As I scanned through my Google Reader like a good lil blogger, I came across Beating Broke’s post, Will health insurance rates rise now?

The title is pretty self-explanatory, I would think. Just to be clear though, BB’s main concern was his employer’s health coverage — namely that his company would cover a small portion of a bigger premium, leaving him holding a bigger chunk of the cost.

I started writing my comment in response (which turned into three — sorry BB!) but was waylaid by a memory that came out along the way. I need to share it with you. I’ll try to make it brief (but you guys know that’s not my strong suit).

It was October, and Tim and I had been together for all of five months. He had been at the company for three months, which wasn’t long enough to get insurance. Meanwhile, his skin had been bad for awhile. He had already fought off a couple of staph infections. When he had one, his skin healed in this weird, shiny pattern. It also had the tendency (thanks to the eczema) to heal quickly and “freeze” a limb in place. So, if his arm was bent, for example, the skin would heal too short for him to straighten it. He made a lot of Tin Man jokes during this period in time.

This particular infection, though, wasn’t going away. His employer actually ended up driving Tim to the hospital in the middle of the day. He even threw a fit when someone tried to say the dermatologists were off for the day. It’s amazing how quickly dermatologists will be called in if you have the right person barking orders!

It turns out that the infection had gotten into Tim’s blood. He had to have IV antibiotics, tons of medicine and ointments and probably all sorts of stuff that I didn’t see during visiting hours. Point is, it was all pretty terrifying for me; Tim was too out of it to register some of the finer details. (His body was just trying to keep him unconscious so it could heal.) But I got to hear all the fabulous phrases like “the staph is actually in his blood.”

They let him go the following evening, laden with ointments, prescriptions and some sleep suits for bad breakouts. He was there perhaps 30 hours. The bill, when it came, was over $2,000. Thanks to hospital charity, it was covered 100 percent. Still, it was a terrifying reminder about the frailty of the uninsured.

It’s this kind of thing that I recall when people start talking about how health costs will go up. How much higher up do they have to go, exactly? I think people who ask this haven’t been uninsured recently.

As I pointed out to Beating Broke, health costs already go up. Every year. My mom’s insurance rates rose so much between years that she ended up switching companies — and she didn’t have many charges on her bill. The fact is that insurance companies have never needed a reason to raise premiums. I truly don’t understand why people are so worried about it now.

I’m guessing the question people mean to ask is, “If the rates went up so much without a case, what happens when there is one?”

Well, employers will have a pretty good incentive not to pass those costs on to you. If employees are paying too high a premium, the employers will be subject to a tax. The hope is that this will keep your company alert for good health care plans. (Incidentally, small businesses — under 50 employees — are exempt.) And if employers are worried about incurring extra taxes, they will probably be a little more demanding about reasonable premiums.

I have all sorts of things I could preach about here. (Like how we already pay increased costs for the uninsured because it’s taxpayer money that funds hospital shortfalls from non-payment of bills.) But everyone’s talked about this stuff already. People who have been in these situations get the sheer absurdity of our current system. Those who haven’t… I just pray they never have to find out firsthand how broken the system is.

Maybe there should be a ride in each amusement park where you go through life without insurance. It could involve smaller activities like “Don’t step on that rusty nail” House of Mirrors, “Oops, broken arm” Bounce House, “Hey diabetes!” cotton candy or “I hope this is the flu, not pneumonia” Log Ride.

Whatever. I’m just goofy with happiness that, soon, you won’t be denied coverage just because you, ya know, actually need it!

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{ 8 comments… read them below or add one }

1 Annie Jones March 24, 2010 at 12:22 pm

Nice post. While the bill isn't all I'd hoped it would be, it's a good start.

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2 dogatemyfinances March 24, 2010 at 1:08 pm

People complaining about a few hundred bucks just don't get it.

The holes are big enough to drive a freaking truck through, and but for the grace of God you could be on that truck. This bill is a really, really big deal to me and to people who don't even realize that it just got their back.

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3 Elizabeth March 24, 2010 at 1:15 pm

Sounds like you and Tim have had a rough health care ride – I'm glad that particular skin care at least was covered by the charity provision.
How high will they go up? I pay for an individual, high deductible policy. It is anticipated that my monthly premium will *double*. Ironically, for me that would make the difference that I could afford what I was paying now (although very tight budget) but I can't afford to pay double…and likely will no longer have health insurance thanks to this change in the law. I know that in 4 years or whatever I'll be fined if I don't have insurance…so I'll have to figure out something by then, but in the meantime, I guess I'm one of those caught in the middle who had insurance and now likely will no longer be able to afford it.
I guess there's always winners and losers in anything!

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Abigail Reply:

Elizabeth,

I'm sorry to hear your plan will likely increase that badly. On the other hand, my mom's insurance rose from $299 to $419 just as a random act. That's a $120 (40%) difference. I know that's not 100%, but my point is that insurance companies are constantly cranking up rates no matter what.

