system .
Ahansen…Yesterday you said you burned through both insurance & assets…Was that due to the lifetime CAP or that they would not cover you ??
50% have diseases.
And millions don’t care and would deny them treatment while claiming government interference, incompetence and tyranny for trying to help those people.
But yes, there is also a lot of poor lifestyle choices. Our culture seems to CREATE a lot of mental illness. Maybe it’s the 24/7 advertising propaganda of want, want, want? Naw, couldn’t be.
Some reports state that 50% of the population have diseases now . That tells me something is wrong with the food supply ,the environment ,
and the lifestyles of the folks , lack of effectiveness of chemical based Pharma drug ,and maybe stress in general
is creating a lot of disease now .
Or we’ve managed to keep a bunch of diseased people alive that would otherwise be dead.
SCdave,
I’ve maintained a private-payer insurance policy for 30+ years, (still have it, actually) but what they deemed “reasonable and customary” and “medically-indicated” differed substantially with what my physicians and I felt. Moreover, my policy has exclusions for ophthalmic, dental, and cosmetic procedures (and drugs) which were pretty much the only things I needed.
Bottom line is they fudged and weaseled, postposed and obfuscated, denied and challenged as critical time factors and protocols were allowed to run out. I have a high-deductible policy which resets every year whether or not I’m in the middle of a protocol or not, so that, combined with all the denials of service and co-pays knocked my $2,500 deductible up to about 15K a year before they kicked in for a maximum of 70% of billing.
My reconstruction was a multi-year project with several surgeries and procedures approaching 100K apiece. Even fully “covered” $100K a year in expenses comes to $30K– and that’s after all the deductibles have been satisfied. Then there are all the procedures and associated expenses (travel, multi-month lodging, private nursing, supplies and meds) that they didn’t cover at all.
At the same time the economy was tanking and all this was going on, I had a kid in college and an ex-husband in psychiatric in-patient. Let’s just say that I went through my retirement funds pretty quickly.
“Some reports state that 50% of the population have diseases now .”
I am guessing that would be closer to 100%. From the day you are born you start to die.
“Sorry, but this is not the truth. The truth is you STILL get your medical insurance from nobody BUT the insurance industry. The new regs do not change that. They only create a high risk for those who cannot afford insurance, made up of… wait for it… private companies.”
Insurance companies will be nothing more than 3rd party processing centers for the govt. There are so many rules and regulations in Obamacare that in effect insurance companies will be indistinguishable from each other. They all have to offer the exact same plan with the same co-pays (or lack thereof), same deductibles, and charge everyone the same amount….all rules and regs created by and enforced by the govt.
The only choice you as a consumer will have is which company you want to pay for your coverage. But you will have zero choice in what type of plan you have.
In effect it will be govt run health care with the administration outsourced to private entities called “insurance” companies. But insurance will have nothing to do with anything anymore. Forcing an “insurance” company to issue a policy to anyone, regardless of risk, ceases to be insurance.
“The only choice you as a consumer will have is which company you want to pay for your coverage. But you will have zero choice in what type of plan you have.”
Would you like a Chevy or a GM? You can have any color you like as long as it is blue.
What is going to prevent the insurance exchanges from price fixing ? A paltry 10% discount for fake competition isn’t going to do it for a lot of people .
The exchange, although operated by the insurance industry, will be paid by the government through subsidies for those people who can’t afford full rates. Price caps also go into effect in 2 years.
Ask those folks who are in jail for Medicare and Medicaid fraud how that worked for them.
Ok ,turkey ,turkey ,why not a examination of the medical system itself ,why the high costs, ect, ,how valid are the pharma drugs , before we try to figure out the way to fund this system that operates at a 50% higher cost than other Countries .
I’m all for a single pay system as long as the corruption is weeded out , and we take a re-look at the Pharma business
at the Pharma business .
Couple big breaking stories lately of Big Pharma getting busted for bribery ,watering down vaccines , false reports on tests on drugs ,
And since they don’t test the drugs for 40 or 50 years to actually know the long term side affects these days ,I guess your going back their arrogant and self serving claims of effectiveness . But just wait about 7 years and almost every new drug gets the classic Lawyer ad about if you used this or that drug contact this lawfirm .
