L L wrote:
What is so great about private insurance that you don’t want to give it up?
Here is how private insurance mostly works:
An employer will shop around for different plans.
They will use an agent to do this.
You have to look at tons of variables. Premium cost. Copay fees. Deductibles. Out of pocket limits. Network coverage. Out of state issues. HSA plans. Tax implications.
Then they select a couple of plans to be option s for the employees.
The coverage will be through a provider like Blue Cross. There will be a separate billing company like Kelly. That’s three levels of administration costs with the agent, provider and billing company.
The employer has the employee pay a percent of the premium. So the employee doesn’t see the real full cost.
The employee gets a policy number, group number etc. that they give to their doctor or any health care provider they may see.
The health care provider needs to keep track of how they process for every insurance provider.
More admin work.
There are a number of costs before any actual care is provided.
Change jobs or change plans and you have to update policy details with any doctor you see.
And these plans are impossible to compare because it depends on how sick you think you will be in the next year.
The idea of expanded Medicare that can be purchased:
Your company either pays a per person Medicare premium or there is an additional payroll tax - same effect, except people don’t like to hear the word tax.
Then you got get the care you need.
Change jobs. It doesn’t matter. You’re not tied to an employer plan.
Out of work. It doesn’t matter. No need for COBRA. You’re covered.
Maybe there would be a surcharge tax where more profitable huge corporations pay more that helps subsidize smaller companies and the self employed.
I don’t know why you like having to keep track private insurance policy information, copays and deductible amounts so much.
It creates more paperwork than necessary and they need to make profits for the share holders.
Maybe it sounds anti capitalist.
But capitalism works better for things that people want to buy - cars, clothes, food, travel services.
No one wants to go to the doctor. It’s not like people will rush to the doctor because it’s free. There won’t be a greater demand for stitches if they are free.
Prescriptions drugs - that can still get dicey.
Look, (forgive the Bidenism) my insurance I know, its pretty good, my employer provides it (I do have to pay some) and it works for me.
I don't want to give this up for some unknown that may work on paper but may be a total disaster in implementation. Its a risk I don't want to take.