I am really sick of the word competitive 🤢 More insurance companies to make premiums competitive, more competition so patients can be consumers, blah, blah, blah🤢 All this competition talk diverts us from the real causes of health care costs.
Look at the large employers who provide coverage to 70 million Americans or so on a self-insured basis, no insurance company making a profit on health care. They have for years and still struggle with costs, they have tried every trending solution that has come along; largely with minimal success. Why is that⁉️
Because the problem is not insurance or premiums as you have been lead to believe. The problem is our health care delivery system, the lack of coordination, and the expectations of patients for the latest and greatest and without delay.
Premiums are high because health care spending is high. Premiums increase in proportion the what is spent on health care by the people who are covered by the insurance. ‼️‼️‼️‼️ Forget the rest of the noise because that’s all it is.
Mr. Ryan is right that the Obamacare market has endured hardships. It isn’t as competitive as many of its advocates had hoped, and shoppers in many parts of the country have only one insurer to choose from. Prices, which were lower than expected in the first few years of the program, spiked this year by an average of 22 percent across the country. There have also been some high-profile exits from insurers like Aetna, UnitedHealth Group and most recently Humana. Rural counties have been particularly hard hit. NYT