“3/4’s of the stuff you did has no effect on your credit score at all.”
Polly, if you would be so kind, could you perhaps share with me, say, three simple things I can do to make my credit score high? I used to hover around 825, but I never even gave it a second thought.
I suppose if I wait 4-5 years, I have a shot at being a cash buyer.
The obvious is no late pays, 30, 60, 90 days late or collections. Percent utilization is a big factor, keep balances of all available credit lines below 10%. Age of accounts helps, having existing credit lines 10+ years. Keep number of “hard” inquiries low, hard meaning inquiries resulting from credit applications, a “soft” inquiry for employment screening or buying insurance doesn’t affect this.
Regarding the latter, my car insurance co lists credit factors affecting policy rates, among them, mix of types of credit, specifically that not having a mortgage has a negative impact. This is a scam, the squad has no late pays or collections, car loan (paid off), student loans paid on time, minimal hard inquiries.
Working for TARP bank several years ago in indirect auto lending, the squad can’t recall ever seeing a 800+ score on someone who did not have an existing or paid off mortgage loan…
There are websites that are far better at that, than I would be, though you have to be careful of where the information comes from. However, fully 1/3 of your score (I think) comes from you ratio of available credit to used credit, and I think the absolute amount matters some too. So you have to have credit cards, and you want a moderately high limit on them, and then you want to have no balance. I have two credit lines (one has both a Mastercard and a Visa on it). The total credit available to me is a little over a third of my salary. The cards typically have less than $200 on them at the end of the billing cycle. Every once in a while it is more than that (if I just purchased vacation tickets), but it gets paid off right away. You don’t have to leave it on the card for a few months. You don’t have to have cards that charge fees. FICO doesn’t measure whether you are a profit generating credit card customer (you are anyway because they collect a fee on every purchase you make). It measures whether you are likely to pay off any debt you take on. Having substantial credit available to you and not using it much is an indicator that you are a good risk for lending because you don’t really NEED the credit.
A lot of the rest is paying things scrupulously on time and that means so the company has time to cash it before the due date. You don’t know if their internal controls are such that the part that reports to the credit agencies is tied in to the check arriving or the account actually being paid. On-line direct bill pay can help with this, but I don’t recommend letting it happen automatically. I tell my bank when and what to pay. I don’t let the company tell my bank what to pay them - too risky if they have made a mistake.
You also should look at your report. See what is on there. Do you have a lot of monthly payments (like insurance) that aren’t being reported? Can you call the companies and find out why they don’t report? I doubt they would do it based on your call, but it is worth asking.
Polly, is there any chance of rent payments ever being included in FICO? I understand that they are currently not. I think of rent payments as debt payment, and why not? It’s no different from running up the credit card and paying it off every month. Why shouldn’t it be counted?
I think there has been a move to put more monthly payments into FICO. I’m not sure if rent is currently excluded or not. If it is included, it only counts if your landlord reports it. They don’t have to.
This is a bit outside my area of expertise. I’m working on what I’ve heard and read from various sources, not personal knowledge of the process.
Rent isn’t credit, therefore payments wouldn’t be factored in FICO. But if you don’t pay then it will count against you (assuming it is reported).
It’s like a utility bill. The fact you pay your $50 gas bill every month doesn’t show up in a credit report. Miss a few payments however, and it will show up as not being paid.
Also as to car insurance companies using FICO…nothing to do with whether a bad driver has good credit or vice versa. Bad credit = higher risk of insurance fraud. Makes perfect sense that premiums are based in part on credit. Same goes for home insurance.
Smithers, using lack of having a mortgage loan among “credit mix” for auto insurers to determine premiums is total BS. Having a credit file 15+ years old with all accounts either paid off or paying as agreed (their terms) should be enough to demonstrate responsible payment.
The FICO industrial complex are SCUM, totally ties into turkey lurkey’s post “Maybe it’s the 24/7 advertising propaganda of want, want, want?”
How your Fair Isaac company (FICO) score is calculated:
1) What’s in your FICO® score:
http://www.myfico.com/crediteducation/whatsinyourscore.aspx
2) Businessweek: Anatomy of a credit score:
http://www.businessweek.com/stories/2005-11-27/anatomy-of-a-credit-score
Realtors Are Liars®
Thanks, I was wondering about that.
