I guess that is my point. If they are doing such a bad job, it would seem that another carrier would jump into the state and take market share.
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When you own the market, you have extreme leverage. They can end their contract with a hospital and literally cripple them.I guess that is my point. If they are doing such a bad job, it would seem that another carrier would jump into the state and take market share.
First, no company "owns" a market.W
When you own the market, you have extreme leverage. They can end their contract with a hospital and literally cripple them.
Oooookaay. Are you really that naive?First, no company "owns" a market.
What effects cancelling a contract have on a hospital is irrelevant to being a monopoly. The only characteristic that determines a monopoly is the ability to prevent others from entering the market.
Nothing is preventing other companies from entering Alabama. The other companies just need to file the paperwork with the insurance regulators in Alabama and maintain the required capital. This is the same reason that "allowing companies to compete across state lines" is a bogus argument.
How about this?A bigger need is creating a system where all citizens have incentives to use the system and related insurance properly.
Are they a "true" monopoly, no. Are you really under the belief that a company cannot control a market? Tell me who else is a player there. Are other companies avoiding Alabama because they do not want to make a profit?Is that a rational response? I missed the logic and facts.
How about this?
-You do not have a mandate to buy or have health insurance.
-If you do not have said insurance, you will not be covered for any expenses related to a catastrophic diagnosis (cancer, for instance). In other words, no pre-existing coverage for people who choose not to purchase insurance.
-Pre-existing coverage will exist for those who must change insurance companies due to loss of a job, moving to a different state, etc.
Currently, young healthy people have no incentive to buy health insurance. The little fine from the IRS is pretty minuscule; much less than the cost of insurance. If they do get sick, well, so what? They can go buy insurance after a diagnosis because of blowbamacare's utterly idiotic pre-existing condition blanket mandate. That single item removes practically all incentive for a young person to buy insurance. The only logical means to encourage such a person to purchase insurance coverage is to raise the specter of not being insurable if they are diagnosed while not having any coverage.
You make allowances on pre-existing conditions for people who must change insurance carriers due to life events, not for those who simply choose to roll the dice.
That depends on what you mean by "control a market".Are they a "true" monopoly, no. Are you really under the belief that a company cannot control a market? Tell me who else is a player there. Are other companies avoiding Alabama because they do not want to make a profit?
BCBS owned it before ACA and is an excellent example of the need to allow competition across state lines. Why would they get their heads kicked in if it was not an access issue? Consumers and company plans don't want better options?That depends on what you mean by "control a market".
Not sure what you mean by "Are other companies avoiding Alabama because they do not want to make a profit?". They are probably avoiding Alabama because they would prefer not to get their heads kicked in by losses, not because one carrier "owns the market".
Exactly.Isn't it "market power (not necessarily a literal monopoly) paired with predatory behavior" or some such that triggers antitrust violations--what most people casually call a monopoly. Don't make me pull out a law book.
That is a good example of the government interfering with the market. BCBS seems to be receiving special treatment by the government, which is wrong.How about when BCBS cuts CVS out of the pharmacy option?
Or how about this?
https://www.google.com/amp/www.al.c..._blue_cross_blue_shield_get.amp?client=safari
No, that is not an excellent example. Nothing is preventing other companies from competing in Alabama, and others have and still do. They would get their heads kicked in by not being competitive, or because government regulations prevent them from charging a sufficient price. It may be that they want to wait until BCBS decides it has lost enough money and begins to raise its premiums to the point of being profitable -assuming they are allowed to do so by the regulators.BCBS owned it before ACA and is an excellent example of the need to allow competition across state lines. Why would they get their heads kicked in if it was not an access issue? Consumers and company plans don't want better options?
I have no idea. Is it possible that anti-trust actions and class action lawsuits are bogus? Absolutely.The anti-trust lawsuit which turned into class action was probably bogus?
It really comes down to free market or govt intervention.