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	<title>Comments on: Myth 2: A public plan could save enough on administrative costs to provide coverage to all.</title>
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	<description>from the Association of American Physicians and Surgeons</description>
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		<title>By: Myth 24. Medicare is the model of efficiency and fairness. &#171; AAPS News of the Day</title>
		<link>http://www.aapsonline.org/newsoftheday/00291/comment-page-1#comment-3300</link>
		<dc:creator>Myth 24. Medicare is the model of efficiency and fairness. &#171; AAPS News of the Day</dc:creator>
		<pubDate>Mon, 19 Oct 2009 00:29:13 +0000</pubDate>
		<guid isPermaLink="false">http://www.aapsonline.org/newsoftheday/?p=291#comment-3300</guid>
		<description>[...] Its low administrative costs are a mirage. See Myth 2. [...]</description>
		<content:encoded><![CDATA[<p>[...] Its low administrative costs are a mirage. See Myth 2. [...]</p>
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		<title>By: Ralph F. Weber CLU</title>
		<link>http://www.aapsonline.org/newsoftheday/00291/comment-page-1#comment-3156</link>
		<dc:creator>Ralph F. Weber CLU</dc:creator>
		<pubDate>Fri, 11 Sep 2009 18:15:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.aapsonline.org/newsoftheday/?p=291#comment-3156</guid>
		<description>Medical loss ratios and expense ratios can be misleading.

According to the CMS and US Census bureau, in 2005, the MLR for private insurance is 85.93%, Medicare is 88.32% and Medicaid is 68.88%, with the overall “government total” being 82.74%.

What’s more revealing is the non medical costs on a per enrollee basis. Insurance is $484.62 per enrollee per year, Medicare is $1,871.35, and Medicaid is $2,113.60.

Bottom line is that 10% of 10,000 is more than 20% of 1,000. They use percentages to mislead people.

If an insurance premium is $500 per month, and admin is 10% ($50), let’s say you remove mandates, and increase the co pays and deductibles such that you reduce the premium to $250. Does it suddenly and miraculously cost only $25 to administer that policy? Hell no, your admin costs go up to 20%, and if you have an MLR mandate like they do in MN, your policy is not illegal to sell. So imposed MLR’s force premiums UP.</description>
		<content:encoded><![CDATA[<p>Medical loss ratios and expense ratios can be misleading.</p>
<p>According to the CMS and US Census bureau, in 2005, the MLR for private insurance is 85.93%, Medicare is 88.32% and Medicaid is 68.88%, with the overall “government total” being 82.74%.</p>
<p>What’s more revealing is the non medical costs on a per enrollee basis. Insurance is $484.62 per enrollee per year, Medicare is $1,871.35, and Medicaid is $2,113.60.</p>
<p>Bottom line is that 10% of 10,000 is more than 20% of 1,000. They use percentages to mislead people.</p>
<p>If an insurance premium is $500 per month, and admin is 10% ($50), let’s say you remove mandates, and increase the co pays and deductibles such that you reduce the premium to $250. Does it suddenly and miraculously cost only $25 to administer that policy? Hell no, your admin costs go up to 20%, and if you have an MLR mandate like they do in MN, your policy is not illegal to sell. So imposed MLR’s force premiums UP.</p>
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		<title>By: AAPS: Universal Healthcare Myths &#171; Pursuing Truth In Politics</title>
		<link>http://www.aapsonline.org/newsoftheday/00291/comment-page-1#comment-3048</link>
		<dc:creator>AAPS: Universal Healthcare Myths &#171; Pursuing Truth In Politics</dc:creator>
		<pubDate>Sat, 15 Aug 2009 02:18:50 +0000</pubDate>
		<guid isPermaLink="false">http://www.aapsonline.org/newsoftheday/?p=291#comment-3048</guid>
		<description>[...] Myth 2: A public plan could save enough on administrative costs to provide coverage to all. The basis for the assertion is the claim that Medicare spends only 2% to 3% of its outlays on administration, compared with private plans’ alleged costs of 20% to 25%. [...]</description>
		<content:encoded><![CDATA[<p>[...] Myth 2: A public plan could save enough on administrative costs to provide coverage to all. The basis for the assertion is the claim that Medicare spends only 2% to 3% of its outlays on administration, compared with private plans’ alleged costs of 20% to 25%. [...]</p>
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		<title>By: The Truth About Government-run Health Care :: Michael Island</title>
		<link>http://www.aapsonline.org/newsoftheday/00291/comment-page-1#comment-2868</link>
		<dc:creator>The Truth About Government-run Health Care :: Michael Island</dc:creator>
		<pubDate>Sat, 25 Jul 2009 18:46:55 +0000</pubDate>
		<guid isPermaLink="false">http://www.aapsonline.org/newsoftheday/?p=291#comment-2868</guid>
		<description>[...] myths touted by supporters of socialized health care. The list refutes such widespread beliefs as: public plans save on administrative costs, life expectancy is longer in countries on universal health care systems, and individuals can keep [...]</description>
		<content:encoded><![CDATA[<p>[...] myths touted by supporters of socialized health care. The list refutes such widespread beliefs as: public plans save on administrative costs, life expectancy is longer in countries on universal health care systems, and individuals can keep [...]</p>
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		<title>By: Administrative costs: whose are lower? &#124; Independence Institute: Patient Power</title>
		<link>http://www.aapsonline.org/newsoftheday/00291/comment-page-1#comment-2634</link>
		<dc:creator>Administrative costs: whose are lower? &#124; Independence Institute: Patient Power</dc:creator>
		<pubDate>Mon, 06 Jul 2009 07:57:10 +0000</pubDate>
		<guid isPermaLink="false">http://www.aapsonline.org/newsoftheday/?p=291#comment-2634</guid>
		<description>[...] Association of American Physicians and Surgeons explains why the common claim that Medicare has lower adminstrative costs than commercial insurers.  While [...]</description>
		<content:encoded><![CDATA[<p>[...] Association of American Physicians and Surgeons explains why the common claim that Medicare has lower adminstrative costs than commercial insurers.  While [...]</p>
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		<title>By: B Nuckols</title>
		<link>http://www.aapsonline.org/newsoftheday/00291/comment-page-1#comment-2609</link>
		<dc:creator>B Nuckols</dc:creator>
		<pubDate>Thu, 02 Jul 2009 09:13:29 +0000</pubDate>
		<guid isPermaLink="false">http://www.aapsonline.org/newsoftheday/?p=291#comment-2609</guid>
		<description>Help me figure out some of this book keeping jargon, please: 

