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	<title>Comments on: Feingold&#8217;s statement on &#8220;Public Option&#8221;</title>
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	<link>http://bloggingblue.com/2009/08/17/feingolds-statement-on-public-option/</link>
	<description>Blogging Liberally in the Badger State</description>
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		<title>By: david stea</title>
		<link>http://bloggingblue.com/2009/08/17/feingolds-statement-on-public-option/comment-page-1/#comment-14207</link>
		<dc:creator>david stea</dc:creator>
		<pubDate>Tue, 01 Sep 2009 02:56:30 +0000</pubDate>
		<guid isPermaLink="false">http://bloggingblue.com/?p=4782#comment-14207</guid>
		<description>Have you ever actually used &quot;socialized&quot; medicine or was yours an &quot;everybody knows that.....&quot; response?  I have been a patient of so-called &quot;socialized&quot; medicine when working in Canada, the U.K., Australia, and New Zealand.  The care was uniformly excellent, cheerful, prompt, and free or very inexpensive.  I always saw a &quot;real&quot; doctor.  When I was employed in Texas my so-called health care, which was valid only in my local area, cost over $4,000/year.  During the first two years I never saw a doctor, just medical assistants.  Were I living in the USA today, medical insurance with all its deductibles, co-pays, geographical, and other restrictions would cost me well over $1,000 a month, increasing every year.</description>
		<content:encoded><![CDATA[<p>Have you ever actually used &#8220;socialized&#8221; medicine or was yours an &#8220;everybody knows that&#8230;..&#8221; response?  I have been a patient of so-called &#8220;socialized&#8221; medicine when working in Canada, the U.K., Australia, and New Zealand.  The care was uniformly excellent, cheerful, prompt, and free or very inexpensive.  I always saw a &#8220;real&#8221; doctor.  When I was employed in Texas my so-called health care, which was valid only in my local area, cost over $4,000/year.  During the first two years I never saw a doctor, just medical assistants.  Were I living in the USA today, medical insurance with all its deductibles, co-pays, geographical, and other restrictions would cost me well over $1,000 a month, increasing every year.
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		<title>By: Zach W</title>
		<link>http://bloggingblue.com/2009/08/17/feingolds-statement-on-public-option/comment-page-8/#comment-13986</link>
		<dc:creator>Zach W</dc:creator>
		<pubDate>Mon, 24 Aug 2009 21:15:13 +0000</pubDate>
		<guid isPermaLink="false">http://bloggingblue.com/?p=4782#comment-13986</guid>
		<description>Our health should not be “for profit.”

Andy, I couldn&#039;t agree more.  Health insurance companies make decisions on a daily basis that can mean life and death for their customers, and those kinds of decisions shouldn&#039;t be made with the most important factor being the company&#039;s fiscal bottom line.</description>
		<content:encoded><![CDATA[<p>Our health should not be “for profit.”</p>
<p>Andy, I couldn&#8217;t agree more.  Health insurance companies make decisions on a daily basis that can mean life and death for their customers, and those kinds of decisions shouldn&#8217;t be made with the most important factor being the company&#8217;s fiscal bottom line.
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		<title>By: John O'Hern</title>
		<link>http://bloggingblue.com/2009/08/17/feingolds-statement-on-public-option/comment-page-7/#comment-13985</link>
		<dc:creator>John O'Hern</dc:creator>
		<pubDate>Mon, 24 Aug 2009 20:57:44 +0000</pubDate>
		<guid isPermaLink="false">http://bloggingblue.com/?p=4782#comment-13985</guid>
		<description>Hi Rockne,

Thanks for using your whole name!

Nobody said profits are bad. (A word cannot be good or bad; only people have the ability to be good or evil. I hope that you wish to be a good person.)

I quoted MSNBC&#039;s business report that United Healthcare&#039;s profits increased 155% in one year, a year when some other businesses were losing up to as much as 60% of their value or even worse completely failing. If this discrepancy between a health insurance provider and business in general doesn&#039;t give you cause for concern, then I guess you should state exactly what you think is a fair rate of return for a business as a general rule of thumb. 

Your statistics about ranking health insurance profit margins at 86 percentile seemed out of line with my expectations for an insurance provider. What is your source for this ranking?

  
Your claim concerning the lack of profitability of the health insurance industry sent me off on a search for information this morning. I found the following information at CNN Money&#039;s Fortune 50 most profitable industries report. To get an overview of the healthcare industry I have summarized all of the rankings for a variety of health care providers, not just insurance companies. For comparison, the only other industry group that I could see of comparable scope is the Energy industry (oil drilling, refining, energy, utilities etc.) Both groups have 6 to 8 participants in the top 50 most profitable. To make a general comparison I averaged the rankings and percentages. See the tables below.

