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Health Insurers Are Vacuuming Up Details About You -- And It Could Raise Your Rates (propublica.org)

schwit1 shares an excerpt from an in-depth report via ProPublica and NPR, which have been investigating for the past year the various tactics the health insurance industry uses to maximize its profits: A future in which everything you do -- the things you buy, the food you eat, the time you spend watching TV -- may help determine how much you pay for health insurance. With little public scrutiny, the health insurance industry has joined forces with data brokers to vacuum up personal details about hundreds of millions of Americans, including, odds are, many readers of this story. The companies are tracking your race, education level, TV habits, marital status, net worth. They're collecting what you post on social media, whether you're behind on your bills, what you order online. Then they feed this information into complicated computer algorithms that spit out predictions about how much your health care could cost them. Patient advocates warn that using unverified, error-prone "lifestyle" data to make medical assumptions could lead insurers to improperly price plans -- for instance raising rates based on false information -- or discriminate against anyone tagged as high cost. And, they say, the use of the data raises thorny questions that should be debated publicly, such as: Should a person's rates be raised because algorithms say they are more likely to run up medical bills? Such questions would be moot in Europe, where a strict law took effect in May that bans trading in personal data.

23 of 299 comments (clear)

  1. That stucks by viperidaenz · · Score: 5, Insightful

    I'd hate to live in a country where basic medical care isn't free.

    Sounds like a third world undeveloped nation, where the government can't afford to run hospitals.

    1. Re:That stucks by b0s0z0ku · · Score: 5, Insightful

      Enough to protect themselves without breaking the bank and worshiping their militaries like some kind of false idols. (While quietly mistreating their veterans.)

      If the US truly wanted to merely "defend" itself, it wouldn't be expensive -- a few ICBM silos and missile subs are an ample deterrent against invasion. The problem is US bullying of other countries to support obsolete industries like Saudi oil, their pet theocracies in the Middle East, and an unwinnable war on (some) drugs.

    2. Re: That stucks by toadlife · · Score: 5, Insightful

      you'd rather have the government make the rules.

      Yes.

      You want that heart bypass surgery? No problem, we'll pencil you in for July 6th, 2028.

      An absurd exaggeration that flies in the face of actual data from countries with socialized healthcare systems, but absurdity is guaranteed when your argument has nothing of substance to stand on.

      --
      I don't always use unix-like operating systems; but when I do, I prefer FreeBSD.
    3. Re:That stucks by Solandri · · Score: 3, Insightful

      No country has free medical care. The only difference is in how it's managed and paid for. The U.S. uses a combination of government programs, private insurance, and personal funding. A lot of countries use government programs and personal funding. So in countries with "free" health care, it's not free, you are paying for it via your taxes.

      As for the hypothesis that it's the lack of government-funded health care which drives up prices in the U.S., in 2009 prior to Obamacare passing, the U.S. government was already spending more per capita on health care than any country except Norway, Luxembourg, and the Netherlands. If government-funded health care were truly the solution, the U.S. government was already spending enough to copy Canada's health care system wholesale before Obamacare was even proposed. The problems with the U.S. health care system are deeper and more complex than "it's because you don't have a government-funded system."

    4. Re:That stucks by b0s0z0ku · · Score: 5, Insightful

      Problem is that an entirely government system might actually be cheaper. It wouldn't need parallel systems like Medicare, Medicaid, and the VA. It wouldn't need layers of bureaucrats to determine who's eligible for which services and which subsidies. The US has layers upon layers of inefficiency, both in private and public insurance.

    5. Re: That stucks by ceoyoyo · · Score: 5, Insightful

      The plural of anecdote is not data. Proper health outcome studies consistently show that the US is middle of the road in the world, and lags behind the modern social democracies.

      The UK and Canadian systems definitely aren't perfect, but they're better, both in outcome and efficiency, than the US system.

    6. Re:That stucks by ceoyoyo · · Score: 4, Insightful

      Not sure I understand your reasoning. You're saying that because the US mostly private system is very, very expensive, the problem is not that the system is mostly private?

