Did Social Security Kill Private Insurance?

I'm not sure I understand the logic of the GOP's position on healthcare:

House GOP leader John Boehner says that any government component to health care is akin to "throwing the baby out with the bath water," because it would lead to the demise of all private insurance. He also thinks that House Speaker Nancy Pelosi "can't have her cake and eat it too" on the interrogation issue.

[...]

Boehner went on to say that 150 million Americans get their health insurance through their employer and "if the government competes with the private sector, it will crowd out private health insurance."

Translation: If the government gets involved in health insurance, it will severely cripple the private insurance industry.

Here's what I'm missing: Seventy years ago, when Franklin Delano Roosevelt created the Social Security program to ensure that every senior citizen in the United States had a baseline of insurance coverage, the private insurance industry didn't go out of business. That is to say, even though every American bought in to the government system, the private insurers weren't squeezed out.

Why, then, today would an option for the American people to buy into a government healthcare program destroy the private healthcare insurance industry? If a universal government old-age insurance program didn't drive out of business the private old-age insurers, why would a non-universal government health insurance option drive out of business private healthcare insurers? Unless Republicans are conceding that the private healthcare insurance industry is even more monumentally inefficient than many already think it to be, their logic simply doesn't work. Or am I missing something?

Tags: 111th Congress, Healthcare, healthcare reform (all tags)

Comments

26 Comments

Re: Did Social Security Kill Private Insurance?
Who says the GOP has no ideas?
They're just the moldie lidies.
How are they going to argue against green technolodgy in cars?
Yell "the horse is king! The automobile is just a fad!?"
by spirowasright 2009-05-14 09:43AM | 0 recs
Re: Did Social Security Kill Private Insurance?

"when Franklin Delano Roosevelt created the Social Security program to ensure that every senior citizen in the United States had a baseline of insurance coverage, the private insurance industry didn't go out of business."

The purpose of single payer government run medical insurance is just to stop the greed of private insurance attempting to make a living off of the well and healthy. Their profits go down when they actually have to insure sick people, a not very profitable choice for them. It's purpose is to get rid of them.

No apologies needed. Medicine as business has probably killed more Americans than car accidents and medical mistakes and cancer. Darwin should be alive today to see this going on.

by MainStreet 2009-05-14 10:08AM | 0 recs
Assuming you actually do not understand

The answer is that it works into the narrative of government and liberals out to destroy business. In other words, we are not trying to do good. We are here to commit evil acts. For any proper story  to work, there must be a villain. That's us.

by bruh3 2009-05-14 10:09AM | 0 recs
Re: Did Social Security Kill Private Insurance?

I can't really think of an "insurance" option similar to Social Security.  I mean, what insurance do you buy that says "If you're unable to work because you're old or unhealthy, we'll pay you x dollars as a stipend."  Perhaps it is I that is missing something.

by the mollusk 2009-05-14 10:43AM | 0 recs
Re: Did Social Security Kill Private Insurance?

too literal. think of the private savings accounts and other arguments conservatives make about how we should trust themarket to save money for retirement. That we should in effect privatize social security. That would be the equivalent.

by bruh3 2009-05-14 11:03AM | 0 recs
Re: Did Social Security Kill Private Insurance?

That part I definitely agree with.  But I was responding specifically to the title of this diary.

In that same vein, it is possible that you could point to the nearly invisible US savings rate as evidence of the effect of Social Security.  I personally think it's a bogus argument, but I'm sure it's been made somewhere.

by the mollusk 2009-05-14 12:18PM | 0 recs
I thought 'Mollusk' was a screen name

But I guess you do live in a shell.

If you peaked out maybe you would see a duck on the TV screen squawking 'AFLAC!' Disability insurance is pretty much all AFLAC does. For example you can insure yourself against cancer.

Plus you might want to look into the concept of an annuity. Which is where you pay in for a series of years for a (normally) steady payout after maturity.

There are other insurance products that pay out cash or at least allow you to borrow off their cash value.

Some people argue that 'annuities' are not insurance, but most people see them at least as an insurance product.

So yes you may be missing something.

by Bruce Webb 2009-05-15 10:54AM | 0 recs
Re: I thought 'Mollusk' was a screen name

Thanks for the information.  No thanks for the condescending tone.

by the mollusk 2009-05-15 10:57AM | 0 recs
Re: Did Social Security Kill Private Insurance?

The difference is that Social Security is, as you say, only a baseline program, which is why the private market for 401ks and annuities is flourishing (this past year notwithstanding).

