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Re: The cost of health insurance
Old 12-13-2002, 05:18 AM   #21
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Re: The cost of health insurance

I would like to know if anyone has opted to go without
health insurance altogether, and either just take their chances
or perhaps found a mechanism to protect their assets
against large judgements in the event of disaster
This issue has been the biggest nagging problem
with my early retirement. I am even considering
leaving the US if that's what it takes.
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Re: The cost of health insurance
Old 12-13-2002, 01:19 PM   #22
 
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Re: The cost of health insurance

What is the ex-patriot route that keeps being referred to?
I feel that I will have to work forever mostly to afford decent medical.

Any information would be great.
Thanks
Zukie
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Re: The cost of health insurance
Old 12-14-2002, 10:50 AM   #23
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Re: The cost of health insurance

As I understand it, the ex-patriot route is simply moving to a country where medical costs are far lower than in the United States. Many South American and Asian countries fit this description. The trade off is that the doctors there often have far less in the way of medical equipment to work with.
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Re: The cost of health insurance
Old 12-14-2002, 11:07 AM   #24
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Re: The cost of health insurance

Going without health insurance would seem to me to defeat the purpose of using a safe withdrawal rate, since without health insurance, your portfolio is not safe.
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Re: The cost of health insurance
Old 01-24-2003, 05:57 AM   #25
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Re: The cost of health insurance

Well, here's how some of the richer of us is dealing with health care. Costs more, but you get more personal service.

<snip>In a few weeks, more than 4,800 people who have been patients of two Bethesda physicians will have to find new doctors -- all because they aren't willing to pay an annual membership fee of $1,500 to continue seeing their internists.

In addition to the annual fee, the doctors will collect all the usual fees from patients' health insurance plans.

The smaller patient load gives doctors time to see patients on short notice and allows them to pledge round-the-clock telephone availability. Michael A. Hattwick, 61, of Fairfax, who switched his practice in October, said that instead of seeing 24 patients on a busy day, he sees 10 or 11.
<unsnip>

http://www.washingtonpost.com/wp-dyn...2003Jan23.html

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Re: The cost of health insurance
Old 01-24-2003, 11:09 AM   #26
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Re: The cost of health insurance

I had no idea that the average primary care doctor has 3000 patients. How can he keep track of so many people? The program is interesting, but I don't understand how it interacts with insurance. I carry a high deductible Blue Cross, would my doctor charge me nothing other than the yearly fee regardless? If my doctor switches to this type of plan, I would have to consider it. I am not sure that I would want to change doctors just to get into this type of plan though. I have been with my doctor for a long time. I think that I will just wait to see how it works out over time before deciding.
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Re: The cost of health insurance
Old 01-24-2003, 01:56 PM   #27
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Re: The cost of health insurance

MikeSchoren asks,

I carry a high deductible Blue Cross, would my doctor charge me nothing other than the yearly fee regardless?
---------------------------------

No. You pay the $1,500/year fee just to get the doctor to answer the phone. You still pay for an office visit when you actually see the doctor if your insurance doesn't cover it or you haven't met your annual deductible or co-insurance limit.

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Re: The cost of health insurance
Old 01-24-2003, 02:07 PM   #28
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Re: The cost of health insurance

From the Washington Post article

http://www.washingtonpost.com/wp-dyn...2003Jan23.html

Like the average primary care physician nationwide, Sheff and Pennington each had about 3,000 patients. Soon each will limit his practice to 600. A physician with a full MDVIP enrollment would collect $600,000 a year <b>and send $300,000 to MDVIP for its continuing oversight.</b>



I wonder what kind of "oversight" MDVIP does to deserve a $300,000 per physician fee? Or is this just another scheme for business to suck more money out of the health care system and increase executive bonuses and stock options?

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Re: The cost of health insurance
Old 01-24-2003, 02:28 PM   #29
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Re: The cost of health insurance

In that case, I am glad that my doctor is not part of that system. He charges me much less than $1500 for my annual physical exam, and I can call his office with questions year round. I will just go to an immediate care clinic if I need something after hours.
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Re: The cost of health insurance
Old 02-09-2003, 09:56 PM   #30
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Re: The cost of health insurance

We had a health insurance fiasco at work recently with a major area health care provider not renewing their contract at the last minute and making lots of people upset, so there were meetings that turned into gripe sessions about health care.

