The health care bill is being signed today, which means six months of
frivolous lawsuits and whining..

I've been thinking, "How can the insurance companies get around this"
and I've come up with some dire predictions.

1) Rates *are* going to go up, alot. Based on what the credit
companies did in the run up to credit reform, and under the guise of
"we need to cover all of the pre existing condition folks", insurance
companies will raise premiums by an order of magnitude and for that
raise we'll get:

2) less service. If your policy covered any alternative or
experimental treatments, expect them to be dropped,expect any "perks"
to be dumped as well, expect drug coverage to change, if it doesn't
have a large profit attached to it, it won't be covered

3) I haven't read the entire bill, but I haven't heard anything about
rate caps, so while companies will be required to cover pre-existing
conditions, they will charge a prohibitively expensive preimium for
it.

4) Health insurance companies will change their service model, to any
or all of the following:

a car insurance model, where each time you use your health insurance
your premiums will go up, the sicker you are the more you'll pay.

Increased co-pays and procedure surcharges, so that routine visit to
the doctor that was $10 will be $50 plus an added charge for every
prodedure that the doctor does on you.

Rates based on credit scores, while a group rate may get you a base,
if your credit score is low, then your premiums will be higher, this
could also be used as a reason to drop you. You'll then be dumped into
the government system so that the insurance companies can gouge the
taxpayers to pay for it.

5) More rigid PPO rules, dropped out of network coverage, or massively
increased out of pocket costs.

6) in the months leading up to 2014, that insurance companies will
begin shedding their chronicly ill customers, to artificially create a
pool of pre-existing conditions, that can then be charged the much
higher PEC rate.

I don't know how the no insurance fine is going to be enforced, and
who will collect it. But it has given the insurance companies a barrel
to bend folks over, "pay up or face being fined", and I'm sure that
it's in the legislation as a concession to the insurance lobby.

I'm a cynic, and I don't trust big corporate service companies (banks,
insurance, lenders etc). I hope I'm wrong about this...

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