I want more from a public option than just baseline coverage that I have to supplement with private insurance. I want a comprehensive public option, and such an option will probably cut into some insurance company profits.

Not that there is anything wrong with that...and on the flip side, if the private market is so superior, and government-run programs are so completely hapless, then the insurance industry has nothing to worry about. That's the real story to me: the lack of faith the GOP has in the free market.

by fsm 2009-05-14 12:06PM | 0 recs
Re: Did Social Security Kill Private Insurance?

not to quibble too much here, but a public option is very specifically not the free market.  For example, there is no chance that the public option would default or go bankrupt.  That, in itself, is a huge advantage to the public option.  In the absence of that implicit guarantee, an insurance company starting from scratch would need to run a massive ad blitz assuring people that they were legit.  Not to mention securing the capital to back up what they claimed in the ads.

by the mollusk 2009-05-14 12:20PM | 0 recs
Re: Did Social Security Kill Private Insurance?

But the same thing is true of insurance companies trying to start from scratch in the private market today.  There are plenty of barriers to entry in the health insurance market today, and I don't see where a government-run program makes them significantly worse, nor is that an objection I've ever heard to the creation of a government program.

It's the existing, large insurance companies who are worried about their ability to compete with a publicly-run program.  They couldn't care less about startups.

by Steve M 2009-05-14 01:12PM | 0 recs
Re: Did Social Security Kill Private Insurance?

My point is that a government-run system, starting essentially from scratch (unless you consider it a dramatic expansion of Medicare) has many advantages over a private system starting from scratch.  The most important of which are name recognition and the realization that it isn't going to default on your coverage.

Whether or not this makes the barriers higher for other start-ups is an entirely different issue.  But either way, it isn't a free-market system.  

I suppose you could argue that the free market hasn't really functioned in the insurance industry in a long time.  But that would be a different matter as well.

by the mollusk 2009-05-14 02:02PM | 0 recs
Re: Did Social Security Kill Private Insurance?

Sure, but comparing a government program to non-existent startups is a red herring.  The question is whether there will be a level playing field between the government program and existing private insurance companies, not whether there is a level playing field between the government program and hypothetical startup companies.

by Steve M 2009-05-14 04:49PM | 0 recs
Re: Did Social Security Kill Private Insurance?

All good points.  But I'm not sure how we got on this tangent.  Public option is not free market.  I'm okay with that, but why not just admit it?

by the mollusk 2009-05-14 07:55PM | 0 recs
What a just and sound comparison

I really like the comparison between Social Security's incept and that of the coming Government Based Universal Healthcare program ..

Social Security dealt a great benefit to our society, stabilizing it. Elderly people were able to live their lives out with dignity. In fact, even a former president almost ran into trouble - in its absence and the Govt. had to take very quiet but rapid steps to fix things  there..
Its not well known. But one of our presidents ran into trouble with his business and ended up, in a world without Social Security - almost starving.

Ok, Social Security - stabilized and boosted the economy.  And its costs were not outrageous.
The detractors said it would socialize our society, but it didn't.

Universal Health Care offers the option to many uninsured , the chance to participate in a healthcare plan.  Insofar as it crowds the industry, it will almost certainly set and require benchmark standard pricing for certain procedures. That will be a huge benefit to
the privately insured - simply because as it stands, hospitals are running around trying to keep the costs a moving target by billing up and down ea. insurer on a sliding basis. With the costs of a procedure known, really - its the hospitals and anyone else trying to make a little stash on the side - the ones who are out of business.

So the privately insured will see competitive rates and believe me there are people who will look at the government product, and at their own, and decide carefully whether or not to switch.
These people are prime customers.

In any market, 80% of your business will be generated by 20% of your customers, the ones that count.

Private industry will continue on - we should be careful of which lobbies are actually on the side of healthcare, and which against. The private insurers act against it because they like the status quo.

But the hospitals are ripping them off.
Maybe they would like that to stop too.
Watch what the AMA does..

by Trey Rentz 2009-05-14 12:34PM | 0 recs
Re: Did Social Security Kill Private Insurance?

Social Security is a ponzi scheme.  I don't think there is a whole lot of debate on that point, even  by those who are full-fledged supporters of the program (save for the SSA itself).  As long as the population of workers paying into SS continues to increase measured against the pool of those drawing on it, there is no problem.  The current situation facing us, however, is that the demographics of the US point to a shrinking worker base supporting a growing pool of SS beneficiaries.