What I learned between the gripes, though, is that very few people really know how it works and that you (I) need to learn how your (my) plan works and watch out for yourself. The doctors are clueless about the plans and their office managers get confused, too. Each major HMO may have several separate agreements with the local doctors, and I found out that my company falls under a different agreement than the normal HMO or PPO and is handled a bit differently, and many of the complaints of my coworkers were results of them and the doctors misunderstanding the nature of the agreement.


REWannabe: The airline industry (passenger and cargo) frequently needs part time help over full time help due to scheduling, operational and flexibility needs. Several airlines offer full benefits to part timers, and many people take these jobs just for the health insurance and fringe travel benefits, although the pay ain't bad for unskilled entry level work. The work is usually manual labor--lifting/pushing boxes or baggage, driving ground support equipment--but not too intense. The cargo airlines usually are night shift or graveyeard positions. Some of the rest of the transportation industry likes part timers, but I don't know if they get full benefits.
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Re: The cost of health insurance
Old 02-14-2003, 01:38 PM   #31
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Re: The cost of health insurance

I have spent much of today researching this issue.
I thought that the Health Insurance Portability Act
(HIPPA) aka Kennedy-Kassenbaum would solve my problem. Wrong! Although under certain conditions
various states mandate that the insurance companies
must insure all comers if certain conditions are met,
they do not say what premiums will be charged.
Thus, I have discovered that this law will not help me
at all as I can not pay the premiums. This is typical
liberal crap. Push through legislation which looks good
but has no substance. I will solve this myself somehow, but God deliver us from the liberals in government.
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Re: The cost of health insurance
Old 02-15-2003, 08:19 AM   #32
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Re: The cost of health insurance

Quote:
I have spent much of today researching this issue.
I thought that the Health Insurance Portability Act
(HIPPA) *aka Kennedy-Kassenbaum would solve my problem. *Wrong! *Although under certain conditions
various states mandate that the insurance companies
must insure all comers if certain conditions are met,
they do not say what premiums will be charged.
Thus, I have *discovered that this law will not help me
at all as I can not pay the premiums. *This is typical
liberal crap. *Push through legislation which looks good
but has no substance. *I will solve this myself somehow, but God deliver us from the liberals in government.
Please keep us posted. I'm also looking for hard info on rates. I was hoping to find demographics style maps of the country based on various ages.

We're considering moving from Michigan within the next year or two, but we might eventually be forced back for the health insurance. Michigan has a system I haven't seen in any other state (I haven't reviewed them all). If I understand it correctly, BCBS of Michigan provides the health insurance for state county and municipal employees and by law lumps individuals into the same group plan (in effect, not in administration).

I'm sure that this raises the costs that local governments pay for their employees, which in effect makes it tax subsidized. I'm also sure that the number of individual policies is a drop in the bucket compared to government employees.

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Re: The cost of health insurance
Old 02-15-2003, 10:48 AM   #33
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Re: The cost of health insurance

Hello Happy Fool! Now this is interesting!

In my research, Michigan is the only place I found
with the system you describe. I was not even aware of it. Anyway, I lived/worked in Michigan for many years
and really like the state (except for the weather).
We too may be "forced back", although there are
some advantages to me in that event. Bottom line
is that I may have to swicth my relo route by 180 degrees. Oh well, got to stay flexible .
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Re: The cost of health insurance
Old 02-17-2003, 02:25 PM   #34
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Re: The cost of health insurance

I think PA may have a similar approach, but I have land and family roots in MI.

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Re: The cost of health insurance
Old 02-17-2003, 02:53 PM   #35
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Re: The cost of health insurance

Well, I too have roots in Michigan, as does my wife.
However, the winters are not what I had envisioned
for my twilight years. Still, the prospect has some appeal. I am quite conflicted at present.
To be continued.........................................
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Re: The cost of health insurance
Old 02-22-2003, 05:22 PM   #36
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Re: The cost of health insurance

"Retirees Face A Health Care Crunch" in the Washington Post - It's about health care costs after 65 - but I imagine most of us are hoping to get there.

Quote:
A 65-year-old living where Medigap premiums are moderate, such as Arizona or the District of Columbia, who retired this year with no employer-sponsored coverage, would need $47,000 in savings to pay just the premiums for Medicare Part B coverage and the most comprehensive of the 10 standard Medigap policies -- Plan J -- between now and age 80, the study figures. It would take $66,000 to remain covered to age 85. That doesn't include nursing-home care.

In Florida, where Medigap insurance is particularly expensive, such a retiree would need the equivalent of $82,000 to make it to 80 and $115,000 to 85.

