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mw1 | 1 year ago

One reason you may need to continually plead with people about this is because so many of us have had lived experiences with valid medical claims that should be covered under our policy, denied outright. Not a health insurance company saying “oh, that’s too expensive, go here for less,” but outright denial of coverage. And if we eventually succeed in having these claims covered, it is because we were willing to spend countless hours combing through paperwork, initial delays, and denials.

Also, the same CMS statistics you cite can be combined with other reports to conclude that 500 billion dollars of excess administrative costs PER YEAR are attributable to our lack of a single payer system — something UHC has lobbied heavily against in order to protect their profits over the improved health care of the average American. You can read the numbers here:

https://www.peoplespolicyproject.org/2024/12/10/health-care-...

“private insurers currently have administrative costs that are 1,000 percent what they would be under single-payer while hospitals currently have administrative costs that are 158 percent what they would be under single-payer. The excess administrative expenses of both the payers and the providers are because of the multi-payer private health insurance system that we have.

When you add it all up, excess administrative expenses — defined as administrative expenses we have under the current system that we would not have under single-payer — are equal to 1.8 percent of GDP, or $528 billion per year.”

Another reason your pleading falls on deaf ears is that, sure, provider payments can be reduced (and this addressed in the above article), but at the end of the day, private insurance is a purely rent-seeking enterprise that provides no value to Americans while these “overpaid providers” are actually delivering the care.

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tptacek|1 year ago

2.21 trillion dollars per year of provider costs, against 279 billion dollars net cost of health insurance.

But yeah, the one player in this market that has its profits capped statutorily, they're they're the whole problem, no matter what the numbers say. Sure.

I'm not telling you there's no problem. I'm saying that you've been conned into believing the problem is something it isn't.

mw1|1 year ago

The article I posted did not claim they were the whole problem, nor did I.

They are, however, a large part of the system that no one likes to deal with and can be fully eliminated without obvious negative consequences.

Health insurance doesn’t provide health care and is a purely extractive rent-seeking business. The article I posted even explains how single payer can help drive health care provider rates lower, as you now have a single, powerful entity (Medicare) negotiating against doctors, hospitals and drug companies.

And this “one player” (health insurance companies) heavily lobby against the implementation of single payer health care system. And their profit caps ensure that their goal is to grow the cost of medical care so they can take an ever higher profit in absolute dollars.

fzeroracer|1 year ago

You are fighting a losing argument created by health insurance companies because they've created years of self-inflicted wounds. Everyone believes health insurers are the problems because almost everyone has dealt with the nightmare of valid claims being denied.

Health provider chains rip people off because that's how they maximize earnings from insurance companies. Insurance companies maximize denials because that's how they maximize profit. You remove one side from the equation and the problem of provider costs becomes easier to solve.

And as an aside, I dealt with my mother being denied healthcare from her insurance provider because they determined her stroke was a pre-existing condition.

There is simply no logical argument you can ever make that will change my opinion.