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	<title>Comments on: Continued adventures in health care</title>
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	<link>http://www.rapideyereality.com/archives/2009/10/13/continued-adventures-in-health-care/</link>
	<description>Personal blog of Brad "Otis" Willis, writer, traveler, amateur photographer, and family man</description>
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		<title>By: KenP</title>
		<link>http://www.rapideyereality.com/archives/2009/10/13/continued-adventures-in-health-care/comment-page-1/#comment-51966</link>
		<dc:creator>KenP</dc:creator>
		<pubDate>Sat, 17 Oct 2009 11:58:32 +0000</pubDate>
		<guid isPermaLink="false">http://www.rapideyereality.com/?p=2365#comment-51966</guid>
		<description>You must really be bummed to be out of TV reporting and missing the balloon boy story.  Human interest reporting is so great and you&#039;ve have learned new parenting skill -- plus you&#039;d likely have learned which aliens fathered Dos.</description>
		<content:encoded><![CDATA[<p>You must really be bummed to be out of TV reporting and missing the balloon boy story.  Human interest reporting is so great and you&#8217;ve have learned new parenting skill &#8212; plus you&#8217;d likely have learned which aliens fathered Dos.</p>
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		<title>By: MGM</title>
		<link>http://www.rapideyereality.com/archives/2009/10/13/continued-adventures-in-health-care/comment-page-1/#comment-51953</link>
		<dc:creator>MGM</dc:creator>
		<pubDate>Fri, 16 Oct 2009 18:36:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.rapideyereality.com/?p=2365#comment-51953</guid>
		<description>Otis, you&#039;re a smart guy, so I&#039;m sure you&#039;ve considered this...and you didn&#039;t ask for suggestions or advice, so I guess this counts as unsolicited advice. But for whatever it&#039;s worth, being self-employed myself, I have the challenge of buying a private health insurance plan. It actually costs my family less to insure the kids on my private plan than on my husband&#039;s group employee plan. He works for a financial institution in a highly skilled position, but the quality of insurance he is offered has nosedived dramatically over the past 7 years while the cost to add dependents was shifted from employer to employee and then dramatically increased over the past few years. Familiar story, I know. 

I carry a private HSA compatible insurance plan via a big name company for myself and the kids. While we have $2000.00 individual deductibles or a combined $6000.00 deductible for family, our monthly premiums are only around $300.00 total. We use a lot of preventative measures to stay healthy and find we need very little medical care. We have an urgent care or doctor&#039;s office visit once or twice (total among the three of us) every 12-36 months, which may cost us on average $200 (every 12-36 months). The insurance card itself grants us some great discounts even for non-covered things. For example, I have a hypothyroid condition. Blood labs would cost $100+ every three months because I have no lab coverage. However, the discount (contracted rate) with my insurance company brings that $100 down to $10 and literally saves me 90%. My point is that it has saved us many thousands over the years to pay less out in premiums and we still have routine physical exams and well-child exams covered 100% and catastrophic coverage to protect us. Okay. Enough unsolicited advice.

The insurance billing nightmare sucks. As I am also a health care provider and a provider for a couple dozen private insurances, I am also familiar with medical billing. It&#039;s often a nightmare from every angle and a massive time sucker to achieve the goal of getting claims reimbursed and reimbursed CORRECTLY. God forbid a &quot;mistake&quot; is made from any angle--like submitting something that SHOULD NOT have ever even been submitted. Good luck on that one!</description>
		<content:encoded><![CDATA[<p>Otis, you&#8217;re a smart guy, so I&#8217;m sure you&#8217;ve considered this&#8230;and you didn&#8217;t ask for suggestions or advice, so I guess this counts as unsolicited advice. But for whatever it&#8217;s worth, being self-employed myself, I have the challenge of buying a private health insurance plan. It actually costs my family less to insure the kids on my private plan than on my husband&#8217;s group employee plan. He works for a financial institution in a highly skilled position, but the quality of insurance he is offered has nosedived dramatically over the past 7 years while the cost to add dependents was shifted from employer to employee and then dramatically increased over the past few years. Familiar story, I know. </p>
<p>I carry a private HSA compatible insurance plan via a big name company for myself and the kids. While we have $2000.00 individual deductibles or a combined $6000.00 deductible for family, our monthly premiums are only around $300.00 total. We use a lot of preventative measures to stay healthy and find we need very little medical care. We have an urgent care or doctor&#8217;s office visit once or twice (total among the three of us) every 12-36 months, which may cost us on average $200 (every 12-36 months). The insurance card itself grants us some great discounts even for non-covered things. For example, I have a hypothyroid condition. Blood labs would cost $100+ every three months because I have no lab coverage. However, the discount (contracted rate) with my insurance company brings that $100 down to $10 and literally saves me 90%. My point is that it has saved us many thousands over the years to pay less out in premiums and we still have routine physical exams and well-child exams covered 100% and catastrophic coverage to protect us. Okay. Enough unsolicited advice.</p>
<p>The insurance billing nightmare sucks. As I am also a health care provider and a provider for a couple dozen private insurances, I am also familiar with medical billing. It&#8217;s often a nightmare from every angle and a massive time sucker to achieve the goal of getting claims reimbursed and reimbursed CORRECTLY. God forbid a &#8220;mistake&#8221; is made from any angle&#8211;like submitting something that SHOULD NOT have ever even been submitted. Good luck on that one!</p>
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		<title>By: Little Willie</title>
		<link>http://www.rapideyereality.com/archives/2009/10/13/continued-adventures-in-health-care/comment-page-1/#comment-51801</link>
		<dc:creator>Little Willie</dc:creator>
		<pubDate>Thu, 15 Oct 2009 19:19:27 +0000</pubDate>
		<guid isPermaLink="false">http://www.rapideyereality.com/?p=2365#comment-51801</guid>
		<description>August 18, 2009

