Thursday, March 25, 2010

Party pooper re health insurance changes

Yep, they changed the laws about health insurance. I can expect a fine if I don't buy health insurance in 2014, assuming I live that long without health insurance. From an insurer viewpoint, profits from the 30 or so million new customers ought to offset the new rules. Please note that the new laws do nothing for prices and do not require very many specific coverages. Of course, the long lag time before the laws take effect gives insurers time to escape unwelcome new provisions by using the same scare tactics and heavy applications of cash that sabotaged the current bills.

Congress failed at two very important things. First and worst, they did not remove the antitrust exemption that health insurers enjoy. All of these politicians going on and on about the value of competition are either lying or grossly ignorant. Health insurers are exempt by law from competition.

More people are aware of the failure to include a public option in the changes. This also relates to competition. A publicly funded health care plan would (a) probably reduce costs a bit due to government entities not needing to make profits and (b) give the private companies a real incentive to compete that is lacking today. Such a large operation would also (c) provide leverage in negotiating with pharmaceutical companies, hospital chains and other large providers of care.

All in all, as an uninsured American, I don't see this as helpful. It's just a political gesture, "sound and fury signifying nothing."