These figures assume that insurance costs (inflation combined with the effect of growing older, which makes coverage more expensive) rise at only 7 percent a year. If these costs rise at, say, 14 percent -- which may seem high but is hardly impossible -- a retiree this year would need $335,000 in savings to pay the premiums.
http://www.washingtonpost.com/ac2/wp...5349-2003Feb21

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Re: The cost of health insurance
Old 02-22-2003, 08:18 PM   #37
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Re: The cost of health insurance

If the politicians really cared what happened to people, the best way to reduce medical costs would be to remove all taxes on medicine. Doctors, nurses, etc... should not pay any income tax on money earned in medicine, as this goes right on your hospital bill (or insurance premium). There should be no property tax on medical buildings, sales tax on medical supplies, etc... since all of these costs are added directly to doctor bills (and insurance premiums). It won't happen, but it would go a long way towards slowing the rate of medical inflation. Since it won't happen, I guess that we will just have to figure that medical costs will continue to markedly outpace the CPI-U, and plan accordingly. Indeed, it may get more expensive for those over 65 when the boomers start relying on Medicare in numbers, as the system will get a lot more expensive for Washington.. Overweighting health care stocks in the portfolio may help some. We have to find a way to survive under various likely economic scenarios, and continued high health care inflation seems to be a high probability.
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Re: The cost of health insurance
Old 02-22-2003, 10:18 PM   #38
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Re: The cost of health insurance

Nice thought but that's not how capitalism works.
If I were suddenly relived of taxes but I know you still have the same amount of money to pay me I would have no incentive to lower prices. Health care is not optional. People will get it any way they can. It is what Adam Smith called a "necessary". Even he admitted his whole market theory could only function reliably with things that were not necessay. AND in a state of "perfect freedom" and acknowledges that no state of perfect freedom could ever exist

Even Dick Armey recently made this same point. Last yr or the yr before when gasoline prices were shooting up, there was a suggestion to temporarily remove the .25 cent per gallon federal gasoline tax. Of course congress didn't do this and Armey said it wouldn't work because gas stations and oil companies would just raise their prices (and proifit margins) by the amount of the tax. And he's a Republican! he knows how the bread gets buttered.

Unfortunately it can't be as simple as we'd like it
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Re: The cost of health insurance
Old 02-23-2003, 12:06 AM   #39
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Re: The cost of health insurance

area 52 has it just right. I was in business my whole life
and any money I saved in that way would go right
to my bottom line. By the way, I think Dick Armey is great, but then my politics make Rush Limbaugh look
like a bleeding heart liberal, so.......................

And another thing , although frustrated no end with
this problem, I don't expect/demand that anyone
bail me out of it. I assume that the government will
screw up whatever they touch. I also believe
I can offset that with brainpower and willpower.
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Re: The cost of health insurance
Old 02-23-2003, 09:14 AM   #40
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Re: The cost of health insurance

By the way, I think thingy Armey is great, but then my politics make Rush Limbaugh look
like a bleeding heart liberal, so


Heh heh, actually that was a sloppy
edit. I meant to say Dick Armey but I guess you got my drift. Must have been thinking of Darrel Hammond's Chris Matthews impersonation on Sat Night Live

Well here's the bad part... I haven't disagreed with anything JohnGalt has said so far but as far as The Limbovian crowd being too Lefty....?

I don;t trust the private sector any more than I would trust the Gov and in fact have less reason to trust them.

They dont want the gov running things because they are afraid of rationing. Well ME TOO! I did 20 in the mlitary and belive me YOU DONT WANT GOV RUN or SINGLE PAYER medical insurance. At leat not like THAT!

BUT... the Business Class insists on rationing but they want to do it on the basis of "who's got the most money in thier hands RIGHT NOW" So if they dotn't care about yhe othet 99% of societyt why do they get so ticked when all those regular people seem to have a hard-on when it comes to the big money interests?

yes, I have lived my live succeeding on brain power and willpower.. but the preresquitie is that there be "where-with-all" available to be accessed or actuated WITH your brain/will power.

You can't make a silk purse out of a sow's ear. Now, sometimes a "sow's purse" will do just fine, so screw the silk..... but there are times when you really need the "good sht" or God forbid "help" with something

When it gets to that level is when I get concerned.




_________________________________
area 52 has it just right. I was in business my whole life
and any money I saved in that way would go right
to my bottom line. By the way, I think thingy Armey is great, but then my politics make Rush Limbaugh look
like a bleeding heart liberal, so.......................

And another thing , although frustrated no end with
this problem, I don't expect/demand that anyone
bail me out of it. I assume that the government will
screw up whatever they touch. I also believe
I can offset that with brainpower and willpower.
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