20 FebThe senate’s power to prevent reform of the health insurance industry

The world of politics is never supposed to make any real sense. After all, once you pit people’s cherished beliefs against each other, passions are roused and the arguments soon become bitter. It would be better if everyone was just allowed to do what they wanted. But, when it comes to organising medical care for the population, it takes a government to put the right kind of infrastructure in place. People have to be trained as care givers. This takes years and costs a small fortune. Hospitals and clinics have to be built. And then we come to all the support staff who drive the ambulances, keep the places clean and keep the accounts. Ah, yes, the money. All of this work over years has to be paid for. So the $64,000 question is who should foot the bill? It’s at this point that emotions get in the way of common sense.

Talk to one side of the argument and they will tell you people who want access to medical care should carry private insurance. Talk to the other side and they will tell you the state should pay for the service out of the tax revenue. It’s never really clear why people disagree. Only people who are in work pay tax. Only people who earn can afford to pay the premiums on insurance. It’s the same money. The only difference is the way it’s collected – one as tax and the other as premiums paid to an insurance company. But wait! There is a difference! If the state collects in the money, it can use it more efficiently because, unlike the insurance industry, it does not intend to make a profit. So the only reason to support the current system is to allow the insurance industry to continue making an ever larger profit.

As the Senate is currently set up, forty-one senators can stop any reform. That’s forty Republicans plus one other. Yet when you look at the number of people these Republican senators represent, it’s only 36% of the US population. This is somewhat unfair. The party with the majority of representatives was voted in by 64% of the population. The Democratic platform could not have been more clear. It was to be reform of healthcare provision. Yet when you look at the media (which is controlled by big business), all you see reported is the opposition to reform. The “tea party” movement captures all the headlines. But in all this, there is one really big irony that gets very little coverage.

The Republican senators may only represent 36% of the population, but they represent nearly 50% of the children without any health insurance and 42% of the adult population with no insurance. Despite the fact that half the uninsured children in the US are represented by the Republicans, their opposition to any reform that would give the children coverage could not be more aggressive. If we assume the outcome of the reform would be cheap health insurance for almost all US citizens, the Republicans are against it. Their policy is to keep the profits rolling in for the health insurance industry and, if the majority of the people who live in their states have no insurance, that’s just their bad luck. The US is genuinely a strange place. Despite the recession, it’s one of the richest countries in the world yet it has a political party determined to prevent its citizens from enjoying cheap health insurance. Sadly this party with the minority of votes in the Senate could get their way.

19 FebIs it wise to opt for the maximum deductible?

Lets start off with a simple explanation of how insurance works. In the good old days before those kind men got together in the Lloyds coffee shop, people were responsible for their own losses. If the horse pulled their cart into a ditch and this broke the wheel, the owner had to put his hands into his pock’ets (which fortunately had already been invented) and pay someone to repair the wheel. But once people could share the risks, life was suddenly better. If you gather together a big enough group of cart owners, each will only have to pay a small amount into the central fund to cover the losses of the few who have accidents. Those men at Lloyds were on to a winning business formula. Moving into modern times, the idea of spreading the risk is the same and, with thousands of people in each group, the cost of loss is divided into small premiums. But, with profits under pressure, the insurance companies came up with a new variation on the old theme. Suppose they could persuade their customers to accept the risk of some of their losses. This would then become self-insurance for part of the risk. The rest would be paid by the insurance companies. So the deductible was born. You agree to pay the first portion of any loss. In the case of traffic accidents, most of the fender benders are minor and don’t cost much to repair. That means you pay for most of the repairs yourself and the insurance companies get richer. Ironically, if no-one opted for the deductible, the increase in the premium for everyone in the group would be trivial.