You’re welcome Sir.
Does a realtor get paid if he sticks his finger up my butt?
You buy a house now and it be like a utility pole.
If you’re stupid enough to buy now but can’t afford current inflated asking prices, commit financial suicide and borrow. If you can’t afford the mere pittance of a 3.5% downpayment, you can always go deeper in the hole and Uncle Sam is right there to help you dive head first into an empty swimming pool.
FHA Down Payment Grants
http://www.fha.com/fha_programs.cfm
Do it. Borrow all the money you can and then buy. The banks need you to do this.
The banks have a lot of junk they need to get rid of but they can’t find enough buyers with money so they need to somehow sell their junk to those who have no money.
This is a tough thing to do, to sell something to somebody who has no money, but nevertheless it has to be done.
“…they can’t find enough buyers with money so they need to somehow sell their junk to those who have no money.”
That’s where it comes in right handy if Uncle Sam gives them the money, including not only the loan, but also the down payment, plus a guarantee of principle on the mortgage…
“FHA Down Payment Grants”
Doesn’t handing a minority family a downpayment grant to make it easier to financially hang themselves with an FHA subprime loan amount to discrimatory lending?
Poor banks. First Uncle Sam hammers them for not making enough loans to minority families; next He hammers them for making too many. It’s kind of hard to avoid discriminatory lending when the government mandates it.
I’m going out on a limb and assuming that no Wells Fargo loan officer ever put a gun to anybody’s head to make them sign on to a “high-priced” subprime loan. If I am right about this, I am wondering how the Justice Department tested the null hypothesis that non-minority borrowers could have signed up in equal numbers for the same loan offers the minority borrowers willingly took, but didn’t?
Wells Fargo, Justice Department settle discrimination case for $175 million
Justin Sullivan/GETTY IMAGES - DALY CITY, CA - JULY 12: Customers use ATMs at a Wells Fargo Bank branch office on July 12, 2012 in Daly City, California. The Justice Department announced Thursday that Wells Fargo Bank, the largest residential home mortgage originator in the United States, will pay nearly $175 million to settle accusations of discrimination against qualified African-American and Hispanic borrowers between 2004 and 2009. The alleged discrimination is in violation of fair-lending laws. (Photo by Justin Sullivan/Getty Images)
By Ylan Q. Mui, Published: July 12
In one of the largest fair-
lending payouts in history, Wells Fargo agreed on Thursday to spend at least $175 million to settle federal accusations that it steered black and Latino borrowers into high-cost loans and charged them excessive fees.
The settlement with the nation’s largest home mortgage lender is rooted in a lawsuit filed four years ago by Baltimore over fair-lending violations. It culminated Thursday in what federal officials called “systemic discrimination” spanning 36 states and involving more than 34,000 minority customers over five years.
“This is a case about real people — African American and Latino — who suffered real harm as a result of Wells Fargo’s discriminatory lending practices,” said Thomas E. Perez, assistant attorney general for civil rights.
…
Did they bother to count the number of white people who were steered into high-cost loans and charged excessive fees? Only minorities can be victims apparently.
“White” neighborhoods weren’t systematically discriminated against simply because they were full of white people. Similar credit scores deserve similar interest rates and fees.
Presumably, they would have to count whites and non-whites to make a case. If the bank screwed everyone without regard to race, it wouldn’t be discrimination.
Poor banks.
LOL. I hope that was sarcasm.
Down Payment Grants
FHA Loan Assistance to Help You Get a Mortgage
Hey, what about me?
No soup for you. NEXT!
It hit me: The ability of the FIRE sector to generate bad loans (or engage in other risky activities), have the US government pay them off when things go bad is the ability to impose ad hoc taxes. A variable amount of tax money goes to compensate those companies.
It is taxation without representation.
You have a problem with Corporate Communist Capitalism?
I heard a good one on the radio a few days ago…..”Taxation by Misrepresentation”, to describe “obamacare”.