Revenues
Industry	Avg rank	Profit as % of revenue
Energy 	         22	              9.73%
Health 	         22.3	              8.58%


Assets
Industry	Avg rank	Profit as % of Assets
Energy 	           23	               6.25%
Health 	           32	               4.27%

Equity
Industry	Avg rank	Profit as % of Equity
Energy 	          23.3	               17.08%
Health 	           33	               12.50%

I think you are under estimating the percentage of un-insured at 4-5% of “documented citizens.” What do you mean by documented citizen? So I went to the US Department of Health and Human Services Medical Expenditure Survey report that states that for the population under 65 years of age the un-insured rate is 22%. For the total population the rate is 19+%. I suspect the difference is a result of Medicare.

I find it amusing that when President Obama is positive about reforming health care you are opposed to it. Yet when President Obama is critical of “waste and abuse,” you accept his word on it. 

In my opinion, discussing only health insurance will not solve our nations problems concerning healthcare. If you consider all of the money already spent for all aspects of health related expenses (insurance only being one segment) the amount is enormous. I believe that we are already paying enough to provide health care for all, especially if a one payer Medicare plan is used!</description>
		<content:encoded><![CDATA[<p>Hi Rockne,</p>
<p>Thanks for using your whole name!</p>
<p>Nobody said profits are bad. (A word cannot be good or bad; only people have the ability to be good or evil. I hope that you wish to be a good person.)</p>
<p>I quoted MSNBC&#8217;s business report that United Healthcare&#8217;s profits increased 155% in one year, a year when some other businesses were losing up to as much as 60% of their value or even worse completely failing. If this discrepancy between a health insurance provider and business in general doesn&#8217;t give you cause for concern, then I guess you should state exactly what you think is a fair rate of return for a business as a general rule of thumb. </p>
<p>Your statistics about ranking health insurance profit margins at 86 percentile seemed out of line with my expectations for an insurance provider. What is your source for this ranking?</p>
<p>Your claim concerning the lack of profitability of the health insurance industry sent me off on a search for information this morning. I found the following information at CNN Money&#8217;s Fortune 50 most profitable industries report. To get an overview of the healthcare industry I have summarized all of the rankings for a variety of health care providers, not just insurance companies. For comparison, the only other industry group that I could see of comparable scope is the Energy industry (oil drilling, refining, energy, utilities etc.) Both groups have 6 to 8 participants in the top 50 most profitable. To make a general comparison I averaged the rankings and percentages. See the tables below.</p>
<p>Revenues<br />
Industry	Avg rank	Profit as % of revenue<br />
Energy 	         22	              9.73%<br />
Health 	         22.3	              8.58%</p>
<p>Assets<br />
Industry	Avg rank	Profit as % of Assets<br />
Energy 	           23	               6.25%<br />
Health 	           32	               4.27%</p>
<p>Equity<br />
Industry	Avg rank	Profit as % of Equity<br />
Energy 	          23.3	               17.08%<br />
Health 	           33	               12.50%</p>
<p>I think you are under estimating the percentage of un-insured at 4-5% of “documented citizens.” What do you mean by documented citizen? So I went to the US Department of Health and Human Services Medical Expenditure Survey report that states that for the population under 65 years of age the un-insured rate is 22%. For the total population the rate is 19+%. I suspect the difference is a result of Medicare.</p>
<p>I find it amusing that when President Obama is positive about reforming health care you are opposed to it. Yet when President Obama is critical of “waste and abuse,” you accept his word on it. </p>
<p>In my opinion, discussing only health insurance will not solve our nations problems concerning healthcare. If you consider all of the money already spent for all aspects of health related expenses (insurance only being one segment) the amount is enormous. I believe that we are already paying enough to provide health care for all, especially if a one payer Medicare plan is used!
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		<title>By: John O'Hern</title>
		<link>http://bloggingblue.com/2009/08/17/feingolds-statement-on-public-option/comment-page-8/#comment-13947</link>
		<dc:creator>John O'Hern</dc:creator>
		<pubDate>Sat, 22 Aug 2009 16:08:28 +0000</pubDate>
		<guid isPermaLink="false">http://bloggingblue.com/?p=4782#comment-13947</guid>
		<description>To Greg Anderle:

How much is spent in total annually in the US on health care, including insurance premiums, deductibles, co-pays, non-covered expenses, pharmaceuticals, etc?

