Jun 14
adminArticles Bipartisan Solutions, Borders, Consumer Protection Regulations, Department Of Insurance, Derivatives, Effective System, Final Thought, Finance Companies, Gop, Health Insurance, Healthcare Debate, Insurance Companies, Insurer, Local Companies, Monopoly, National Insurers, Recession, Regulatory System, Sovereignty, Subprime Mortgages
The game played by politicians is to take an idea from their own agenda and then frame it in a way that sells it to the other side. When the politicians meet in the middle, bipartisan solutions to problems emerge. This reflects the fact there is no monopoly on good ideas, only simple good solutions to difficult problems. In the healthcare debate, one of the solutions proposed by the GOP was to allow people to buy their insurance across state lines. This sounds a good idea. As the law stands, every state regulates the sale of insurance within its own borders. This limits the size of the market. If insurers had to compete with each other on a regional or national level, the premium rates would fall and every citizen would get a better deal. Well, let’s look a little more closely at how it would actually work.
At present, every state has a Department of Insurance to regulate the insurance companies licensed to sell policies. This is a reasonably effective system for consumer protection. But if regional or national insurers could sell policies into many states, it would break the regulatory system. It would no longer be local supervision of local companies. Insurers would decide where to establish and would, of course, choose the states which had the weakest consumer protection regulations, i.e. where they could make the most profit. Think banks and finance companies. These companies broke the US economy and produced the recession because their sales of subprime mortgages and associated derivatives were unregulated. Now apply the same thing to interstate insurance. As a final thought on this issue, remember all US states have different laws and one state cannot enforce another’s laws. That is sovereignty for you. So the state where an insurer is based cannot protect consumers under another state’s laws.
Secondly, opening the market across state lines allows insurers to cherry pick the best people to insure. Without regulations to limit the right to discriminate against people for pre-existing conditions and to increase premiums as people get older and fall ill more often, insurers will just take their profit from all the healthy people and forget about the rest. Thus, instead of increasing consumer choice, it would have the reverse effect. Most insurance companies would close their branches in individual states. Those that remained would keep all the aging and less healthy people. As their claims rise, the companies will make a loss and close. Without a law to mandate regional or national companies to offer some health coverage, it is likely the number of uninsured people would rise.
When you add all this up, it is a good thing the GOP’s proposal was rejected. Health insurance plans are complicated enough without having to change a whole mass of federal and state laws to allow interstate sales. This is not to say that consumers might benefit if there was more competition in the insurance market generally. With a real free market, properly regulated, consumers would get a better deal both in the terms of coverage and in the premium rates they pay. As it is, you must get multiple quotes to find cheap health insurance. Anticipating their profits will take a hit following this reform, insurers have been raising their premium rates. You must shop around to find the most affordable policy.
Jun 11
adminArticles Balancing Act, Diagnostic Tests, Family Budgets, First Contact, Health Insurance, Health Maintenance Organizations, Health Plans, Healthcare Professions, Instalments, Insurance Companies, Insurance Industry, Insurance Policy, Insurer, Lump Sum, Medical Services, Own Health, Recession, Strange Contradiction, Treatment Failure, Wonderful Thing
There’s a strange contradiction about insurance. It’s an annoying burden every month when the time to pay the premium comes around but, if the worst should happen, it’s a wonderful thing to have had that insurance policy in place. With the family budgets really tight as the recession shows little sign of going away, the monthly bank statement shows the insurance instalments disappearing. You look at your own health. That’s great. You have never had a day of serious illness in your life. It’s the same for your partner. You cannot avoid feeling a little resentful. All those dollars, every month. And then there’s an accident or one of you does unexpectedly fall ill. It’s then you discover whether that plan you have been paying into is actually worth the money.
The market for health plans is divided in a slightly complicated way. It’s really to ensure the insurance companies make a profit as the cost of treatment keeps on rising way faster than inflation. So it reflects a balancing act between allowing the patients some say, and denying them any real control, over access to treatment. The plan most popular with the insurance industry is Managed Care. This requires you to get the insurer’s permission before you attempt to access treatment. The first contact doctor must be from an approved list, and he or she must refer you on for further diagnostic tests or treatment. Failure to get this referral usually means the insurer will refuse to pay. The second option is a Fee For Service Plan where you pay a lump sum at the beginning of each year, followed by monthly instalments. This covers you for the medical services listed in your policy. Basic plans only cover consults with your doctor and a simple set of tests. More expensive plans have a better range of coverage but there are usually co-payments.
