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Depends very much on the employer. I've spoken at length with a small sample (13, to be exact) leaders of companies from SMBs to mid-sized enterprises and they'
by no_wizard 4y ago
Depends very much on the employer. I've spoken at length with a small sample (13, to be exact) leaders of companies from SMBs to mid-sized enterprises and they're all for national healthcare, as taxation is a relatively predictable expense and reduces overhead in other ways (like paying for benefit management services). Its also likely a shared tax, and in some cases is a net benefit for them because it makes recruitment easier (this in particular with blue collar businesses and those that aren't what would be considered traditionally technology companies. Benefits is a big part of the recruitment tactics still)
I think health insurance companies run the biggest two faced business of all time, extracting money out of companies and individuals while line driving the cost down as much as possible without benefit to those who use their plans. Cigna[0] even uses automatic denials based on automated heuristics, a human doesn't even look at the file, for instance.
I know "Medicare For All" programs aren't a silver bullet either, but I think it would at least put everything and everyone on a playfield that is even enough to have smaller reforms over issues that get missed in these proposals
[0]: https://www.propublica.org/article/cigna-pxdx-medical-health-insurance-rejection-claims https://www.propublica.org/article/cigna-pxdx-medical-health...
- throwway120385 4y agoSpeaking from personal experience Cigna's line employees will also lie directly to your face on a recorded phone call while you're taking notes because their policies are geared toward following the letter of the law vis a vis retention while ensuring that their arbitration process effectively blocks you from suing them effectively unless you sue them before trying to work with them. We've been quoted 6 weeks to have a manager listen to a phone call, which is the exact period of time that their call recordings are retained. They're the worst health plan I've ever had the displeasure of using. They will also from time to time edit your explanation of benefits, which is against the law. Don't trust them and keep all the paper copies of everything they send you.
- ethbr0 4y agoMinor point that you also have the non-profit Blues (i.e. Blue Cross Blue Shield) in the US health insurance marketplace, who are literally obligated to return healthcare savings to customers in the form of rates. They have their own problems, but profit-mongering is not one of them.
- moneywoes 4y agohow do you get these conversations?
- no_wizard 4y agoNetworking. I also work for a place that has a research division focused around these companies and we do surveys