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New I know about Reserve requirements, but,
and investments by insurance companies. But that is clearly not the only thing driving up premiums.
bcnu,
Mikem

It would seem, therefore, that the three human impulses embodied in religion are fear, conceit, and hatred. The purpose of religion, one might say, is to give an air of respectibility to these passions. -- Bertrand Russell
New You may want to look into this further
Because the empirical data actually does corrolate quite nicely to market returns.

Had to do that homework because of the current noise in PA. Argument was for tort reform. However, litigation was down and awards were down in a period where premiums were going through the roof. What changed? The stock market.

Sure there may be other factors. But they are minor in comparison.
If you push something hard enough, it will fall over. Fudd's First Law of Opposition

[link|mailto:bepatient@aol.com|BePatient]
New Excellent point.
The real driver for higher premiums is insurance company profit. Which, as you and Ben rightly point out, is tied to market returns. It's been a while since I worked for an HMO (2000), but back then - and I realize this is a state issue - we had to have 6 weeks of claims in reserve. For all my ranting, I realize that physician salaries, while excessive, are not going to solve the problem. Ultimately, I think my old CFO put his finger on it when he said, "The real problem with healthcare is that we spend 80% of the money we spend on healthcare in our last two months of life. If people could just accept that dying is a consequence of being born, we could save a ton of money."
bcnu,
Mikem

It would seem, therefore, that the three human impulses embodied in religion are fear, conceit, and hatred. The purpose of religion, one might say, is to give an air of respectibility to these passions. -- Bertrand Russell
New 80 % of deaths occur in hospitals - let's tear 'em all down!
Mike Moffs it:
Ultimately, I think my old CFO put his finger on it when he said, "The real problem with healthcare is that we spend 80% of the money we spend on healthcare in our last two months of life. If people could just accept that dying is a consequence of being born, we could save a ton of money."
I think I see what you (and he) *mean*... But I'm not quite sure that that is what you (and he) are *saying*, exactly.

I mean, the money we spend on healthcare gets spent *when we are ill* -- when the heck *else* would you spend it? And when we are ill is also, logically and inevitably, when we are liable to die -- so all too often it turns out that the period we spent spending money on healthcare also was our last. That doesn't mean we shouldn't try at all to treat illnesses that are in principle treatable, now does it?

Yes, yes, I know you were really talking about ultimately futile efforts to prolong the very last days of a life that is actually already all but over -- but the way you (or your old CFO) put it, it *sounds* a bit like the fallacy in my "Subject:" line.


   [link|mailto:MyUserId@MyISP.CountryCode|Christian R. Conrad]
(I live in Finland, and my e-mail in-box is at the Saunalahti company.)
Your lies are of Microsoftian Scale and boring to boot. Your 'depression' may be the closest you ever come to recognizing truth: you have no 'inferiority complex', you are inferior - and something inside you recognizes this. - [link|http://z.iwethey.org/forums/render/content/show?contentid=71575|Ashton Brown]
New No, they're talking about terminal cases
Remember Terry what's-er-name? That's the people we're talking about. Doctors aren't allowed to ask the question, "But if we keep the heart beating, is that really 'alive'?" I've heard people demand heroic measures, "just to have one more day with him." If even in your most optimistic projections you can't see more than a couple of days or weeks, how about making them comfortable? Nope, gotta prolong that life. Fight to the bitter end. And it will be bitter.
===

Purveyor of Doc Hope's [link|http://DocHope.com|fresh-baked dog biscuits and pet treats].
[link|http://DocHope.com|http://DocHope.com]
New A) Schiavo. B) Yeah, I know. C) Yup, as Fernet-Branca grappa
D) But still, *the way he put it* made it *sound* like it would also include cases a la "Dang, it was *this* close that it would all just have been a bad memeory for him to tell his grandkids forty years from now". The ones where it becomes clear only afterwards that the period when one spent all that dough turned out to be ones last. (For *those* cases, "most of what we spend is at the end!" *is* a fallacy pretty much like my "shut down the hospitals!" joke[let].) Sure, I know that wasn't what he *meant* to talk about... But his ex-CFO happened to *do* so.


