Ray, it's not just the insurance company profit that is adding to your costs. It's their administration. Obamacare required that insurance companies spend 80% of your premiums on your care, and they had to refund any amount less than 80% of your premiums not used on care. But 20% of your premiums are lost to the company. That's to pay for their underwriting, claims and pre-approval process. So if you're premium is $18,000 per year, $3,600 comes off the top and only $14,400 is spent on your care.
Another 10% is spent by hospitals and doctors on billings. My doctor's receptionist sends out one bill to the province per month. Your doctor sends out bills to each of the insurance companies his patients have coverage with. He has to collect co-pays. He has to hire a third party billing company to manage it all. Hospital billing departments are approximately 1/3 of administration staff. Not to mention the time lost in pre-approvals. One of my American friends was the "pre-approval" nurse in the clinic she worked at. Her entire job consisted of dealing with insurance companies on pre-approval. That one salary which was paid by the clinic that did nothing to help the patients.
Canadian doctors have more time to spend with patients and they can see more patients. More time and resources spent on patients and not on insurance company paperwork also lowers the cost of health care. Americans who get sick here and have to seek treatment in Canada are shocked that there are no questions about payment when they walk through the door. The entire focus is on treating the patient.
You could cut 30% of your health care costs by eliminating for-profit insurance - without affecting the prices being charged by doctors, waiting times or quality of care. Just eliminating the expense, duplication, billings and pre-approvals created by private insurance. And yes, the entire third party billing industry will be wiped out, but other than increasing the cost of health care, they's jobs aren't doing anything for health care except increasing the price.
Now I realize that you can't just wave a magic wand to make that happen. But 30% of your healthcare costs is a huge chunk of money.
Profits are what's left after taking X in amount of money, and paying X out. Health insurance companies (as I posted) have the lowest profit margin of other insurance companies. Yes, those profits are after administration costs along with all the other costs.
DumBama forced insurance companies to pay 85% of collected premiums on claims which decreased their ability to make profit. Insurance companies operate by taking your premium money, investing it, and the profits they gain from those investments help offset the claims they payout. So premiums had to increase because of that loss inflicted on them by the Democrats, who think they know how to run businesses better than the businesses do.
Left to their own without government intrusion, insurance companies are vastly more efficient than the government. That's why government hires the insurance companies to handle their billing for Medicare and Medicaid. If you eliminate insurance companies, then the government would have all those additional administrative costs, and we save very little.
You left out a whole range of expensive things that private insurance does which single payer does not, all of which reduce costs.
Underwriting: insurance companies have an entire department of actuaries reviewing your application, medical reports, and deciding on your premiums are. Single payer has a minimum wage data entry clerk inputing you name address and SS number.
Private insurance has a pre-approval process where doctors and nurses contact the insurance company to determine whether the company will pay for their proposed treatment. Medical staff at the insurance company decide if they will pay for it. Single payer doesn’t do pre-approvals, therefore eliminating the salaries and expenses hospitals, doctors’ offices and insurers. This frees medical staff to provide treatment to more patients, lowering costs to all.
No third party billing. With only one bill to send out to the government office, and no copses to collect, your receptionist can do the paperwork.
Lop off the administration and insurance company profit of 20% (I checked Ray - it’s 20% not 15%), add in the savings to doctors and hospitals for pre-approvals and billing -another 10% and you can easily save 30% on Administration
Third party billing charges between 7.9 to 10.9% of their billing’s with a monthly minimum of $999. That’s BEFORE we talk about pre-approval costs.
Single payer, enters the doctor name, posts his patient billings by OHIP number to confirm their card number is active and eligible, and issues a cheque. One bill to one insurer. No muss, no fuss, no medical reviews.