He said no new taxes. Said the bill wasn’t a tax. Told the American people there were no new taxes in the “bill” he signed and then “his team” argued before the Supreme court, that, well, it really was a tax, but that when all the goodies starting getting handed out that everyone would love it so, it’s really not a problem whether they had higher taxes or not….vote for me…yeah.
But who will actually pay that tax?
If you already have insurance, it won’t be you.
If you can’t afford insurance, the government will help pay for it, so it won’t be the poor. Or you again.
So tell me, who will actually be paying that tax?
As for the tax itself, it amounts to approx ONE MONTH of many people’s current premiums. so if someone can afford insurance, but choose not to buy it, they’re still getting off cheap. After all, they become the one that everyone complains about having to pay for.
“But who will actually pay that tax?
If you already have insurance, it won’t be you.”
What if I have it and don’t want it anymore? Guess what? It will be me.
“it amounts to approx ONE MONTH of many people’s current premiums.”
Wrong again. My premium is $200. If I were to decide I don’t want insurance the ObamaTax (that he swore wouldn’t apply to me since I make less than $250K a year) would be $2000.
If I were to decide I don’t want insurance the ObamaTax (that he swore wouldn’t apply to me since I make less than $250K a year) would be $2000.
link?
It is taxation without representation.
No it’s not. The FIRE sector has representation, and so does everybody else. Of course the big money of the FIRE sector helps them get a lot more attention from the representatives, but that’s the fault of our campaign finance and lobbying rules. Those who support those rules are to blame. The money = speechers.
Per your link, it looks like all those programs were discontinued in 2008.
“Zombie Homeowners”
Night of the living Deadb… Ah, forget it.
When Foreclosure Supplies Fall, the Bottom Falls Out of Housing
Published: Tuesday, 10 Jul 2012 | 1:04 PM ET:
Diana Olick
CNBC Real Estate Reporter
In Minneapolis, Minn., for example, 35 percent of home sales are foreclosures; prices there rose just over 13 percent from a year ago. The same in Columbus, Ohio where prices rose 14 percent, given that nearly 34 percent of sales were of foreclosed properties.
“First is the artificial lack of distressed supply, which is the market in all of the miracle ‘recovery’ regions. As I have pounded the table over for years … ‘investors and first timers are thin and volatile cohorts that have been known to up and leave markets in a matter of a month or two leading to a demand collapse’. But equally responsible are Zombie Homeowners; those without enough equity to pay a Realtor 6 percent and put 20 percent down on a new house and/or good enough credit or strong enough income to secure a new mortgage loan,” writes Hanson.
Hanson calls the lack of distressed supply “artificial” because he believes banks are holding back some distressed inventory and/or that many of the loan modifications being worked out will inevitably fail. He points out that distressed supply is vital to a market like Phoenix, because 66 percent of its current borrowers owe more on their mortgages than their homes are currently worth, and are therefore stuck in place, unable to buy or sell.
“Without repeat buyers in the market leaving a unit of supply when they move up, laterally or down (in the case of empty nesters), supply is simply removed from the market and not replaced,” notes Hanson.
Phoenix is not unique. California, Florida, much of the Midwest will likely see the same, as will Atlanta, which is still mired in a foreclosure crisis with recovery nowhere in sight. Given that supply scenario, it is likely that many of these national gains (which as I’ve argued before are artificial anyway) will give some back before finding solid footing.
Bottom line, until this housing market is no longer dependent on distressed supply to support overall home sales, calling a bottom to the national housing market is premature.
http://www.cnbc.com/id/48136694 - 149k -
“He points out that distressed supply is vital to a market like Phoenix, because 66 percent of its current borrowers owe more on their mortgages than their homes are curently worth, and are therefore stuck in place, unable to buy or sell.”
When prices rise to the point where they can sell is when they will put their houses on the market. If enough people do this then the market will be flooded with houses for sale. And because 66 percent of current borrowers are underwater it looks as if this flood will be a big one.
And a flood of houses for sale will do what to prices?
There won’t be a “flood.” When house price fall just a little, most of that inventory will be yanked just as quicky as it was listed, stabilizing prices again. When prices rise, they will release a little more inventory, like a morphine pump. It’s a buffered system, and expect prices to bounce along the bottom for 3-4 years until the inventory is gone.
