The Worship of Sports in America

Go to Blogger edit html and find these sentences.Now replace these sentences with your own descriptions.This theme is Bloggerized by Lasantha Bandara - Premiumbloggertemplates.com.

How The Middle-Class Got Screwed (Video)

A most simplistic explanation of how the economic problems of the middle-class has become an actual threat to their well-being.

Why I'm Not A Democrat...Or A Republican!

There is a whole lot not to like about either of the 2 major political parties.

Whatever Happened To Saturday Morning Cartoons?

Whatever happened to the Saturday morning cartoons we grew up with? A brief look into how they have become a thing of the past.

ADHD, ODD, And Other Assorted Bull****!

A look into the questionable way we as a nation over-diagnose behavioral "afflictions."

Showing posts with label Insurance. Show all posts
Showing posts with label Insurance. Show all posts

Tuesday, January 8, 2013

Opinion: Insurance Companies – No Good Deed Goes Unpunished (…or, “You Gotta be ****ing Kidding...”

One of the reasons that I began writing is because as an information and news junkie, I would often come across items on the newswire that seemed to garner very little coverage. What’s more, I simply cannot stand the way people tend to view news items through the prisms of their ideological beliefs. In objectively learning about what goes on around us, I find the old adage to be very true; to be forewarned is to be forearmed. Take insurance companies for example. I think most people have a love-hate relationship with them. They’re a necessary evil, but given some of their practices and policies, it’s hard to understand why their favorability rankings in the court of public opinion don’t find them sandwiched in between those of a child molester and dung beetle (personally, if it were for the law, I probably wouldn’t carry insurance on my automobile). Some insurance companies seem to go out of their way to prove how much they can rub the public (and their clients) the wrong way.
Remember the American International Group, better known as AIG? A few years ago (4 to be exact), the multibillion dollar insurance and financial services company was headline news. The reason? AIG was one of the “too-big-to-fail” financial institutions leading the near-collapse of the American (and world) financial markets due to then-commonplace excessive risk-taking with mortgage-backed securities that it had insured through credit-default swaps. On the brink of collapse due to decisions it made, AIG received a courtesy-of-taxpayers government bailout in the form of loans to the tune of some $180 billion plus dollars…at a little-more-than 14% rate of interests. AIG made news the following year when it announced that it had planned to pay executives—the same “best and brightest” that had been at the helm when the company nearly ran itself into the ground—bonuses totaling over $160 million in the wake of having received government money (as an aside note, it was later reported that Democratic Senator Christopher Dodd of Connecticut had received $160,000 from employees of AIG, who amended the bailout legislation to allow the AIG bonuses).
Well, AIG is in the news once again. If you haven’t heard, the company, having just finished paying off the government last month, is seriously considering suing the federal government over the effects of the low-interest loans on its shareholders. Yes, you read right. AIG is suing the same government which rescued it out collapse! On Wednesday of this week, the company’s board of directors will discuss and vote on whether it will join a 25$ billion shareholders’ lawsuit against the government. At point is not the fact that the bailout was not needed in order to save the company, but that lawsuit

contends that the onerous nature of the rescue — the taking of what became a 92 percent stake in the company, the deal’s high interest rates and the funneling of billions to the insurer’s Wall Street clients — deprived shareholders of tens of billions of dollars and violated the Fifth Amendment, which prohibits the taking of private property for “public use, without just compensation" ("Rescued by a Bailout, A.I.G. May Sue Its Savior").