http://www.cms.hhs.gov/ReportsTrustFunds/downloads/tr2009.pdf
The &quot;2009 ANNUAL REPORT OF THE BOARDS OF TRUSTEES OF THE FEDERAL HOSPITAL INSURANCE AND FEDERAL SUPPLEMENTARY MEDICAL INSURANCE TRUST FUNDS&quot; contains a chart on Page 50 that shows &quot;administrative costs&quot; and payments to the FBI, Justice Dept. and others. 

How are they fudging the numbers?</description>
		<content:encoded><![CDATA[<p>Help me figure out some of this book keeping jargon, please: </p>
<p><a href="http://www.cms.hhs.gov/ReportsTrustFunds/downloads/tr2009.pdf" rel="nofollow">http://www.cms.hhs.gov/ReportsTrustFunds/downloads/tr2009.pdf</a><br />
The &#8220;2009 ANNUAL REPORT OF THE BOARDS OF TRUSTEES OF THE FEDERAL HOSPITAL INSURANCE AND FEDERAL SUPPLEMENTARY MEDICAL INSURANCE TRUST FUNDS&#8221; contains a chart on Page 50 that shows &#8220;administrative costs&#8221; and payments to the FBI, Justice Dept. and others. </p>
<p>How are they fudging the numbers?</p>
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		<title>By: Harlan Ribnik, MD</title>
		<link>http://www.aapsonline.org/newsoftheday/00291/comment-page-1#comment-2604</link>
		<dc:creator>Harlan Ribnik, MD</dc:creator>
		<pubDate>Wed, 01 Jul 2009 18:05:28 +0000</pubDate>
		<guid isPermaLink="false">http://www.aapsonline.org/newsoftheday/?p=291#comment-2604</guid>
		<description>President Obama just lectured us on the need to cut &quot;unneeded tests&quot; and to cut spending on health care.  Sadly, he did not address one of the big causes of ordering such testing - the fear of litigation.  I am not so ingenuous as to think that he will turn his back on his brothers and sisters in the Trial Lawyers&#039; Association.  I do not expect him to honestly address this issue, but one can audaciously hope...</description>
		<content:encoded><![CDATA[<p>President Obama just lectured us on the need to cut &#8220;unneeded tests&#8221; and to cut spending on health care.  Sadly, he did not address one of the big causes of ordering such testing &#8211; the fear of litigation.  I am not so ingenuous as to think that he will turn his back on his brothers and sisters in the Trial Lawyers&#8217; Association.  I do not expect him to honestly address this issue, but one can audaciously hope&#8230;</p>
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		<title>By: Gary Mohr MD</title>
		<link>http://www.aapsonline.org/newsoftheday/00291/comment-page-1#comment-2603</link>
		<dc:creator>Gary Mohr MD</dc:creator>
		<pubDate>Wed, 01 Jul 2009 17:04:41 +0000</pubDate>
		<guid isPermaLink="false">http://www.aapsonline.org/newsoftheday/?p=291#comment-2603</guid>
		<description>The government will save money by reducing overhead expenses and more efficient administration????  Who in the world can possibly say that with a straight face???  Only a liar or a fool.  Washington is still accurately characterized by JFK:  A blend of Northern hospitality and Southern efficiency.  I have yet to meet a government bureaucrat who can do as much work as I do in a day.</description>
		<content:encoded><![CDATA[<p>The government will save money by reducing overhead expenses and more efficient administration????  Who in the world can possibly say that with a straight face???  Only a liar or a fool.  Washington is still accurately characterized by JFK:  A blend of Northern hospitality and Southern efficiency.  I have yet to meet a government bureaucrat who can do as much work as I do in a day.</p>
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		<title>By: Howard Long MD MPH</title>
		<link>http://www.aapsonline.org/newsoftheday/00291/comment-page-1#comment-2602</link>
		<dc:creator>Howard Long MD MPH</dc:creator>
		<pubDate>Wed, 01 Jul 2009 16:55:20 +0000</pubDate>
		<guid isPermaLink="false">http://www.aapsonline.org/newsoftheday/?p=291#comment-2602</guid>
		<description>Pete Stark told me (15 years ago before he Gerrymandered out of my district) that single-payer (Medicare for all) would have &lt;10% adm. cost, much less than profit (bad) insurance.

When I replied that it cost ME many times as much, to keep from being jailed for a coding error, Stark just looked down his nose and stepped into his limo.</description>
		<content:encoded><![CDATA[<p>Pete Stark told me (15 years ago before he Gerrymandered out of my district) that single-payer (Medicare for all) would have &lt;10% adm. cost, much less than profit (bad) insurance.</p>
<p>When I replied that it cost ME many times as much, to keep from being jailed for a coding error, Stark just looked down his nose and stepped into his limo.</p>
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