   [link|mailto:MyUserId@MyISP.CountryCode|Christian R. Conrad]
(I live in Finland, and my e-mail in-box is at the Saunalahti company.)
Your lies are of Microsoftian Scale and boring to boot. Your 'depression' may be the closest you ever come to recognizing truth: you have no 'inferiority complex', you are inferior - and something inside you recognizes this. - [link|http://z.iwethey.org/forums/render/content/show?contentid=71575|Ashton Brown]
     Just for the record. - (imqwerky) - (134)
         and she would make the trains run on time, yeah right - (boxley) - (15)
             Man, you gotta stop listening to Faux News. - (mmoffitt) - (1)
                 who used Anthony Pelicano as their personal punch? -NT - (boxley)
             Oh Puhhhhhleeeezzzzzzz - (imqwerky) - (12)
                 point by point - (boxley) - (11)
                     /me raises hand - (jb4) - (3)
                         brunei, specifically ending a contract for mining in utah - (boxley) - (2)
                             Would that Alabama governor happen to be named Wallace? -NT - (jb4) - (1)
                                 /me makes whistling sound while gazing elsewhere -NT - (boxley)
                     Hardly any points. Why can't you STOP believing that drivel? - (CRConrad) - (4)
                         gee, is Rupert your dad? must be, you look like him - (boxley) - (3)
                             It matters if it is my Dad you're fellating,or someone else? - (CRConrad) - (2)
                                 :-) yer slipping, does juanita broderick ring a bell? -NT - (boxley) - (1)
                                     Nope. Well, maybe, but none of mine anyway. -NT - (CRConrad)
                     Rebuttal - (imqwerky) - (1)
                         Correction for you - (ben_tilly)
         I don't care about Hillary's gender - (ben_tilly) - (75)
             ROFL. - (mmoffitt) - (70)
                 No, because it was beaurocratic crap. - (ben_tilly) - (69)
                     Why you can't leave it to the states. - (mmoffitt) - (65)
                         Swell. - (imric) - (53)
                             Fuck you. - (mmoffitt) - (51)
                                 You could say that about any profession - (drewk) - (6)
                                     Fairly? - (pwhysall) - (3)
                                         Those going into soldiering often don't have better options - (drewk) - (2)
                                             What about the officers? - (pwhysall) - (1)
                                                 They get paid quite a bit better - (drewk)
                                     Not necessarily - (imqwerky) - (1)
                                         Priorities - (drewk)
                                 And who the hell is gonna pay for the education? - (imric) - (34)
                                     next time mikey gets sick, send him to the va - (boxley) - (1)
                                         Yet another example of "supporting our troops" - (ben_tilly)
                                     Ping-pong policy-making...? -NT - (admin) - (1)
                                         You said it! -NT - (imric)
                                     We manage alright over here... - (pwhysall) - (29)
                                         Litigious fucks. - (imric) - (12)
                                             If your hypothetical MD does as you say, - (mmoffitt) - (11)
                                                 So you're against the Physician's union? - (imric) - (10)
                                                     Huh? - (mmoffitt) - (9)
                                                         Yeah. Right. - (imric) - (8)
                                                             You can't even fucking read, can you skippy? - (mmoffitt) - (7)
                                                                 Ok, cretin. - (imric) - (6)
                                                                     Again, you mislead. - (mmoffitt) - (5)
                                                                         _I_ mislead? - (imric) - (4)
                                                                             Free clue, knucklefuckers. - (pwhysall) - (3)
                                                                                 But I'm having too much fun HERE! -NT - (imric) - (2)
                                                                                     Crap. I c. My bad. - (mmoffitt) - (1)
                                                                                         OK - (imric)
                                         Amen, with caveat. - (mmoffitt) - (15)
                                             The escalation of premiums is tied to the stock market - (ben_tilly) - (14)
                                                 I know about Reserve requirements, but, - (mmoffitt) - (5)
                                                     You may want to look into this further - (bepatient) - (4)
                                                         Excellent point. - (mmoffitt) - (3)
                                                             80 % of deaths occur in hospitals - let's tear 'em all down! - (CRConrad) - (2)
                                                                 No, they're talking about terminal cases - (drewk) - (1)
                                                                     A) Schiavo. B) Yeah, I know. C) Yup, as Fernet-Branca grappa - (CRConrad)
                                                 A Flash of Brilliance! - (imqwerky) - (7)
                                                     Aside: Know what the difference between God and an MD is? - (mmoffitt) - (2)
                                                         Good one! -NT - (imqwerky)
                                                         Wanna fix that habit they have? - (Ashton)
                                                     Socialized insurance is what Canada has :-) -NT - (ben_tilly) - (3)
