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Biscuit Forum Guru
Joined: 02 Nov 2006 Posts: 9073 Location: Here
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Posted: Mon Mar 01, 2010 11:05 pm Post subject: |
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| Everybody pays it |
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Crispy Forum Guru

Joined: 10 Sep 2005 Posts: 2313
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Posted: Wed Mar 03, 2010 2:56 pm Post subject: |
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| theLIBERTARIAN wrote: |
| The people without insurance pay those prices. What a shame. |
Yep.
Blue Cross/Shield is "reviewing my medical records"
I found out that either way I'm covered as far as any procedures that will need to be done.. including tattooing nipples back on. It never occured to me that you don't get to keep the originals. A friend suggested happy faces or flowers.
I see the surgeon on the 8th.. I will be begging him for some Xanax for the day of the biopsy. From the look of the mass it's a milk duct tumor that is common in women who have had incomplete pregnancies (I had 2)... something else I didn't know until now.
It's always somethin'. |
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Biscuit Forum Guru
Joined: 02 Nov 2006 Posts: 9073 Location: Here
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Posted: Wed Mar 03, 2010 7:59 pm Post subject: |
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| Hang in there, friend!! |
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theLIBERTARIAN El Loco

Joined: 24 Sep 2005 Posts: 11424
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Posted: Thu Mar 04, 2010 2:30 am Post subject: |
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| God bless you Crispy. Like Biscuit said, hang in there and we are all pulling for you. Since you told us about this, your posts are the first I have been looking for. |
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Crispy Forum Guru

Joined: 10 Sep 2005 Posts: 2313
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Posted: Thu Mar 04, 2010 11:54 am Post subject: |
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You shouldn't have said that. Now I'm going to post some total stupidity!
Seriously though, thanks to you both. I won't know anything for at least a week. |
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Biscuit Forum Guru
Joined: 02 Nov 2006 Posts: 9073 Location: Here
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Posted: Thu Mar 04, 2010 7:14 pm Post subject: |
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Its been years....and I still dont know anything!!  |
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Crispy Forum Guru

Joined: 10 Sep 2005 Posts: 2313
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Posted: Fri Mar 05, 2010 7:43 am Post subject: |
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Oh, you do too!!
So I did find out something else yesterday. The hospital called to give me some info. Apparently I will have a chunk of titanium left in me so that when they have to go back in they have a marker!
I'm afraid of what's next!!! I'm suppose to take some Ativan before the procedure so I tested it out last night and took 2 an hour apart. I don't remember ANYTHING... but James does.  |
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GOODave Forum Guru

Joined: 10 Sep 2005 Posts: 6536 Location: Midwest
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Posted: Fri Mar 05, 2010 9:39 am Post subject: |
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| Crispy wrote: |
At 60? I'm waiting to see if I have a snow balls chance in hell at 38. If you have any kind of previous medical history, which alot of us do, you aren't likely to get any kind of insurance. I'm waiting on an answer from Blue Cross/Blue Shield to see if I can get coverage. I'm not holding my breath.
I was sent for a mammogram due to symptoms and a horrible family history which lead to an ultrasound which lead to them finding a lump in my right breast. They were going to send me for a biopsy but I am electing for a lumpectomy (why keep any part of something that doesn't belong there?) this week. I'm hoping it's not cancer but I've got 3 generations of radical mastectomies before me. Lucky for me, and other women, there are programs for underinsured people that will cover me from start to finish. I'd still rather have my own insurance.
On a side note: It would be nice to have some prayers for James. He's trying to be the tough guy but it's not working. |
I'm sorry I missed this Crispy.
I will pray for both of you. Thank you for your candor. _________________ Now that he's president, if you question his tax policies, energy plans or health-care ambitions, you are “hoping he will fail” — and that, with the help of roundabout reasoning, is tantamount to hoping we cannot transcend race. -Jonah Goldberg, 8/20/09 |
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Biscuit Forum Guru
Joined: 02 Nov 2006 Posts: 9073 Location: Here
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Posted: Fri Mar 05, 2010 9:42 am Post subject: |
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| And splendor!! |
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Nictoe The Wise One