I'm sure you've already considered calling a bunch of brokers, but that would certainly be my first move. If it's high deductible, I'm guessing it's basically catastrophic coverage (ie, you don't really use it for day-to-day stuff and have it just to be sure any hospitalizations don't bankrupt you).

It does annoy me that insurance companies get four years to scheme before people can get help with individual plans. I only hope that more states start organizing insurance pools. But at this point, I'm just relieved that *something* was done.

I am sorry, though, that this legislation that's supposed to help is, in the short term, hurting you.

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Abigail Reply:

Elizabeth,

I'm sorry to hear your plan will likely increase that badly. On the other hand, my mom's insurance rose from $299 to $419 just as a random act. That's a $120 (40%) difference. I know that's not 100%, but my point is that insurance companies are constantly cranking up rates no matter what.

I'm sure you've already considered calling a bunch of brokers, but that would certainly be my first move. If it's high deductible, I'm guessing it's basically catastrophic coverage (ie, you don't really use it for day-to-day stuff and have it just to be sure any hospitalizations don't bankrupt you).

It does annoy me that insurance companies get four years to scheme before people can get help with individual plans. I only hope that more states start organizing insurance pools. But at this point, I'm just relieved that *something* was done.

I am sorry, though, that this legislation that's supposed to help is, in the short term, hurting you.

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4 Beating Broke March 24, 2010 at 1:59 pm

Thanks for the link!

For the most part, I think we're all arguing over who has the better half dozen rotten eggs. One point that I would like to make, however, is that the fine for not offering insurance to your employees is reportedly only going to be $2000 per employee per year. Last year, my premiums at work went up a little over $100 a month. Over the year, that's $1200. What happens when your company gets notice that the premiums will be going up by $250 a month? I don't think it's unreasonable to say that they might, and I also don't think it's unreasonable to think that some companies will just pay the fine rather than eat the extra insurance cost.

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Abigail Reply:

I agree about the rotten egg comment!

I think the idea — and let's hope it plays out — is that companies who are already sick of rising costs will be even more unwilling to pay taxes in addition. (You figure the average company is already paying around $300-500 per employee.) So they'll start shopping around. And insurance companies will have to actually look into reasonable costs.

That said, we've seen how free market economics work in the past — that is, mixed results. Let's all keep our fingers crossed.

Also, don't forget that you usually have the option of opting out of your employer coverage and purchasing individual/family insurance.

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Abigail Reply:

I agree about the rotten egg comment!

I think the idea — and let's hope it plays out — is that companies who are already sick of rising costs will be even more unwilling to pay taxes in addition. (You figure the average company is already paying around $300-500 per employee.) So they'll start shopping around. And insurance companies will have to actually look into reasonable costs.

That said, we've seen how free market economics work in the past — that is, mixed results. Let's all keep our fingers crossed.

Also, don't forget that you usually have the option of opting out of your employer coverage and purchasing individual/family insurance.

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5 merindab March 24, 2010 at 2:52 pm

I actually heard someone argue the other day (on the radio) that people without insurance are just lazy and don't want to work. Which is probably the most ridiculous argument I've ever heard. I've been the sick/just laid off/no insurance myself.

One of the best arguments I've read is George R R Martin's which talks about health insurance (or lack thereof) and creative people.

http://grrm.livejournal.com/141683.html

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6 Alane March 24, 2010 at 5:16 pm

I fear I am the only one who has no idea how this new plan will impact me and my family. My husband busts his behind and we have what is often called a cadillac plan. We don't any premiums for our HMO. Will we have to now? While I think the provisions of no lifetime cap or descrimination for those with pre-existing conditions is great. I do think it is wrong to penalize companies or individuals who don't offer/have insurance is wrong.

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7 Stay at Home Mom CFO March 24, 2010 at 5:58 pm

Tim, seriously could have died, sepsis is no joke. His employer probably saved his life! My pipe dream is: one day "health insurance" no longer exists and all the "smart people" have figured out a way to balance the budget AND ensure people aren't dying/losing everything because they can't afford access to healthcare. Actually I don't even care if they "balance the budget" – I'll aim for no more people dying or losing everything they own due to medical bills. Then they can balance the budget, that order of priorities seems more appropriate for humanity.

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Abigail Reply:

Amen!

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Abigail Reply:

Amen!

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8 Donna Freedman March 24, 2010 at 7:59 pm

A friend of mine thinks that no legislator should be eligible for any program that is also not available to constituents: Cadillac health care, postal franking, etc.
Wonder if the legislators who are soooo against this would change their minds if they had to pay for their own health care in the same proportions some cash-strapped families do? Especially if they had "pre-existing conditions" and couldn't find anyone to cover them?
Nah, probably not. Everyone knows that all people who don't have insurance are just lazy so-and-sos who don't want to work. I know it's true 'cause I heard it on talk radio.

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