Saturday, March 23, 2013

ObamaCare: Striving to Be Better Than Third-World Care

Wait a minute.  Do you mean that government-monopolized care may not be as good as the citizenry is used to?  As you can see, federal regulators are working hard to make sure our new exchanges offer a luxury, adequate, barely tolerable experience.  

This is the federal official in charge of setting up the Exchanges

Chao said that he’d once held high hopes that the exchanges would run smoothly from the beginning, but that those hopes had been dashed. “The time for debating about the size of the text on the screen, or the color, or is it a world-class user experience, that’s what we used to talk about two years ago,” said Chao. “Let’s just make sure it’s not a third-world experience.” Both Chao and Cohen said that it’s likely that some of the state-based exchanges might not be ready on time...

Monday, March 18, 2013

Just why do doctors hate Medi-Cal so much?

(Note, under PPACA, California just expanded the number of residents eligible by 35%)  
  • In many states, Medicaid pays doctors a fraction of what private insurers pay. In 2008, in California, a doctor made 38 cents on a Medicaid patient for every dollar he made seeing a privately insured one. In New Jersey, a doctor made 33 cents. In New York, 29. And states continue to decrease Medicaid physician fees, because it’s the only lever they have.  Full story.  
  • For every person added to Medi-Cal or Medicare, doctors are forced to negotiate higher healthcare prices with the private insurance industry.  Those increase are passed onto you and your employees as increased premium.  PPACA has only exasperated that cost-shift.  

Wednesday, March 13, 2013

How Much Life Insurance Do You Need?

Here is a helpful summary from Miranda Marquit at Lifehacker

One rule of thumb is the 4%, which means that your family lives off the interest from your payout, and assumes that the lump sum earns 4% a year. If you make $45,000 a year, you would need $1.125 million in insurance coverage to generate your salary. Of course, you don't know that your family will be able to net 4% a year, considering market conditions and inflation. The money might run out over time, but this can give you a fairly quick way of determining how much life insurance you might need.

Another approach is to add up the cost of all of the expenses you expect your family to need to cover for a set period of time. You might decide that you want your life insurance policy to pay off debts that you have, as well as your mortgage, so that your family doesn't have to worry about these obligations. If you have a life partner that works, or that can get work, replacing your income doesn't seem as important as providing a way for your family to get financially squared away.

Also, consider how long your partner will have to support your children after you are gone. You can get coverage that will allow your youngest child to reach age 18. So, if your youngest is a baby, you might decide to get a 20-year term life policy (a little extra wiggle room). Then, you can add up what you hope to pay off with a life insurance policy. Your list might look something like this:

  • $185,000 mortgage
  • $7,000 car loan
  • $20,000 student loans
  • $6,000 credit cards
  • 18 years x $45,000 = $810,000
  • $5,000 funeral cost

The total by this reckoning is $1.033 million. Your family can pay off the bills, and then put the remainder into an account to draw on as income replacement. With earned interest, the money should last more than 18 years, although it wouldn't last indefinitely.

If you are confident in your partner's ability to earn a living, you might just decide on a number like $500,000 to cover expenses and pay off debts, and maybe contribute to your children's future education. At the very least, though, you want to buy enough coverage to pay funeral expenses and pay off debt. That way, your family has fewer things to worry about.