There simply are not enough financial resources to continue supporting SS in the future.  Neither the R nor the D party have provided a satisfactory plan to address this issue; not to mention the problems with Medicare/Medicaid funding.  

My understanding is that the entire SS issue revolves around two choices:

1.  Do Americans want a form of guaranteed income (either for retirement or as the result of disability, etc.)?

2.  If the answer to 1 is yes, then what form should that take? Public or Private.

If public using the existing SS framework, then Americans will be required to turn over control of a certain portion of their income to non-elected officials in the federal bureaucracy who may or may not be qualified to manage such a fund. In the event of shortfalls in funds, the government would necessarily need to make up the shortfall via an increase in taxes on workers or via debt instruments (bonds, etc.). Additionally, there is some overhead cost for running the SSA.

On the other hand, if workers are allowed to choose a private investment option, the managment of their investment funds are entirely in their own hands.  There is no mandatory overhead cost and there is no need for the government to make-up shortfalls, as they have no involvement in private invenstment transactions (save for an oversight role).  This allows workers more freedom, but places a greater burden of responsibility on them, as well.  

These are the choices that we face when addressing these issues.  I certainly can see certain advantages and disadvantages to both systems, but I question whether SS is (a)sustainable and (b)representative of the constitutional tradition of a limited government republic.

by Old Right 2009-05-14 01:55PM | 0 recs
Re: Did Social Security Kill Private Insurance?

If I had a private investment account it would be crushed with the way the market has gone down, but at least I would have some of the cash that I currently put into SS.

On the other hand, the money I currently put into SS is spent building Murtha's airport or going to Abramoff's buddies, or any other number of places. That's one hell of an investment in my future!

by tpeichel 2009-05-14 06:30PM | 0 recs
Re: Did Social Security Kill Private Insurance?

Agreed, and I think that is part of the problem with the system - there seems not to be any guarantee that the money confiscated by the feds in the name of SS is actually spent on SS rather than, say, million dollar toilets at the new embassy in Baghdad or whatever.

From the point of view of transparency (the new buzzword in Washington), it seems more difficult for me to determine if the government is misappropriating my SS contributions than it does for me to determine if my broker is ripping me off.  That is highly problematic in a mandatory system.

by Old Right 2009-05-14 07:43PM | 0 recs
Where to start

The feds did not 'confiscate' money for Social Security. It taxed your paycheck and promised, if it possibly could, to pay out 100% of the scheduled benefit. And it is very easy to check whether the money you pay in is going to pay for Social Security benefits, that is why the Trust Funds are kept off-budget so that income and costs can be identified. Table III.A1.--Operations of the OASI Trust Fund, Calendar Year 2008 [In millions]. Every dollar sent in is accounted for. If at year's end there is a surplus it is transformed into a specific bond with a specific rate, and listed annually in the Reports Table VI.A5.--Assets of the OASI Trust Fund, End of Calendar Years 2007 and 2008 [In thousands]. In 1971 Social Security balances went negative as Income including Interest fell behind Cost. And the bonds in the portfolio were honored and redeemed by the Treasury right up to the point there were no more bonds. So some adjustments were made on both the Income and Cost side to compensate. But in any event every penny ever sent to Social Security was spent on Social Security or placed in its reserve fund, something that can be checked in the series of Reports since 1941.

So I fail to see the difficulty. If you want a paper copy of the Report you can print off the PDF or alternately order a paper copy which they send out First Class Postage paid (about $7) free to you. Or you can just check the HTML version helpfully linked to you on my site 2009 Social Security Report. The methods used by Social Security to create their future predictions are less than transparent, on the other hand they can be cross-checked against those used by CBO and OMB. But the financials are pretty straightforward and in the terms of that new buzzword transparent. Certainly you get a lot more transparency from Social Security than you would from say the Defense Department who from what I hear couldn't get you an accurate cumulative balance sheet without adding "+/- x $trillions".

Plus there seems to be some confusion about the Trust Fund assets. Whenever you buy a government bond you have limited ability to monitor where the money is spent. You may by being persistent examine the books of the school district to see if your school bond dollars were really spent but in the case of both federal regular Treasuries and Special Treasuries the dollars are not designated for any specific purpose. It is not like you buy Agriculture Department bonds or NASA bonds. Similarly Social Security doesn't invest in Social Security bonds, indeed that would be a contradiction in that the only dollars available for investment are precisely those NOT needed to cover current costs. Once those actual tax receipts leave Social Security after being replaced by Special Treasuries they simply are merged into the pool represented by the General Fund. If the General Fund is being spent in inefficient ways then that is a problem to be addressed by Congress via the budget, appropriation and oversight processes. It really has nothing to do with Social Security itself.

by Bruce Webb 2009-05-15 11:49AM | 0 recs
Re: Where to start

I thought we significantly increased Social Security taxes in 1983 to create a surplus to prepare for the baby boomers retirement?