And yeah, at the end of those 3-4 years, the last inventory will drop way down in price. Why? Because by then it will be decrepit and need 10s of $K in repair.
“…they will release a little more inventory, like a morphine pump.”
Which ‘they’ are you talking about? It almost sounds as though you buy into all the rumors about some kind of banking sector collusion to manipulate inventory.
You don’t believe? There are no markets these days only governmental interventions.
By “they” I mean everybody who can, p-bear.
It could be underwater FB’s who are current but thinking to list. They can list and yank their own homes whenever they please.
It could be Fannie/Freddie. They can time-release those bulk sales whenever they want.
It could be individual banks. They could allow a short sale to go “under contract” and then refuse the sale (i’ve seen this more than once.)
It could be lying realtors playing games flipping or flopping their own listings, depending on which direction prices are going and whether they are best buds with the FB.
All parties with property are simply listing and delisting their own properties in response to the trend. Since they have the same goal, they all respond to a trend in the same way at roughly the same time. But that does not mean they are colluding. It’s simply the invisible hand.
‘By “they” I mean everybody who can, p-bear.’
That’s not how decentralized markets work. I don’t think you can get the kind of coordination you suggest without collusion and coordination from the top.
And as you posted earlier about Libor and I saw a similar article: Documents obtained by Reuters earlier on Friday showed that U.S. Treasury Secretary Timothy Geithner pressed the British central bank in June 2008 to make changes to the way that the widely used interest rate benchmark was set.
This is the point, it is at the top, financial repression=war of savers, various government programs with the government making virtually all of the loans, etc. are all designed to allow a slow decline in real prices while maintaining nominal prices until the inventory is worked off.
“I don’t think you can get the kind of coordination you suggest without collusion and coordination from the top.”
Garbage. Read the rest of what she wote. Everyone making similar decisions based on the same information isn’t the same as collusion.
After reading up on what happened at BOA during the collapse I’m inclined to think there is collusion or rather pressure from central banks.
These are people who have already waited 3-5 years for a recovery….you don’t think they’ll stick to their price when they finally DO list?
What made prices fall are DIFFERENTLY motivated sellers (sellers motivated by speed, not price–banks, and people who bought foreclosures to quickly flip for a buck). The sellers that you talk about are clearly motivated by price, not speed (or they wouldn’t have waited 3-5 years).
‘investors and first timers are thin and volatile cohorts that have been known to up and leave markets in a matter of a month or two leading to a demand collapse’
I’m looking forward to saying “I told you so” when this eventually happens…
Me too. I especially like the David Sandborn version, “I Told U So.” Enjoy it live in concert…
http://www.youtube.com/watch?v=4LB1BQkenEQ
I’m partial to “The Dream”. I was a young rock musician in the army, but my horn-playing friends were into other things. One guy in the barracks listened to Sanborn non-stop for a few months and it kind of grew on me. Seemed like every sax player went through their Sanborn phase and their Charlie Parker phase…except my wife who only plays classical sax. Not a lot of gigs for that…
I would SO turn out for a classical sax performance, Carl. If your wife ever plays Tucson, I’ll be there with bells on.
I’m looking forward to saying “I told you so” when this eventually happens…
And I will happily listen to you, if you agree to tell me how much RENT you paid waiting for this “eventuality.”
Rent minus all the interest, insurance, maintenance and real estate taxes (adjusted for income tax deductions) he didn’t pay by buying. The only “savings” you have while paying a mortgage is the amount that goes to principle.
There it is.
I don’t know see how floods of houses are to be avoided in the Phoenix area. Whether collusion or not, the reduction in foreclosed inventory is astounding. It may not even be the 66% of loans underwater that matters the most. It is the high percentage of extremely underwater loans. I don’t have complete data, but Phoenix is much like Vegas with the $250-$300K loans on places worth half that or less. Even if the artificially diminished inventory allows the place that would have sold for $80K to sell for $100K, maybe more, that does little for the extremely underwater loans.