Joined: 22 Sep 2005 Posts: 8847 Location: In Front of a computer screen
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Posted: Sat Mar 06, 2010 10:34 am Post subject: |
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Insurers Set To Raise Prices, Walk Away From Consumers: Goldman Report
First Posted: 03- 5-10
Sam Stein HuffPost Reporting
The market concentration for health insurance is so monopolized in some areas that insurance companies are willing to raise prices and lose customers in an effort to improve their bottom line, a leading insurance broker told Wall Street analysts on Wednesday.
In a conference call organized by Goldman Sachs Global Investment Research, Steve Lewis, a highly regarded broker at the world's third largest insurance broker, Willis, painted a picture of the health insurance market in which employers seem likely to be priced out of coverage.
Noting that "price competition" between insurers was "down from a year ago," Lewis relayed that "incumbent carriers seem more willing than ever to walk away from existing business."
The phenomenon of insurers pricing their policies beyond where consumers can afford it seems to be already taking place. Last month Anthem Blue Cross told customers it would hike their health insurance premiums by as much as 39 percent (with the expectation that some would drop coverage altogether). In December, the Huffington Post reported that Aetna was planning on losing more than 600,000 customers by raising prices on their consumers in 2010.
Insurers are able to do this in part because the markets in which they operate have no adequate competition, suggests Lewis. The broker noted that "the smaller client segment" was "increasingly frustrated" with the renewal of their coverage and was "evaluating potential self-funding with stop loss protection" instead. Lewis added that employers in many markets knew "that they're not going to be able to trade down pricing very significantly" (i.e. find cheaper coverage) and, as such, would likely only change plans or become self-insured if there was a "fairly significant" disruption in service.
"As I mentioned at the outset, it was without a doubt the most challenging renewal cycle in my 20 years of this business with employers really struggling with how and what was going to drive their decision, combined with the lack of aggressive and competitive pricing in the marketplace," Lewis said.
The remarks are as clear an indication as any that while the health insurance industry suffered greatly from the recession it remains remarkably well positioned to recoup those profits going forward -- principally because companies can raise prices without worrying about the market hit it will take.
The Democratic-authored health care package would eliminate the anti-trust exemption that health insurers enjoy, require insurers to spend a high percentage of their funds on medical costs and create a commission that would oversee unexpected hikes in premiums. And yet, Lewis says that the clients he represents (employers who purchase health care coverage) have largely soured on the reform process even if they are favorable towards the overall goals.
"I think most people would acknowledge that there's a need for health care reform, employers continue to be very frustrated," he said. "But I would also say that many of them still view the legislation and the partisanship coming out of Washington as possibly the medicine worse than the disease. So, many employer groups that we're talking to feel like it would be a shame to lose an opportunity to do something with respect to health care reform. But many are starting to feel like maybe nothing is better than something in this current environment."
A call to Lewis for additional comment was not immediately returned. Below is the full transcript of his remarks _________________
Live Green, LIVE FREE
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SteveS Forum Guru

Joined: 02 Feb 2007 Posts: 761
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Posted: Sun Mar 07, 2010 8:15 am Post subject: |
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| That’s bummer to hear Crispy, I wish you the very best outcome and will add you in my prayers. Thank you for sharing the news, and keep us posted of any results you feel comfortable with sharing. |
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theLIBERTARIAN El Loco

Joined: 24 Sep 2005 Posts: 11424
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Posted: Sun Mar 07, 2010 12:43 pm Post subject: |
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| Quote: |
| The market concentration for health insurance is so monopolized in some areas that insurance companies are willing to raise prices and lose customers in an effort to improve their bottom line, a leading insurance broker told Wall Street analysts on Wednesday. |
That is why they (we) should have kept these corporations non-profit.
It reminds me of eBay after they peaked with customers. What could they do "this year" (2004) to improve shareholder value?? They can't find many new customers. How about raise prices? |
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Biscuit Forum Guru
Joined: 02 Nov 2006 Posts: 9073 Location: Here
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Posted: Sun Mar 07, 2010 8:03 pm Post subject: |
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| It would be better if they just kill themselves!! |
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Nictoe The Wise One

