Some insurance companies are sending cancellation notices or other "misleading" 
letters to customers in an attempt to push them into pricier alternatives, 
according to new reports.

http://www.huffingtonpost.com/2013/11/04/insurance-companies-obamacare_n_4212552.html


On Nov 5, 2013, at 11:05 AM, Glenn moyer <[email protected]> wrote:

> 
> 
> Thanks Rick.  I value discussing these extremely important issues with you.
> 
> Rather than allow pessimism or optimism, I know that you and I can talk about 
> real policies and verifiable facts.  As I mentioned once before to you, our 
> peace and well being comes from our meditation and the strengths of our 
> connections to all creatures and the universe.  Ignoring reality and the 
> positive thinking, we are brainwashed to believe in, leads to a false sense 
> of optimism sometimes called delusion.  None of us needs that, despite the 
> intense marketing.  They tell us to do the good addictions and stay 
> distracted, and we will be happy happy until reality stands outside our door!
> 
> 
> High deductibles.  I will tell you that for the individual and for the goals 
> of public health; the absolutely most important health care dollars spent per 
> year are the first $5000! I can't stress that enough!
> 
> It's an appropriate time to discuss this part of "out of pocket expenses" 
> since today's news reveals that median incomes for Americans is 27,000 per 
> year.  Let me emphasize, half of all Americans make 27,000 a year or much 
> less.
> 
> Over the past few years, millions of new people, including me, have been 
> forced into high deductible insurance.  Built into the ACA, as well as known 
> industry/Wall St. goals, is to force all Americans into high deductible 
> plans.  So what are the implications...?  Why is this an extremely important 
> issue, that the media, the astroturf groups, and the democrats have 
> completely avoided...?
> 
> 
> Having come from the economic class that I refer to as the "throwaway class," 
> I can assure you that middle class values and myths dismiss the constant 
> struggle faced by the lower classes to, rob Peter to pay Paul.  Among the 
> vast majority of the lower third, 100 million Americans, there is a daily 
> struggle and set of choices around sacrificing some things because there is 
> not enough money to make ends meet.  
> 
> The reason that the barriers of $5000 deductibles for an individual, and 
> $12,000 for a family, is a taboo area for open discussion, is because these 
> are immense barriers to care for the vast majority of people, who are 
> supposedly being helped with the new access to partial health insurance!   
> What is important for people to consider is that the vast majority of the 
> working poor, who will be receiving subsidized insurance, will not pass the 
> massive barrier to accessing health care, until and unless, they have a 
> catastrophe.  Because of these deductibles, preventable deaths will not be 
> reduced, the emergency room crisis will not be reduced, the stress on safety 
> net providers will not be reduced (even though they are going to receive 
> massive funding cuts), and the daily suffering of some of the 100 million not 
> getting care will continue unabated.  
> 
> And since millions and millions of people in the 2nd, 100 million Americans, 
> have been forced into high deductible plans too, they have already begun 
> skipping "out of pocket care" and increase many of those problems.
> 
> It has been an industry lie to claim that overall healthcare costs have gone 
> up because the working poor are always running to the doctor.  In fact an 
> important statistic came out about a year ago. Primary care visits have gone 
> way down in the past couple of years, about 75%  of the previous rate! 
> 
>  Rick, this directly coincides with the movement of 10s of millions of people 
> to high deductible plans in the midst of an economic collapse among the 99%.  
> This is not welfare queens getting boob jobs every other day.  This drop in 
> tx visits are people from the lower income groups skipping the first $5000 of 
> medical care; the screenings, early detection, or monitoring that is the most 
> important part of routine care.  (The talking points keep stressing that some 
> preventive care can no longer be uncovered, but they don't stress that 
> deductibles apply.)  (Consider: If the movement of millions of middle class 
> people to high deductible plans can measure them skipping care, what is the 
> impact upon those making much less, who already can't make daily normal 
> requirements?)  
> 
> I honestly believe when people consider these issues they can see the 
> reality.  The high deductible plans being sealed with the new ACA will not 
> change the extreme barriers for the vast majority of working poor!  Of 
> course, some of the upper levels of working poor may gain some temporary 
> advantages by accessing Obamacare, but a very small minority.  Like I said, 
> if one evaluates access to care separately from access to partially 
> subsidized insurance, people will understand why high deductibles are the 
> very important issue, not the catastrophe insurance that comes into play when 
> a major illness or accident occurs.    
> 
> We need to understand Obamacare as a type of partial catastrophe insurance, 
> while we face the fact that millions more are quietly being moved into the 
> health insecurity of high deductible policies, in which the most important 
> medical access is "out of pocket." 
> 
> (It has been unfair to lump single payer activists in with the "let them die" 
> republicans.  We aren't saying that it would not be a laudable goal to help 
> many of the working poor even if the entire system isn't made reasonable.  
> What we are saying is that this "reform" is simply not going to deliver the 
> help to these people, as we are being told.  We can ignore the idiocy and 
> ultimate goals of the right wingers screaming about charity and welfare. And 
> as we ask others to look at the real facts and policies, that nonsense should 
> not interfere with real discussions and analysis.  That's what the cesspool 
> called corporate cable news is there to do!)
> 
> 
> 
> Secondly, and I'll be brief, is the impossibility of reform in complex 
> legislation written by Wall St.  Economists have noted the same reality with 
> the financial industry.  It's just impossible to regulate these complexities, 