                                                         Study this more I will, yessssssssss. - (imqwerky) - (2)
                                                             Isn't there a bit of Gollum in there too, yessssssssss? :-) -NT - (CRConrad) - (1)
                                                                 Wellll, it should have been more of a yeeeeeeeees. - (imqwerky)
                                 "Patient, what would you like me to prescribe?" - (Arkadiy) - (8)
                                     Only the best for me ;-) signed The patient Patient -NT - (bepatient)
                                     And you think none of that happens when you pay them? - (mmoffitt) - (6)
                                         And another - (inthane-chan) - (2)
                                             Agreed. - (mmoffitt) - (1)
                                                 Inconsistent with Puritannical roots.___(really!) Sorry. - (Ashton)
                                         The above crap happened to 4 people - (Arkadiy) - (2)
                                             Ah, but isn't getting more if you pay more your ideal? -NT - (mmoffitt) - (1)
                                                 Yes, when it's properly labeled as such -NT - (Arkadiy)
                             Soldiers get paid a lot less. - (pwhysall)
                         People made that argument when Canada did it - (ben_tilly) - (10)
                             Er, I don't think you're an idiot. - (mmoffitt) - (9)
                                 I think I've pointed this out before - (ben_tilly) - (8)
                                     You misinterpretted my Kaiser question. - (mmoffitt) - (7)
                                         As far as I can see I understood your point perfectly - (ben_tilly) - (6)
                                             Where did I suggest Canada was like Kaiser? - (mmoffitt) - (5)
                                                 Try here... - (ben_tilly) - (4)
                                                     I didn't read it that way. - (Another Scott)
                                                     I think he was *contrasting* Kaiser to (his image of) Canada -NT - (CRConrad) - (2)
                                                         It sure doesn't look like that to me - (ben_tilly) - (1)
                                                             Your hypothesis has the weakness... - (CRConrad)
                     Isn't Canada's health system having problems now? - (Another Scott) - (2)
                         flame forum asshole take this to politics :-) -NT - (boxley)
                         Part of a long-term unsustainable trend - (ben_tilly)
             I don't know how much of a disaster it would have been - (jb4) - (3)
                 The amount of bureaucracy created... - (ben_tilly) - (2)
                     So in your mind bureaucracy == failure? - (jb4) - (1)
                         No - (ben_tilly)
         She's a fucking fraud, only out for #1! - (a6l6e6x) - (1)
             ICLRPD (new thread) - (Steve Lowe)
         On not supporting HRC for president - (rcareaga) - (7)
             ICLRPD (new thread) - (broomberg)
             Precisam\ufffdnte boyo.. - (Ashton)
             If she is so good why is every republican in the nation - (boxley) - (4)
                 sure you do--you call the treat "WorldNetDaily" -NT - (rcareaga) - (3)
                     I know that sometimes there is nuggets under those rocks - (boxley) - (2)
                         Wooooo - (drewk) - (1)
                             (it was ghost-written...) -NT - (jb4)
         Troll Successful! - (imqwerky) - (7)
             That's one way to try to end a thread... -NT - (ben_tilly) - (6)
                 "Try"being the operative word. Doesn't usually work, though. - (CRConrad) - (4)
                     Critter made me do it :-D - (imqwerky) - (2)
                         (Never mind this one; duplicate) -NT - (CRConrad)
                         Uh, Amy, couldja do us a favour, please? (new thread) - (CRConrad)
                     Clue to planet Christian... - (ben_tilly)
                 ObLRPD: "tilly wonders what the upper limit ... " - (drewk)
         In The Inquirer fortune today. More on HRK. - (Another Scott) - (4)
             she is neither evil nor a leftist - (boxley) - (3)
                 How do you explain that Moynahan suppored her? - (Another Scott) - (1)
                     how many times was the word vindictive used? smoke/fire -NT - (boxley)
                 Jesus H. - (mmoffitt)
         Howabout we get someone new? - (tuberculosis) - (18)
             That's how we get idiots in the White House - (ChrisR) - (8)
                 As opposed to the solid performance of the former governors? - (tuberculosis) - (7)
                     Jesse Ventura, Bob Hickel -NT - (boxley)
                     former governors - (rcareaga) - (1)
                         I stand corrected -NT - (tuberculosis)
                     Clinton, governor of Alabama? I thought it was Arkansas... - (CRConrad) - (3)
                         Ahem, AK is alaska AR Arkansas AZ arizona -NT - (boxley) - (1)
                             Ah, I see. Well, if there's ever anything *else*... -NT - (CRConrad)
                         One of those southern A-a states -NT - (tuberculosis)
             I think you aren't far off - (Ashton) - (8)
                 Depressingly True, But there is hope. - (imqwerky) - (7)
                     Don't kids usually try to be the opposite of their parents? -NT - (drewk) - (6)
                         Point Taken - (imqwerky) - (3)
                             /me sniggers - (inthane-chan) - (2)
                                 He's already rebelled. - (imqwerky) - (1)
                                     He's in the minority then - (ben_tilly)
                         Usually failing in the end -NT - (tuberculosis)
                         Same or opposite, little in between - (ben_tilly)

And so on, and so forth.
309 ms