NBC POLL: PLURALITY OPPOSES PUBLIC OPTION

http://firstread.msnbc.msn.com/archive/2009/08/18/2033674.aspx

I guess we can&#039;t agree that a &quot;strong plurality&quot; of Americans want a public &quot;option&quot;, but I am not entirely opposed to the idea myself.  I don&#039;t want anyone to die because they don&#039;t have money.  I&#039;m not a bad guy, really.  I just have VERY strong reservations about turning over the healthcare system to a bunch of idiots in Washington that care about nothing but getting re-elected.  I see first hand everyday how both Medicare and Medicaid make everyone&#039;s life extremely difficult and create so much red tape that it&#039;s nearly impossible to take care of patients the way they should be cared for.  When you throw in a THIRD government sponsored healthcare plan, it will make things even worse.  I genuinely believe that anyone who would use the &quot;public option&quot; will eventually get healthcare that is far below the standards offered to others.  It will create a MUCH larger gap between the &quot;haves&quot; and &quot;have-nots&quot;.  Rich people will get MRI&#039;s and surgery because they can afford it.  The &quot;public option&quot; folks will get the substandard care that Medicaid patients get now.  Maybe worse.  If you can convince me that we can provide exceptional healthcare to everyone without increasing taxes, I could get on board.  Right now, I just don&#039;t see how it&#039;s possible (unless we just keep printing more money).</description>
		<content:encoded><![CDATA[<p>August 18, 2009</p>
<p>NBC POLL: PLURALITY OPPOSES PUBLIC OPTION</p>
<p><a href="http://firstread.msnbc.msn.com/archive/2009/08/18/2033674.aspx" rel="nofollow">http://firstread.msnbc.msn.com/archive/2009/08/18/2033674.aspx</a></p>
<p>I guess we can&#8217;t agree that a &#8220;strong plurality&#8221; of Americans want a public &#8220;option&#8221;, but I am not entirely opposed to the idea myself.  I don&#8217;t want anyone to die because they don&#8217;t have money.  I&#8217;m not a bad guy, really.  I just have VERY strong reservations about turning over the healthcare system to a bunch of idiots in Washington that care about nothing but getting re-elected.  I see first hand everyday how both Medicare and Medicaid make everyone&#8217;s life extremely difficult and create so much red tape that it&#8217;s nearly impossible to take care of patients the way they should be cared for.  When you throw in a THIRD government sponsored healthcare plan, it will make things even worse.  I genuinely believe that anyone who would use the &#8220;public option&#8221; will eventually get healthcare that is far below the standards offered to others.  It will create a MUCH larger gap between the &#8220;haves&#8221; and &#8220;have-nots&#8221;.  Rich people will get MRI&#8217;s and surgery because they can afford it.  The &#8220;public option&#8221; folks will get the substandard care that Medicaid patients get now.  Maybe worse.  If you can convince me that we can provide exceptional healthcare to everyone without increasing taxes, I could get on board.  Right now, I just don&#8217;t see how it&#8217;s possible (unless we just keep printing more money).</p>
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		<title>By: change100</title>
		<link>http://www.rapideyereality.com/archives/2009/10/13/continued-adventures-in-health-care/comment-page-1/#comment-51699</link>
		<dc:creator>change100</dc:creator>
		<pubDate>Thu, 15 Oct 2009 03:00:16 +0000</pubDate>
		<guid isPermaLink="false">http://www.rapideyereality.com/?p=2365#comment-51699</guid>
		<description>Couldn&#039;t find a NBC/WSJ poll with that 43% number. But I did find one matching the 76% number from the CBS/NYT poll that you so easily dismissed. 

