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Wall Street Weekly | 08/21/2009 9:30 am

Bullies Threaten Insurers; Is Profitability a Crime? by Liz Peek

© Shutterstock

Bears, Bulls, Chickens and Pigs: wOw’s Wall Street Weekly with Liz Peek (Week of 8/17) 

Editor’s Note: Liz Peek is a financial columnist and the author of wOw’s SHEconomics.

In Washington’s sandboxes, the bullies are gaining the upper hand. This week’s news that Henry Waxman and Bart Stupak of the House Energy and Commerce Committee had written letters to 52 insurance companies demanding reams of information about compensation, client entertainment, executive retreats and other data was so dismaying. Unable to advance health-care legislation or tame an increasingly hostile electorate, Congress has decided to beat up on health insurers – Nancy Pelosi’s favorite "villains."

The letters are, of course, showboating – much of the data sought, such as the compensation for the CEOs of the largest companies, is already in the hands of the SEC. No, Waxman and Stupak aren’t after information. The real play here is to threaten the industry with embarrassing exposure, so as to prevent them from resisting President Obama’s No. 1 agenda item. It’s disturbingly Orwellian. House Democrats have seen how effective it is to loose populist anger against an adversary; who will ever forget the mortifying Congressional assault on poor Ed Liddy, the fellow that stepped in to help sort out AIG and was absolutely excoriated for his troubles.

Ironically, as The New York Times and others have reported, the insurers, led by lobbyist Karen Ignagni, have been on board with reform from day one. Ms. Ignagni, CEO of America’s Health Insurance Plans, must have been pretty darned surprised to have her industry come under attack. She had already guaranteed the president that the companies would agree to not deny coverage to clients with pre-existing conditions and to discontinue basing premiums on a person’s health status or gender – the two most important concessions that Obama has requested. Presumably the insurers do not welcome a government-run competitor, and will argue against that part of the proposal. Since many of these firms are publicly owned, management could be sued for not attempting to block legislation that would be harmful.

The attack on the insurance industry is worrisome mainly because it is yet another in a series of anti-business outbursts from the Obama camp and its Congressional allies. What is the industry’s crime? The president accuses the industry of being profitable, and indeed "making record profits" – as he stated at a recent press conference. (Actually, profits for the industry are down from the 2006-2007 levels.) What kind of charge is that?

The president and his reform teammates have implied that insurers are earning unconscionable profits on the backs of unfairly treated policyholders. Otherwise, the reasoning goes, how could an industry be so successful? That conclusion mandates the question – just how profitable are insurers? According to Fortune magazine, not as profitable as Internet sales companies, or pharmaceuticals, or railroads or telecommunications companies. In fact, in Fortune’s listing of industry by profitability, health-care insurers and managed-care companies came in 35th with a profit margin of 2.2%. Yes, the top ten companies last year earned $13 billion; it is a huge industry – the aggregate number, often quoted by reformers, doesn’t mean a thing.

For sure, we all have issues with our insurance companies. They are an easy target. But trying to develop important and complex legislation by demonizing companies that employ Americans, pay taxes and provide an important service does not reflect well on either the president or on Congress.

The Obama administration’s desperation to drive through health-care reform may reflect their anxiety about the economy. After all, coming up to the midterm elections, they have to have something to show for their control over all three branches of government. It must be driving them crazy that for every data point showing that a bottom has been reached in housing or manufacturing, there is a little hiccup showing that the consumer remains in lock-down.

591 Reader Comments (so far…) Sign In or Register to comment

Amelie Poulain
Frannie, a lot of the problems in Canada come from the trade union battles.  Strikes are killing us….literally.  When we get behind on surgeries and doctor visits, etc because no one will cross union strike lines, it screws the entire system royally.  That would be a great starting point.  As the various conservative elements get power in Canada and allow privatization of clinics, whereby paying customers are allowed to jump lines and pay for instant service in a fancy private clinic, this also SCREWs the system.  These are two main elements that are impacting the smoothly running system up here.
By Amelie Poulain on 08/28/2009 5:54 pm
Eve Langley
Like the lady said, "Do you really want the folks running Cash for Clunkers to control the American health care industry?
By Eve Langley on 08/23/2009 11:17 pm
DeBúrca obj
That statement had no substance the first time it was said, why repeat it?
By DeBúrca obj on 08/24/2009 12:01 am
DeBúrca obj