      No, the US isn't going to be able to fix it's system with a little bit of legislation. Powerful interests, from physicians to pharma are going to be pissed off. But data from the whole world agrees that some sort of socialized system is both most efficient and most effective.

    7. Re:That stucks by apoc.famine · · Score: 3, Insightful

      and entrenched interests who get their gravy train from the wide variety of inefficiencies

      And when you dig into the health care system in the US to any appreciable extent you realize that it's not just a gravy train of inefficiencies, it's inefficiencies all the way down. Inefficiency is a core structural component of the US healthcare system.

      --
      Velociraptor = Distiraptor / Timeraptor
  2. The 1st world is getting smaller by the day by Anonymous Coward · · Score: 3, Insightful

    No other 1st world nation treats it's own citizens as badly as the USA does. Notable areas are health care, education and the private prison system.

    The sooner we let go of the idea that America is 1st world, the better. It no longer shares the western liberalism ideals that have driven much of humans forward over the last 200 years. Specifically, it's lost site of "equality" and replaced it with rampant capitalism.

    It wasn't always this way. America 1950 - 1970 was decidedly better for it's citizens than the late stage capitalism technological dystopia that is now before us.

  3. Re:Who is affected? by Anonymous Coward · · Score: 2, Insightful

    Unless they also factor in your arrogance, which drastically increases your chances of being harmed by other humans.

  4. Re:Who is affected? by decep · · Score: 5, Insightful

    Except that one time you searched for Little Debbie snack cakes to prove to your friends how unhealthy they are for you. The data aggregator just lumps you in with the rest of the "unhealthy eaters" out there.

    Now your insurance premiums go up by $200/mo with no explanation and no way to dispute the data.

  5. Re:Who is affected? by b0s0z0ku · · Score: 5, Insightful

    This is also shit -- not everyone wants to be tagged with a GPS tracker like some weird migratory bird experiment. The sooner the private insurers are kicked to the curb and replaced with a fair system of public insurance, paid for by a per-cent tax on income, the better. And by kicked to the curb, I mean expropriated and ideally jailed for a few years in general prison population.

  6. Re:Who is affected? by ole_timer · · Score: 1, Insightful

    in Europe they just guess based on what health care has cost

    --
    nothing to see here - move along
  7. Re:Who is affected? by Anonymous Coward · · Score: 5, Insightful

    The current trend about insurance is a Mormon idea (Google :: Medical Information Bureau),
    started a _long_ time ago under the guise of "fraud protection." If the U.S. would finally adopt
    single payer, none of this BS would be relevant any more. Dunno what it's gonna take, though...

    CAP === 'fathoms'

  8. Re:Oxymoron Alert by b0s0z0ku · · Score: 5, Insightful

    Compare medical costs for common procedures between the US and the rest of the world, and you'll be singing a different tune. Yeah, yeah, it's tax-supported in many places. What do WE get for our tax dollars? Expensive healthcare, bad schools, mass incarceration, and a military juggernaut that hasn't truly won a war in decades.

  9. This is the shit that will get peoples' attention by Rick+Schumann · · Score: 5, Insightful

    Too many of you say "oh, well, privacy is dead and nobody cares, so why bother even trying?". Well, now it may cost people more money, or get them booted out of their medical coverage entirely, or who knows, get them fired from their job because they'll (potentially) raise the group rates too much? People will suddenly start caring about their privacy and who has access to all the data about their lives. Hit people in the pocketbook and they'll suddenly pay attention to all sorts of things that they said they didn't care about.

  10. Re:Who is affected? by taustin · · Score: 2, Insightful

    Plus all the various other taxes that are used to subsidize it, of course.

  11. Re:Who is affected? by jedidiah · · Score: 2, Insightful

    > Here in BC, Canada it's a whopping $75/month per family, assuming two adults.

    I would rather not have to wait 6 weeks for an MRI, or have trouble even getting a family doctor, or have to go to the ER on the weekend instead of one of the several quick care clinics within easy walking distance even in my sorry post-cancer condition.