Whether processed as short sales or as full-blown trustee sales, those houses will make it onto the pile one way or another. I have had a front-seat view of this stuff for over seven years. A couple relatives ended up in this common scenario, one in 2007 and one 3 weeks ago (Trustee Sale Date). There are folks who do not even want the drama and just leave. I know a couple who moved into a rental house months ago, leaving their exurban Garage Majal before even receiving a Trustee Sale Notice. I wonder how that place and others like it are doing in this blistering heat. It undoubtedly will remain untouched until at least late Fall. I am not saying that I approve of any of these people’s actions, although I am most disappointed in their choosing to take on these ridiculous 2005-2006 era loans at peak bubble prices in the first place.
Good summary.
“Clearly American consumers were not well-protected during the historic housing boom, nor during the ensuing bust.”
WHAT?
American consumers were not well-protected during the ensuing bust?
What do you call Short sales with no tax implications or $18 million for not paying a $1 million cash out refi or 4 years of free living or collecting $50k in rent checks while you don`t pay the mortgage and get a workout on a house you don`t live in or HARP or HAMP or Hardest Hit etc…..
Don’t Bogart That Joint Lyrics Little Feat
Roll another one
Just like the other one
You’ve been holding on to it
And I sure would like a hit
Don’t Bogart that joint my friend
Pass it over to me
Don’t Bogart that joint my friend
Pass it over to me
As Foreclosures Ramp Up, New Roadblocks Ahead
Published: Monday, 9 Jul 2012 | 4:25 PM ET
By: Diana Olick
CNBC Real Estate Reporter
The majority of the 5.5 million properties whose mortgages are either delinquent or already in the foreclosure process will end up on the auction block.
There is a strong argument that the housing market needs to heal itself before it can grow again, no matter how painful that healing process may be. Clearly American consumers were not well-protected during the historic housing boom, nor during the ensuing bust. Laws needed to be changed, and banks needed to be held accountable and punished for fraudulent practices.
http://www.cnbc.com/id/48124623/As_Foreclosures_Ramp_Up_New_Roadblocks_Ahead - 150k -
Don’t Bogart That Joint Fraternity of man:
http://www.youtube.com/watch?v=T6xscuS9H8U
I am sorry for posting this entire article but I had to so I could show the 2 Comment(s)
Updated: 7:30 a.m. Friday, July 13, 2012 | Posted: 4:39 p.m. Thursday, July 12, 2012
Lake Worth man in jail, accused of stabbing ex-lover’s boyfriend and his dog
By Cynthia Roldan
Palm Beach Post Staff Writer
A Lake Worth man was in jail Thursday, a day after allegedly stabbing another man and his dog.
Glenn Scott Baker, 60, is being held at the Palm Beach County Jail in lieu of $53,000 bail. He is facing charges of aggravated battery with a deadly weapon and animal cruelty.
Baker was arrested Tuesday after Palm Beach County Sheriff’s deputies were dispatched to the 400 block of K Street at 5:45 p.m. to reports of a stabbing. Arriving deputies found a man bleeding “heavily” from two chest wounds. The man was flown to Delray Medical Center. His name and condition are unknown.
A woman at the residence, identified in the arrest report as the injured man’s girlfriend and Baker’s ex-girlfriend, told deputies that Baker had antagonized her boyfriend. The commotion “excited” the dog, which prompted Baker to say that he was going to “kill this dog,”the report said.
When the boyfriend heard his dog, Rusty, being stabbed in the living room, he grabbed a tire iron to defend himself, the report states. But he was stabbed by Baker instead.
Rusty was checked out by a Palm Beach County Animal Care and Control worker, who determined it had suffered “minor cuts” to its head, shoulder and right paw.
Meanwhile, Baker, who also was flown to Delray Medical, told deputies that he had drank about seven beers before he came home. Baker added that though he and the woman were no longer dating, he still loved her, the report said.
Baker said the reason he stabbed Rusty was because it came at him, according to the report.
2 Comment(s)
Posted by hlinfl at 6:31 p.m. Jul. 12, 2012 Report Abuse
This article is confusing to me….i am dizzy now-must lay down….
Posted by metalisback at 3:47 a.m. Jul. 13, 2012 Report Abuse
Dancing on his nut sack with a pogo stick seems like a fair and just punishment for stabbing the dog.