Go to question 34a: http://msnbcmedia.msn.com/i/msnbc/sections/news/090617_NBC-WSJ_poll_Full.pdf

Though we can&#039;t agree on anything when it comes to health care, can we at least agree that the public option is something a strong plurality of Americans want? 

With that, I&#039;ll stop hijacking Otis&#039; comment thread.</description>
		<content:encoded><![CDATA[<p>Couldn&#8217;t find a NBC/WSJ poll with that 43% number. But I did find one matching the 76% number from the CBS/NYT poll that you so easily dismissed. </p>
<p>Go to question 34a: <a href="http://msnbcmedia.msn.com/i/msnbc/sections/news/090617_NBC-WSJ_poll_Full.pdf" rel="nofollow">http://msnbcmedia.msn.com/i/msnbc/sections/news/090617_NBC-WSJ_poll_Full.pdf</a></p>
<p>Though we can&#8217;t agree on anything when it comes to health care, can we at least agree that the public option is something a strong plurality of Americans want? </p>
<p>With that, I&#8217;ll stop hijacking Otis&#8217; comment thread.</p>
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		<title>By: Little Willie</title>
		<link>http://www.rapideyereality.com/archives/2009/10/13/continued-adventures-in-health-care/comment-page-1/#comment-51675</link>
		<dc:creator>Little Willie</dc:creator>
		<pubDate>Wed, 14 Oct 2009 23:14:41 +0000</pubDate>
		<guid isPermaLink="false">http://www.rapideyereality.com/?p=2365#comment-51675</guid>
		<description>btw, NBC/WSJ poll from same week was 43% in favor.</description>
		<content:encoded><![CDATA[<p>btw, NBC/WSJ poll from same week was 43% in favor.</p>
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		<title>By: Little Willie</title>
		<link>http://www.rapideyereality.com/archives/2009/10/13/continued-adventures-in-health-care/comment-page-1/#comment-51673</link>
		<dc:creator>Little Willie</dc:creator>
		<pubDate>Wed, 14 Oct 2009 23:11:06 +0000</pubDate>
		<guid isPermaLink="false">http://www.rapideyereality.com/?p=2365#comment-51673</guid>
		<description>Enough said.</description>
		<content:encoded><![CDATA[<p>Enough said.</p>
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		<title>By: change100</title>
		<link>http://www.rapideyereality.com/archives/2009/10/13/continued-adventures-in-health-care/comment-page-1/#comment-51643</link>
		<dc:creator>change100</dc:creator>
		<pubDate>Wed, 14 Oct 2009 21:46:50 +0000</pubDate>
		<guid isPermaLink="false">http://www.rapideyereality.com/?p=2365#comment-51643</guid>
		<description>That number came from a CBS/New York Times poll, BTW.</description>
		<content:encoded><![CDATA[<p>That number came from a CBS/New York Times poll, BTW.</p>
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		<title>By: Little Willie</title>
		<link>http://www.rapideyereality.com/archives/2009/10/13/continued-adventures-in-health-care/comment-page-1/#comment-51641</link>
		<dc:creator>Little Willie</dc:creator>
		<pubDate>Wed, 14 Oct 2009 21:36:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.rapideyereality.com/?p=2365#comment-51641</guid>
		<description>Change, I&#039;m not sure where you get your 76% number, but I would guess it is from a government-funded study.

I agree, the current system does not work perfectly.  There is no TRUE private sector insurance.  With a government mandate of employer-provided coverage, it completely destroys the concept of a free market.  Customers are not allowed to choose their insurance.  This leaves folks like you and Otis out in the cold to buy a product the insurance companies don&#039;t even want to sell.  Much like a contractor that gives you a HUGE bid so you won&#039;t hire him because he really doesn&#039;t want your small job.  The insurance companies don&#039;t want to deal with individuals.  It&#039;s just too much effort for very little reward.  However, if we ALL had to find our own health insurance (like we do with car insurance, homeowners, and EVERYTHING else in our lives), the free market could work.