Health Maintenance Organizations (HMOs) are networks of healthcare professions. If you stay within the network, your medical needs are covered although, in most plans, co-payments will be required. The next step up is a Point of Service Plan (POS). This is a variation on the HMO and allows a networked doctor to refer you to an outside expert. Finally, there are Preferred Provider Organizations (PPOs) which offer more choice than an HMO or POS both in the doctors you can access and the treatments you can have, e.g. usually include preventative medicine.
Because the service offered by this site is free, you can get as many health insurance quotes as you like for each of the main types of plan. This gives you more information on which to make your decision. But it’s fair to say the decision is not an easy one unless you read the detail of each plan with some care. With all the health insurance quotes available, you are often forced to balance coverage against cost, i.e. you buy the amount of coverage you can afford. This makes the choices something of a gamble. Do you pick emergency care in the event of an accident or focus on a list of the most common diseases or disorders? Do you include long-term care against the possibility you might be more permanently disabled by whatever happens? There is no right or wrong answer to these questions. In the end, it all comes down to what you can afford and what helps you to sleep best at night.
Jun 05
adminArticles Adult Americans, Cheap Health Insurance, Chronic Disease, Commonwealth Fund, Deductibles, Disaster Strike, Financial Safety, Health Coverage, Health Insurance, Insurance Company, Insurer, Last Decade, Medical Costs, Medical Profession, Pharmaceutical Industry, Policyholders, Premiums, Profit Body, Recession, Safety Net
Perhaps this is an unnecessary statement of the obvious, but the point of insurance is to give people a financial safety net. Should an emergency or disaster strike, money you would struggle to find is paid out by your insurance company. But the squeeze has been on for the last decade as medical costs and the prices of essential drugs have been rising fast. In fact, so fast that the insurers cannot pass on all the increases to their policyholders. It was hard to raise premium rates while the economy was doing well. It became impossible to raise premiums when the recession hit without there being investigations by each state’s Commissioners for Insurance and complaints from everyone else. There comes a point when the insurer cannot get any more blood from the stone and has to sacrifice profits. This has left the medical profession, the hospitals and clinics in a winning position, while the pharmaceutical industry’s profits have continued to rise despite the recession. At the other end of the spectrum, the patients are the losers. There are some who discover the small print in their policies denies cover for the very illnesses they have. There are others whose savings are not enough to pay the deductibles and co-payments. And then there are those whose policies are cancelled when they make a claim for a chronic disease or disorder.
There is a new piece of research from the Commonwealth Fund, an independent, non-profit body. In 2007, it carried out a detailed survey among 2,600 people aged between 19 and 64. When their coverage was analysed, 20% were found significantly underinsured. Why was this happening? Because they were already spending more than 10% of their income on health coverage, whether as premiums, deductibles or both. When the underinsured were added to the uninsured, this represented 42% of adult Americans. Like the uninsured, this forces the underinsured to think twice before they have treatment with more than half either refusing treatment or struggling with debt because of treatment.
In the push for healthcare reform, the focus has been on the uninsured. But this fails to recognize the injustice suffered by the underinsured. No one should be forced to choose between refusing needed treatment and potential bankruptcy. It is therefore going to be an interesting year in prospect as the reform slowly comes into force. Both the poor and the middle class need access to cheap health insurance with reasonably comprehensive coverage. This will further squeeze the insurance industry because it will be denied the right to refuse coverage to those with pre-existing conditions and will be forced to establish group health insurance for those who have struggled to find affordable plans. In all of this, the key to success will be the ability of government and the insurers to impose more control over costs. President Obama has negotiated with the pharmaceutical industry and there is some agreement to hold down prices for those in Medicare and Medicaid. The for-profit healthcare industry also sees some self-interest in moderating its price increases and has given undertakings to the Administration. If some of the pressure is removed from the insurance industry, premium rates will stabilize and the reforms should offer a more fair system to all with a health plan. We can only hope for the best while we wait and see what happens.
May 25
adminArticles Bank Failures, Carpools, Credit Crunch, Debt Reduction, Family Budgets, Finance Company, First Response, High Density, Housing Developments, Journeys, Money Lives, Private Transport, Recession, Straw In The Wind, Taxi Business, Time Machine, Timetables, Towns And Cities, Traffic Accident, Ways To Save Money
If you were building a time machine, you need only find a way of travelling back two years to find a land of plenty. Remembering how good it was almost brings tears to your eyes. Every week a bank, credit card company or finance company would mail you their latest offers. Cheap overdrafts, reduced interest with expanding credit limits or yet another way of converting that positive housing equity into cash for spending. There seemed no possibility of this coming to an end. Yet suddenly the price of gas was up to $4 and more a gallon. That proved just a passing straw in the wind. A month or so later came the bank failures, the credit crunch and a full recession with major problems of unemployment. Comfortable lives disappeared. Family budgets suddenly had to pay for debt reduction. Everyone was looking for ways to save money.