From US News and World Report 8/17/09:

GM: Cash for Clunkers a Huge Success

excerpt: "Not everyone supported the Senate’s passage of a bill that boosted "cash for clunkers" by $2 billion, effectively extending it through Labor Day. But it’s hard to argue that the program, which gives rebates to people who trade in old cars for more fuel-efficient vehicles, hasn’t made the auto industry happy. That’s true for General Motors, the auto giant that received roughly $50 billion in government funds and emerged from bankruptcy last month. 

Overall, cash for clunkers: Thumbs up or thumbs down? It really is all thumbs up. I can’t remember too many programs that it’s hard to find anything negative about.

How is the program helping the economy? The auto industry is probably the industry that has the largest multiplier effect on the U.S. economy. So by this happening, what’s going to occur is that all of the major auto manufacturers are going to increase production moving into the third and fourth quarters. That’s obviously going to add jobs, because then we’re adding third shifts and overtime, and perhaps plants that were down will come up. Employment increases, incomes rise, and people buy things. So the multiplier effect through the economy is pretty big. We think that GDP could go up a full point in the third quarter because of this program.

How much do you think the program will raise sales? We think the $3 billion will raise industry sales about 750,000 units this year, which is huge when you’re considering an industry with a less than a 10 million-per-year rate—the worst in half a century.

Would you support a bill that made this program longer-term? Absolutely. We wish they would have just done the original plan, $4 billion and over a year, so people don’t panic. By spreading the money out, people can take their time. Everybody would wait; you wouldn’t have this rush to the finish line, cramming it into three months. But when the government says [the program is] only going to be three months, that’s what you get. But we’ll take it. That’s better than nothing.

Some critics of the program have said the program plays favorites with industries. Rep. Jeb Hensarling, a Texas Republican, asked why we don’t have a similar incentive to pay people to, say, eat chickens"cash for cluckers," if you will. That’s not true. The multiplier effect from the automobile industry is way, way higher than for any of those other industries. Not that they’re not important, but our last big manufacturing base in this country is automobiles. It’s a $500 billion industry. I don’t think chickens are quite that big. The multiplier effect off of this industry, when you start to increase production because of rising demand for new-car sales, is just much greater. That’s been documented by every school of business in the United States. So that’s just fact No. 1: You get a bigger impact from cars. "

 

 

 

By DeBúrca obj on 08/24/2009 12:55 am
Kim Horton
I gotta laugh, I have a friend who is a cars salesman and I’m telling you what he’s seen has baffled him to no end.  3 out of 5 cars that were brought in were foriegn cars.  Let’s add to the issue that most of the people did not qualify for a new car loan. 
By Kim Horton on 08/24/2009 10:12 am
S.J. Morgan
and most that turned cars in bought foreign cars rather than American….  Aren’t you glad you are now in debt for years for your neighbors new car. 
By S.J. Morgan on 08/24/2009 1:55 pm
C Hardy
SJ - One of my best friends hubby is a GM of a car dealership & they were also struck with those wanting to trade cars in and not being able to get a loan for the new car on top of the dealerships not having the inventory to meet the demand b/c they didnt know about the Cash for Clunkers until it was already approved…they didnt get the paperwork for it before it started but after it started…then when the Govt agreed to $2 billion more the dealerships wanted at least a month to get more inventory in and NOPE that didnt happen either. 
By C Hardy on 08/24/2009 2:23 pm
deber B
S J,  that would be Toyota….the winner in this fiasco!!
By deber B on 08/24/2009 2:40 pm
starry Nite

Plenty of car dealers and auto workers are happy  with cash for clunkers. Some car dealers did not participate in this "government program".  Your friend is a car salesman you say?  

Fox news has to look around for a disgruntled dealer to interview.

