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	<title>Comments on: Medical Insurance as a Job Benefit</title>
	<atom:link href="http://parchomd.com/2007/05/15/medical-insurance-as-a-job-benefit/feed/" rel="self" type="application/rss+xml" />
	<link>http://parchomd.com/2007/05/15/medical-insurance-as-a-job-benefit/</link>
	<description>Rants of a medicine resident born, raised, and trained in The South...</description>
	<pubDate>Wed, 07 Jan 2009 05:05:35 +0000</pubDate>
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		<title>By: KP, MD</title>
		<link>http://parchomd.com/2007/05/15/medical-insurance-as-a-job-benefit/#comment-241</link>
		<dc:creator>KP, MD</dc:creator>
		<pubDate>Wed, 16 May 2007 23:23:01 +0000</pubDate>
		<guid isPermaLink="false">http://parchomd.com/2007/05/15/medical-insurance-as-a-job-benefit/#comment-241</guid>
		<description>For the record...I think health insurance is crap.  I recently learned that you can't ever get hold of exactly what your policy covers (ie a book of what IS and is NOT covered) because it's considered "proprietary" and doing so would violate "trade secrets."  How's THAT for fair?</description>
		<content:encoded><![CDATA[<p>For the record&#8230;I think health insurance is crap.  I recently learned that you can&#8217;t ever get hold of exactly what your policy covers (ie a book of what IS and is NOT covered) because it&#8217;s considered &#8220;proprietary&#8221; and doing so would violate &#8220;trade secrets.&#8221;  How&#8217;s THAT for fair?</p>
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		<title>By: Parcho</title>
		<link>http://parchomd.com/2007/05/15/medical-insurance-as-a-job-benefit/#comment-235</link>
		<dc:creator>Parcho</dc:creator>
		<pubDate>Wed, 16 May 2007 12:18:45 +0000</pubDate>
		<guid isPermaLink="false">http://parchomd.com/2007/05/15/medical-insurance-as-a-job-benefit/#comment-235</guid>
		<description>Heh, very very temporary comment fix until I have time to do something better.</description>
		<content:encoded><![CDATA[<p>Heh, very very temporary comment fix until I have time to do something better.</p>
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		<title>By: Parcho</title>
		<link>http://parchomd.com/2007/05/15/medical-insurance-as-a-job-benefit/#comment-234</link>
		<dc:creator>Parcho</dc:creator>
		<pubDate>Wed, 16 May 2007 11:46:23 +0000</pubDate>
		<guid isPermaLink="false">http://parchomd.com/2007/05/15/medical-insurance-as-a-job-benefit/#comment-234</guid>
		<description>Hmmm...you're right Grunt.  I have never not been logged in--so I rarely see the icons.  Dangit...now I gotta go code some more.

You're basically right about the fixed wages thing.  I believe the depression had a say in that as well.  But once wages were no longer fixed, seems like the system could have gone away.  But it didn't--and now the insurance companies have 50 years of bargaining power.

Strange system.</description>
		<content:encoded><![CDATA[<p>Hmmm&#8230;you&#8217;re right Grunt.  I have never not been logged in&#8211;so I rarely see the icons.  Dangit&#8230;now I gotta go code some more.</p>
<p>You&#8217;re basically right about the fixed wages thing.  I believe the depression had a say in that as well.  But once wages were no longer fixed, seems like the system could have gone away.  But it didn&#8217;t&#8211;and now the insurance companies have 50 years of bargaining power.</p>
<p>Strange system.</p>
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		<title>By: GruntDoc</title>
		<link>http://parchomd.com/2007/05/15/medical-insurance-as-a-job-benefit/#comment-231</link>
		<dc:creator>GruntDoc</dc:creator>
		<pubDate>Tue, 15 May 2007 23:14:33 +0000</pubDate>
		<guid isPermaLink="false">http://parchomd.com/2007/05/15/medical-insurance-as-a-job-benefit/#comment-231</guid>
		<description>First, this form needs much better labels.  nobody wants to guess what very tiny little icons mean for required fields.

As for why health insurance is tied to employment, I offer you tes story as it was told to me: during WWII, wages were essentially fixed, and companies needed a way to keep their best and brightest but couldn't give raises, so 'benefits' like healthcare began to be given by employers.

I'm not terribly sanguine that individuals / families could drive a better insurance bargain from BCBS than GE could.  I think there will still be a need for either a pool or a very strictly regulated market with defined benefits, very limited pre-existing exclusions (or coverage, depending on the price).</description>
		<content:encoded><![CDATA[<p>First, this form needs much better labels.  nobody wants to guess what very tiny little icons mean for required fields.</p>
<p>As for why health insurance is tied to employment, I offer you tes story as it was told to me: during WWII, wages were essentially fixed, and companies needed a way to keep their best and brightest but couldn&#8217;t give raises, so &#8216;benefits&#8217; like healthcare began to be given by employers.</p>
<p>I&#8217;m not terribly sanguine that individuals / families could drive a better insurance bargain from BCBS than GE could.  I think there will still be a need for either a pool or a very strictly regulated market with defined benefits, very limited pre-existing exclusions (or coverage, depending on the price).</p>
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		<title>By: nobrainer</title>
		<link>http://parchomd.com/2007/05/15/medical-insurance-as-a-job-benefit/#comment-227</link>
		<dc:creator>nobrainer</dc:creator>
		<pubDate>Tue, 15 May 2007 15:04:07 +0000</pubDate>
		<guid isPermaLink="false">http://parchomd.com/2007/05/15/medical-insurance-as-a-job-benefit/#comment-227</guid>
		<description>I think you're right on.

Now the government just has to pass legislation that gives all healthcare the same tax treatment.  How hard could that be?</description>
		<content:encoded><![CDATA[<p>I think you&#8217;re right on.</p>
<p>Now the government just has to pass legislation that gives all healthcare the same tax treatment.  How hard could that be?</p>
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