> and the complex regulations are always pre-designed with a strategy to 
> eventually gut their benefit or impact.  Whether the politicians will be 
> directed to de-fund enforcement or if methods to circumvent a consumer 
> protection are buried in the complexity or secret interpretation, it has been 
> the same for corporate written legislation for decades.
> 
> This includes the prohibition on pre-existing conditions.  We don't know how, 
> until it happens, but I suspect that the yearly cancellations and forced 
> product choices will help them transfer the new severely ill to the 
> government quickly.  Maybe it will be the priority of bill payments;  If 
> deductibles and the insured's portion of hospital bills are not paid 
> promptly, can the insurance company refuse further payments or drop the 
> person?  I'm sure that some form of that is part of the ultimate scheme, even 
> if it takes a couple of years. 
> 
> Instead of "curbing the worst abuses of the industry" as we've been told, we 
> have some shifting and hiding of abuses, and we will not stop the inherent 
> goal of the industry.  The goal of the industry is profit and abuse, not the 
> public good or the well being of customers or society.  Just like the banks, 
> we are taking a for profit system that is fundamentally flawed and trying to 
> put a band aid on it.  Eventually, the same wound becomes open again for all 
> to see.  If we hope that these corporate goals will be different this time 
> and the outcomes will be different than other complex industry contracts, I 
> believe we are engaging delusional or wishful thinking.
> 
> Thanks for the important discussion,
> Glenn
> PS:  Again, I wish I were wrong about all of this.  Unfortunately, I'm not.  
> 
> 
>  
>  
> -----Original Message----- 
> From: "Richard D. Conrad" 
> Sent: Nov 4, 2013 5:21 PM 
> To: Glenn moyer 
> Cc: "William H. Magill" , "Mr. Craig Melidosian" , "[email protected]" 
> Subject: Re: [UC] Best coverage... more... 
> 
> 
> Your thinking is honest, noble, basically fair, and extremely cogent Glenn - 
> but I think spun in a pessimistic way - which while not fully unjustifiable, 
> could be ignoring the ONLY known current way to get millions of people at 
> least SOME better help - which I believe has most strongly influenced Pres. 
> Obama and his supporters, including myself.  
> 
> On Nov 4, 2013, at 3:02 PM, Glenn moyer <[email protected]> wrote:
> 
>> Rick,
>> 
>> Ask yourself, who would the American people have supported if the 
>> well-intentioned democrats had allowed and championed a real health care 
>> policy debate? The people gave them a landslide victory and control of the 
>> house, senate, and executive branches.  The idiocy of the Sarah Palins would 
>> have been laughed at in the midst of an honest debate treating the majority 
>> of Americans like mature adults. 
>> 
>>  Real health care experts will always win against advocates of a profit 
>> based system, whenever a real and honest data driven policy debate takes 
>> place.  The evidence is not even close.  The blue dogs would have put their 
>> tails between their legs, but of course, that is not what happened.
>> 
>> 
>> 
>> That is why I point to the very "health care reform committee" that the 
>> well-intentioned democrats controlled and steadfastly defended.  They 
>> controlled the debate and they would not allow real health reform experts a 
>> seat at the table nor a forum to advocate for universal healthcare. That is 
>> crucially important.  It simply has nothing to do with Republicans, because 
>> the democrats completely controlled that corporate committee that unveiled 
>> Romneycare as Obamacare. .
>> 
>>  It's exactly the same unacceptable anti-democratic coup that we saw piloted 
>> here a decade ago, when UCD and the civic associations announced a hand 
>> picked steering committee to redesign Clark Park.  They lied about inviting 
>> all the stakeholders to the table, and offered a list of all the local 
>> corporations and universities as the entirety of "the community."  And when 
>> confronted about the closed, exclusive, secretive, corporate committee, they 
>> did not make amends and open the committee or allow transparency.  Instead 
>> they used ad hominem attacks against dissenters, just like Rahm Emanual 
>> called health reformers, "fucking retards."  The fake committee already had 
>> a pre-conceived plot and could not allow an honest public debate.  It's 
>> identical.
>> 
>> 
>> The well-intentioned democrats would never have needed to do anything except 
>> allow a real health reform policy debate to go in front of the American 
>> people.  The people were expecting the democrats to champion health reform. 
>> They gave the democrats the power and backing to do so, but the democrats 
>> would not even allow the debate when they had the power. When any entity 
>> uses deception to hide an antidemocratic exclusive process, and then refuses 
>> to open the process when caught, they actually lose their credibility at 
>> that point.  Expecting "good" results from such an unfair process is 
>> referred to in addiction literature as "wishful thinking."    
>> 
>> These fundamental concepts and processes of democracy aren't window 
>> dressing. They are absolutely required to allow for open and honest debate.  
>> (By the way, I read a report about a year ago, documenting how many of the 
>> power brokers around the Bacchus committee had been rewarded with lucrative 
>> jobs in the health care industrial complex.)
>> 
>> If we support unfair processes and deceptions, we turn our backs on 
>> principles and descend into a culture no different than a street gang.  
>> Loyalty to the leadership rather than to principles is the difference 
>> between gang processes and acceptable democratic processes. All we need do 
>> is watch the idiocy of Fox News and MSNBC to see gangland posturing!      
>> 
>> Please don't get me wrong, I and other single payer activists, really want 
>> Obamacare to live up to the promises of the democrats and benefit the 
>> American people!!! I sincerely hope you are right to support this plan of 
>> the Republican think tanks.  But when I go over the data in front of me, 
>> with all sincerity, I am quite certain it will not.
>> 
>> Sincerely,
>> Glenn  
> 
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