Consider - one of the health care bill proposals has a 2 year unemployment insurance clause for displaced insurance company employees.
If you think the point I am about to make is not valid - ask yourself why the above provision is in a bill that includes a public option.
Bottom line
- if 15% of the US economy goes from private insurance to a federal insurance program
- the remaining taxpayer and business will have to replace the local, state and federal income and property taxes that are lost when the Fed controls a program.
Before you scoff at these issues - read on to the end
and for those who think this is not an issue - 15% of the economy going from private to public sector will need to see at least a 20% tax increase on the private sector to replace lost revenues
... Today on Fox News Sunday and (I think also not sure) on ABC/ Stefanopoulos show, the figures for 'overhead' by the health insurance industry, ie the amount actually NOT paid out for delivery of health care services, ranged as high as 20%. That would mean up to 20% of a premium payment goes to marketing, salaries, bonuses, and other ancillary expenses...up dramatically from 1990 level. "
Government care - Medicare A is claimed to be a 5 - 8% overhead rate
Government care - Medicare B, and D added in takes total government overhead to somewhere close to 15%
for this dialog let's accept the conservative
15% overhead for government insurance
20% for private insurance overhead,
both sides can argue up to 30% for the other, but it does not matter for this review
Government overhead for insurance pays 0.00 to get buildings or renovate them - GSA pays for building remodeling services and for new facilities in a separate account
those grounds and buildings are not subject to state property taxes
Private insurance hires people or companies to build facilities and remodel them,
those contractors pay taxes that add to government revenue
those grounds and buildings, and the improvements are subject to local and state property taxes
(real property, real land, real assets)
Government overhead for insurance pays 0.00 to facilities management - GSA pays for building services and facilities management in a separate account
Private insurance hires people or companies to manage facilities management,
and those service providers pay taxes that add to local, state and federal government revenue
(boilers, AC, power, light, parking lots etc)
Government overhead for insurance pays 0.00 to property taxes
Private insurance pay local, state's property taxes that add to government revenue
Government overhead for insurance pays for the clerical employees in CMS to manage the program - but the government employee and employer do not pay all of the FICA and tax burdens to federal and state coffers a private person and employer do
the government worker has part of his/her health insurance paid for by taxpayers
the government workers have a part of their retirement funded by the taxpayer
Private insurance hires people to manage all aspects of the insurance program, and the employer pays for unemployment insurance, FICA, and state and federal payroll taxes
the individuals do not have government (taxpayer) funded retirement, so they invest their monies
the individuals pay for their health insurance, at a discount
Government overhead for insurance pays minimal for enrollment, and sub-contracts some work - as most is done thru federal and state employees in other agencies, funded by federal and state taxes, but not paid for by the government insurance agency
(social services is not a part of CMS or Medicare, it's paid for by taxpayers)
Private insurance hires people to manage enrollment into the insurance program, and hires 1099 workers to sell policies
the employer pays for unemployment insurance, FICA, and local, state and federal payroll taxes
the employed individuals pay for their health insurance, at a discount
the 1099 employee pay local, state and federal taxes and FICA, pays property taxes
Government overhead for insurance pays 0.00 toward profit
Private insurance pays taxes on profit that add to local, state and federal government revenue
Government overhead for insurance pays 0.00 toward mandatory reserves and set-asides
to meet financial needs it borrows money and prints money
Private insurance pays toward mandatory reserves and set-asides which make banks profitable, as the interest paid is less than the interest earned in lending those funds
that keeps the economy going
Banks and bank employees pay local, state and federal taxes, and fund the FDIC
Government overhead for insurance pays 0.00 toward mandatory fees, licenses, regulatory costs, audits or market conduct reviews, and pays no fines for non-payment of claims
(6.9% decline rate for part A)
Private insurance pays all costs born by states toward mandatory fees, licenses, regulatory costs, audits or market conduct reviews
Private insurance pays tort costs
Private insurance has a lower decline rate than Government
look up the AMA report for actual numbers
Government insurance is not held accountable for compliance to laws and state regulations
so it never pays a fine
Private insurance is held accountable for compliance to laws and state regulations, and pays state and federal fines when it is found to have not meet those guidelines and laws
Government insurance is not liable - so it rarely gets sued
Private insurance is held accountable for any tort issues, and pays fines when it is found to have not meet those guidelines and laws
the lawyers pay taxes, filing fees, and taxes on settlements that enrich local,state and federal coffers
after you read the analysis, consider if that 20% does go away - from a public option or a Universal mandate
notice all of the taxes and fees that local, state and federal government will have to replace from someone else
can you afford 20% more in taxes on top of what the insurance program would cost?
My purpose: to have people see the piles of crap that we step over and around as we struggle in our daily lives. Like the lighthouse, I am shining a light on issues of today through commentary, posting of articles and information, and in general offering a closer look at details the press "forgets" to tell us. Call me a different voice in the darkness. After all, change happens when the felt pain of NOT CHANGING becomes greater than the perceived pain of CHANGING.
