A Pagan's Blog

Why Private Auto Insurance Works for Everybody and Private Health Insurance Does Not

Tuesday June 30, 2009

I am amazed that I have heard so little as to why the purely private option no longer works for medical insurance and never will again.  The reason lies in the very logic of capitalism and the market.  While right...
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Comments
Anonymous
June 30, 2009 3:10 PM

Healthcare reform proposed by the Federal Government may actually eliminate affordable medical insurance from the private sector entirely.
While publicly funded healthcare may seem to create affordable medical insurance for more Americans, it may actually create a bigger problem.

MaryAnne
June 30, 2009 3:19 PM

(Much of what happens these days puts me in mind of cargo cults. "If we keep spending, prosperity will return...")

Thomas
June 30, 2009 3:51 PM
http://www.badassbard.com

There's also the issue of elasticity of demand. With normal goods, one can simply decide not to purchase. The same is not true of health care. Dying is not a viable economic choice. As a result, those companies involved in providing or facilitating health care can charge as much, often even more, than the market will bear.

Gus diZerega
June 30, 2009 3:57 PM

Partly so, Thomas, but a lot of people are deferring health care and check ups. Deferral is often rational from an individal perspective given today's realities, but it irrational from a social one because prevention is usually cheaper than cure or amelioration.

In addition, an issue I did not bring up, health insurance is locally often quite monopolistic or oligopolistic, and apparently becoming more so. This sad fact strengthens Thomas's point.

see
http://www.marketwatch.com/story/study-confirms-health-monopoly-fears

Maritzia
June 30, 2009 6:55 PM
http://maritzia.com

Many people defer preventive care because they can't afford it. Even with a copay, it's too expensive for some folks to be able to pay for the doctor and the medical tests involved. When I had my first preventive colonoscopy, it cost me over $500 out of pocket. And I had good health insurance. But for a secretary making $33000 a year, $500 is a great deal of money.

Now, since I was laid off last year, I have no health insurance. I've been deferring doctor visits and bloodwork until the doctor wouldn't refill my meds anymore.

In the meantime, private insurance companies are making record profits.

New Age Cowboy
June 30, 2009 10:32 PM

Gus, I lived in South Korea. I was an English teacher there. I thought I had testicular cancer and had to access the government health care via my employer. It was awesome: cheap and thorough. I didn't even need any appointments or referrals.
I dunno. Americans are suckers for capitalism. I'm starting to think that I'm a Communist/Marxist. I do enjoy benefits of marketed technologies, but at what cost to necessities?

Low Key
June 30, 2009 10:41 PM

I agree something needs to be done. The existing system does not work but the government has proved to be incompetent at EVERYTHING, even those things that government is supposed to be good at. It looks like a no win situation to me. Where's Captain Kirk when we need him.

Artor
July 1, 2009 10:05 AM

A Public Option is not going to run private insurance out of business, but it will provide a new competitive model that is sadly lacking. As long as there is a standard that everyone can access, market pressures will drive out those insurers that don't offer something better, but any private group that can surpass the public offering will do just fine. Those who have money to burn for superior insurance will still be able to get it, but the rest of us who have nothing now will have a badly needed safety net.

I've been uninsured since I finished school, except for 2 yrs when my employer offered coverage. It was cancelled because it was too expensive, and my boss couldn't afford to keep it up. I spend a significant portion of my income to keep my kid covered, but if I get sick or injured myself, I'm completely screwed.

I have no sympathy for greedy insurance companies that line their pockets at the expense of the needy & the vulnerable. If they go out of business, it is a sign that justice still exists in the world.

genie
July 1, 2009 11:39 AM

As a Canadian who only has lived in a single payer system, I wonder if the US has the kind of societal consensus necessary to make the tough decisions that a single payer system must. American society seems polarized on many issues that are central in a single payer system - contraception, abortion, "futile" care, assisted reproduction, etc.

Franklin Evans
July 1, 2009 12:20 PM

Good and valid observations of government bureaucracy aside (just for the moment), the vast majority of people simply do not understand how insurance works. Gus made a good start in explaining it. It bears repeating often (though I'll refrain).

The crux of the problem is profit. A for-profit insurance approach will, by definition, fail to cover some people. How many is based on how profitable each carrier tries to be.

It actually doesn't matter how health care cost is covered. What matters is whether those covering it are trying to make a profit. Health care reform should start with the decision to make it not-for-profit, and elevate it to the same level of national mandate as national defense.

Thermal
July 1, 2009 1:00 PM

South Korea is not a communist/marxist nation. Actually I don't think there are any real communist countries left. China clearly is not really communist, and the healthcare system there is sorely lacking.
Since communism/marxism has proven to fail into simple feudalism, it will probably be as unable to provide decent health insurance as the Corporate feudalism which masquerades as capitalism in America today. The countries which have the best healthcare systems as evidenced by low infant mortality rates, long lifespans, and low levels of untreated epidemic and endemic diseases seem to be the ones with capitalist-based highly democratic semi-socialist governments.
I don't trust governments to do anything right, but I trust Corporations even less. At least government as practiced now in America is somewhat transparent and must eventually answer to the folks who elect the politicians. Corporations are entities which are legally created to shield their directors from liability for their actions, and whose goals are specifically the merciless creation of maximum profits. Either capitalism or communism, when not regulated by a self-interested and self-serving electorate, will fall quickly into feudalism, in which a few overlords hold control over most property, and everyone else winds up serving them.
No matter the name of the governing system, the core of getting good healthcare will be weeding the parasites and predators out of the system.
Sadly, it seems many of our politicians have their hands in the pockets of the parasites and predators.
Thermal

New Age Cowboy said;
June 30, 2009 10:32 PM
Gus, I lived in South Korea. I was an English teacher there. I thought I had testicular cancer and had to access the government health care via my employer. It was awesome: cheap and thorough. I didn't even need any appointments or referrals.
I dunno. Americans are suckers for capitalism. I'm starting to think that I'm a Communist/Marxist. I do enjoy benefits of marketed technologies, but at what cost to necessities?

Franco
July 21, 2009 4:17 AM
http://www.autoinsurancequotes.co.za

Franklin,

I do agree with you, but you have to remember that insurance companies are there to make money, they will suck every little penny out of your pocket of you give them the chance

Gus diZerega
July 21, 2009 10:53 AM

Franco is right - as health insurance demonstrates. What keeps it from happening with autos and such is genuine competition and genuinely big pools.

I notice that even the libertarians that occasionally comment on this blog have done nothing to challenge the logic of this post! Nor have they in other venues where I've challenged them. Ignoring an argument you can't defeat is the best approach if purity trumps truth.

As to conservative opponents - they abandoned any concern with truth a long time ago.

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Gus diZerega is a political scientist/theorist with a PhD from the University of California at Berkeley. While living and working as an artist and craftsperson to finance his degree, he met and later studied with teachers in NeoPaganism, the earth religions more generally, and shamanic healing.


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