Maybe I'm simple, but if we had actually kept real money in the Social Security Trust fund instead of IOUs, we'd have that money to pay out to the baby boomers, right?

Don't you think that money would come in handy, if as they are now predicting, we will not be taking in enough in social security taxes in 2017 to pay out the  promised benefits to our seniors?

You're right that it isn't a Ponzi scheme, but for those of us that are skeptical that we'll ever see any money from social security, it sure feels like one, and there's nothing we can do except keep giving them our money.

by tpeichel 2009-05-15 01:00PM | 0 recs
Re: Did Social Security Kill Private Insurance?

A good point and one that very few Americans seem aware of.  On the whole, the IRA path seems much safer than, say a 401k or mutual fund investment.  Some swear by bonds or CD's.  Call me old-fashioned, but in this day and age, stuffing your earnings under the mattress doesn't seem all that crazy.

Stocks are a gamble, no doubt about it.  Other investment vehicles, however, seem about as safe as SS though - bonds, CD's, etc.

Also, let's not forget annuities; many companies do offer guaranteed fixed rates of return on certain annuity products.

by Old Right 2009-05-14 02:49PM | 0 recs
Wanna whole lot of debate?

Social Security is a ponzi scheme.  I don't think there is a whole lot of debate on that point, even  by those who are full-fledged supporters of the program

Well you need to take a little visit to the ongoing Angry Bear Social Security Series and think a little more about investment.

When you make any investment you entrust your money to some other entity either person or institution in the expectation of getting a bigger share of future productivity. Per you that would make putting money into a money market account a Ponzi scheme, in that any subsequent drawdown on that account is making a claim on productivity that you are not necessarily contributing to.

I stopped working for the County a couple of years ago but an vested in the State Retirement Plan. When I become due for benefits it is quite likely I will not be living in this state and possibly not in this country (a retirement check going a lot farther in Mexico). In other words I may well not be paying a dime in taxes to the State of Washington. Does the fact that my future pension check will be funded by other people's taxes combined with whatever portion of other people's productivity the investment fund taps make PERS2 a Ponzi scheme?

The main difference between Social Security and a private pension plan is that the United States is not going to go out of business. Moreover it has a guaranteed stream of new customers paying in premiums that can be adjusted at will with no danger of driving away customers. And since there is no obligation to make a profit for the operators there is no driving need to extract maximum return from the float.

A pay-go insurance plan is not a Ponzi scheme not at least if the customers exercise firm control over the managers, in this case via elections. Now if there ever comes a day when the US is now longer able to pay its debts in dollars it prints, then there might be reason to move Social Security from its current model of a government run trust whose reserves are invested in government assets. But this wouldn't make it inherently a Ponzi scheme, just a more risky insurance plan.

by Bruce Webb 2009-05-15 11:16AM | 0 recs
Re: Wanna whole lot of debate?

Ok, well I am using the SEC's definition of Ponzi Scheme as a system in which the money of new investors is used to pay off earlier investors until the entire system collapses due to lack of funds - which appears to be the situation with SS.

This from http://www.sec.gov/answers/ponzi.htm

At some still indeterminate point (CBO figures v. SSA's figures, etc.), SS WILL NOT be able to continue funding beneficiaries at the expected level.  SSA will have to either reduce benefits or take in more funds via taxation, reduction of funding to other agencies to cover the shortage, or further accumulation of government debt.  In these terms, SS seems very much like a Ponzi scheme under the SEC's definition.

My understanding of a money market account is that it is essentially a high interest savings account that functions like a checking account.  I don't understand that to be a Ponzi scheme unless we are going to refer to the entire banking system as it functions today as a Ponzi scheme (in some few cases this might be true, but I tend to think that most banks can cover the liabilities that are owed to checkings, savings, and money market account owners).  

I am not familiar enough with the inner workings of the PERS2 scheme to give a clear answer.  If you want to define Ponzi as any system in which one person profits off of another's productivity, then that is a serious objection to practically any investment vehicle or business, not just pension plans.

