About This Blog

This blog was the first in the nation created by an editorial board to give readers a behind-the-scenes view of the discussion that goes into crafting the newspaper’s daily editorials. It includes updates on the work of the editorial staff and debates on general news issues.


We welcome and read all letters from readers. Letters are selected for publication based on their clarity and brevity. They also are chosen to represent a diverse set of views on as many issues as possible.


View all letters

City of Dallas

Dallas ISD


Send a letter

Tips on letters

March 2010
S M T W T F S
  1 2 3 4 5 6
7 8 9 10 11 12 13
14 15 16 17 18 19 20
21 22 23 24 25 26 27
28 29 30 31      

Recent Posts

Categories

dallasnews.com
blogs



Health insurance across state lines -- all sunshine and rainbows?

3:34 PM Tue, Mar 09, 2010 |  
Michael Landauer/Editor    Bio |  E-mail  |  Suggest a blog topic

Call me cynical, but I just don't believe it when conservatives tell me there would be no downside to allowing people to buy insurance across state lines. John Goodman of the National Center for Policy Analysis is very smart and knows a lot about this subject, so I looked to his blog today to convince me not to be so cynical.

No such luck.

I like the way he puts it, though. Think of it more like customers shopping regulatory practices more than insurance itself. I get that. That makes sense. But doesn't it also make sense that Blue Cross Blue Shield will simply go to the state that has the most favorable regulations and operate from there? I mean, there's a reason so many banks set up shop in Deleware, and it wasn't because it was good for consumers. It was good for them.

I'm not sure this would hurt consumers right away or at all, but I'd like to learn more about what would happen. I mean, what makes us think that big insurers won't just limit our choices on their own in this big free market? What makes us think that the dozens and dozens of plans they have to offer now will still be on the table? Why would they do that? Insurers are pushing for this reform, and I suspect it's because it would enable them to offer fewer choices, not more.

It sure seems like a lot of consolidation would happen. If you're Blue Cross Blue Shield and you don't like the regulations Texas has in place, you don't need to set up a plan there to reach those potential customers. Texans can buy the plan you operate out of West Virginia. It covers getting caught in bear traps! But not flu shots. ...

Besides, it's downright silly to think consumers want to research 50 regulatory systems and all the plans that fall under them. Won't we welcome fewer choices? Won't we be thankful that Blue Cross Blue Shield has one or two basic plans that can be customized? Yes, and of course, the biggest thing to attract consumers will be price. Goodman guesses some third party will help us shop smarter, but the government will have to get involved to prevent fraud and deception on a massive scale.

It comes back to where this idea is coming from. Maybe it has theoretical appeal to think-tankers like Goodman, but for the most part, it's coming from GOP lawmakers who have taken billions in campaign dollars from big insurers. I just don't see how this "solution" would be a solution at all. For them, maybe. Not for me.



Comments

Mike it will be just like shopping for auto, life, fire, house and every other form of insurance that is sold across state lines.

Besides the lack of cross-state sales the other thing that hurts health insurance is having to sell policies that must provide coverage to items mandated by the states. IIRC New Jersey has the highest number of mandates.

Customers should be able to choose what they want covered. Why should I pay for acupuncture, chiropractic treatment and other non-traditional practices if I don't use them?


The average profit margins for health insurance companies are 4.3%. People want much cheaper health insurance but how much cheaper can it possibly get? Blue Cross of Texas is already a non profit but you aren’t going to get cheap rates there.

This is why Obama’s talk of insurance companies making “billions” in profits in the last few weeks is such a fraud. The profit margins aren’t any better than in other industries and you simply can’t make health care cheaper by going after insurance companies.

According to the Congressional Budget Office (Link [1]) more than half the increase in costs of healthcare is due to new medical technology. This means that because physicians can now treat or have better treatment for health problems, that the cost of health care is going up. The biggest reason for the increase of medical insurance is that medicine is curing too many medical conditions. Democrats can’t really do anything about this; they are just acting like the can.