Lives must go on but the problem was how to stay mobile. During the good times, towns and cities had exploded. Gone where the high density housing developments close to workplaces. In their place came suburbs and then exurbs. People were organizing their lives around private transport and expecting to commute further and further to get anything done. What do you do when you find you cannot afford to replace your current vehicles but live too far away from work, schools and convenient shops? There is no private transport so, as a first response, you are looking at constantly patching up your old vehicles to keep them moving. But small repairs become major repairs, particularly if your mileage is high or you get into a traffic accident. You look around the neighborhood for carpools. This can work for routine journeys, but it ties you to other people’s timetables. That leaves renting.
If you decide to drive other people around and take payment, you need to check whether your existing policy covers you. The majority of insurers believe taking money makes you a taxi business and they want a higher premium. As with all insurance, use the online search engines to find affordable cover. But, in some parts of the US, it’s now economic to give up ownership. There are new rental systems allowing you to take a vehicle from a local pick-up point as and when you need it. Booking online, you only pay for the vehicle for the hours you use it. Economists have calculated the average yearly spend on car ownership is about $8,000. The average hourly rental rate is $15. That’s 533 hours a year in a rental car before you pay more than an owner. But here comes the warning. The rental car always comes with cheap auto insurance, but the companies are only interested in protecting their capital. You are usually asked to pay more to top up on cover against medical expenses for your own injuries. But even with this extra premium, it’s often significantly cheaper to rent as needed. Even better, you do not pick up from local offices where sales agents pitch extra options. Pick-ups and drop-offs are in local garages with no formalities. Check out what services are on offer in your area. If the cheap auto insurance terms are right, you will save to go down this road.
May 23
adminArticles Buying Stocks, Car Insurance, Cheap Money, Credit Cards, Credit Rating Agencies, Credit Score, Credit Scores, Debts, Family Budget, Finding The Money, Friends And Neighbors, Insurance Companies, Insurance Premium, Landlords, Midst, Recession, Responsible Person, Risky Investments, Sacrifices, Short Time
When you look around your neighborhoods, it’s hard to find any good news. Friends and neighbors may have lost their jobs or be on short-time. There are foreclosed properties on every street. Shops and businesses have been closing down with increasing frequency. These are the signs of a real recession where unemployment and poverty stalk the land. The cause of all this pain is not hard to find. We have all been living beyond our means. When the banks and credit card companies offered us more money to borrow, we just took it. Why bother to save when the value of our homes only goes up? Let’s plan for our retirement by borrowing cheap money and buying stocks and other more risky investments. No-one ever loses if they follow the advice of the credit rating agencies. Well, we know better now. What goes up can also come down. What is given a triple A rating can be junk tomorrow.
In the midst of all this chaos, the credit card operators have been cutting back on the borrowing limits. This has forced pain on us for two reasons. Firstly, finding the money to pay down our debts more quickly means redesigning the family budget. Sacrifices have to be made. Secondly, the way the credit score is calculated depends in part on the extent to which we use the credit cards we have. If the limits are reduced, we look like bad risks because the amount borrowed is closer to the limit. We have less money available to borrow and cut down on card usage so we can repay faster. Put the two together and the score falls. This is a direct criticism of the methods used to calculate the scores. It produces a fundamentally unfair result during a recession.
This would not be a problem if the credit score was only used by banks and credit card operators. But it’s also used by companies to help decide whether to employ you, by landlords deciding whether to rent to you and by insurance companies deciding whether you are a responsible person. National figures show more than half all insurance companies use credit scores as a key factor in deciding your premium rate. This is extraordinary. There is only one possible effect of being in debt when it comes to the way in which you drive. If you cannot afford to repair your vehicle, you drive defensively to reduce the risk of an accident.
Some states like California and Massachusetts have banned the use of credit score for this purpose, but they are a minority. They cite discrimination as a reason for the ban. The majority of the population without access to banking services and credit cards fall into minority racial groups. When they do not have a credit score, they are forced to pay a higher premium simply because of who they are, not how they drive. So, when you are looking for affordable cover, get the maximum possible number of car insurance quotes to find the best policies. If you live in a state which refuses the regulation of the car insurance market, contact your local government representatives and tell them how much pain you are suffering because of this unfair use of credit scores.
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