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This topic comprises 7 pages: 1 2 3 4 5 6 7
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Author
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Topic: Regal cuts employee hours to stay out of Obamacare
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Randy Stankey
Film God

Posts: 6539
From: Erie, Pennsylvania
Registered: Jun 99
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posted 04-17-2013 12:39 AM
I really think that, if health insurance was eliminated (made illegal) the price of health care would quickly fall to market rates. Companies could only charge what people can afford. The mere existence of insurance guarantees prices will climb via the snowball effect that Bobby describes. Health insurance is a form of a Ponzi scheme which will eventually collapse. The government is trying to prop up that Ponzi scheme which will only prolong the agony but I'm fairly sure it will collapse even if it takes 50 years.
Okay, so we get rid of insurance. What can we do when some people can't pay? I don't know. There will have to be some sort of compromise. I'm only guessing, here...
First off, I don't see things like car accidents to be too much of a problem. If you get hit by somebody else who is insured, their policy ought to pay. I don't see why we can't tweak the rules so that we make sure that people hurt in accidents, through no fault of their own, are absolutely taken care of. That shouldn't be too hard to do. Uninsured and underinsured drivers are a separate problem but I think that reforming the insurance system will solve a lot of these problems by bringing cost down in the first place. We could come up with some solution to fill in the gap. I don't know what. I'll have to think about that one.
Second, one problem I see with current health care plans is that they pay for everything from just a Band-Aid to health club memberships. Insurance pays for too much and, thus, dilutes the quality of the things it pays for. For example, if I had $100, to spend, I could buy food for ten people at McDonald's or two people could eat at Hilltop Steak House. Not a perfect example but it illustrates the point that, if you don't spend money on too much stuff, you have more money to spend on better things. Instead of paying for every Band-Aid, we limit what insurance pays for.
Eliminate co-pays and deductibles. All those do is allow insurance companies to manipulate prices by claiming that they have higher or lower deductibles. Let's throw that all out. Either insurance pays or it doesn't. We could put in a lower limit, above which, insurance MUST pay. This will make insurance cheaper to afford and the other things that I mention will cut costs to insurance companies, taking away some incentive to manipulate the markets the way they do, now.
To be honest, I could spend $50 per month on prescriptions. Under normal circumstances, I usually only visit the doctor two or three times per year. I could spend $50 or $100 for a routine doctor visit. If my current health insurance has a $20 co-pay, that raises the cost of my policy. I end up paying $1200 or more per year for, maybe, $500 worth of service.
For major illness, we could have hospitalization or major medical insurance that is separate from other insurance. It pays only if you are admitted to the hospital or only if the cost is over a certain amount.
Businesses whose employees get sick or hurt on the job already have to pay for Worker's Compensation insurance. Let's cut the crap out of the Worker's Comp system. No messing around. If your worker gets hurt, your company pays. Period. That would certainly go a long way toward making companies using their balance sheets to justify cutting corners on safety. Wouldn't it? That would, hopefully, take care of the problem of people who get hurt at work.
I don't think these ideas are perfect solutions but they are certainly starting points to get the discussion rolling. Regardless of the method, our entire system of paying for health care has to be completely rethought. I don't think the current system is sustainable and I am virtually certain that government sponsored and paid system will do much to solve the problem at all.
We are going to have to do something different. We should start to try to fix it now, from the ground up.
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Leo Enticknap
Film God

Posts: 7474
From: Loma Linda, CA
Registered: Jul 2000
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posted 04-17-2013 02:20 AM
quote: Randy Stankey First, I think it is wrong to make some people pay for medical care of others. The majority of people who have health insurance don't use it very often. They'll get checkups and have minor illnesses or injuries treated but, mostly, they consume little or no health care services. It ends up being like a Ponzi scheme.
The problem there is in genetic susceptibility to serious (read expensive) diseases. Everybody knows someone who leads a relatively unhealthy lifestyle who, when challenged about it, will reply defensively that a friend of theirs smoked 120 a day and lived to 95, and knew someone else who was vegan, teetotal and ran ten miles a day, but was dead of cancer aged 35. They are of course exceptions that prove the general rule: there is a lot we can do to take care of our own health, but some factors are outside our control. Is it morally OK to say 'Sorry pal, but even though there's a history of serious heart disease on both sides of your family, if you have a heart attack, you're on your own?'.
It's very difficult and probably impossible to come up with a system that is even accurate most of the time in rewarding personal responsibility without also punishing bad luck. An insurance model, whether run commercially or in the form of a state-run healthcare service, does at least help those who have been dealt a bad hand (which might not even be genetic: what if both your parents were heavy smokers and you grew up doing a lot of passive smoking?).
quote: Randy Stankey
Second and more importantly, I think that spreading the risk necessitates concentrating authority over the administration of the health care system. Concentrating authority virtually always concentrates the potential for corruption and abuse.
There I could not agree more, and virtually everything that has gone systemically wrong with the British National Health Service (most recently the Stafford Hospital scandal and the Leeds heart unit row) boils down to this.
quote: Randy Stankey Eliminate co-pays and deductibles. All those do is allow insurance companies to manipulate prices by claiming that they have higher or lower deductibles. Let's throw that all out. Either insurance pays or it doesn't. We could put in a lower limit, above which, insurance MUST pay. This will make insurance cheaper to afford and the other things that I mention will cut costs to insurance companies, taking away some incentive to manipulate the markets the way they do, now.
Also agreed, and my (admittedly superficial) understanding of the French system (explained to me by a French medical student many years ago) is that this is effectively how it works. You pay a small fee to see a family doctor for routine treatments and minor stuff, and are expected to pay for everyday medicines yourself, but if you have a chronic and/or expensive condition, then the state steps in and picks up the tab.
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Scott Jentsch
Phenomenal Film Handler

Posts: 1061
From: New Berlin, WI, USA
Registered: Apr 2003
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posted 04-17-2013 10:33 AM
Reading the article a few times shows that it's clearly intended to be provocative, but let's get to the meat of the matter here without introducing political discourse:
============== Regal Cinemas has adjusted work schedules for "thousands" of employees, and has cited compliance with new federal employment regulations as the reason. ==============
Regardless of what those new regulations are, they are the new law of the land. Just one of very many that businesses have to comply with, and factor the costs of compliance into their cost of doing business.
In this particular case, a major employer, with $2.8 billion in revenue (that comes to an average of $5.6 million per location), has decided to reduce the work hours of its employees so those employees would be reclassified rather than comply with the new regulation that would have otherwise applied to those employees.
The company has chosen to change its employment policies rather than incur unspecified increased costs, which would have affected net profits and/or the price it charges its customers.
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