[1] cbo.gov/ftpdocs/89xx/doc8947/01-31-TechHealth.pdf


Sarah Palin's been crossing Alaska state line into socialist Canada for her health care.

http://www.huffingtonpost.com/2010/03/08/palin-crossed-border-for_n_490080.html


If insurance companies get to sell policies across state lines then it should come with the price of absolving their anti-trust exemption. Actually the exemption should be removed regardless. Anyone know what would be the insurance companies objection to losing the anti-trust exemption? (and why it's there in the first place?)


@Michael

"... but for the most part, it's coming from GOP lawmakers who have taken billions in campaign dollars from big insurers."

Of course the Democrats, pure as the driven snow, have not accepted any money from big insurers.

opensecrets.org/news/2009/06/diagnosis-reform.html

"Starting in the 2008 election cycle, the health sector has given more money to Democrats--who had seized control of Congress in 2006--than to Republicans, according to the nonpartisan Center for Responsive Politics. This was the first time since the 1992 election cycle, right before the Clinton administration's failed health care reform attempt, that the health sector made Democrats its financial darlings.

"In the 2008 election cycle, the sector gave $90.7 million, or 54 percent of the total, to Democratic candidates and party committees, compared to $76.6 million to Republicans. That difference is even more pronounced in the first three months of 2009, when Democrats collected 60 percent of the total $5.4 million in contributions*. Obama, who made health care reform a large part of his presidential election platform, brought in $18.8 million from the health care sector in the 2008 election cycle--far more than any other presidential hopeful. Money follows power as the industries ride the tides of Obama-styled change."


Michael, you answered your own question."Insurers are pushing for this reform, and I suspect it's because it would enable them to offer fewer choices, not more." That is why I want it, if the insurance companies don't, then it must be good for me, and you too.


The lack of any hard analysis by TDMN of the health care politics moving now is journalistic malpractice.

When was the last time (or first, for that matter)that your paper reported that the Obamacare bill pays for 6 years of benefits with 10 years of taxes AND the never-will-happen 500 billion cut in Medicare in order to reach it's "deficit neutral" claim.


Michael - Millions of Texans already get their insurance from out-of-state carriers through employer-provided coverage. Get out of the Blue Cross mentality and recognize that Aetna (Connecticut), United Healthcare (Minnesota), Cigna (Pennsylvania), etc. insure huge numbers of Texans, apparently without much difficulty in complying with state regulations here and elsewhere.


My policy, now a COBRA, is administered by Blue Cross Blue Shield of Texas, but the policy is actually written by Blue Cross Blue Shield of California, where my company was located. This is true for many people who work for companies headquartered out of state.


Nancy Pelosi said the following yesterday about the health care bill they are planning to foist upon an unwilling public. You can find the video on YouTube....

"It's going to be very, very exciting. But we have to pass the bill, so you can find out what's in it, away from the fog of the controversy."

That's right folks, she actually said we have to enact a program in order to find out what the actual terms and conditions are.....talk about arrogance and stupidity from our national "leadership".

We WON'T read about that in TDMN, apparently, or even see it as a blog item to comment on. Nothing to see here folks, move along.


So, I guess we will just go ahead and do nothing -- that is going to solve the problem. One of those conservative papers had a story about the fact the had we passed Clinton Care we would have saved a half trillion dollars -- passed it under Carter, something like a trillion. Under Nixon even more.

My beef is that we don't see those kind of stories.

Doing nothing is no longer an option.







Type the characters you see in the picture above.


Note: You will need to re-enter the captcha field after previewing

E-mail entry:

Message (optional):
Send to e-mail address:
Your e-mail address:
 

TrackBack

TrackBack URL for this entry:
http://dmn.beloblog.com/cgi-bin/mt/mt-t.cgi/223301

Advertisement
Dallas Morning News Editorials

Opinion on the Web