And as AIG contemplates whether or not to bite the hand that fed it in order to satisfy its stockholders, millions of Americans haven't been reimbursed one cent for their contribution to the collective billions they’ve lost in home values, investments, and retirement savings linked to the same industry practices which nearly drove the country’s market economy into the toilet. When companies exhibit such audacity, it’s hard to believe that there are some Americans who can defend unregulated market and/or company practices with such a straight faced blind devotion to treat-the-consumer-anyway-we-want market economics.
But when it comes to the insurance industry, AIG does exist in a vacuum when it comes to favoring shareholders over clients and customers. As I was watching the news the other day (where my inspiration came for this piece in fact), I happened across a piece spotlighting a Staten Island, New York couple who found out the hard way how shady some insurance companies are.
Back in October, Dominic and Sheila Traina lost their home to super storm Sandy. Luckily, the Trainas had evacuated their home prior to the arrival of the storm. But a neighbor who had stayed behind told the couple that the wind from the storm had blown their roof off their 2-story home. However, their insurer of record, Allstate, has alleged that the damage to the home was due to the storm’s tidal surge. In other words, Allstate says that flooding caused the damage. Instead of reimbursing the Trainas for the full loss of their home, the insurance company offered $10,000…which the elderly couple has rejected in lieu of hiring an attorney and fighting to receive full compensation under their policy. However, Allstate has stated that it encourages “our customers to consider flood insurance to protect themselves in ways that would not be covered under a homeowner's policy.”
In a damned-if-you-do-damned-if-you-don’t twist to the story, the couple said they previously had flood insurance, provided by the U.S. government's National Flood Insurance Program, but that their payments proved to be more than the reimbursement amounts they received for previous incidents, so they cancelled that particular coverage (which is not a good idea if you live on a flood-prone plain. If one chooses to reside in area where nature tends to act a bit fickle, then it behooves there individuals to purchase the appropriate insurance coverage).
But in the Trainas case, the insurance company decided (I assume inadvertently) to add insult to injury; the company has used the couple’s damaged home in one of its television spots. In learning about what the Trainas were going through in New York with their insurance company, the logical part of myself considered the possibility that what that couple went through in the wake of the disaster was an aberration…a single instance of poor planning on the part of insurance policy holders.
But I found another policy holder in the Sandy-devastated region of the Northeast was treated with similar apparent contempt by the same insurance company, Allstate. After homeowner Jason Crea's house was totaled in Hurricane Sandy, he was paid the grand sum of $37.74 after the cost of the $1,000 deductable was factored in for his losses. In protest of the paltry sum offered to him by Allstate, he created a sign in an effort to shame the company into reconsidering its settlement.
According to the home’s owner,

When I bought the contents policy, I explained to [Allstate] that I have a lot of expensive stuff in the basement. They just smiled and took my money. The thing they didn't bother mentioning, and what was in the fine print, is that the basement isn't considered a room in the house (“Sandy Homeowner Gets $37.74 in Insurance for Destroyed Home”)

The bottom line is that the contents of Crea’s home were not covered by his policy. In all fairness, Crea should have read his policy more carefully…after all, Allstate is a business whose primary goal is a profit motive. But in taking the money after he had given the insurance agent the verbal caveat, the company appears to have misrepresented the policy holder’s policy. In fact, if you performed an internet search, using the name of your insurance company followed by the word, “sucks” (e.g., “_________sucks”), it would become apparent that there are far more dissatisfied people when it comes to insurance companies than there are people who are content, whether the policy is one covering health, property, or automobiles (although a few of the instances seemed to be more griping than not, many of those sample grievances I read appeared to have an air of legitimacy.
In all the recent public discourse about how certain politicians “hate business,” how companies “are people” (for the sake of applying the law), and about the “contribution” of “job creators” to the greater good, people on any side of these arguments tend to forget that in the end, businesses are not about creating jobs, creating customer satisfaction (at least not beyond that required to maintain a continual flow of customers), or even about promoting Free Market values. Insurance companies like AIG and Allstate are just like all businesses...they are all about maximizing profits, while minimizing losses. If your family benefits economically along the way of this regime, that’s fine and dandy. However, that is not their primary purpose…their interests are strictly self-serving and motivated by economics, not gallantry. Insurance companies may have their benefits, but they are every bit as self-serving as any other industry. Unfortunately, many of us don’t take notice of this reality until the moment we expect (insurance or any other) companies to treat us like “fellow human beings” (remember, companies are “people” under the law) when it comes our needs and/or interests.  And it's only the extremely rare company is above biting the hand that feeds them.