    The idea you think you can get away with paying only $75 per family is why I want NOTHING to do with people like you having monopoly control over my cancer treatment.

    --
    A Pirate and a Puritan look the same on a balance sheet.
  12. Re:Who is affected? by jedidiah · · Score: 1, Insightful

    > Tests in the US aren't immediately scheduled either

    My GP has his own blood testing machine. I've had MRIs, CAT scans, and ultrasounds done immediately. My first oncology consult was done on a weekend.

    > What's the big deal about going to the ER if it's cheap and relatively well-run

    The ER is not cheap. You just think it's free because you aren't directly paying for it. You are abusing a shared resource because you don't think it has any value. That places a collective burden on the rest of us.

    It's the kind of abusive nonsense that you get out of socialism. Individual ideas about worth and value are distorted because you perceive things as gratis.

    Although you are forgetting triage. An ER in a system running at near capacity is not going to be "well run". Or rather, you will be at the END of a long queue because you're an idiot and patients with real problems need to be seen first.

    While you are waiting at the ER because you aren't really dying, I can check in to the local quick care clinic online and not have to wait in a room full of sick people for hours on end. I can show up when they actually expect to see me.

    Capitalism is a beautiful thing. Smart, hungry, greedy innovative people will stand in line to take my money and give me something better in return. Instead of shortages, there are so many facilities around you wonder how they all stay in business.

    --
    A Pirate and a Puritan look the same on a balance sheet.
  13. Re:Who is affected? by b0s0z0ku · · Score: 2, Insightful

    Better a state of decent mediocrity when no one goes hungry than a country where people have to slave to avoid hunger. Innovation and hunger == constant stress == lower life expectancies, less enjoyment from life, more illness.

  14. Which is why we're not letting them do it by rsilvergun · · Score: 4, Insightful

    they're just _paying_ for it. No matter what anybody is telling you nobody is suggesting we nationalize healthcare. We're nationalizing _insurance_; e.g. the paying part. Hence the name "single payer".

    --
    Hi! I make Firefox Plug-ins. Check 'em out @ https://addons.mozilla.org/en-US/firefox/addon/youtube-mp3-podcaster/
  15. Re:Who is affected? by Joce640k · · Score: 2, Insightful

    Before Obamacare, the state private markets were based strictly on age.

    So?

    After Trumpcare they might be based on age and your online habits.

    It's only far that your insurance company knows as much about you as possible, right? That way the rich people with easy jobs and healthy living conditions can pay less.

    --
    No sig today...
  16. Re:Who is affected? by west · · Score: 3, Insightful

    Indeed, there are reasons why the US system is so much more expensive than its Canadian counterparts. The US has a Lexus style system (for those lucky enough to have good insurance) and Lexus prices. The Canadian system, is more Corolla style with Corolla price.

    But like two cars, the interesting thing is that the health outcomes for identical conditions are nearly identical.

    What you purchase for an expensive health-care system is a much more pleasant system (no lines, lots of tests that occasionally catch something, but mostly make the patient feel better, etc.) and marginally better outcomes.

    The downside is, of course, that costs are so high that there's really no way of providing fairly comprehensive medical service to the entire population.

    As a Canadian, naturally, I prefer a system that allows all Canadians to be covered (with difficulties, of course, there are lines, and in some areas, primary care doctors are harder to find - natural outcomes of a much more economical system) over a more pleasant system with similar outcomes, where a substantial portion of my fellow citizens access to health-care is a major source of stress and concern (to put it mildly).

    Psychologically, I think our health-care system helps bind us together - it is a concrete and ever-present example that as a people, we have expressed a sentiment that the lives of all Canadians are equally important, from the richest to the poorest. It's an ideal, and we certainly don't meet that ideal, but we spend considerable resources attempting to do so, and I think that makes a great deal of difference to who we are as a people.

    I'll take the fact that my taxes are buying Corollas for four rather than a Lexus just for myself. It's not a trade-off I'd necessarily make individually, but it's one that I'm happy to have the government make on my behalf.