Jethro,
Post some pictures of your new crib.
Did you get my Email?
Got it.
Post some pictures of your new crib.
Why does oxide get the raz for buying, while Jethro gets a house-warming party?
What’s the diff?
I dunno. I think every HBB-er who makes a well-informed decision to buy a house should get a house-warming party.
Seriously? You haven’t figured that out yet?
I’ll tell you what….. show me a single post where Jethro rationalized paying inflated prices for a depreciating asset.
Someone needs to learn how to properly use a tire iron.
Arizona Slim’s Radio Alert: I’ll be returning to the airwaves on Tucson’s community radio, KXCI-FM 91.3, at 4:00 a.m. MST tomorrow. Get ready for a two-hour set of meditative and dance-able electronica.
Sunday, July 15 marks the return of Jazz Women! It’s a one-hour special featuring names you know. And names worth getting to know. Tune in at 5:00 p.m. MST.
On Sunday, July 22, I may be on the air again at 5 p.m. That is, if I’m not pre-empted by the KXCI kids’ deejay class show. If my show’s a go, it’s Rock -n- Roll Women!
Note: If you’re not near a radio, you can listen to KXCI online.
Note: MST is the same time zone as California. And we’re three hours behind the East Coast.
I’ll listen if I can call in and harass ya.
Slim: “Hello… KXCI.”
Lip: “Could you play ‘Louie-Louie’ for me?”
Ah, yes. The request line strikes again.
Slim check out my reply yesterday on the Catholic Girls
Thanks for the video links! I bookmarked ‘em for later listening enjoyment.
And let’s see what I can do to raise The Catholic Girls’ profile in Tucson. That is, if the regular host of the Sunday music-by-women show doesn’t kill me first. She has this way of getting very annoyed at my irrepressible sense of humor.
Obama Guts Welfare Reform
Today the Obama Administration issued a new directive stating that the traditional TANF work requirements can be waived or overridden by a legal device called the section 1115 waiver authority under the Social Security law (42 U.S.C. 1315).
Section 1115 states that “the Secretary may waive compliance with any of the requirements” of specified parts of various laws. But this is not an open-ended authority: Any provision of law that can be waived under section 1115 must be listed in section 1115 itself. The work provisions of the TANF program are contained in section 407 (entitled, appropriately, “mandatory work requirements”). Critically, this section, as well as most other TANF requirements, are deliberately not listed in section 1115; they are not waiveable.
In establishing TANF, Congress deliberately exempted or shielded nearly all of the TANF program from the section 1115 waiver authority. They did not want the law to be rewritten at the whim of Health and Human Services (HHS) bureaucrats. Of the roughly 35 sections of the TANF law, only one is listed as waiveable under section 1115. This is section 402.”
Buying Democrat votes, one welfare check at a time.
Good. The same way that Republicans say “we shouldn’t be raising taxes during a recesson,” we shouldn’t be allowing people to starve either. Maybe if the job creators created some jobs with those tax breaks, we wouldn’t need so much welfare.
I don’t think Smithereens understands what unemployment numbers mean.
But the biggest welfare queens are the corporations.
Let us know when the total combined checks received by poor people get anywhere CLOSE to $4 TRILLION. (that’s 4,000,000,000,000)
http://www.prwatch.org/node/8987
http://www.sourcewatch.org/index.php?title=Total_Wall_Street_Bailout_Cost
$2 TRILLION still outstanding.
Between Turkey’s corporate welfare queens and the run-of-the-mill poor welfare queens, it’s any wonder I have anything left in my check come payday…
FWIW, this is how insurrections begin. It’s not the poor or the wealthy who revolt, but the educated middle class who gets screwed out of their hard work and decides to do something about it other than talk…
“Between Turkey’s corporate welfare queens and the run-of-the-mill poor welfare queens, it’s any wonder I have anything left in my check come payday…”
Truer words were never spoken. This is a fact of life for millions of hard working honest people in this nation.
Maybe if the job creators created some jobs with those tax breaks
You might as well wish for a candy crapping unicorn while you’re at it.
Or Iraqi WMDs. (funny how nobody mentions that anymore, isn’t it?)
