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Politics : Formerly About Advanced Micro Devices
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To: Alighieri who wrote (717892)5/26/2013 7:16:28 PM
From: i-node1 Recommendation  Read Replies (4) of 1580687
 
>> Competition I suppose...but I don't know...don't think you do either.

Those companies have been competing successfully all over the country. In particular, UHC has been able to squeeze out competition in many places by getting so many insureds they dominate the market, then cutting reimbursements to be barely above what Medicare pays. Here, I've been recommending docs stay out of network with them for probably ten years because they reimbursement rates are so lousy. They're not afraid of competition.

But they do know what it costs to deliver health care. There is great cause for concern when the three most competitive insurers in the country just decide to sit on the sidelines in the biggest state in the country.

The real point here is that we're very early in the process. For you (or anyone else) to be suggesting that this preliminary, even premature, discussion of rates is somehow indicative of "success" in Obamacare is absurd.

The really serious question that remains unanswered is "How many people sign up?" And we won't know this for a while.

The basis for my (and others who are informed about the health care payment system) concern is that many of us know that all the regulation has a terrible downside. Most alarming is the decrease in weekly hours worked -- the largely such decrease in modern times -- which suggests that businesses are shedding employees to avoid the provisions of Obamacare. As many of us predicted, Obamacare has begun to create a society of part-time employment, which will be devastating to economic growth over time. Is it possible we'll still grow? Of course, but it is NOT possible that we'll grow at the rates we otherwise would have.

This is clearly the worst piece of legislation in our lifetimes (although some would argue Medicare/Medicaid in 1965 was and still is).
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