Health insurance costs for 2014 - didn't expect that

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EagleKeeper

Discussion Club Moderator<br>Elite Member
Staff member
Oct 30, 2000
42,591
5
0
The US healthcare system currently takes 17% of GDP in spending on healthcare. I'm sure if we took that and placed it into single payer, it could be made to work....especially when you consider that nearly every other industrialized country makes a go at it at a much smaller % (around 10 to 12% IIRC) of their GDP (which is smaller than the US by quite a bit) and they cover 100% of their citizens.

Oh I forgot, profits over people every day of the week....what was I thinking? pfftt.

A medical imaging system may cost 10m and only a few dozen are built. 3+ years of design, development by a team of 20 engineers at 100K salaries and support staff of same size at half that rate. 10M in salaries alone. Even at 10% margin, the company break even point will be 20 units (half for mfg costs). Now Obama wants a portion of the $10m as a compensatory for ACA.
Then where does the cost of R&D come from.
Previous profits that some feel should not exist
 

alkemyst

No Lifer
Feb 13, 2001
83,967
19
81
Nothing in the Affordable Care Act would have caused your premiums to triple. What could very easily have caused your premiums to triple is your employer reducing the amount they subsidize. Employers have been doing that a lot since 2008. You're fortunate that yours waited so long. Isn't it great that your healthcare is a gift from your employer that can be taken away whenever they want? It's an awesome system we have here.

tl;dr your premiums didn't triple, your employee contribution did.

I base my total compensation on things like 401k match, medical/dental/vision/life/AD&D, etc.

If my employer were to drastically change that for the worse; I would work elsewhere.

Unfortunately many don't have that ability to just up and move on...
 

Engineer

Elite Member
Oct 9, 1999
39,234
701
126
A medical imaging system may cost 10m and only a few dozen are built. 3+ years of design, development by a team of 20 engineers at 100K salaries and support staff of same size at half that rate. 10M in salaries alone. Even at 10% margin, the company break even point will be 20 units (half for mfg costs). Now Obama wants a portion of the $10m as a compensatory for ACA.
Then where does the cost of R&D come from.
Previous profits that some feel should not exist

That's right....the rest of the world does ZERO R&D on medical care....zero. How could I have forgotten that? Duh.....
 

SSSnail

Lifer
Nov 29, 2006
17,461
82
86
I love a system where if I make more money, I pay more into the system so that other people can pay less, for the same care.
 

raildogg

Lifer
Aug 24, 2004
12,884
569
126
Nothing in the Affordable Care Act would have caused your premiums to triple. What could very easily have caused your premiums to triple is your employer reducing the amount they subsidize. Employers have been doing that a lot since 2008. You're fortunate that yours waited so long. Isn't it great that your healthcare is a gift from your employer that can be taken away whenever they want? It's an awesome system we have here.

tl;dr your premiums didn't triple, your employee contribution did.

I don't have an employer. I pay for my own health insurance. The letter mentioned that my current plan would no longer be offered due to the new guidelines and that a similar plan costs 3x as much.
 
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sixone

Lifer
May 3, 2004
25,162
4
61
That's right....the rest of the world does ZERO R&D on medical care....zero. How could I have forgotten that? Duh.....

When "the rest of the world" produces the advancements in medicine and technology, we'll import those things just like we do cell phones. Until then, the money should be flowing to the people who are creating those advancements - otherwise, there will be NO advancements.
 

Engineer

Elite Member
Oct 9, 1999
39,234
701
126
When "the rest of the world" produces the advancements in medicine and technology, we'll import those things just like we do cell phones. Until then, the money should be flowing to the people who are creating those advancements - otherwise, there will be NO advancements.

and the rest of the world imports those devices (paying a profit to the people who develop it) while still managing to cover everyone at 2/3 per capita what the US spends (on smaller economies to boot).

There's a reason that an MRI costs nearly 4 times in the US as it does the evil socialist country of France....

http://www.washingtonpost.com/blogs...280-in-france/2011/08/25/gIQAVHztoR_blog.html

Oh, I bet it's because we have a better MRI machine than they do....that's it.

http://www.washingtonpost.com/wp-srv/special/business/high-cost-of-medical-procedures-in-the-us/
 
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JEDI

Lifer
Sep 25, 2001
30,160
3,302
126
Nothing in the Affordable Care Act would have caused your premiums to triple. What could very easily have caused your premiums to triple is your employer reducing the amount they subsidize. Employers have been doing that a lot since 2008. You're fortunate that yours waited so long. Isn't it great that your healthcare is a gift from your employer that can be taken away whenever they want? It's an awesome system we have here.

tl;dr your premiums didn't triple, your employee contribution did.

obamacare forces insurers to offer a minimum set of coverage that was once optional such as maternity care.
it used to be you had to pay extra for that rider.

now EVERYONE has maternity coverage, including men beginning 2014.
 
