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>It just baffles me that health coverage is so tied to where you work. What if you could only send your kids to the schools that your employer selected, or eat

>It just baffles me that health coverage is so tied to where you work. What if you could only send your kids to the schools that your employer selected, or eat at the restaurants the your company had a deal with? It's just weird. I don't know if government provided insurance is the solution, but employer provided just doesn't make sense as the only solution. Does it baffle you that the school location for your kids is so tied to where you live? Does it baffle you that your employer decides how much it wants to pay you as well? How about what size your desk is or how up to date your computer at work is. How about your 401k match? Bonus size? Vacation days? Promotions? Who your boss is? Dress code? Where does it end? Do you think every employer could actually afford to let you get the health care plan and provider of your choice? You are free to look for another job at a company who offers health care from the provider that you wish to use. Let me ask you though. What if your employer would give you the money they put toward your health care to choose the provider of your choice (even if you had to pay the difference for any shortcoming)?

ams6110 14y ago
My first job with a large consulting firm offered exactly your last option. You had benefit "flex dollars" on top of your salary and you could shop among the plans they offered or you could take the cash and go buy your own (or not). Of course due to group rates their plans were cheaper than what you could buy as an individual, but not by a lot, and if you were a single young male (i.e. didn't need maternity coverage) you might even do better. I do think we'd be much better off if health insurance was not seen as an employment benefit but as aomething you are responsible for yourself, like car insurance, rent, utilities, groceries, clothes, and all the other necessities of life. (I'm not saying that the government should provide it or administer it though).
- TallGuyShort 14y ago
  In theory I agree with you, but there would need to be a more even playing field. I used to buy my own insurance, and I would get screwed every time. There was always some little loophole they gave me as to why the visit I pre-approved with ended up not being coverable. Am I supposed to have the resources to try beat them in court myself? No, so I switched companies and told them why. This happened twice. Now I'm on my employers plan with a successful company. Everything gets covered no-questions-asked... The argument against social medicine is inevitable injustice and slowness of beaurocracy, but what difference is an insurance company that doesn't really care if they have my business or not? If they're small enough to care, can you trust them with big financial commitments?
Nogwater 14y ago
> Does it baffle you that the school location for your kids is so tied to where you live? No. Kids need to get to school, often by walking/biking. Schools can't afford to bus random kids in from 100 miles away. At least where I live (Ventura County, CA) parents are able to drive their kids to more distant schools if they prefer. As long as schools are a physical location where you have to show up to benefit from, it makes sense for them to be location based. If schools were 100% online, then it wouldn't make sense. > Does it baffle you that your employer decides how much it wants to pay you as well ... desk ... computer ... 401k ... bonus ... vacation ... etc... All of those things are either related to the relationship between you and your employer. The 401k thing is a little funny. I'd rather take the cash and manage it myself. I'm assuming your point is that health care plans are just another form of compensation and if you don't like what's offered, quit and work somewhere else that offers something better. The problem is that 1) coverage chosen by the employer can change every year, 2) you can't get the same coverage at the same price on your own or at a small company, and 3) it's non-optimal because it bundles unrelated things and requires you, as a "consumer" of employment, to make your decisions based on the aggregate value instead of individual values of the components. > Let me ask you though. What if your employer would give you the money they put toward your health care to choose the provider of your choice (even if you had to pay the difference for any shortcoming)? That seems good to me as long as you had the option to buy the same coverage at the same rates as the big companies.
- goggles99 14y ago
  > Schools can't afford to bus random kids in from 100 miles away This is my point... Affordability is the reason in both cases so I don't understand how this is so easy for you to understand with schools and so baffling with Employer paid health insurance. Do you thing that your HR dept could manage 100 different health care providers? do you think all the providers that you may wish to use are affordable to your company? >All of those things are either related to the relationship between you and your employer. The 401k thing is a little funny. I'd rather take the cash and manage it myself. I'm assuming your point is that health care plans are just another form of compensation and if you don't like what's offered, quit and work somewhere else that offers something better. The problem is that 1) coverage chosen by the employer can change every year, 2) you can't get the same coverage at the same price on your own or at a small company, and 3) it's non-optimal because it bundles unrelated things and requires you, as a "consumer" of employment, to make your decisions based on the aggregate value instead of individual values of the components. Money is a finite thing to your company and I just don't understand how you are baffled that you can't choose whatever health care you wish through your company. Whats more - with ObamaCare, you will still not be able to choose whatever health care provider you want so I don't see how you think that this will help you.

