Andy
Well-Known Member
- Joined
- Jan 6, 2008
- Messages
- 3,497
Well, no, you can't opt out of paying for Medicare any more than you can opt out of paying for any other government program. If you could, a lot of people might opt to not pay for the newest military hardware, either.
Apples and Oranges. Defense of the nation is a necessary requirement, and a directive of the Constitution of the United States.
Medicare is supposedly a wonderful helpful program, that supposed to be a benefit to the public. It's neither Constitutional, nor a benefit in my estimation. It's a social program. Social programs are basically socialism, and always a problem.
I'm not sure where you are getting your figures. I got quotes for a phantom couple age 64 from Kaiser, which is one of the most affordable HMOs I know of. The cost starts at $568 a month if you pay 30% of the cost after a deductible of $5,450.
I got it from the same place. I'm not sure what zip code you are in, but each state has different minimum liability requirements that insurance companies must cover. In ohio, a more conservative state, the minimum insurance requirements are very low. Of course are the rates.
A $100,000 procedure, which sounds like a lot, but really isn't given the cost of medical care, would cost the insured $35,450. That is a real bargain, given that an uninsured person would be billed a lot more than the hundred grand.
That is, if the procedure were not part of the limitations, exclusions, and riders.
Of course, they could buy a better plan for $1,122 a month.
I'd be very skeptical of that $291 a month, not knowing just what exclusions and formularies there might be attached.
I'd be skeptical of your $109 a month plan, also. Do you know what is and is not covered? It might be a good idea to know that before someone crosses the double yellow, some uninsured deadbeat, that is, and you wind up fighting with your insurance company over that quarter of a mil for intensive care and rehab.
Sure, if that phantom couple I got the quote for had planned for medical costs to soar into the stratosphere, and had planned to see their 401k go in the toilet, then they'd be sitting pretty.
First, let's go back an challenge some of the assumptions. First, has health care really gone sky high? Not exactly. According to the Policy Research Institute of Wisconsin, health care cost as a percentage of income, as actually dropped. In the 1960s, people spent more than 6.6% of their income on health care. By 2006, only 4% was spent on health care.
So does this mean health care costs have not gone up? No. The problem with health care costs, is that it includes many things that may not be due to sky rocketing costs. For example, the figure on how much the US spends on health care, includes things that people choose to buy that they do not need. For example, Pamela Anderson's breasts. That's a health care expense according to statistics. Thousands of people get liposuction, botox, even 'lip augmentation (which is unbelievable to me). That's all considered expenses on health care statistically.
But it doesn't end there. It also includes many elective surgeries that are understandably wanted, but are not required for your health. For example, a women who get's breast cancer, does not require reconstructive surgery. That's an elective. Insurance companies may choose to not cover that because it drives up the rates for others to get basic health insurance. (this also is something that some states require insurance to cover, which in turn, drives up premiums)
Finely, a large part of our health care expenses are due to Medicare. Government programs ALWAYS drive up costs. The artificially high cost of medicare, drives up our statistics on health care costs.
This is why people even now, fly to India to get the exact say care for much cheaper.
So are there exclusions and limitation to health insurance? Of course. If you want to pay a lower price, you can't be getting Viagra from the insurance company. This was brought home to me by working for State Teachers Retirement System of Ohio. I worked as a tech doing IT upgrades. While talking with a claim adjuster for STRS, she remarked that her big problem now was people calling to complain they couldn't get Viagra. Later, due to massive complaints, they agreed to cover Viagra. Of course they passed a rather large rate increase for prescription pills coverage. Of course the complaints rolled in about that too.
As for my policy, It's been great. Now I do have a high deductible, but as soon as it was met, they covered nearly everything. I would highly suggest that anyone who does not have health insurance, find the cheapest policy they can and buy it. Even a $5000 deductible policy for $58/month, is well worth it in the end.