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I like that car analogy, because it also helps demonstrate the other way in which health insurance is fundamentally broken with respect to other insurances. Wi
by rprospero 13y ago
I like that car analogy, because it also helps demonstrate the other way in which health insurance is fundamentally broken with respect to other insurances.
With car insurance, if someone wrecks my car, I get a check for the repair bill and the transaction is complete. However, if car insurance ran like health insurance, the insurance company would pay for a rental vehicle and leave my car totaled. If I ever drop my insurance, they'd take away my rental car and leave me with just the old wreck. There's no plan to make me whole again.
Granted, health insurance companies don't give out rental bodies. However, with other types of insurance, an adverse event (e.g. house fire, car accident) leads to an insurance payout that covers your loses. However, with health insurance, an adverse event (e.g. cancer diagnosis) just leads to a piecemeal payment of health expenses while you remain on their policy. If your policy ends, they don't have to pay for treatments on an event that occurred under their policy.
If we really want health insurance to act like catastrophic insurance, then it really needs to act that way. If I get diagnosed with cancer, I shouldn't get treatments covered on an annual basis as long as I am a member. Instead, the actuaries should calculate an average lifetime cancer treatment cost and I should be sent that as a check. It's then my responsibility to pay for that treatment.
This would be a far more economical system, but it requires that health insurance companies start paying for health expenses that are incurred under their policies, just like every other form of insurance.
- tdfx 13y agoIf your house burns down and you receive the check and don't spend it repairing your house, oh well. If you get cancer, get a check to cover the total expected cost of treatment, and don't spend it on treatment, the hospital can't refuse you treatment when you show up with serious symptoms. Plus I'm not sure I'd want to receive a check for the "average lifetime cancer treatment cost" because it would sure suck if you case was more complicated than the average case.
- spikels 13y agoI don't think you understand how medical insurance works or how fire insurance works in most cases. With medical insurance you never receive payment without spending at least as much on the treatment and in most cases the payment is made directly to the provider. With fire insurance if you have a mortgage the payment is made to the lender who hold it until the repairs are made and many insurance policy require that the money be spent on repair or pay less if it is not spent on repairs. All of these rules and procedures are to reduce fraud and limit costs.