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Posted by dawnbixtler on 2004-12-13 17:47:09 +0000

Do we need tort reform?

I had a great talk with a guy in the pool at the Comfort Suite in Oak Creek Wisconsin yesterday. We started our conversation about how it would suck to have a room where your balconey faced the pool-- very loud. Then he brought up that he was from Green Bay, obviously not going to the "Peh-krs" game. He liked my tattoo. I didn't really like his eagle tattoo, but I didn't say anything. He worked for Blue Cross/Blue Sheild. I brought up tort reform, thinking this was safe politically, but he closed up a bit. "Does that bother you?" I asked. "It's B.S., that's all." "What do you mean?" I asked. He then went into a fairly indepth discussion (totally unexpected) about how award size doesn't matter much. The reason rates have gone up -- he was a rates adjuster -- is because the economy is not doing so well, and HMO's can't get the return's they used to get when they invested payers money. Since Blue Cross "cannot get their target 11% rate from stocks, bonds, and t-bills" anymore, they have to raise their rates so they don't empty out their invested holdings. "We get about 5 or 6 percent now," he said. He even called tort reform a "smokescreen for bigger problems" at one point. Wow. I hadn't thought about this. Anyone else? This hit me especially hard, since this was actually one of the three reason's I could think of to support Bush. Thoughts...

Posted by tgl on 2004-12-13 19:14:48 +0000
"Yeah, what he said." I've always thought that frivolous lawsuits were a bit of a red herring. If you look at actual awards compared to the size of the industry, it's a drop in the bucket. The argument you're going to get is that the threat of lawsuits and subsequent higher malpractice insurance premiums are driving costs up. Hold on: do insurance companies pay for malpractice insurance or is that something individual doctors pay for, i.e., does the cost of an individual doctor's malpractice insurance get covered by the HMO's (or other insurer's) payout to the provider? The health insurance industry must assume an "average" amount of malpractice insurance to subsidize when figuring out how much to pay for procedures. An HMO doesn't pay more to a doctor that as higher than usual malpractice insurance premiums, or do they? Funny thing: that target of 11% is only needed by the industry in order to satisfy shareholders. If we treated healthcare as a human right and not a commodity, then we wouldn't have price increases that ultimately drive people out of the system just so the few of us that are invested in the healthcare industry can feel good about our investments every 3 months. For the rest of this post I'll be imagining Ned in a hot tub with a Green Bay Packers fan... Mmmm...

Posted by dawnbixtler on 2004-12-13 19:29:22 +0000
Surrounded by teenage girls...

Posted by G lib on 2004-12-15 15:31:36 +0000
The teenage girls weren't mentioned-- so they weren't part of my 'gay porn meets tort reform' fantasy, either, TGL. ________________ I've got a broken face!

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