Tag Archives: health

The Fourth Entrepreneurial Sin — Wrath

We continue the Seven Deadly Entrepreneurial Sins series that we started here. We’ve covered the two Operational Sins (Lust and Gluttony) that make you less effective as an owner. Sloth is the first of the Tactical sins; those that make … Continue reading

Posted in Building Value, Entrepreneurship, Leadership, Managing Employees, Strategy and Planning | Tagged , , , , , , , , , , | Leave a comment

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Why Health Insurance Isn’t

Last week I wrote about the success of Obamacare in driving people from the private insurance market towards a national healthcare system. Clearly, I touched a nerve when I look at the tone of the responses received. Although I don’t … Continue reading

Posted in Economic Trends, John's Opinions, Leadership, Strategy and Planning | Tagged , , , , , , , , , , , , , , , | 5 Comments

5 Responses to Why Health Insurance Isn’t

  1. Jim Marshall says:

    I had a great uncle who practiced medicine from the turn of the century until the mid 20th century. In the last chapter of his book “Doctor Do Tell” dealing mostly with his experience delivering medical care to the people of rural Wisconsin……he warned of the evils of “socialized medicine”. Much has changed since the time he practiced….including the willingness of health care providers to be “paid in pickles”. The evils of non “socialized medicine” have become crystal and painfully clear.
    The present health care system based on the idea that competition brings about the best result is a failure if for no other reason that there is and will not be true competition. Nationalized health care can minimize system costs….if design and operation remained focused on the goal of efficient, results oriented care measured by and paying for results. A single payer system that assures and pays for results oriented care (as opposed to pay per procedure) is probably the only way that a nation can bring about maximum care per dollar expended. The only logical single payer is government. If a clear goal (as mentioned above) was the standard to which any plan was held….much better product (our health care) could be brought about for all.

  2. Jim Marshall says:

    I neglected to mention his book was written in 1945.

  3. David Basri says:

    Except that not everyone is going to use all they did (or should have) put in. My mother will turn 99 early next year. She is in an assisted living center that costs thousands monthly, but uses just a small fraction of the services the price is meant to cover. This is good thing. Others use much, much more than they ever did (or could have) put in.

    The only solution is something based on the underlying concept of insurance. Many put in
    X and a fewer number take out Y. Even in countries where there is universal government provided healthcare, the concept is the same with taxes substituted for the bulk of premiums.

    The problem in the US is that the insurance paradigm is private and discretionary. Not everyone has to pay in, so healthier lower cost people opt out at a disproportionately high rate. The insurance companies are profit driven, so left to their own they simply do not want to cover those who represent a higher risk.

    Average life span in the US is into the 70s. That means both individuals and companies have to think very long term to justify the equation. In a system where participation is discretionary, and the actuarial pool is private and focused on making shareholders and executives happy the following quarter, the actuarial numbers will not to add up.

    Human nature simply does not work well in multi-decade time frames. Only an external entity can make the health care actuarial equation work. The ACA is bending the curve, but it is a poor mishmash trying to influence an inherently unworkable model based on private insurance and discretionary participation.

  4. Mike Weaver says:

    I have always thought it strange that people expect routine doctor visits and long term prescription medications to be covered under a health insurance plan. When you buy car insurance your tires and oil changes are not covered are they?

  5. David Basri says:

    It is only strange if you try to equate health care with consumer goods. Same basic problem as trying to force market principles to “control” health care costs. It is not a market or a consumer good, and should not be.

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It’s Time for the Boomers to Step Up

Why I Need to Say This Three years ago I wrote an open letter titled “Last Chance to Save America” and sent it to my entire email list. It went viral, and I received almost a thousand emails in reply. … Continue reading

Posted in Business Perspectives, Exit Planning, John's Opinions, Leadership, Politics and Regulation | Tagged , , , , , | Leave a comment

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If You are a Victim; You are Guilty.

Let’s say you own a small Italian Restaurant. Fifteen tables. Pasta, Pizza, beer and wine. Not really a white tablecloth place. More like plastic red and white check tablecloths with Chianti bottles and drippy candles. On a good Saturday night … Continue reading

Posted in Politics and Regulation, Technology | Tagged , , , , | 2 Comments

2 Responses to If You are a Victim; You are Guilty.

  1. Anonymous says:

    "Your data is encrypted? Law enforcement sources tell me that decryption programs to defeat the current levels of credit card security can be bought for $125 on the web and installed in 15 minutes."

    Your law enforcement friend is uneducated in this topic, I work in data forensics- simple PGP or RSA encryption would have solved this problem.
    http://news.softpedia.com/news/FBI-Unable-to-Decrypt-Brazilian-Banker-s-Data-145640.shtml

    Perfect example above, from recent news- and thats a cheap encryption suite. Like I said your law enforcement buddy needs to quit talking about things he does not understand.

    They key is to;
    1. use intelligent passwords on all systems and equipment
    2. protect the transmission and reception of cc data
    3. protect your customer, dont let your waiters wonder off with a credit card, have managers be on the lookout for skimmers

    Think like a criminal, its not that hard, how would you steal from your own business?
    Then work on that weakness.

    Criminals evolve, you must as well.

  2. Todd A. Marquardt, Esq. says:

    Very informative. Even a proactive business owner may not have known about the risks to accepting credit cards. Thanks.

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The Ghost of Ebenezer

Last week three of my clients implemented staff reductions. All three are financially healthy service companies, but they had far more capacity than they had work to fill it. In a service company, of course, capacity means people. Naturally there … Continue reading

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