Sunday, August 17, 2008

Health Care is Killing America, Conclusion

So what are America’s options to the current system, which is headed for a critical mass, along with—potentially—the nations itself? First, remove the negative rhetoric. Political and economic interests opposed to revamping a system that is clearly headed toward a meltdown can no longer be afforded the power to control the language of the issue. Contrary to popular opinion and patriotic tradition, “socialized medicine” is not a bad word or phrase. Whether people want to believe it or not, we already have mechanisms in place that, if are not socialized in function, and doing a damn good imitation of socialism. The federal and state governments have been directly involved with the medical care of soldiers, veterans, legislators, children, the aged, and handicapped for decades in the form of Medicare and Medicaid. The free market system cannot solve every problem, and it obviously can’t solve this particular problem…if it could, it wouldn't be a problem. A system of universal health care coverage is needed, and its time ideologues faced facts, both federal and state governments are not going to get out of spending something on it. Furthermore, there is no “perfect system” for administering this. Every valiant attempted system that currently exists in the world has some bugs, some issues that makes users less-than happy. Is this an endorsement of a socialist system-based solution, not at all. But one thing is for certain…what we in place have is not working, and it is imperative that a solution be not only found but implemented soon…no matter how ideological distasteful it may be. There is simply no reason for not having a system of affordable universal health care; most polls show that the people want it, many professionals in the health care system want it (an Internet search for organizations supporting universal health care will bring up a plethora of such organizations, both professional and grassroots), and the economy demands it.
Those opposed to any kind of universal health care in America that isn’t founded on solely free-market principles typically cite the long waits for service under “socialized medicine,” systems such as those in Canada and the United Kingdom. I’ve spent many hours in online chat rooms based in those countries, and the conversations would always invariably become political in nature. And since this issue has been a personal crusade for me, I would often ask individuals in those (and other) countries would they trade health care systems with America if given the chance…the answer was always an unequivocal “no!” To them, the inconvenience of a wait is a tolerable trade off for the surety and comfort of not having to struggle with illness, while at the same time trying to figure out how to pay for treatment without going into financial ruin. And it’s a safe bet that opponents of some kind of nationalized health care coverage haven’t ventured out of their ivory-tower or think-tank offices to hospitals in poor urban areas. For many, the emergency room is the personal-physician-of-last-resort where the uninsured go, often to receive treatment for chronic conditions that have progressed because of the hard choice of medical care or material necessity. Unless one of these unfortunates walk in with a bullet wound, a knife sticking out of their heads, or a severed limb hanging on by a single shard of loose skin, there is a wait for service!
We should also look into taking some of the socioeconomic glamour out of the medical profession, and bring a back-to-basics approach back to medicine. Restructuring of the medical profession in America is long overdue. Believe it or not, the medical field wasn’t a vocation where individuals were seeking the social prestige and relative financial security of being a doctor. It was one a purely humanitarian endeavor, staffed by those seeking to alleviate human suffering. If one is expand their outlook and chance stepping outside the limiting mindset of a “realist,” it seem almost unethical to profit from someone else’s misery. In the UK, doctors are civil servants, a position that still afford relative financial security, but without the detraction of social status, or the specter of possible blackballing due to instances of malpractice. It’s high time we think of making doctors government employees. It would weed out the intent of those seeking to become physicians for the purpose of helping others, as opposed to those looking to inflate their egos, as well as their pockets as the sole motivation. Additionally, the division of labor among medical practitioners can be divided along lines based on the severity of the affliction. A well-experienced nurse could just as easily diagnose a cold and prescribe bed rest as easily as well-practiced doctor. The same could be said for nursing assistants and others.
The linchpin in the health care crisis, the complex bird's nest of administration each insurer uses to process payments and patient information, could be reduced significantly. There could be a centralized database used by all health care providers, where each would input all of the information about their patients. All insurers in turn, would be required to access this database in order to acquire the information needed to process payment (and other necessary) information; this would be a huge step toward creating a uniform system of payouts.
In the area of drug prescription costs, we should consider eliminating drug patents. The idea is that with many drug companies competing for a market share of a universally produced drug, we wouldn’t have so few of them charging so much in an effort to recover the money invested in developing these drugs (a chief cost-booster in overall purchase price of prescription drugs). Also, advertising (except directly to medical professionals) and promoting drugs in questionable ways should be illegal. This would mean no perks or bonuses for doctors and/or medical centers willing to prescribe a certain drug manufacturers drugs exclusively to their patients. This would level the playing field of the market and lower prices via fair competition.
Legally, it is a given that the high numbers of malpractice suits must be curbed. Under a revamped system, the merit of all lawsuits could be subject to an evidentiary hearing, in much the same way as impending criminal proceedings. Those wishing to file a lawsuit would have to have them heard before either a judge or an impartial board of some kind so that people whose fingernails were chipped during the removal of a cuticle are summarily dismissed from taking such frivolity into a courtroom.
Finally, a person should be allowed to be relived from the discomfort of a slow, agonizing, and—if artificial means of keeping them alive are employed—costly death. The final choice a person can make should not be subject to the legislative whims of someone bringing their personal religious beliefs into the realm of government. Although I am not intimately familiar with the process of artificially maintaining the life of a person who is essentially beyond hopes of resuscitation or recovery, I have to imagine that it is a costly endeavor. And those brave souls willing to either spare themselves the dishonor of an ignominious passing or their families the burden of having to make the fateful decision to terminate treatment should be allowed to do so. This report is by no means meant to be the end-all-be-all of what can be done to halt the current crisis in the health care system. Nor should it be considered a comprehensive list of possible solutions. However, it should be taken as a template of ideas to bring attention to something that could stop health care’s killing of America.