And please don&#039;t feed me the Obama line of &quot;public option to compete with the private sector&quot;.  We all know the private sector could never compete with a government plan that is funded with a bottomless pit of taxes and doesn&#039;t ever have to turn a profit.</description>
		<content:encoded><![CDATA[<p>Change, I&#8217;m not sure where you get your 76% number, but I would guess it is from a government-funded study.</p>
<p>I agree, the current system does not work perfectly.  There is no TRUE private sector insurance.  With a government mandate of employer-provided coverage, it completely destroys the concept of a free market.  Customers are not allowed to choose their insurance.  This leaves folks like you and Otis out in the cold to buy a product the insurance companies don&#8217;t even want to sell.  Much like a contractor that gives you a HUGE bid so you won&#8217;t hire him because he really doesn&#8217;t want your small job.  The insurance companies don&#8217;t want to deal with individuals.  It&#8217;s just too much effort for very little reward.  However, if we ALL had to find our own health insurance (like we do with car insurance, homeowners, and EVERYTHING else in our lives), the free market could work.</p>
<p>And please don&#8217;t feed me the Obama line of &#8220;public option to compete with the private sector&#8221;.  We all know the private sector could never compete with a government plan that is funded with a bottomless pit of taxes and doesn&#8217;t ever have to turn a profit.</p>
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		<title>By: change100</title>
		<link>http://www.rapideyereality.com/archives/2009/10/13/continued-adventures-in-health-care/comment-page-1/#comment-51611</link>
		<dc:creator>change100</dc:creator>
		<pubDate>Wed, 14 Oct 2009 20:22:44 +0000</pubDate>
		<guid isPermaLink="false">http://www.rapideyereality.com/?p=2365#comment-51611</guid>
		<description>Little Willie, I&#039;m pretty damn sure that this is whole mess is a direct result of the private-sector health care you speak of.  People who work for foreign-based companies in the poker industry like Otis and myself don&#039;t get employer-provided coverage. With the way the economy and the gaming industry is going, we&#039;re lucky to even be collecting regular paychecks at this point. And since we make too much money to qualify for government insurance, there&#039;s no other choice but to suck it up and buy from the private sector as individuals, which means higher prices, fewer benefits and mind-boggling clusterfucks like this. 

76% of Americans want a public insurance option to compete with the private sector and drive down costs but we&#039;ll never, ever get it.  The health insurance industry and the drug companies have spent decades lining the pockets of legislators on both sides of the aisle to make sure it never happens. After all, why give the people what they want when it would cost the insurance companies a hefty portion of the potential 44 million new customers who will be forced to buy insurance under this new legislation?</description>
		<content:encoded><![CDATA[<p>Little Willie, I&#8217;m pretty damn sure that this is whole mess is a direct result of the private-sector health care you speak of.  People who work for foreign-based companies in the poker industry like Otis and myself don&#8217;t get employer-provided coverage. With the way the economy and the gaming industry is going, we&#8217;re lucky to even be collecting regular paychecks at this point. And since we make too much money to qualify for government insurance, there&#8217;s no other choice but to suck it up and buy from the private sector as individuals, which means higher prices, fewer benefits and mind-boggling clusterfucks like this. </p>
<p>76% of Americans want a public insurance option to compete with the private sector and drive down costs but we&#8217;ll never, ever get it.  The health insurance industry and the drug companies have spent decades lining the pockets of legislators on both sides of the aisle to make sure it never happens. After all, why give the people what they want when it would cost the insurance companies a hefty portion of the potential 44 million new customers who will be forced to buy insurance under this new legislation?</p>
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		<title>By: Little Willie</title>
		<link>http://www.rapideyereality.com/archives/2009/10/13/continued-adventures-in-health-care/comment-page-1/#comment-51526</link>
		<dc:creator>Little Willie</dc:creator>
		<pubDate>Wed, 14 Oct 2009 14:12:02 +0000</pubDate>
		<guid isPermaLink="false">http://www.rapideyereality.com/?p=2365#comment-51526</guid>
		<description>This is just another argument for eliminating employer-provided healthcare and government-provided healthcare.  Put this in the private sector and you would never have to worry about billing problems again.  Do you get bills from iTunes 5 months after you buy an app for your iphone?  Nope.  It shows up the next day, because they want their money and you want to give it to them.</description>
		<content:encoded><![CDATA[<p>This is just another argument for eliminating employer-provided healthcare and government-provided healthcare.  Put this in the private sector and you would never have to worry about billing problems again.  Do you get bills from iTunes 5 months after you buy an app for your iphone?  Nope.  It shows up the next day, because they want their money and you want to give it to them.</p>
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