One Possible Solution To The Cost Of Health Insurance

On Wednesday, Stephen Moore posted an article at The Patriot Post about the healthcare aspect of the current government shutdown.

The article notes:

The government shutdown has focused debate on the vast sum ($136 billion in 2025, as projected by the Congressional Budget Office) that the federal government spends to annually subsize continually skyrocketing Obamacare health insurance premiums. The Wall Street Journal reports that regardless of how that fiscal tug-of- war turns out, health insurance premiums paid by Americans are expected to rise another 8% or 9% next year.

The mega-health insurers are leading the charge for more subsidies because this money lands right in their pockets. Their profits and stock values have been soaring while the rest of us struggle to pay the rising tab.

One reason health care costs are rising at two to three times the cost of everything else is that the entire insurance market is dysfunctional. Most Americans pay high monthly premiums (or the government pays for them) for coverage they often don’t use.

In 2024, 11.7 million people, more than one-third of those covered by Obamacare, had no medical claims. They, or taxpayers, paid a lot in premiums — for nothing.

But the whole idea of insurance is to protect your family from major expenses — not minor ones. That’s why we have fire insurance on our homes — to protect against the risk of the total loss of your property.

We need a system much more sensible and less costly for patients and taxpayers. We should be encouraging insurance plans with low premiums that cover major “catastrophic” medical expenses but leave smaller expenses — like checkups or minor surgery — to be paid by policyholders directly.

Such policies — known as catastrophic health insurance plans — have been available for several decades. Most of us would be better off financially if we signed up for these plans. With low premiums and coverage for major medical expenses, they are a win-win for families.

Even as regulated by Obamacare, this coverage charges premiums that are only about half the amount of other Obamacare plans. For example, Forbes recently analyzed the premiums of “77 catastrophic health plans nationwide.” The average premium for a 50-year old member is $443 per month, or $5,316 per year, compared to almost $10,000 for the average Obamacare plan, according to Paragon Health Institute calculations.

The article notes that Obamacare makes catastrophic health insurance plans illegal. Many in Congress are quite happy to move Americans to government healthcare and government insurance (as long as they can have their private insurance).

The article concludes:

Sometimes in life the best solution is the simplest one: Stop the hundreds of billions of dollars of wasteful subsidies, the skyrocketing premiums and the “one size fits all” plans that so many of us do not use, want or need — and instead legalize pro-growth catastrophic health insurance plans for all. Stop fattening the checks of the fat and happy health insurance conglomerates like UnitedHealth, who resist paying honest claims but force you to write monthly checks for insurance you don’t use or need.

Please follow the link to read the entire article.

Another Broken Promise

Remember how ObamaCare was going to keep health insurance premiums from increasing more than a small percentage every year? The following was posted by a friend on Facebook:

ObamaCarePremiumsIt is not only time to repeal and replace ObamaCare, it is time to repeal and replace every Washington politician who has not repealed and replaced ObamaCare already!

I Guess Things Didn’t Go As Planned

ObamaCare is touted as one of the crowning achievements of the Obama Administration. Like some of the other achievements touted, the benefits are somewhat questionable. The two main promises of ObamaCare–if you like your healthcare plan, you can keep it, and if you like your doctor, you can keep him–have not really worked out as claimed. Now the claim that ObamaCare has cut the cost of health insurance seems to be in doubt as well.

Forbes Magazine posted an article on Thursday disputing the claims of Loren Adler and Paul Ginsburg of the Brookings Institution that health insurance premiums have decreased under ObamaCare. The authors cite a 2014 Brookings study that concluded premiums have increased.

The article reports:

While I will discuss the relevant evidence of the ACA’s effect on premiums in depth, there are three data points worth emphasizing. First, unlike Adler and Ginsburg’s approach, Brookings 2014 study used actual data and found that “enrollment-weighted premiums in the individual health insurance market increased by 24.4 percent beyond what they would have had they simply followed…trends.” Second, S&P Global Institute found that average individual market medical costs increased substantially between 2013 and 2015, up an estimated 69%. Third, 2014 insurer data shows that premiums for individual market Qualified Health Plans (QHPs), ACA-compliant plans certified to be sold on exchanges, were much higher than premiums for individual market non-QHPs, mostly plans in existence before 2014 that did not comply with the ACA. Relative to non-QHPs, insurers collected more than $1,000 per enrollee in higher premiums and more than $2,300 in higher premium revenue per enrollee in 2014 after accounting for large premium subsidy programs for their QHPs.

The article includes the following graph:

PMPM Chart - Mercatus

The data shows a huge increase in PMPM costs in the individual market between 2013 and 2015. According to S&P, PMPM costs increased 38% between 2013 and 2014, and another 23% between 2014 and 2015. The two-year increase (69%) is the product of the two single-year increases.

…It is worth noting that the individual market includes both ACA-compliant plans as well as non-ACA-compliant plans. If only ACA-compliant plans were included in the post-2013 data, the spike would likely be much larger.

I do wonder how much of this will be reported by the mainstream media. The fact that most people will experience this on a personal level means that the public will become aware of it.