Right, insurance has driven the cost of procedures up. I mean it really is pretty simple. For profit health insurance on the ACA require a loss ratio of at least 60%. WTF. Think about it. Insurance pays out $600,000 in claims, but that means they can collect one million dollars in premiums. The beneficiaries get precisely sixty cents on the dollar for their premiums. The insurance company gets forty cents out of every dollar in premium. That is outrageous.
Hell, Medicare Advantage plans are required to have an 85% loss ratio. Instead of trying to eliminate the ACA why not make the loss ratio requirement higher? But then again, that whole MLR, Medical Loss Reserve, is a completely fabricated number. Included as a medical expenses in the calculation, the loss reserves of the company. Money set aside to pay future claims not yet incurred, yet they can write that money off just like an expense. Let's put numbers to it.
Insurance company collects your one thousand a month premium. They spend four hundred dollars on claims for you and other beneficiaries of your plan. They spend two hundred dollars on salaries, office space, computers, and of course, those nice annual meetings at the country club for the executives. The other four hundred dollars, well two hundred goes to the shareholders of the company and two hundred goes to the loss reserves. They are legit, 60% MLR.
Think about it. Two hundred from you every month. Two hundred from millions of people every month. Two hundred dollars in the loss reserves. Two hundred dollars invested in real estate, stocks, bonds, hell, even artwork. Two hundred dollars in assets that are listed as a liability on the balance sheet. Insurance is the ONLY business in the world that gets that kind of break.
Who do you think owns that mall where you go shopping? An insurance company, part of their loss reserves. Who owns that office building downtown? An insurance company, part of their loss reserves. We are not talking billions, we are talking TRILLIONS of dollars, untaxed, earning income, also untaxed.
In the above example, which is really quite generous to the insurance companies, clearly indicates that you are not getting sixty cents on the dollar for your premium payments. You are getting forty cents on the dollar and the insurance company is getting twenty cents of every dollar, tax free, and investing it to glean even more money out of the system. It is time this shitshow stopped.