Tag Archives: Medical Insurance

News

Medicare fraud is 7.5 times the profit of ten largest medical insurers

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Story from The Weekly Standard. (H/T ECM)

Excerpt:

As 60 Minutes reported last week, Medicare fraud is rampant and has now replaced the cocaine (ahem) business as the major criminal activity in South Florida. Both 60 Minutes and the Washington Post report that Medicare fraud now costs American taxpayers roughly $60 billion a year. That may sound like a lot of money, but surely it pales next to the extraordinary profits of private insurance companies, right?

Well, let’s see…. Last year, the profits of the ten largest insurance companies in America were just over $8 billion — combined. No single insurance company made even five percent of what Medicare reportedly loses in fraud.

While we’re making comparisons, in its real first ten years (2014-23), the Senate Finance Committee bill would cost $1.7 trillion. At the rate of last year’s profits, the combined ten-year profits of America’s ten largest insurance companies would be $83 billion — five percent of the costs of the Senate Finance Committee bill. Eighty-three billion dollars may not buy you much in comparison with BaucusCare, but — on the bright side — that ten-year tally is somewhat more than what Medicare loses each year in fraud.

Another great find by ECM! What would we do without him?

News

Britain’s National Health Service pays millions to gag whistleblowers

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Story here from the UK Independent. (H/T Legal Insurrection via ECM)

Excerpt:

NHS whistleblowers are routinely gagged in order to cover up dangerous and even dishonest practices that could attract bad publicity and damage a hospital’s reputation.

Some local NHS bodies are spending millions of taxpayers’ money to pay off and silence whistleblowers with “super gags” to stop them going public with patient safety incidents. Experts warn that patients’ lives are being endangered by the use of intimidatory tactics to force out whistleblowers and deter other professionals from coming forward.

The IoS has learnt of children in Stoke-on-Trent needlessly losing organs after safety issues highlighted by a senior surgeon – who was suspended after coming forward to voice concerns – were ignored. In one of more than 20 serious incidents, a newborn baby girl needed an ovary removed after a standard procedure to remove a cyst was delayed because of staff shortages.

According to Public Concern at Work (PCaW), two-thirds of doctors, nurses and other careworkers are accepting non-disclosure clauses built into severance agreements, in order to avoid years of suspension, financial ruin, incriminations and distress before a case reaches court. The details of these claims, including allegations of dangerous practice, dishonesty and misconduct, are never disclosed to the public.

The problem with government-run health care is simple. They take your money through income taxes, and they promise that later on, when you are sick, they will give you treatment. But because you have paid them up front, when the time comes to be treated you have lost your leverage to get the treatment. None of the people providing you with health care have any incentive to treat you – you’ve already paid them! No one’s salary or bonus is riding on providing you with what you want! Provision of care is often rationed so that those who voted for the party in power are served first.

Contrast government-run health care with a free market system. In a free market, sellers of health care services and medical devices compete to earn your money by giving you the highest quality for the lowest price. You have the power over these competing sellers because you have the money in your hand – no one took it from you before you needed to use it. You can always go to a competitor if you don’t like what’s being provided to you for your money, unlike government-run systems. The consumer can choose what they want by comparing prices and patient outcomes across vendors.

Videos

Tom Coburn explains what Republicans think of Obama’s health care bill

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Video from the Washington News Observer. (H/T Granite Grok via ECM)

Senator Coburn is a medical doctor who has delivered over 3,000 babies. He is a staunch social conservative.

Social conservatives are stopping the Democrat health care bill from passing

Maybe it’s time that social conservatives got a little more respect from fiscal conservatives?

From Riehl Worldview. (H/T Health Care BS via ECM)

Excerpt:

There are still a number of dirty little secrets stalking the back alley’s of Congress ready to derail health care reform. And chief among them is abortion. Surprise, surprise, it’s moderate and conservative Democrats, especially many who won seats in the last election, preparing to cause trouble, no matter how much Pelosi wants to not discuss the issue right now.

[…]The stumbling block is especially huge given the dynamics of many of our largest cities. Catholic hospitals carry the bulk of the load for health care in those areas. They’ve already dug in their heels on this a long time ago, claiming they would close facilities before allowing them to perform abortions.

I’m conservative in both areas, of course.