Do you know?

What is the sum total of awards for malpractice cases annually?

Do you know?

If you can&#039;t answer these questions, your comments on tort reform lack any factual basis.

Who will determine what a frivilous law suit is?

Will there be a shopping list for damage?

For example if the Doctor and hospital amputate the wrong leg, will that be worth Five dollars?($5.00)

Flex accounts do not revert back to the business, they go to the government.

I suspect that you have never been faced with a Cobra bill. Cobra is an outrageously expensive boon for the insurance companies whereby you are underwritten as a single participant instead of a member of a risk pool.

What track record of entitlement programs are you talking about? Tell me the name of the program and the year it was over budget? 

You like so many others are simply regurgitating rumours, half-truths, and completely false statements with no truthful facts to back up your illogical assumptions.

I can not understand anyone thinking that an insurance company is going to give better service than any government agency. The insurance companies entire motive to be in existence is to get there greedy, thieving hands in your wallet and leave as little as possible for you.</description>
		<content:encoded><![CDATA[<p>To Greg Anderle:</p>
<p>How much is spent in total annually in the US on health care, including insurance premiums, deductibles, co-pays, non-covered expenses, pharmaceuticals, etc?</p>
<p>Do you know?</p>
<p>What is the sum total of awards for malpractice cases annually?</p>
<p>Do you know?</p>
<p>If you can&#8217;t answer these questions, your comments on tort reform lack any factual basis.</p>
<p>Who will determine what a frivilous law suit is?</p>
<p>Will there be a shopping list for damage?</p>
<p>For example if the Doctor and hospital amputate the wrong leg, will that be worth Five dollars?($5.00)</p>
<p>Flex accounts do not revert back to the business, they go to the government.</p>
<p>I suspect that you have never been faced with a Cobra bill. Cobra is an outrageously expensive boon for the insurance companies whereby you are underwritten as a single participant instead of a member of a risk pool.</p>
<p>What track record of entitlement programs are you talking about? Tell me the name of the program and the year it was over budget? </p>
<p>You like so many others are simply regurgitating rumours, half-truths, and completely false statements with no truthful facts to back up your illogical assumptions.</p>
<p>I can not understand anyone thinking that an insurance company is going to give better service than any government agency. The insurance companies entire motive to be in existence is to get there greedy, thieving hands in your wallet and leave as little as possible for you.
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		<title>By: Andy Cardenas</title>
		<link>http://bloggingblue.com/2009/08/17/feingolds-statement-on-public-option/comment-page-8/#comment-13946</link>
		<dc:creator>Andy Cardenas</dc:creator>
		<pubDate>Sat, 22 Aug 2009 14:00:09 +0000</pubDate>
		<guid isPermaLink="false">http://bloggingblue.com/?p=4782#comment-13946</guid>
		<description>Folks, it is simply about having the conviction that helping our citizenry is more important than getting re-elected.

Most Democrats, Republicans and all Republicrats do not have the moral condition necessary to see the &quot;health care debate&quot; through to the only logical end--single payer.

Our health should not be &quot;for profit.&quot;</description>
		<content:encoded><![CDATA[<p>Folks, it is simply about having the conviction that helping our citizenry is more important than getting re-elected.</p>
<p>Most Democrats, Republicans and all Republicrats do not have the moral condition necessary to see the &#8220;health care debate&#8221; through to the only logical end&#8211;single payer.</p>
<p>Our health should not be &#8220;for profit.&#8221;
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		<title>By: John</title>
		<link>http://bloggingblue.com/2009/08/17/feingolds-statement-on-public-option/comment-page-8/#comment-13939</link>
		<dc:creator>John</dc:creator>
		<pubDate>Sat, 22 Aug 2009 03:54:54 +0000</pubDate>
		<guid isPermaLink="false">http://bloggingblue.com/?p=4782#comment-13939</guid>
		<description>Thank God for Senator Fiengold, we have to have the public option to keep the insurance companies honest. I’m from Dallas, so I have no representation in the senate with Kay Bailey Hutchinson and John Cornyn. This makes me really appreciate Senator Fiengold. Thanks, John</description>
		<content:encoded><![CDATA[<p>Thank God for Senator Fiengold, we have to have the public option to keep the insurance companies honest. I’m from Dallas, so I have no representation in the senate with Kay Bailey Hutchinson and John Cornyn. This makes me really appreciate Senator Fiengold. Thanks, John
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		<title>By: PartiallyBlue</title>
		<link>http://bloggingblue.com/2009/08/17/feingolds-statement-on-public-option/comment-page-8/#comment-13933</link>
		<dc:creator>PartiallyBlue</dc:creator>
		<pubDate>Sat, 22 Aug 2009 01:49:54 +0000</pubDate>
		<guid isPermaLink="false">http://bloggingblue.com/?p=4782#comment-13933</guid>
		<description>I disagree with some of your points but I do think that retaining the medical savings accounts is a good idea.That adds flexibility into the mix. 

