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Thread: Supreme Court health care arguments under way

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    Re: Supreme Court health care arguments under way

    Quote Originally Posted by AdamT View Post
    They would be of market competition: same reason the drugstore doesn't charge $16 for a box of bandaids.
    Drugstores don't charge that much for bandaids because they are not regulated to death and dont have to hire loads of workers just to do the paperwork required by regulations.
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    Re: Supreme Court health care arguments under way

    Quote Originally Posted by Samhain View Post
    They all charge $16 for the bandaid, so I don't see what you are getting at. Or do you mean that insurance companies can deny payment for a billed item because of cost compared to a different locale?
    I'm saying that right now they all have to eat the cost of the treatment of uninsured patients. If you lower their costs by reducing the number of uninsured patients, then they will lower their prices.
    Last edited by AdamT; 03-30-12 at 04:10 PM.
    "The necessaries of life occasion the great expense of the poor. They find it difficult to get food, and the greater part of their little revenue is spent in getting it. The luxuries and vanities of life occasion the principal expense of the rich, and a magnificent house embellishes and sets off to the best advantage all the other luxuries and vanities which they possess. ... It is not very unreasonable that the rich should contribute to the public expense, not only in proportion to their revenue, but something more than in that proportion."

    -- Adam Smith

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    Re: Supreme Court health care arguments under way

    Quote Originally Posted by Arbo View Post
    Drugstores don't charge that much for bandaids because they are not regulated to death and dont have to hire loads of workers just to do the paperwork required by regulations.
    That's part of it. Another part is that they don't have to give their bandaids away to anyone who can't afford to pay for them.
    "The necessaries of life occasion the great expense of the poor. They find it difficult to get food, and the greater part of their little revenue is spent in getting it. The luxuries and vanities of life occasion the principal expense of the rich, and a magnificent house embellishes and sets off to the best advantage all the other luxuries and vanities which they possess. ... It is not very unreasonable that the rich should contribute to the public expense, not only in proportion to their revenue, but something more than in that proportion."

    -- Adam Smith

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    Re: Supreme Court health care arguments under way

    Quote Originally Posted by AdamT View Post
    That's part of it. Another part is that they don't have to give their bandaids away to anyone who can't afford to pay for them.
    It is a bigger part than any other.
    "nah i think the way cons want to turn this into a political issue is funny though" - Philly Boss

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    Re: Supreme Court health care arguments under way

    Quote Originally Posted by AdamT View Post
    I'm saying that right now they all have to eat the cost of the treatment of uninsured patients. If you lower their costs by reducing the number of uninsured patients, then they will lower their prices.
    But why would they bother. The Hospital/Doctor Office etc will just be happy that there profit margin went from the 3-4% they average now to 8-12%. The insurance company doesn't care, because the law locked them into a 15% margin minus administrative costs regardless of what they pay.

    I don't see what the incentive is to lower the price since they can get $16 now.

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    Re: Supreme Court health care arguments under way

    Quote Originally Posted by Samhain View Post
    But why would they bother. The Hospital/Doctor Office etc will just be happy that there profit margin went from the 3-4% they average now to 8-12%. The insurance company doesn't care, because the law locked them into a 15% margin minus administrative costs regardless of what they pay.

    I don't see what the incentive is to lower the price since they can get $16 now.
    You're talking about two separate issues. The first issue, which I was addressing, was the significant cost that hospitals pay for uncompensated emergency room care. If the hospital/doctor just experienced a 5-8% increase in net profit, I can assure you that there will be competing doctors and hospitals willing to charge less in order to take their business.

    You're talking about the requirement that the insurance company has to spend at least 85% of the premium on medical care. Let's use round numbers to make it easier. Say the premium is $10,000 and the insurer is currenctly spending 80% of that on care. That leaves $2,000 for costs and profit. Now they're required to spend 85%, so that leaves $1,500 for costs and profit. How do they get back to that $2,000 under your scenario? In order to make up the lost $500, they would have to increase their medical payments by $3,333 (because 15% of $3333 = $500). That means they would have to increase their payout to providers by a little over 40%. Do you think no one is going to noitice that? There are laws against price fixing and insurance bad faith, you know. And I'm sure there must be something in AHCA that puts some teeth into, too.
    Last edited by AdamT; 03-30-12 at 04:35 PM.
    "The necessaries of life occasion the great expense of the poor. They find it difficult to get food, and the greater part of their little revenue is spent in getting it. The luxuries and vanities of life occasion the principal expense of the rich, and a magnificent house embellishes and sets off to the best advantage all the other luxuries and vanities which they possess. ... It is not very unreasonable that the rich should contribute to the public expense, not only in proportion to their revenue, but something more than in that proportion."

    -- Adam Smith

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    Re: Supreme Court health care arguments under way

    Quote Originally Posted by Arbo View Post
    It is a bigger part than any other.
    And your evidence for that is what?
    "The necessaries of life occasion the great expense of the poor. They find it difficult to get food, and the greater part of their little revenue is spent in getting it. The luxuries and vanities of life occasion the principal expense of the rich, and a magnificent house embellishes and sets off to the best advantage all the other luxuries and vanities which they possess. ... It is not very unreasonable that the rich should contribute to the public expense, not only in proportion to their revenue, but something more than in that proportion."

    -- Adam Smith

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    Re: Supreme Court health care arguments under way

    Quote Originally Posted by Arbo View Post
    It is a bigger part than any other.
    Is it?

    (ten characters)
    He touched her over her bra and underpants, she says, and guided her hand to touch him over his underwear
    Quote Originally Posted by Lutherf View Post
    We’ll say what? Something like “nothing happened” ... Yeah, we might say something like that.

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    Re: Supreme Court health care arguments under way

    Quote Originally Posted by AdamT View Post
    And your evidence for that is what?
    I work in over a dozen hospitals and clinics. I talk to the doctors, I talk to the administrators. In most of them, there is more 'administrative' staff, to keep up with all the paperwork required by regulations, than there is medical staff.
    "nah i think the way cons want to turn this into a political issue is funny though" - Philly Boss

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    Re: Supreme Court health care arguments under way

    Quote Originally Posted by Samhain View Post
    But why would they bother. The Hospital/Doctor Office etc will just be happy that there profit margin went from the 3-4% they average now to 8-12%. The insurance company doesn't care, because the law locked them into a 15% margin minus administrative costs regardless of what they pay.

    I don't see what the incentive is to lower the price since they can get $16 now.
    The incentive is they will have to pay back any premiums over the 15% margin, if their costs are less then they will be FORCED to lower prices.

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