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Politics : View from the Center and Left -- Ignore unavailable to you. Want to Upgrade?


To: Lane3 who wrote (135357)3/30/2010 3:16:39 PM
From: Travis_Bickle  Read Replies (1) | Respond to of 543205
 
I think the enforcement mechanism is lawyers. That is an entire specialty, a client of mine got his new liver (caught hep during Korean War) thanks to one who charges $500 an hour but only looks to get paid by the insurance company.

No way the state is ever going to serve as the enforcement mechanism. I never worked for the state but I did work for the federal government, and it takes a regulatory agency three years to accomplish anything at all, by that time you're most likely dead.



To: Lane3 who wrote (135357)3/30/2010 6:29:40 PM
From: Cogito  Read Replies (1) | Respond to of 543205
 
>>Column heading "Myth"
"13. The bill prohibits dropping people in individual plans from coverage when they get sick. The bill does not empower a regulatory body to keep people from being dropped when they’re sick."

Column heading "Truth"
"There are already many states that have laws on the books prohibiting people from being dropped when they’re sick, but without an enforcement mechanism, there is little to hold the insurance companies in check."<<

One thing that occurs to me about this is that presently, one of the main excuses insurance companies use to justify dropping people when they get sick is that those people failed to disclose pre-existing conditions - even if those conditions have no bearing on the new illnesses.

In a world where the companies are no longer allowed to exclude people for having pre-existing conditions, they will no longer have that excuse to use. Anybody they dropped for that reason would then have an open and shut case is they chose to sue.