Regarding the United States government as a business is a problematic analogy and viewing SS as a direct apples to apples comparison to a private pension plan is even more problematic.  The United States government cannot, by definition, "go out of business" as you say.  It can reach a break point in terms of percentage of GDP required to service debt that makes it no longer financially viable.  At that point, Washington would need to decide whether to default on its debts (politically unfeasible) or elect to engage in hyperinflation.  The combined debt-load of SS, Medicare, and Medicaid is potentially the knock-out combination that may force the US government into exactly this situation.  I have absolutely no faith in the ability of either the R or D party to successfully stave off a crisis of this magnitude, especially given both parties crass ignorance of basic economic facts and the general kowtowing to Wall Street.

Pay-go is only viable if the amount of outgoing funds is less than or equal to the amount of incoming funds.  Additionally, pay-go was neither the political nor the economic basis of SS; it was explicitly Ponzi from the beginning and sold to the public as a form of welfare (that is as a benefit for the elderly).  

by Old Right 2009-05-15 07:08PM | 0 recs
Brazil's health care system

suggests that this is not the case. The introduction of government health insurance plan did not lead to the demise of private insurance plans.

by Charles Lemos 2009-05-14 04:26PM | 0 recs
Re: Did Social Security Kill Private Insurance?

Even if you had a Public Plan, there would always be a market for premium, private plans which the well-to-do would buy.  Also, there would be a huge market for supplemental or gap plans, like you have presently with Medicare.

by Bob H 2009-05-15 03:23AM | 0 recs
Re: Did Social Security Kill Private Insurance?

"Here's what I'm missing: Seventy years ago, when Franklin Delano Roosevelt created the Social Security program to ensure that every senior citizen in the United States had a baseline of insurance coverage, the private insurance industry didn't go out of business. That is to say, even though every American bought in to the government system, the private insurers weren't squeezed out."

It seems to me that you are not comparing the same thing.  It's like comparing apples to oranges, yes they are both round, both fruits - but vastly different.

By social security, are you speaking of Medicare? Because social security was a retirement account for seniors, and created because many seniors had lost everything in the depression and had absolutely no means to make more money.  The thinking was if you pay into Social Security and the government invests it for you it's like a great big security blanket for you...ahhh...(do you sleep better at night knowing it's waiting for you?)

Medicare, on the other hand, was started around 1965.  Created to provide health insurance for seniors.  Again, because they couldn't get health insurance and most group plans wanted seniors off their plans in retirement.  So the governement again provided a safety blanket for seniors - ahhh...

Neither one of those programs in any way competed with private insurance!  Actually BOTH of those programs ended up saving private insurance money.

Now both of those programs are running out of money and fast.  And instead of fixing that problem, we are going to throw yet another log to the fire in a government plan?  Let me guess, everything for a $10 copay with $50 a month premiums.

That's what everyone wants after all, isn't it?

Medicare does a horrible job setting prices and cuts the healthcare industry's legs out from underneath them.  You are lucky to get 10 cents on your dollar back when you submit something to Medicare, plus you have to submit it over and over again just to get it paid.  

A government run option won't set the prices based on supply and demand or what the market will allow - but rather on what they think is "right".  To hell with the fact the doctors and hospitals have their own bills to pay. What you end up with is what you see all over this country - funds that collapse on themsleves because the claims outweigh the premium collected.

Then that plan too will be bankrupt, along with private health insurance and the health care industry in general.

The government needs to stay away from creating any sort of plan.  Healthcare is expensive becase HEALTHCARE IS EXPENSIVE. And why is that?

I'll give you a few bullet points before I leave..

1) The population is aging (can you fix that? I don't think so) and getting sicker.

  1. Advances in medicine (I suppose we should go back to when they just "bleed" you to fix a migraine)
  2. The cost of unecessary tests and procedure that doctors do because they are afraid of getting sued.
  3. Malpractice Insurance
  4. The employee benefits that hospitals pay to keep the best staff employed (and the union off their backs)
  5. Government regulations (which in my state add an additional 135% to our premiums so people can have guaranteed coverage for things like invitro treatments...yeah, because giving birth is in the bill of rights..)
  6. Insurance fraud (like shoplifting adds costs to retail, so does defrauding your insurance company but people do it all the time).
  7. The cost to research a drug and bring it to market is HUGE because of the FDA regulations (which I am not saying you should get rid of, just it's a driving cost of insurance).

So how would a government run program plan to fix anyone of those problems?  They aren't, they are talking about PRICE FIXING - setting and unrealistic price for a good and thereby killing the competition.  If our government was truly serious about making health care more affordable, they would address any one of those 8 issues..but they aren't - they don't care.  

by trosen 2009-05-15 09:41AM | 0 recs

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