Mr_Destiny said:
The whole point of insurance is that those who aren't ill or injured pay much or most of the bill for those who are. Almost nobody can afford their own hospital expenses at the drop of a hat, that's why they pay for insurance. You are right that companies can still raise rates, but that is counteracted to some or a large extent by the subsidies. Anyway, I have more to say but I have to run an errand right now. https://data.bls.gov/pdq/SurveyOutputServlet Alright, so according to the Bureau of Labor Statistic's Consumer Price Index for Medical Care (All Urban Consumers), the rate that costs have increased has been steady for at least the last twenty years. ACA has had very little effect on it.
One last thing. When you say they're free to lower coverage amounts, do you mean the number of procedures, amount they feel like spending per patient, or the number of patients they're willing to insure? |
They have lowered what procedures are covered as well as how much they cover per procedure. Go into a Drs office some time and let them know you dont have insurance and request the cash rate. You will be pleasantly surprised to find out that it is at least half of what your insurance company gets billed.
Also for shits and giggles, calculate how much you pay per month for your employer sponsored plan as well as how much you pay out of pocket for things that either arent covered or not fully covered. Separate the two totals. Now calculate how much your insurance company paid towards your claims for the year. I would bet you paid a lot more in just your payroll deductions for insurance than they paid for all of your claims on a given year. That isnt even including what you paid out of pocket after the fact. I would also bet that what you paid out of your check would have covered your medical expenses for the year at a cash rate billed by your Dr. The best part is that doesn't even include your employers contribution to Insurance which is generally much larger than what you are actually paying our of your check. If your employer did not have to pay for that and instead were able to raise your salary by that amount you could more than pay for any procedures you would need every year and have more money in your pocket as well.