It's time for massive federal regulation of the health care insurance industry. As a young 40-something myself, it scares the hell out of me that I have no idea what my health insurance does or doesn't cover, whether my health insurance can or can't drop me should I catch some horrible costly disease, whether I have a lifetime limit on my policy (which happened to a friend of Chris in Paris - caught something horrible, had $2m in medical payments, the company said bye-bye have a nice death), or the fact (that I just recently learned) that I lose my health insurance if I move to any other state from DC. Yep, I lose my coverage and have to start all over again, so the problems I've had with eyes, among other things, become "pre-existing conditions" and probably won't be covered. So I can never leave DC again (unless I move to Europe, where I'll be covered, but then can't ever come back to the states since I won't be covered). Then there's a member of my family who is now being told that she may have to pay $11,000 out of her own pocket, PER EYE, to have a cataract removed. She had insurance, HAS insurance, has ALWAYS had insurance, but because she changed employment a few years back, her insurance changed, and her eye problems may now be excluded pre-existing conditions - sorry! So it's potentially looking like $11k per eye or go blind at the age of 50. "Socialized medicine" ain't looking so bad when the alternative is being middle-class and going blind at 50. What is wrong with our country?
Here's a vaguely related story from the LA Times that got me thinking about the rant above.
From the LA TIMES:
One of the state's largest health insurers set goals and paid bonuses based in part on how many individual policyholders were dropped and how much money was saved.
Woodland Hills-based Health Net Inc. avoided paying $35.5 million in medical expenses by rescinding about 1,600 policies between 2000 and 2006. During that period, it paid its senior analyst in charge of cancellations more than $20,000 in bonuses based in part on her meeting or exceeding annual targets for revoking policies, documents disclosed Thursday showed.
The revelation that the health plan had cancellation goals and bonuses comes amid a storm of controversy over the industry-wide but long-hidden practice of rescinding coverage after expensive medical treatments have been authorized.
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