Friday, August 15, 2008

Health Care is Killing America, Part 1

Let’s forget for the moment that most Americans simply lack restraint when it comes to our self-indulgent lifestyles; we simply won’t stop overworking, sunbathing, eating processed foods, or drinking and smoking in excess. Not only is this bit of reality a given, but so is the knowledge that our way of life creates a laundry list of accompanying health problems. After all, it’s been said that the aging process is only 20% chronological, but 80% environmental…more of a product of what we do to ourselves than who we are. Ask anyone you know with a particular self-destructive vice why, at the risk of inflicting bad health, do they indulge in such irrational behavior and you will more than likely receive the usual cop-out; “Everything causes cancer!” “I just like it,” and the always justifiable, “You gotta die of something, right?”
Even if such BS were rationally sustainable, it still flies in the face of the human proclivity for trying to remedy a problem after the fact. We have a health care system in America that, for the most part, is based on fixing our individual medical boo-boo’s only after we have abused ourselves with fast living, fast foods, fast driving, and “need” for fast fun. And in much the same way that we have rationalized our counter-productive behavior with fatalism, we have done the same with our lack of resolve in having some kind of universal health care insurance covering all of America’s citizens. Given the current precarious position of the average American’s financial stability, as well as America’s vulnerability in a globally integrated economy, we have to conclude that the current health care system is killing America.
So how is the current state of health care endangering America to the point of our potential decline as a nation? First off, too many people are too quick to adopt the patriotic rhetoric about how America “has the best health care system in the world.” This would be true if every American had access to that “best health care.” But as it stands, such defensive ideological-based rhetoric blinds us to the fact that not every American can afford to have “the best.” Consider the following experience, written by a medical professional:

…I find peace of mind in knowing that if someone runs into my car and tears a fender off I can stand the expense. My insurance company will pay the bill. The same thing is true of fire. If my house burns down I am guaranteed the funds with which to rebuild. If I should come to die I should have the satisfaction of knowing that my life insurance policies will at least keep the family from the poorhouse.
‘But if I or any member of my family should have another serious illness I doubt if I could ever be rid of the debts with which my life would be burdened. I cannot understand why society has not devised some method by which I and millions like me may be assured in advance that we can meet the costs of illness. After all, I am more likely to be sick than to suffer by fire or be robbed or lose my life. Why can I not be protected where protection is most likely to be needed?