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JEDI

Lifer
Sep 25, 2001
30,160
3,302
126
I love a system where if I make more money, I pay more into the system so that other people can pay less, for the same care.

yup.. the haves pay for the have nots to form a basic safety net that has become a hammock
 

Engineer

Elite Member
Oct 9, 1999
39,234
701
126
yup.. the haves pay for the have nots to form a basic safety net that has become a hammock

and it's only going to get worse as the top 'haves' ship more jobs out creating even more 'have nots'.
 

sixone

Lifer
May 3, 2004
25,162
4
61
and the rest of the world imports those devices (paying a profit to the people who develop it) while still managing to cover everyone at 2/3 per capita what the US spends (on smaller economies to boot).

There's a reason that an MRI costs nearly 4 times in the US as it does the evil socialist country of France....

http://www.washingtonpost.com/blogs...280-in-france/2011/08/25/gIQAVHztoR_blog.html

Oh, I bet it's because we have a better MRI machine than they do....that's it.

http://www.washingtonpost.com/wp-srv/special/business/high-cost-of-medical-procedures-in-the-us/

And right there in your article:

This is a good deal for residents of other countries, as our high spending makes medical innovations more profitable. “We end up with the benefits of your investment,” Sackville says. “You’re subsidizing the rest of the world by doing the front-end research.”

What happens when the prices in the US are cut, and it takes two or three or four times as long for a company to make a profit in their research?

Investors find more profitable companies to park their money in, which leaves less for researchers to spend on finding solutions and getting them to us.

Better think about unintended consequences, before you go blaming prices.
 

Engineer

Elite Member
Oct 9, 1999
39,234
701
126
And right there in your article:



What happens when the prices in the US are cut, and it takes two or three or four times as long for a company to make a profit in their research?

Investors find more profitable companies to park their money in, which leaves less for researchers to spend on finding solutions and getting them to us.

Better think about unintended consequences, before you go blaming prices.

Do you honestly think that we spend 1/3 more of our GDP to cover fewer people just to cover R&D in medical in this country (an additional 6 to 7% GDP vs other countries)?

You can believe what you want. Doesn't matter how much research the US does if it gets to the point that the US citizens can't afford to use it. Once that happens, I guess the rest of the world will be fucked too (based on your quote above).....or the masses will simply vote free care to themselves....from those at the top getting the profits from all of that R&D.

Again, do you think that the MRI machine hasn't paid for itself in all of these years? Why does France spend 1/4 as much for an MRI as we do? Why do other countries spend as little as $60 for an MRI vs $1080 for the US, on the same exact MRI unit (that's been around for decades)?
 
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alkemyst

No Lifer
Feb 13, 2001
83,967
19
81
That's right....the rest of the world does ZERO R&D on medical care....zero. How could I have forgotten that? Duh.....

Actually MOTW steals many of our breakthroughs. Literally some send a trunk and steal an entire MRI machine for export.
 

sixone

Lifer
May 3, 2004
25,162
4
61
Do you honestly think that we spend 1/3 more of our GDP to cover fewer people just to cover R&D in medical in this country (an additional 6 to 7% GDP vs other countries)?

You can believe what you want. Doesn't matter how much research the US does if it gets to the point that the US citizens can't afford to use it. Once that happens, I guess the rest of the world will be fucked too (based on your quote above).....or the masses will simply vote free care to themselves....from those at the top getting the profits from all of that R&D.

Again, do you think that the MRI machine hasn't paid for itself in all of these years? Why does France spend 1/4 as much for an MRI as we do? Why do other countries spend as little as $60 for an MRI vs $1080 for the US, on the same exact MRI unit (that's been around for decades)?

YOU posted the article, not me. The only explanation it offers is that government controls prices "in other countries", but not in the US.

What do you think is going to happen, if the US institutes price controls?
 

Engineer

Elite Member
Oct 9, 1999
39,234
701
126
YOU posted the article, not me. The only explanation it offers is that government controls prices "in other countries", but not in the US.

What do you think is going to happen, if the US institutes price controls?

I don't know. I do know this though....if we don't do something, the people, as they lose more and more, will take it themselves. It's already happening and will get worse as time goes on.