So let’s get to an actual example to see how it works. If you agree to accept a deductible of $1,000, you will be given a discount on the premium. Say you save 10% over the year. Now that’s a good saving if you manage to get through the year without having an accident. But suppose your luck is not good and you have an accident. The bill for repairs is $900. You put your hand in your pocket (pockets are such useful things – always seeming to have money in them) and pull out the dollars. Was your 10% saving over the year more than $900? If not, you are making a loss, not just on the insurance policy but, if you had to use your credit card, on the interest added to the $900 until it is paid off. What would happen if your run of bad luck continued and you had a second accident in the year? Do you have another $1,000 as savings or available to borrow? Perhaps we should not be so pessimistic. Worst case scenarios are always better applied to other people and never to you.

The higher the deductible you accept, the more of the risk you are accepting. Cheap car insurance is a wonderful thing to have so long as your luck holds up. But if your luck fails, the maximum deductible is going to empty that magic pocket of yours. And here’s the thing – you can be the safest driver in the world, always super careful, always following all the rules, and then you meet a dork behind the wheel of another vehicle and suddenly you’re wrapped round a tree. So look for cheap auto insurance, but always look at your cash position and ask yourself how well you would cope if the worst happened. Deductibles are good for people with a margin of financial safety.

19 FebWomen should think carefully when insuring their lives

It’s always better to start article with good news. This sets a positive tone to the piece and keeps people reading. So, let’s start with good news. The premiums for life insurance have been dropping! Yes, you can believe your eyes. It may not feel like it, but there has never been a cheaper time to buy a life policy. How come? Well, unlike other forms of insurance, the policy only pays out in the future when the life insured ends. If you go back to 1980, men lived to an average of 70 years, women to 77 years. In the latest figures released by the Center for Communicable Diseases, men now live to an average of 75.6, with women now into the 80s at 80.8 years. As an aside, the poor quality of the US healthcare service is highlighted by the life expectancy figures. The US ranks only 38th in the world. That said, since the obligation of having to pay out on a life policy is disappearing into the future, the cost of the benefits payable can be collected over more years. This makes premiums fall.

You will have noticed that women usually live longer than men. There are a number of explanations for this, but the reality is simple. Women have always had stronger levels of immunity to almost all diseases that strike down men. They are also more careful and less likely to die in any kind of accidents or while indulging in dangerous sports. This reflects the gender roles with women acting protectively over their children and, in later years, acting as the primary caregivers to older family members and relatives. This throws up the first major decision. If a woman is going to leave dependents behind her, there will be a need to leave a more substantial lump sum behind. Women multitask and buying in professional help to do all the work is expensive. Whereas it’s estimated that men should leave an average of seven times their average pay, women with dependents should aim for a multiple of not less than ten. The plan should be to provide a substantial lump sum that can be invested and generate an income to supplement the capital for those who remain.

With family responsibilities, the second decision is the type of policy to buy. If your budget is tight, there will be a temptation to buy the cheaper term insurance. But, with life expectancy extending, you are gambling you will not outlive the policy. Remember, there is no payment if you are still alive when the term ends. Although permanent insurance costs more, it gives a valuable safety net for your dependents. More importantly, a permanent policy has a cash value and this can give you access to money if expenses are threatening to overwhelm you. So when you start shopping around, always get life insurance quotes from the widest possible range of companies. Then check out that they are financially stable. You need your choice to be around in the decades to come. It’s also a good idea to find out whether the company offers an advice service to help older people manage their money. So don’t stop when you get a list of the life insurance quotes using the search engine. Talk to the companies before deciding which is going to offer you the best deal.

07 FebFinding affordable insurance if you are a high risk driver

Remember, the general rule always has exceptions. So when everyone tells you insurance companies load up the premiums of the inexperienced drivers and the drivers who have a bad safety record, that is true as a general rule. But this does not mean it’s impossible to find reasonably cheap insurance. All it means is you have to work harder to get results. So the first rule is, “Never give up hope!” There are always ways in which you can save on the premium and find reasonably good coverage. Who are you? You may:

  • be a new driver;
  • have been involved in multiple traffic accidents;
  • have been convicted of driving while under the influence or other serious offenses; or
  • have had you license suspended and/or your previous insurance cancelled.

