4 ms·

Why is insurance just a flat rate? Shouldn’t it be per procedure or something else better correlated to risk? (Sure, charging precisely for risk would just res

• HEmanZ 3y ago
  It isn’t flat, that’s the average of the last two years. It does adjust for a lot of things, like any insurance. It is higher than avg in the state for my wife right now because she is only a few years out of residency. Mid career, she should only expect to pay about $120k/yr…
• devilbunny 3y ago
  Doing more procedures exposes a physician to more risk, but those who do a lot of procedures generally are better at them. I'm an anesthesiologist, but I don't do infants or cardiac cases, and I haven't done them in long enough that I wouldn't want to do them without someone around to get me back in the groove. Someone who does one vaginal delivery a month is not going to be as good at doing them as someone who does two or three a day. And they certainly won't be as good at cesarean sections. Delivering just one baby costs a hell of a lot of money in insurance, which is a major part of why family doctors in rural areas don't do that anymore. By contrast, people who drive more miles - even if they are excellent drivers - are at higher risk of being in a collision because they have to deal with other people on the road, who may be terrible drivers.