ams6110 14y ago

My first job with a large consulting firm offered exactly your last option. You had benefit "flex dollars" on top of your salary and you could shop among the plans they offered or you could take the cash and go buy your own (or not). Of course due to group rates their plans were cheaper than what you could buy as an individual, but not by a lot, and if you were a single young male (i.e. didn't need maternity coverage) you might even do better. I do think we'd be much better off if health insurance was not seen as an employment benefit but as aomething you are responsible for yourself, like car insurance, rent, utilities, groceries, clothes, and all the other necessities of life. (I'm not saying that the government should provide it or administer it though).

TallGuyShort 14y ago
In theory I agree with you, but there would need to be a more even playing field. I used to buy my own insurance, and I would get screwed every time. There was always some little loophole they gave me as to why the visit I pre-approved with ended up not being coverable. Am I supposed to have the resources to try beat them in court myself? No, so I switched companies and told them why. This happened twice. Now I'm on my employers plan with a successful company. Everything gets covered no-questions-asked... The argument against social medicine is inevitable injustice and slowness of beaurocracy, but what difference is an insurance company that doesn't really care if they have my business or not? If they're small enough to care, can you trust them with big financial commitments?

Nogwater 14y ago

> Does it baffle you that the school location for your kids is so tied to where you live? No. Kids need to get to school, often by walking/biking. Schools can't afford to bus random kids in from 100 miles away. At least where I live (Ventura County, CA) parents are able to drive their kids to more distant schools if they prefer. As long as schools are a physical location where you have to show up to benefit from, it makes sense for them to be location based. If schools were 100% online, then it wouldn't make sense. > Does it baffle you that your employer decides how much it wants to pay you as well ... desk ... computer ... 401k ... bonus ... vacation ... etc... All of those things are either related to the relationship between you and your employer. The 401k thing is a little funny. I'd rather take the cash and manage it myself. I'm assuming your point is that health care plans are just another form of compensation and if you don't like what's offered, quit and work somewhere else that offers something better. The problem is that 1) coverage chosen by the employer can change every year, 2) you can't get the same coverage at the same price on your own or at a small company, and 3) it's non-optimal because it bundles unrelated things and requires you, as a "consumer" of employment, to make your decisions based on the aggregate value instead of individual values of the components. > Let me ask you though. What if your employer would give you the money they put toward your health care to choose the provider of your choice (even if you had to pay the difference for any shortcoming)? That seems good to me as long as you had the option to buy the same coverage at the same rates as the big companies.

goggles99 14y ago
> Schools can't afford to bus random kids in from 100 miles away This is my point... Affordability is the reason in both cases so I don't understand how this is so easy for you to understand with schools and so baffling with Employer paid health insurance. Do you thing that your HR dept could manage 100 different health care providers? do you think all the providers that you may wish to use are affordable to your company? >All of those things are either related to the relationship between you and your employer. The 401k thing is a little funny. I'd rather take the cash and manage it myself. I'm assuming your point is that health care plans are just another form of compensation and if you don't like what's offered, quit and work somewhere else that offers something better. The problem is that 1) coverage chosen by the employer can change every year, 2) you can't get the same coverage at the same price on your own or at a small company, and 3) it's non-optimal because it bundles unrelated things and requires you, as a "consumer" of employment, to make your decisions based on the aggregate value instead of individual values of the components. Money is a finite thing to your company and I just don't understand how you are baffled that you can't choose whatever health care you wish through your company. Whats more - with ObamaCare, you will still not be able to choose whatever health care provider you want so I don't see how you think that this will help you.