• julianwgs@discuss.tchncs.de
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    2 days ago

    Please don‘t extrapolate from the US healthcare system to insurances in general. Insurances collect money from many so in the case something happens to an individual that individual doesn‘t need take the full financial loss. This makes a lot of sense, because it would very inefficient if everyone would save money in order to pay for a potential cancer treatment. Cancer is rare, but in aggregate it is just small amount each month.

    The job of the insurance is to define that monthly amount (which is not trivial to do), collect it, store it and eventually pay it out.

    On another note, unless an insurance is mandatory you can usually opt to pay yourself.

    • lightnsfw@reddthat.com
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      2 days ago

      That is the job of the government. Everyone needs healthcare to one degree or another. If we’re all going to be pooling money anyway it shouldn’t be filtered through a for-profit system first.

      On another note, unless an insurance is mandatory you can usually opt to pay yourself.

      No I can’t. Everything is too expensive because insurance being involved has inflated the costs.

      • julianwgs@discuss.tchncs.de
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        2 days ago

        I believe the main problem in the US is the focus on shareholder value. Some people invest into shares of healthcare companies to turn a profit. That is just insane. In Germany (which‘s healthcare system is not perfect) there are many private health insurance companies, but there are not allowed to make a profit (or pay out dividends to shareholders, because there aren‘t any). If there are profits they need to be reinvested into the system. It leads to much better outcomes in my opinion.

        If we’re all going to be pooling money anyway it shouldn’t be filtered through a for-profit system first.

        Not to sound like someone who wants a small government, but instead paying money to shareholders you can also pay tons and tons of government workers. In Germany when you work for the government you can‘t get fired which leads to a lot of overcapacity. In the tax department it is very often the case that there is only work for less than half a day. A friend of mine actually quit their (very safe) job there, because they couldn‘t stand being bored half a day and being mocked for working too fast.

        Again I believe everything is better than the system in the US, but there is some nuance to the alternatives.

      • Boomer Humor Doomergod@lemmy.world
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        2 days ago

        The cost of insurance goes down the larger the pool of people. The largest pool in a country is everyone, so like utilities it becomes a natural monopoly.

        Natural monopolies should be the purview of the government as they allow for abuse.

    • stickly@lemmy.world
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      2 days ago

      Anything critical to the life of an individual citizen, like health and home insurance, should be publicly run. It just doesn’t make sense for a private company to manage that because their profit motive is in direct opposition to the individual (i.e. they must fight claims and inflate premiums to increase revenue).

      The state loses money anyway if the person is homeless or destitute so they might as well pay out. Yes there are still agents to manage funds and adjust claims and set rates but they’re now operating as impartial public servants instead of antagonists.

    • Modern_medicine_isnt@lemmy.world
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      2 days ago

      You would think that. But most decent sized companies self insure. That means they figure out how much to hold in savings to cover potential costs. They probably pay someone for that number. The premium is just to pay the insurance company to manage billing. It is basically an administrative fee. That puts them in the position that employers will choose the insurance company that cost them the least, mainly by denying claims. It’s a system designed to extract as much money as possible from the people and pass it on to the largest shareholders (the board of directors).

    • architect@thelemmy.club
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      2 days ago

      It’s all a scam and if it doesn’t feel like that yet just you wait!

      I just bought a new car. Been driving over twenty years, not a single accident or ticket ever in my life. It was a fucking Toyota Corolla. THEY TRIED TO CHARGE ME MORE A MONTH FOR INSURANCE THAN THE FUCKING CAR PAYMENT!

      I was on the phone and I said to geico, you think you deserve a car and a half every fucking month to insure my one car? They told me I would never find a lower rapt that’s what everyone is going to be paying soon.

      I found a lower rate… like 10% of what they quoted. Fucking con artists. Every single person that works in insurance should know they are the enemy.

      • julianwgs@discuss.tchncs.de
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        2 days ago

        I‘ve heard that car insurance is too expensive in the US, but keep in mind that you are usually not insuring your own car, but everyone else‘s, so if you are causing an accidents the other party can buy a new car for example. An old car (due to the lack of safety systems) is often more likely to end up in car crash than a newer one. In Germany (where insurance prices are much saner) this applies as well. You either get an expensive car and pay less for insurance or an old one and pay more. Also in Germany fees are pooled by model, so if your car is used by a lot young people (who get into accidents more) you also pay more. The good thing is that you can inform yourself about it before you buy a car to factor it into a buying decision from the start.