
I support the statement! Yet none
of this will happen as long as
insurers operate in a perverse
market in which their incentives
are to make the system, and our
care, worse. Here are a mixture of
some ideas, several of which have
been expounded upon by E. Klein, a
journalist with much on the ball
for independent media.
First, making the system universal
is a must. Insurers cannot compete
effectively unless everyone is in
the pool. If the healthy can leave
-- if they can decide insurance is
a bad deal until they get a little
sicker and a little older -- then
insurers simply will have to
compete to attract the healthiest,
which means offering the lowest
costs, which means insuring the
fewest sick people. Bad
incentive.
Second-- Can we please stop the
cherry picking? This is one of the
primary reasons the poor and the
ill do not receive the coverage nor
the care they need. Insurers
shouldn't be allowed to use
demographic sub-slicing to
cherry-pick the market (i.e.,
judging individuals based on
preexisting histories, use of
formulas around age and income and
race and region in an effort to
identify those who might someday
get sick). Insurers should have to
offer insurance to anyone who wants
it for the same price. No
exceptions!!
Now - neither of these works unless
the risk is adjusted for insurers
to they can remain profitable. For
example, the new market system can
either reimburse insurers more for
taking on sicker patients, --or
insurers with particularly healthy
pools could pay into a central fund
that redistributes to insurance
providers with less healthy pools
of insured. Whichever method, it
has to be as profitable for an
insurer to insure a sick person as
a healthy one.
Then - I think mandatory benefit
floors are a great idea, and one
which could compliment the new
system incentive wise, and still
serve the ill/someday ill... This
would mean insurers need to offer a
minimum comprehensive amount of
coverage, one which none of their
plans can dip below in terms of
comprehesiveness of coverage. If we
didn't require this, insurers could
just sell the healthy on plans that
don't cover anything (and so are
very cheap)-- which we know is just
another way of maintaining the
helathy on the rolls while not
serving the ill and in need.
And let's get the needed
information to consumers! It needs
to be easy for individuals to
compare insurers on plan coverages,
price, outcomes, etc. Effort needs
to go into putting together an
easily accessible system wherein
customers can find and compare the
plans and coverage and pricing they
need.
Finally, allow market competition
to do its best for doctors
/caregivers, and make the records
of care transparent to consumers.
Let the market take its best shot
at free market competition among
the docs, who now will be placed on
a more level playing field and
still be able to provide the care
that the ill requires without being
incented to find excuses not to
treat the ill adequately or
comprehensively because insurance
companies are fighting not to treat
the sick.
Reform is necessary, not just for
our sakes but so the insurers
actually can be better, rather than
continuing to act as whipping boys
for frustrated politicians.
Whatever you think, if you agree
the current system isn't working,
please write to your
senator/congressperson, or meet
with them, or call them--- and vote
in the election for those who have
become educated about healthcare
and have consulted with business
and healthcare experts on its
reform!