This is not a recent article written in a left-of-center leaning publication; it is an article published in the October 1930 issue of The Atlantic Monthly entitled “A Cure for Doctors’ Bills.” Even then, some could see the need to affordability in health care. You read right…1930! One has to wonder how and why such ideological rhetoric has blinded us to this crisis for so long.
At the risk of sounding like a 60s radical, the reason why ideology has so successfully repressed any attempt come up with a solution is that political and economic interests have mastered the art wordplay. More to the point, they have such a mastery over the control of any and all language associated with maintaining the current health care funding model, that it could best described as the “’P’ Phenomenon;” mixing Politics and Patriotism to create Propaganda which controls Policy or even Proposals. This is to say that those interests with a stake in the current model have successfully posed that the free-market is the only way to remedy both universal access to health care as well as control the rocketing costs that’s makes health care affordability prohibitive to begin with. Although there is no law that says that America has to adhere to a free-market solution to any policy, interests have managed over the years to successfully ingrain this notion into people’s thinking to such a degree that even proposed solutions by progressive-minded politicians adhere to this ethos. Anything that remotely smacks of government intervention or involvement in health care is maligned as “socialism,” and is avoided as if maintaining a solely free-market were the chief mandate of the Constitution, which it is not. The reality is that we already have vestiges of a socialist-like mechanism already in policy; the government provides health care to our soldiers and veterans, to our federal legislators, on a local level, states do the same with children and the aged. The more we adhere to secondary political ideologies that prevent us from opening our minds to new solutions for open and equal access to health care, the more we destroy—at least in a philosophical sense—the primary ideological foundation for why America exist in the first place…equal opportunity.
Aside philosophically dying, inaccessibility to health care for those who can’t afford comprehensive (or even partial) health insurance is killing American literally. Who can forget the article in May 2nd, 2002 edition of USA Today, which cited the conclusion of a study by the non-profit Institute of Medicine that blamed 18,000 deaths a year on a lack of health insurance? According to the report, 1 in 7 working-age Americans don’t have employer-provided insurance, and don’t qualify for government medical care; this doesn’t include the estimated 10 million children who go uninsured. According to the latest statistics, between 40 and 50 million Americans total lack health insurance of any kind. The bulk of those individuals who die do so needlessly, lacking coverage for life saving health screenings for diseases such as diabetes and cancer…so they simply go without. The report started talk on many a radio station on the subject of universal health care at the time of its publication. No one doubts—especially after the 3,000 deaths that occurred on Sept 11th—that if we had lost 18,000 of our fellow citizens in a single conventional or terrorist attack that we would have declared war and/or reacted almost instantly. One has to question the lack of an equal response to 18,000 deaths annually due to system of our own creation.
But it is in the realm of the economy where America stands to lose its current life. Since records have been kept, the cost of health care has only risen year after year. Currently, a minimum of between 10 and 20 cents of every dollar spent in America is spent on health care. In 2007, that was equivalent to 16% of the nation’s Gross Domestic Product (GDP), or $2.3 trillion; by 2016 it’s expected that health care spending will reach approximately $4.2 trillion or 20 of the GDP, which includes government spending on Medicare and Medicaid. And with an already record-level budget deficit, the nation runs the risk of spending itself into penury. With the more traditionally higher paying jobs moving offshore and supplanted by lower paying service-based jobs, we obviously cannot maintain this level of consumer spending on this single but growing portion of the total economic output of the nation. Many familes already know the potential end result of doing so, as the majority of declared bankruptcies filed in any given year are due to the inability to pay medical bills. Under higher paying jobs, paying for health care was a strain; with the lower-paying positions that have replaced them, the choice simply comes down to—for many—paying for health care or paying a utility bill…in worse cases, it comes down to food or equally-needed prescription drugs. Health care in American has become unaffordable for both businesses and individuals.
The reasons for these soaring costs in health care include the high cost of prescription drugs (a crisis in itself), the high cost of medical technology, and the high administrative cost of the sophisticated multi-payer system that our system is based on. In addition, the high numbers of uninsured contribute to these high costs because chronic or developing conditions, which could be nipped in the bud by way of preventative care, often progress into the more expensive, often more life-threatening condition of whatever their silent or chronic symptoms may indicate. Furthermore, we pay hospitals and doctors in our country more than they’re paid in other countries, particularly medical specialists and specialty institutions, such as the Mayo Clinic and the like. These specialists in turn, tend to rely on the overuse of costly medical technologies and procedures…again in levels that far exceed both their use in other countries and their need in individual cases. And last, but not least, America’s litigious nature—suing for every possible reason as it relates to malpractice claims in particular and health care in general—drives up health care insurance premiums to beyond the reach of many to afford. America’s health care system is questionably the best in the world, but definitely by far and away the most expensive.
And while both the American consumer and employer struggles based in-part on the current health care scheme, our global competitors thrive without such burdens. China, our biggest economic competitor currently has a tiered system that is based on a patient’s location in the country. Under the 2005 implemented New Rural Co-operative Medical Care System, 80% of the country’s rural population is covered state-sponsored insurance, ranging from 60% to 80% coverage of general health claims (under their system, patients requiring specialists have to pay for most of those related services themselves). India, another up and coming economic power in competition with America for a share in the global market, has a system made up of local “government hospitals” which provide treatment as well as selected drug at taxpayer cost. Even though there are shortcomings in their systems, the two most populous nations on the globe—growing economic powers with a combined billion or so potential workers—see the ethical and practical need to cover the cost of health care for its citizens. More to the point, these powers-to-be are challenging America’s economic dominance, and they don’t have businesses in their countries locating abroad in an effort to lower health care-driven labor costs (for a recent in-depth focus on China's rise toward becoming the next preeminent global superpower, see the CBS newsfeed at
http://www.cbsnews.com/stories/2008/08/17/sunday/printable4356248.shtml).
These businesses have the advantage of having government subsidized health care for their workers. Their need to fuel their economic growth as it relates to health care, is not stymied by bickering political ideologues, or business interests who seek to maintain the status quo for the sake of inflating their profits. Health care is killing America.

To Be Concluded