Friday, October 9, 2009

Health Care and the failure of the free market
























The free market doesn't always work, Domestic violence as pre-existing condition? 8 states still allow it

Though domestic violence as a pre-existing condition isn't thought to be as widespread as it once was, lawmakers say it's yet another example of the need to overhaul the health care system.

"This is insane," said Sen. Patty Murray, D-Wash., who's been trying to convince Congress to address the issue for roughly a decade.

Murray said she couldn't remember exactly when she first learned of it, but sometime in the 1990s she recalls a private conversation she had with a woman who broke down as she explained that she couldn't flee an abusive relationship because her children were covered under her husband's health care plan and she couldn't get her own. Another woman told Murray that she didn't report that she'd been battered because she feared losing her coverage.

"It infuriates me an insurance executive can sit in his safe world and decide how to make money," Murray said. "For them it's all about the bottom line. Abused women don't have a voice."

First lady Michelle Obama also took note, saying in a speech last month that insurance companies continue to practice gender discrimination.

Much of the evidence that domestic violence has been a factor in denying coverage is dated.

An informal survey by the House Judiciary Committee in 1994 found that half of the 16 largest insurers in the country considered domestic violence in deciding whether to approve health coverage. The Pennsylvania insurance Department reported a year or so later that nearly one out of four insurance companies factored in domestic violence when deciding whether to issue or renew policies.