I would be opposed to limitations on malpractice events but I would support independent reviews of awards after accountability has been determined.</description>
		<content:encoded><![CDATA[<p>I disagree with some of your points but I do think that retaining the medical savings accounts is a good idea.That adds flexibility into the mix. </p>
<p>I would be opposed to limitations on malpractice events but I would support independent reviews of awards after accountability has been determined.
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		<title>By: Carol Kroll</title>
		<link>http://bloggingblue.com/2009/08/17/feingolds-statement-on-public-option/comment-page-8/#comment-13928</link>
		<dc:creator>Carol Kroll</dc:creator>
		<pubDate>Fri, 21 Aug 2009 22:03:49 +0000</pubDate>
		<guid isPermaLink="false">http://bloggingblue.com/?p=4782#comment-13928</guid>
		<description>Thanks so much for posting this!  (Now if we could only get Senator Herb Kohl to support the public option and stop saying it won&#039;t happen this year!) Without even trying!  I&#039;m proud of Senator Feingold.</description>
		<content:encoded><![CDATA[<p>Thanks so much for posting this!  (Now if we could only get Senator Herb Kohl to support the public option and stop saying it won&#8217;t happen this year!) Without even trying!  I&#8217;m proud of Senator Feingold.
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		<title>By: Gregg Anderle</title>
		<link>http://bloggingblue.com/2009/08/17/feingolds-statement-on-public-option/comment-page-8/#comment-13919</link>
		<dc:creator>Gregg Anderle</dc:creator>
		<pubDate>Fri, 21 Aug 2009 14:28:39 +0000</pubDate>
		<guid isPermaLink="false">http://bloggingblue.com/?p=4782#comment-13919</guid>
		<description>Perhaps including tort reform as a part of health insurance reform would be a great start.  Caps on malpractice awards and loser pays to discourage frivolous law suits will reduce the cost of care.  This will also eliminate one of the main reasons that doctors practice defensive medicine ordering unnecessary tests to cover themselves.  Also, individual medical savings accounts where the money does not revert back to the employer at the end of a year will allow people to build a fund to cover deductibles and also allow them to pay COBRA premiums when they change jobs.  The track record of the federal government&#039;s entitlement programs being run on budget and being effective is not a good one.  Reform is needed but not one that empowers the federal government.</description>
		<content:encoded><![CDATA[<p>Perhaps including tort reform as a part of health insurance reform would be a great start.  Caps on malpractice awards and loser pays to discourage frivolous law suits will reduce the cost of care.  This will also eliminate one of the main reasons that doctors practice defensive medicine ordering unnecessary tests to cover themselves.  Also, individual medical savings accounts where the money does not revert back to the employer at the end of a year will allow people to build a fund to cover deductibles and also allow them to pay COBRA premiums when they change jobs.  The track record of the federal government&#8217;s entitlement programs being run on budget and being effective is not a good one.  Reform is needed but not one that empowers the federal government.
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		<title>By: Debra</title>
		<link>http://bloggingblue.com/2009/08/17/feingolds-statement-on-public-option/comment-page-8/#comment-13909</link>
		<dc:creator>Debra</dc:creator>
		<pubDate>Fri, 21 Aug 2009 11:23:56 +0000</pubDate>
		<guid isPermaLink="false">http://bloggingblue.com/?p=4782#comment-13909</guid>
		<description>I completely agree with your statement on the need for a public option.  Let the president know that your constituents want meaningful health care  reform and insurance company reform. These legislative reforms are needed to insure the uninsured, relieve the insurance cost burden on public employers/employees, small business owners as well as large ones, and to reduce the cost of health care.
Please hold the line on your statement, do not compromise.
Thank you,
Debra</description>
		<content:encoded><![CDATA[<p>I completely agree with your statement on the need for a public option.  Let the president know that your constituents want meaningful health care  reform and insurance company reform. These legislative reforms are needed to insure the uninsured, relieve the insurance cost burden on public employers/employees, small business owners as well as large ones, and to reduce the cost of health care.<br />
Please hold the line on your statement, do not compromise.<br />
Thank you,<br />
Debra
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