Does anyone find it a little odd that the govt is worried about Syria using gas/chemical and biological weapons and they know that Syria has one of the largest stock piles in the area. A few years ago Hussein was a bigger nut than Assad yet no one could find any WMDs in Iraq.
Things that make you go Hmmnnnn….
“..we shouldn’t be allowing people to starve either.”
Where are the skinny, poor, malnourished people?
Most obese and overweight people ARE extremely malnourished.
At least that’s what most of the major medical journals around the world, report.
Where are the skinny, poor, malnourished people?
Umm…in countries with they don’t have food stamps or the equivalent?
Oxide:
The Clinton/Gingrich welfare reform act basically said we’ll give you welfare but you have to work or at least try to find work. Obama has now said, don’t worry about that whole work thing. We’ll give you welfare no matter what.
But thanks for playing Who Wants To Be A Strawman?
Buying Democrat votes, one welfare check at a time.
Not just Obama. Recent article in the Boston globe on how the Patrick Administration (MA) recently prevented non-Union contractors from bidding on a major infrastructure project. Union-only labor allowed…
It must be an election year as the favors for votes is coming fast and furious…
But, it’s for the “middle class”… as my taxes go up to pay for inflated labor costs of Union goons on public works projects.
Your taxes go up because of waste and fraud by “privatizing government”, not from paying people living wages.
“Obama Guts Welfare Reform”
Obama to Bill Clinton - Drop Dead.
JP morgan’s london whale’s loss is officially up to $4.4 billion (bbc) or $5.8 billion (news.com.au)
Still a drop in the ocean - party on.
“JP morgan’s london whale’s loss is officially up to $4.4 billion (bbc) or $5.8 billion (news.com.au)”
James Dimon bought a coconut
He bought it for a dime.
Goldman Sachs had another
They paid it for the lime.
They put the lime in the coconut
they drank them both up.
*3
They put the lime in the coconut
they called Bernanke, woke him up, and said
“Bernanke, ain’t there nothing I can take”
I said, “Bernanke, to relieve this belly ache?”
I said, “Bernanke ain’t there nothing I can take”
I said, “Bernanke, to relieve this belly ache?”
Now let me get this straight;
You put the lime in the coconut
You drank them both up
You put the lime in the coconut,
You drank them both up
put the lime in the coconut,
you drank them both up
put the lime in the coconut,
called the Fed Chief, woke him up, and said,
“Bernanke, ain’t there nothing I can take”
I said, Bernanke, to relieve this belly ache?”
I said, Bernanke, ain’t there nothin’ I can take”
I said, Bernanke, to relieve this belly ache?”
You put the lime in the coconut, you drink them both together,
put the lime in the cocount, then you’ll feel better.
Put the lime in the coconut, and drink them both up,
Put the lime in the coconut, and call me in the morning.”
They put the lime in the coconut
they drank them both up.
they put the lime in the coconut
Called Bernanke, woke him up, and said
“Doctor, ain’t there nothing I can take”
I said, “Bernanke, to relieve this belly ache?”
I said, “Bernanke ain’t there nothing I can take”
I said, “Bernanke”
Good one, Mr. Unknown!
Kind of makes you wonder what they really lost.
I have been wondering something.
Why is it the US govnmt’s business to be concerned with JP Morgan lost their a$$. Tarp related?
Not just TARP related, but that much money usually indicts fraud and breaking rules of some kind not to mention YOUR retirement/investment money.
In case you haven’t noticed, there’s been a lot of fraud in the FIRE recently. And by recently, I mean the last 20 years.
“Why is it the US govnmt’s business to be concerned with JP Morgan lost their a$$. Tarp related?”
It’s the govt’s business;
- how much water your toilet uses
- what size drink you buy at McDonald’s
- what kind of light bulb you are or are not allowed to buy
So given all that, is it all that surprising the govt asks about a private entity’s losses?
Private entity? Lol…
Yeah! Food crisis time!
http://www.ft.com/cms/s/0/ad1ec426-cd07-11e1-92c1-00144feabdc0.html?ftcamp=published_links%2Frss%2Fmarkets%2Ffeed%2F%2Fproduct#axzz20YGtWNbW