You can cheer lead the profits and more of them but you will get a socialist state at some point (just like job offshoring). Hope you enjoy the results...and Obamacare is just a start.

OH, and I'll say this though: I was referring to insurance company profits in my original postings above, not so much R&D. Any time you have a middle man taking a large share for very little value added service, you get a shitty system like we have now. There is no reason whatsoever that an acetaminophen tablet should cost $10 at a hospital....none.
 
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Hayabusa Rider

Admin Emeritus & Elite Member
Jan 26, 2000
50,879
4,266
126
I figure I'll be out of the health care rat race in a decade. Between now and then it will become apparent that it's not a good field to enter and then it will get interesting. Some are leaving now.
 

sixone

Lifer
May 3, 2004
25,162
4
61
I don't know. I do know this though....if we don't do something, the people, as they lose more and more, will take it themselves. It's already happening and will get worse as time goes on.

You can cheer lead the profits and more of them but you will get a socialist state at some point (just like job offshoring). Hope you enjoy the results...and Obamacare is just a start.

OH, and I'll say this though: I was referring to insurance company profits in my original postings above, not so much R&D. Any time you have a middle man taking a large share for very little value added service, you get a shitty system like we have now. There is no reason whatsoever that an acetaminophen tablet should cost $10 at a hospital....none.

You really ought to know what the consequences of "doing something" BEFORE you do it, don't you think? Isn't the point to make things better, not just different?

The profits are going to go somewhere. If you want to send them overseas, then vote for that - but don't expect that to be a popular "solution".

Americans have completely unreasonable expectations of insurance. It should cover major, unexpected medical expenses. If you want it to pay for every medical need, it's going to be expensive - whether it comes from a private company or from the government.
 

Engineer

Elite Member
Oct 9, 1999
39,234
701
126
Americans have completely unreasonable expectations of insurance. It should cover major, unexpected medical expenses. If you want it to pay for every medical need, it's going to be expensive - whether it comes from a private company or from the government.

Well, I guess there is no other choice but to pay a larger percent (1/3 or more) of the largest economy in the world to cover fewer and fewer people with less and less benefits. The 'consequences' of staying the course is leading to a socialist state...enjoy it...you asked for it.

As Zebo states so well...cheap is more expensive.
 

sixone

Lifer
May 3, 2004
25,162
4
61
Well, I guess there is no other choice but to pay a larger percent (1/3 or more) of the largest economy in the world to cover fewer and fewer people with less and less benefits. Enjoy your upcoming socialists state....you asked for it.

As Zebo states so well...cheap is more expensive.

Then what's your solution to get to "cheap", without cutting jobs or discouraging companies from taking risks in order to earn profits?
 

Engineer

Elite Member
Oct 9, 1999
39,234
701
126
Then what's your solution to get to "cheap", without cutting jobs or discouraging companies from taking risks in order to earn profits?

I just told you....there's no other choice than to stay the course, and watch the consequences, Obamacare being the first but certainly not the last. Enjoy.
 

sixone

Lifer
May 3, 2004
25,162
4
61
I just told you....there's no other choice than to stay the course, and watch the consequences, Obamacare being the first but certainly not the last. Enjoy.

Well, when you have a BETTER solution that actually addresses the problems, let us know.

Socialism isn't going to make things better. Look at how it worked out for Russia.
 

Engineer

Elite Member
Oct 9, 1999
39,234
701
126
Well, when you have a BETTER solution that actually addresses the problems, let us know.

Socialism isn't going to make things better. Look at how it worked out for Russia.

Doesn't matter how it worked out in Russia. The average US citizen who has declining wages, benefits, rising costs, etc. and looks at the rest of the worlds medical costs and coverages is going to vote for the same for themselves regardless of the 'consequences'. Again, enjoy.

By the way, what's your solution to the skyrocketing costs of healthcare which are strangling the rest of the US economy?
 

sixone

Lifer
May 3, 2004
25,162
4
61
Doesn't matter how it worked out in Russia. The average US citizen who has declining wages, benefits, rising costs, etc. and looks at the rest of the worlds medical costs and coverages is going to vote for the same for themselves regardless of the 'consequences'. Again, enjoy.

By the way, what's your solution to the skyrocketing costs of healthcare which are strangling the rest of the US economy?

Let people buy what they can afford. If they only want major medical, they should be able to buy that. I shouldn't have to pay for your Viagra, nor should you be paying for my birth control or pregnancy care.

Let people buy out of state. Let's get some competition going to drive DOWN the cost of coverage, which will encourage more people to buy.
 
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