The second rule is always to tackle the problem honestly. It is pointless to lie about your record. Even if the lie goes undetected when you buy the policy, every company makes thorough checks once a claim is made. If your dishonesty turns up, the company will cancel the policy and you will be left with no indemnity against the claim. Be open about your high-risk status and get two sets of quotes using the online search engines. You should aim to compare the prices on general policies with the premiums charged by the companies offering special policies for drivers with poor records. The bad news is the majority of general insurers will refuse to quote or quote high premiums. These are the companies only writing policies for people aged between 25 and 70 who have never had an accident in their lives. The quotes you get are still useful because you find out which is the lowest of the high quotes. The good news is there are a small number of companies offering a specialised service to high risk drivers. Ask for high risk auto insurance or nonstandard auto insurance and get their quotes.

The third rule is to improve your driving ability and record. If you are a new driver or have recently had a serious accident, go through one of the advanced driving courses approved by local insurance companies. Successful completion usually entitles you to a discount. You then have to put all you best driving skills into practice and drive without collecting tickets and getting into accidents. The longer your license stays clean, the lower your premium will be. Sadly, it takes years to remove the negative marks from your record but, once you have proved you are a good driver, you will be rewarded.

The final rule to find every possible discount to bring the premium down. Drive a low-powered vehicle only at low-risk times of the day and avoid driving long distances. Fit safety features to your vehicle and store it off the road at night. You may not end up with really cheap auto insurance, but it should be reasonably affordable. In any event, cheap auto insurance is often bad value for money. It’s always better to find good coverage at a price you can afford.

01 FebWhat is happening in Wisconsin?

It’s easy to say what the law is – legislatures must write it down and publish it for all to read – but harder to live with its consequences. Looking across the US, all but three states have laws setting mandatory insurance levels for all vehicles on the road. Almost without exception, all these states also have laws making it a crime to drive a vehicle on a public road without a valid policy in force. This gives all drivers a simple choice. Either carry the minimum insurance or risk fines and, in some states, the confiscation of the vehicle. All these laws are a compromise between the interests of drivers and the interests of people who may be injured in traffic accidents. The more Libertarian view is personal responsibility. If you do something, you should be prepared for the consequences. That would mean every driver having enough cash in the bank to pay out every time their driving injures someone else or damages their property. But not everyone can afford to pay the medical costs for treating those they injure. This would be seriously unfair. Suppose you were walking along the sidewalk and a car knocks you down. Surely you should not have to pay your own medical costs? The answer is mandatory insurance so there is always some money to pay out to the innocent victims.

Most people agree this is a good idea but there’s a problem. Almost all these states set the mandatory amount forty or fifty years ago. What was an adequate amount then is a drop in the ocean today. So this February, Wisconsin bit the bullet and increased the mandatory rates both for liability insurance and for insurance against uninsured or underinsured drivers. The governor signed the bill into law and everyone sat back and awaited the results. The mail boxes have recently experienced a flood of renewal notices showing significantly higher premiums for the mandatory minimum cover. Needless to say, the Republicans are now promoting a bill to repeal the law making liability insurance mandatory. As it stands, about 14% of all drivers are uninsured. These premium increases during a recession are likely to increase this percentage significantly.

This review of the minimum amounts after forty years was perfectly reasonable. Most other states will have to follow Wisconsin’s example sooner or later. It’s just not acceptable to have such low minimums when medical and repair costs have risen so sharply. But the timing is unfortunate. Insurers had invested their funds in the stock and bond markets. When the recession hit, they lost a hefty slice of their capital reserves. There’s another law requiring insurers to have enough capital in hand to pay out all the expected claims. To build their capital back up to the required levels, all insurers are therefore raising their premium rates. Each state’s insurance department is insisting on putting more money into the reserves. This means you must shop around. Get auto insurance quotes from as many companies as possible to find the best prices. Not all companies lost heavily. Equally, the smaller companies will have to raise the cash from smaller groups of policy holders, i.e. more from each individual. So get the maximum possible number of auto insurance quotes to survey the market before buying.