« Thanksgiving Unities | HomePage | Graduate hours »

Monday, November 26, 20071196099938

Giuliani wrong on health care

Martin, J. (2007). Rudy: It's time to unmask Romney. Politico. November 26, 2007. Available online: http://www.politico.com/news/stories/1107/7029.html.

After months of provocation, Mayor Giuliani has finally responded to Governor Romney's attacks. Sadly, one of his counter-attacks misses the mark, badly.

“The one thing he’s known for is health care,” Giuliani said, referring to Romney’s signature initiative aimed at insuring all Massachusetts citizens. “And the health care is the thing he’s now abandoned for the rest of the country. It contained a very big mistake, which he realizes is a very big mistake, the mandate.”

The Massachusetts health care plan compels citizens to sign up for their choice of coverage and levies what Giuliani deemed “a tax” on those who don’t. The health care proposal Romney has laid out in the presidential contest includes no such mandate.

“That’s not the way to expand health care,” Giuliani continued. “The way to expand health care is through the program that I’ve talked about, which Mitt Romney has now adopted.”


While I previously applauded Giuliani on health care, here Rudy misses the point of insurance: the pooling of risk. Better and better bioscience, however, will reveal more and more risk, either allowing health care companeis to discriminate against the riskier, or allowing the less risky to opt-out of the system all together, or both. While this has always happened, this will be happening with a far higher degree of precision in the future as the cost of genome sequencing falls to around a thousand dollars.

Comments

I think health insurance should go the way of the dodo. I buy insurance for things that are not yet broken - car, house, etc. But as you point out, insurance companies will be able to forecast individual's health futures via genetic testing. No car insurance company would insure me knowing that my car will fall apart in 3 years. No health insurance company would insure me knowing that my kidneys will stop when I turn 40.

I want health coverage, not health insurance!

Posted by: Adrian | Monday, November 26, 2007

Interesting that you bring up car insurance. Credit score can be a better predictor of future accidents than past driving record.

A lot of insurance has a bastardized version of "fairness" lurking as its justification somewhere, when in reality fairness can have little to do with risk at all...

Posted by: Dan tdaxp | Monday, November 26, 2007

I had not heard that credit score can be a better predictor than past driving record - although it certainly makes sense in terms of size of 'n' giving better accuracy. Got a link? When I searched, all I got was people outraged over paying higher car insurance premiums due to their credit score, not the data/logic behind it.

Posted by: Adrian | Tuesday, November 27, 2007

Adrian,

Wu and Guszcza [1] note that while insurance companies keep their own records confidential, it appears that the relation still exists even when other factors are kept constant.

(My research tool was Google Scholar, which is way too useful to be as hidden as it is [2] )

[1] http://casualtyactuarialsociety.com/pubs/forum/03wforum/03wf113.pdf
[2] http://scholar.google.com/scholar?q=credit+score+car+insurance

Posted by: Dan tdaxp | Tuesday, November 27, 2007

Thank you for taking the time for this excellent posting, this is very interesting security information . Please don't stop posting such good articles.

Posted by: Drive Solstice Concentrator | Tuesday, May 10, 2011

Thank you for taking the time for this excellent posting, this is very interesting security information . Please don't stop posting such good articles.

Posted by: Drive Solstice Concentrator | Tuesday, May 10, 2011

Thank you for taking the time for this excellent posting, this is very interesting security information . Please don't stop posting such good articles.

Posted by: Drive Solstice Concentrator | Tuesday, May 10, 2011

Your post will be rather good, and I’m sure some will find it interesting because it’s about a topic that’s as widely discussed as others. Some may even find it useful.Thanks so much for your post.

Posted by: Cheap Zenegra online | Friday, July 08, 2011

Post a comment