But if the risk from being genetically predisposed is greater than the risk
of choice, why should the choice have to pay more?

On Mon, Jun 22, 2009 at 10:58 AM, Gruss Gott <[email protected]> wrote:

>
> > Scott wrote:
> >
> > But weren't you the one who was schooling us that we 'sell risk' to
> > insurance companies?
> > How is the risk any different if you are genetically predisposed for a
> > disease or if you make life choices that might lead to the same disease?
> >
> > Risk is risk, regardless of what drives that risk.
>
> Certainly true, but risk is calculated and for insurance is associated
> with a base rate, and then the premium is increased based on risks of
> choice.
>
> For example, if you buy car insurance you have a risk of getting into
> an accident simply because you're on the road.  I have a
> predisposition to speed and drive insane.  My wife does not.  Given no
> accidents our premiums will be based on the base rate plus an
> adjustment for age (which is still the adjusted base rate) NOT on any
> predispositions - this is aggregated across all drivers.
>
> From there my premium will be adjusted based on choice: get an Audi
> S4?  I pay more.  (not to mention the luxury tax and the gas guzzler
> tax.  boo.)  Get tickets?  I pay more.
>
> And now here's the tricky one: get in accidents?  I pay more.
> Especially if I get in a few in a row.  Why?  Because the assumption
> is that I'm putting myself into bad situations ... I'm differentiating
> myself from the population as a whole.  At some point I will simply no
> longer be able to buy insurance.
>
> Health insurance should be no different.
>
> Speeding tickets are metrics of bad choices.  Blood lipids are metrics
> of bad choices.  Premiums should be adjusted accordingly.
>
> At some point my predispositions combined with my choices may get me
> in so many accidents that I can't buy insurance.
>
> At some point my predispositions combined with my choices may get me
> so unhealthy that I can't buy insurance.
>
> This is what Medicaid & Medicare should be for.  These should be the
> so-called "public option"; basically a welfare-type program.
>
> Which, by the way, should be the same for Social Security: eliminate
> that program and simply create a welfare program in it's place.
>
> Both systems would be way more fair.
>
> 

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