Sunday, October 18, 2009
Saturday, September 5, 2009
you want to know who to blame for high insurance premiums?
you want to know who to blame for high insurance premiums?
the majority of your premium actually pays taxes
those of you who ran a business - so you should already know this
anyone who took economics should know this
costs always flow to the end consumer
here are the government costs you pay for in your insurance premiums:
taxes on the insurance company for payroll,
taxes on insurance company property
taxes on insurance company profit
taxes (fees) for insurance company licenses
taxes (fees) to insurance regulatory offices
taxes imposed on insurance companies to fund government programs
taxes paid by insurance employees on income thru wages
taxes paid by insurance employees on property thru wages
taxes paid by insurance employees in sales tax thru wages
taxes paid by doctors and nurses on income
taxes paid by doctors and nurses on property
taxes paid by doctors and nurses offices in sales tax
taxes (fees) by doctors and nurses for licenses
taxes (fees) by doctors and nurses to regulatory offices
taxes paid by hospitals and clinics on income
taxes paid by hospitals and clinics on property
taxes paid by hospitals and clinics in sales tax
taxes paid by hospitals and clinics employees on income
taxes (fees) by hospitals and clinics employees for licenses
taxes (fees) by hospitals and clinics employees to regulatory offices
taxes paid by suppliers to hospitals and clinics on income
taxes paid by suppliers to hospitals and clinics on property
taxes paid by suppliers to hospitals and clinics in sales tax
taxes (fees) by suppliers to hospitals and clinics for licenses
taxes (fees) by suppliers to hospitals and clinics to regulatory offices
taxes paid by suppliers employees on income
so now you know why your insurance premium is so high
and you want even more government to manage your costs
ROFLMAO at the stupidity of that idea
the majority of your premium actually pays taxes
those of you who ran a business - so you should already know this
anyone who took economics should know this
costs always flow to the end consumer
here are the government costs you pay for in your insurance premiums:
taxes on the insurance company for payroll,
taxes on insurance company property
taxes on insurance company profit
taxes (fees) for insurance company licenses
taxes (fees) to insurance regulatory offices
taxes imposed on insurance companies to fund government programs
taxes paid by insurance employees on income thru wages
taxes paid by insurance employees on property thru wages
taxes paid by insurance employees in sales tax thru wages
taxes paid by doctors and nurses on income
taxes paid by doctors and nurses on property
taxes paid by doctors and nurses offices in sales tax
taxes (fees) by doctors and nurses for licenses
taxes (fees) by doctors and nurses to regulatory offices
taxes paid by hospitals and clinics on income
taxes paid by hospitals and clinics on property
taxes paid by hospitals and clinics in sales tax
taxes paid by hospitals and clinics employees on income
taxes (fees) by hospitals and clinics employees for licenses
taxes (fees) by hospitals and clinics employees to regulatory offices
taxes paid by suppliers to hospitals and clinics on income
taxes paid by suppliers to hospitals and clinics on property
taxes paid by suppliers to hospitals and clinics in sales tax
taxes (fees) by suppliers to hospitals and clinics for licenses
taxes (fees) by suppliers to hospitals and clinics to regulatory offices
taxes paid by suppliers employees on income
so now you know why your insurance premium is so high
and you want even more government to manage your costs
ROFLMAO at the stupidity of that idea
Wednesday, August 5, 2009
Canadian Health Care is NOT single payer
there seems to be an inconvenient truth that exposes a lie in the gazillion comments being made to further health care reform
it seems there is a thriving private insurance industry in Canada
from:
http://www.marketwatch.com/story/balyasny-bets-against-healhcare-reform-2009-08-04#comment2591443
"While the health-care system in Canada ensures that virtually everyone living here has access to medical services in any part of the country, it doesn't cover everything. That's where private, or extended, health insurance comes in – it is meant to pick up where your government plan ends. Private health insurance is not the same as emergency health – or travel medical – insurance that you may consider purchasing when you travel outside Canada. Rather, it covers the day-to-day surgeries and treatments that can add up to big bills."
and from
http://www.insurance-canada.ca/health-products/health-dental/health-dental.php
"Directory of Health and Dental Insurance Providers
A certain amount of health and dental expense will be incurred every year by individuals and families. However, health and dental emergencies can prove quite expensive and personal or family health and/or dental insurance can be a big help in reducing the impact of unexpected costs.
For this reason many people not covered by an employer or group plan will consider their own health and dental insurance."
and, last but not least:
http://www.insurance-canada.ca/health-products/health-quotes/health-quotes.php
"Directory of Online Health Quotes Providers
When you decide to buy health insurance, the sales organization - broker, agent, company - must be licensed to do so in your province. Providers will make product information, coverages, pricing and applications available in numerous ways -- in local offices, through the mail, via telephone and/or on the web over the Internet."
it seems there is a thriving private insurance industry in Canada
from:
http://www.marketwatch.com/story/balyasny-bets-against-healhcare-reform-2009-08-04#comment2591443
"While the health-care system in Canada ensures that virtually everyone living here has access to medical services in any part of the country, it doesn't cover everything. That's where private, or extended, health insurance comes in – it is meant to pick up where your government plan ends. Private health insurance is not the same as emergency health – or travel medical – insurance that you may consider purchasing when you travel outside Canada. Rather, it covers the day-to-day surgeries and treatments that can add up to big bills."
and from
http://www.insurance-canada.ca/health-products/health-dental/health-dental.php
"Directory of Health and Dental Insurance Providers
A certain amount of health and dental expense will be incurred every year by individuals and families. However, health and dental emergencies can prove quite expensive and personal or family health and/or dental insurance can be a big help in reducing the impact of unexpected costs.
For this reason many people not covered by an employer or group plan will consider their own health and dental insurance."
and, last but not least:
http://www.insurance-canada.ca/health-products/health-quotes/health-quotes.php
"Directory of Online Health Quotes Providers
When you decide to buy health insurance, the sales organization - broker, agent, company - must be licensed to do so in your province. Providers will make product information, coverages, pricing and applications available in numerous ways -- in local offices, through the mail, via telephone and/or on the web over the Internet."
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