Moderator: Nicole Marie
Heavens no, from one bear to another—based on your statements, I suspect that we are in material agreement on this matter. I was proposing a two-pronged attack to the problem. In my attempt at brevity, I perceive that I may have caused some confusion. I know that the common perception of insurance fraud is that the insured makes a false claim to gain insurance benefits to which he is not entitled. However, I consider that the doctor who prescribes treatment that is unnecessary and/or at an exorbitant cost because he knows that insurance will pay for it is just as guilty of insurance fraud. Moreover, the insurance agent who sells his client the insurance policy that generates the biggest kickback for said agent, rather than the best policy for the customer, is likewise committing insurance fraud. In our country, an unholy trinity has developed among doctors, lawyers, and insurance companies that tends to enrich these at the expense of patients. (Occasionally, it is true, the patients strike back with the customary form of insurance fraud.) This unholy trinity is largely responsible for the somewhat inflated cost of health care. At the moment, the lawyers are making the biggest haul and are greatly risking the death of their golden goose (the doctors), which would be a great tragedy for all of us. This is why I propose the solutions of punishing insurance fraud (in all of its manifestations), and tort reform.Originally posted by RC:
EJA,
"What we need to do is to punish insurance fraud"
I guess I lost you when you said we need to punish insurance fraud and then said we needed to limit exorbitant settlements.
Do you mean to say that INDIVIDUALS are responsible for exorbitant settlements but insurance companies and doctors are devoid of responsibility for exorbitant settlements, lawsuits, & fraud?
RC moves to the head of the class.Originally posted by RC:
Property and Casualty insurance is quite a bit different than health insurance. It really doesn't (can't in fact) work the same way.
I don't think I'd bother to do the research. My guess is Elliot Spitzer will beat you to the punch (when he's done with P&C), and if we're all paying attention, we will get a real eye opener.OT says: I would like to see a comparison of costs incurred by the health care industry due to "frivolous" lawsuits vs. costs incurred due to the health insurance industry. Heck, even just health insurance industry profits. I'll have to do some research.
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