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Politics : A US National Health Care System? -- Ignore unavailable to you. Want to Upgrade?


To: Mary Cluney who wrote (3307)12/17/2007 9:05:06 AM
From: Lane3  Read Replies (2) | Respond to of 42652
 
What am I missing?

Perhaps our difference is that I'm responding about what they do, the functions they perform, and now you're talking about what good they do, which is not the same thing.

Let me start by saying that I don't like the insurance companies any more than you do. I'm on record as saying that our system would be healthier if employers had not started the health insurance benefit. But they do perform functions that need to be part of any system. They pay bills, for example. Pretty obvious function. Someone needs to do it. They assemble benefit packages, defining what is and isn't covered. Likewise, obvious and necessary unless you're going to have the patient responsible for paying for chosen treatments himself. And in the process, they reflect/set societal standards for what is "reasonable and customary."

I don't know if you would characterize those functions as a "good," but they are necessary. Yes, they could be performed by some other player(s). But insurance companies perform them now. Any replacement system would have to assign those functions to some entity.



To: Mary Cluney who wrote (3307)12/17/2007 9:50:57 AM
From: Lane3  Respond to of 42652
 
I happened upon this piece on the "reasonable and customary" function. You might find it useful in assessing what insurance companies do.

health.howstuffworks.com