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In reply to the discussion: Two more Obamacare health insurance plans collapse [View all]Melurkyoulongtime
(136 posts)Making the industry non-profit again is only one of the things I'd do if it were up to me. There's so much more that needs to be done. I worked in Benefits Administration area of the industry and the shite these insurers get away with to make a profit is unconscionable. One example: a retiree who'd been healthy all his life and paid into his company's health care coverage for over 50 years (he was pushing 100 and still rode a motorcycle before he got ill for Pete's sweet sake) developed a very nasty brain tumor. His supplemental insurance was supposed to cover the surgery at 90%. The insurance co denied his claim 3 times and he couldn't afford it out of pocket. The company he retired from sent their attorneys to have a "sit down" w the insurance co's attorneys. The company attorneys politely informed the insurer that if they didn't cover the retiree's surgery they would sue them on behalf of the retiree and his family. The insurer covered the man's surgery and aftercare, but it took almost a year for this rigamarole to all play out. By the time he got surgery the tumor had grown from the size of a grape to the size of an orange. The insurance co had been waiting/hoping for him to die before they were forced to cover this man for coverage he was already paying for!