Joined: 22 Sep 2005 Posts: 8847 Location: In Front of a computer screen
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Posted: Wed Mar 10, 2010 1:51 pm Post subject: |
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Why Californians Can't Afford Health Insurance
Profiting From Collusion
By DON MONKERUD
March 10, 2010
California's Consumer Watchdog group is suing Anthem Blue Cross after they raised health care insurance premiums 39 percent, but the company isn't budging.
Meanwhile Goldman Sachs recommended buying health insurance company stock because competition is decreasing and prices are going up. The Center for Retirement Research at Boston College estimates that "the typical married couple at age 65 should expect to spend" a whopping $197,000 on uninsured medical expenses. Obama urges action on a watered-down health care bill, but the Republicans and conservative Democrats just say no and collect money from the private health care lobby. Will we continue to tolerate skyrocketing health care costs?
As a long-time Anthem Blue Cross customer, my insurance increased 400 percent since 2000. For 15 years, my wife and I jockeyed our budget to afford the increases. Neither of us have serious medical problems; we're in good health and rarely go to the doctor.
Our last surprise came six months before we both became eligible for Medicare, when Anthem raised our premiums 30 percent. Did Anthem calculate that we would pay the increase rather than let our insurance lapse for six months before we qualified for Medicare?
Through the years, we scrambled to find an alternative insurance company, and with the last increase, we applied to other companies. After long delays, they turned us down, citing every time we had used our medical insurance in the past 20 years, which they labeled "pre-existing conditions." The conditions included successful knee surgery 20 years ago and a medicine that was used out-of-prescription and didn't work.
My individual story is one among thousands, but I have watched the national medical care debate unfold, and the opposition puzzles me. Many of those shown in Tea Party anti-healthcare protests are white-haired and overweight, which suggests they have health problems and Medicare. Yet, they protest against "government interference," as if they prefer the ironclad clutches of Anthem and other for-profit, what-the-market-will-bear private health insurance companies.
Maybe some of the 800,000 California policyholders who are having their rates increased an average of 25 percent, and those who are having their rates increased up to 39 percent, will decide to back health care reform. Such rate increases are outlandish when inflation was -0.4 percent last year.
Anthem claims people are dropping their insurance, leaving people with high medical bills on their rolls, and they must increase their rates to maintain profits. Anthem's president, Leslie Margolin, dismissed criticism by telling a California Assembly panel that anger at the hikes is "misdirected" due to the "underlying causes of our collective failure."
The real story is different. According to Health Care for America Now, in 2008, WellPoint controlled 30 percent of the commercial market for health insurance in California. Along with Kaiser Permanente, they controlled 58 percent of the market. In some cities, such as Salinas, WellPoint controls 60 percent. No wonder WellPoint paid its top seven executives $83 million in 2008, spent $4.7 million on lobbying, and recorded record profits.
Between 2000 and 2007, premiums for families increased from $6,227 to $12,1994, almost doubling, while California's median wages increased only 19 percent. Insurance costs increased five times faster than earnings.
California has the most competitive health care insurance market in the U.S., and there's almost no regulation. Insurance companies are supposed to spend 70 percent of their premiums on medical care, but the state cannot verify their accounting. Other states fare worse.
In 34 of the states, two companies control 60 percent of the market and in 16 states two companies control three quarters or more of the market. Four companies control 75 percent of all health insurance sold in the U.S. They have virtual monopoly control and are exempt from anti-trust regulations, which allows them to collude on prices, standards and, and conspire together in ways that are illegal for other companies.
I'm in sympathy with those who dislike forcing people to buy insurance: It would be far better to expand coverage through taxes. Other serious problems also abound: too few doctors; no incentives to keep people healthy; terrible food products. It's a long list.
The sooner we begin to replace what we have with a single-payer system, buttressed by widespread health education programs and cost containment, the better. Let Anthem Blue Cross go out of business. Let their experts join the public in finding a workable solution.
The U.S. is the only wealthy industrialized country where private companies ration medical care, causing over 100,000 unnecessary deaths a year and the majority of bankruptcies. We spend the largest share of national income on medical care, yet in 2000 the World Health Organization rated the U.S. health care system 37th in overall performance, 72nd in health levels, and the most expensive.
Without radical reform-and that means a government regulated and run system-we are at the mercy of the heath care insurers, who dictate our premiums and the treatment and coverage we receive. Far from being a threat, the government could play a vital role in providing an affordable health care system that protects us.
Don Monkerud is an California-based writer who follows cultural, social and political issues. _________________
Live Green, LIVE FREE
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Crispy Forum Guru

Joined: 10 Sep 2005 Posts: 2313
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Posted: Wed Mar 10, 2010 7:44 pm Post subject: |
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| GOODave wrote: |
| Crispy wrote: |
At 60? I'm waiting to see if I have a snow balls chance in hell at 38. If you have any kind of previous medical history, which alot of us do, you aren't likely to get any kind of insurance. I'm waiting on an answer from Blue Cross/Blue Shield to see if I can get coverage. I'm not holding my breath.
I was sent for a mammogram due to symptoms and a horrible family history which lead to an ultrasound which lead to them finding a lump in my right breast. They were going to send me for a biopsy but I am electing for a lumpectomy (why keep any part of something that doesn't belong there?) this week. I'm hoping it's not cancer but I've got 3 generations of radical mastectomies before me. Lucky for me, and other women, there are programs for underinsured people that will cover me from start to finish. I'd still rather have my own insurance.
On a side note: It would be nice to have some prayers for James. He's trying to be the tough guy but it's not working. |
I'm sorry I missed this Crispy.
I will pray for both of you. Thank you for your candor. |
The way I see it, there are way too many women going through this. I'm the 4th generation. Hasn't killed us yet!
I met with the surgeon and he says he's never seen a mass like mine that wasn't malignant. The entire mass will be taken out on Tuesday and then I find out 10 days after that if it actually is cancer and where to go from there.
On another note: I got a letter from BS/BC today. They won't even discuss any insurance until they see the pathology reports, which I figured. I'm afraid my days of insurance are long gone. |
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