By starry Nite on 08/26/2009 5:20 pm
Lady Gator

Eve —-Just wait — this program isn’t over.  It will be interesting to see if all the automobile dealers actually receive all of the money owed on this "clunking" program.  One dealer in my area is $100,000 in the hole - so far he’s received $25,000 - not a happy camper right now.  He’s also concerned about the quality of the buyers.  And, are they going to be able to make a car payment! 

Hum, makes me wonder, is this "clunking" program going to be another "Mortgage Catastrophe".  Who is going to be holding the bag on this one.  And, who in Washington thought up this gem?  

And, according to reports — only 10% of the stimulus money has been spent.   What did they do with the other 90%?  Is it in a bank?   What will the rest of the money be spent on?  I just asked the same question of my Congressman - to date I haven’t received an answer.  All I say is……………"Show Me The Money!!!

Glad to see another new poster, welcome aboard!  Tighten your seat belt.  If you feel the need for a helmet or flak jacket —I’ll see if I can rustle one up for you out of my closet.  Just tell me your favorite color!

And, by the way, I love your picture! 

By Lady Gator on 08/24/2009 2:21 pm
deber B
Eve, welcome to Wow!   I can answer that question for you.    "No."
By deber B on 08/24/2009 2:43 pm
C jay
Uh, Eve, they are NOW, and have been. The problem with Cash for Clunkers was on the street with the sellers.
By C jay on 08/28/2009 6:03 pm
Amelie Poulain

Liz wrote: For President Obama, it will mean putting aside some of the expensive programs so high on his agenda, such as universal health care. As Buffett so ominously points out, "The dollar’s destiny lies with Congress." Heaven help us.  Wrong AGAIN Liz.  The health care passing is a MUST in order to help rein in costs.  Listen to Obama’s WHOLE premise which explains why passing this  will be a cost saving, not just a right wing sound bite that is skewed to create dissent amongst the 45% non-believers who are unnecessarily fearful. Yes.  Heaven help America if it does not pass.  An aging, and potentially malnourished population (because of loss of income and inflating prices)  will make health costs skyrocket beyond all belief.  Uncharted territory indeed. 

If you don’t mind paying 1/7 of your insurance premiums in all of America to one single man…the CEO of just one of the current insurers, then keep the system the way it is. Watch Bill Moyer’s shows with Wendell Potter.  I highly recommend their enlightening views. 

 

 

 

By Amelie Poulain on 08/24/2009 10:06 am
deber B

Liz, interesting what some of the Brits are saying about healthcare reform.   Thought you might find it interesting.

"Pre-war medicine in the UK was perfectly adequate, in fact it was more than adequate, it was excellent. There was wide coverage, and doctors gave at least 20% of their services for free.

The biggest complaint about pre-war medicine was simply this: it was not a "system". The state did not run it. The state did not control it.

In April 1943 the Labour party issued a pamphlet putting its case for a National Health Service, written by Michael Young. The main complaints seem to be that it is "curative" rather than "preventative", equality of access, and that it was a "medley of of public and voluntary institutions". In other words, no criticism of the actual service delivered.

Centralisation was a political creed, not a practical one. Many doctors vehemently opposed it. Today the ratio of managers and support staff to nurses is, generously, 8:10. How can this be efficient? How can this be delivering better healthcare?

There is a problem in the US, and that problem is with insurance, procurement and pharmaceuticals. It is with powerful vested monopoly interests. It is not with doctors or hospitals. It is not with the healthcare system per se - there is no system, or at least the systems that there are - Medicare and Medicaid, are OK.

Conservatives are correct to be deeply sceptical about mass state appropriation of assets. They are right to be concerned that the state will appropriate those assets for political and cultural ends as well as purely medical ones, as has happened in the UK. They are right to be worried about a loss of accountability.

The US government does need to intervene, to do what it has always done - to bust trusts and to help those incapable of helping themselves. That does not include nationalisation of the whole system."

http://www.guardian.co.uk/commentisfree/2009/aug/24/healthcare-nhs-nazi-americans-health

By deber B on 08/24/2009 10:25 am
Fly O. T. Wall

45% non-believers…

Like, um, Infidels?

By Fly O. T. Wall on 08/24/2009 12:54 pm