Westpac Buys Lloyds Assets as Rules Encourage Asia Retreat

Westpac Banking Corp. (WBC) agreed to buy Lloyds Banking Group Plc (LLOY)’s Australian assets as tighter capital rules following the 2008 financial crisis prompt European and U.S. lenders to retreat from the Asia-Pacific region.


The transaction valued at A$1.45 billion ($1.37 billion) includes an A$8.4 billion leasing and corporate loan portfolio, Sydney-based Westpac, Australia’s second-largest lender by market value, said today in a statement. Macquarie Group Ltd. (MQG) and Pepper Australia Pty also made bids for the assets, according to people with knowledge of the offers.

The deal allows Westpac, prevented from merging with its three biggest rivals, to broaden a business dominated by mortgages. Lloyds, bailed out by the U.K. government in 2008, joins firms including Goldman Sachs Group Inc. (GS) that have raised more than $15 billion since 2012 by selling shares in Asian institutions as new banking regulations make it more expensive to hold minority stakes.

“Given capital implications, banks globally will be less willing to hold minority stakes as they think about returns,” said Mark Nathan, managing partner at Sydney-based Arnhem Investment Management, which manages about $3.8 billion. “In this deal, it was more of a bank-specific pressure to exit a market, which played into Westpac’s hands, given the low-growth environment.”

Today’s transaction is Westpac’s biggest acquisition since Chief Executive Officer Gail Kelly bought St. George Bank Ltd. for A$18.5 billion in 2008. Westpac shares closed 2.5 percent higher at A$32.99 in Sydney, their biggest advance since June 14. Lloyds closed at 76.02 pence in London, up 1.5 percent.

Cash Earnings
The assets are expected to add A$100 million to cash earnings by fiscal 2015, according to the statement. The purchase price includes about A$1.19 billion of net tangible assets and A$260 million in goodwill. Westpac expects pretax integration costs of A$130 million and pretax savings of A$70 million per year.

The acquisition is “closely aligned to Westpac’s small and medium enterprises and corporate target segments,” Standard & Poor’s said in a statement today. “Westpac will benefit from the synergies created through the acquisition in the future.”
Shareholder Benefit
Westpac will gain A$2.9 billion in equipment finance, A$3.9 billion in motor vehicle finance, A$1.6 billion in corporate loans and 28 corporate customers, it said. The transaction will reduce Westpac’s common equity tier 1 capital ratio by 38 basis points. The lender’s common equity tier 1 capital ratio stood at 8.7 percent as of March 31, according to filings on May 3.

“The transaction meets our strict acquisition criteria and shareholders will see a benefit to earnings per share” in the year to September 2014, Kelly said in a statement to the stock exchange. “Our strong capital position has allowed us to expand our business without having to raise additional equity.”

The deal isn’t subject to regulatory approvals and is expected to be completed on Dec. 31, according to the statement. Westpac has notified the Australian Competition & Consumer Commission of the transaction and is co-operating with its informal merger review process, the bank said.

“We believe the transaction doesn’t substantially reduce competition,” Westpac Chief Financial Officer Philip Coffey said on a conference call with analysts.
The regulator asked for comments on the acquisition from “interested parties” by Oct. 30, the ACCC said in a posting on its website. Goldman Sachs is advising Lloyds on the sale with Credit Suisse AG, people familiar with the process have said.

Country Exit
Kelly, who ran St. George before the Westpac takeover, agreed in May to pay a special dividend for the first time since 1988 after first-half cash earnings rose 10 percent. Westpac shares have risen 21 percent since she took over on Feb. 1, 2008, the second-best performance among the four biggest Australian lenders.

Lloyds, Britain’s biggest mortgage lender, is strengthening its balance sheet by selling assets and cutting costs following its 20 billion-pound ($32 billion) bailout in 2008. The British government started selling part of its stake in the bank last month as part of a move to full private ownership.

Lloyds International Pty, the London-based lender’s Australian unit, reported a loss of A$148.3 million in 2012, after a shortfall of A$1.2 billion the previous year, according to company filings. The division reduced assets by 24 percent to A$12.2 billion last year, the documents show.

“The sale will enable our country exit from Australia, which will be effected a short time after completion, although we will continue to support core U.K.-linked clients in Australia,” Lloyds said in a statement.

Global Rules
The transaction is expected to lead to a gain on disposal of about 20 million pounds, while the group will write down a related deferred tax asset of about 350 million pounds, Lloyds said. Fully-loaded common equity core tier 1 capital ratio is expected to increase by about 20 basis points as the sale reduces risk weighted assets, Lloyds said.

Some European and U.S. banks are selling their holdings of shares in Asian lenders as new rules set by the Basel Committee on Banking Supervision require capital deductions for holding minority investments in other financial institutions.

Bank of America Corp. sold its remaining shares in China Construction Bank Corp. (939) for $1.5 billion in September. Goldman Sachs offloaded its final stake in Industrial & Commercial Bank of China Ltd. (601398) in May for $1.1 billion, capping a seven-year investment in the nation’s largest lender.

Citigroup sold its stake in Shanghai Pudong Development Bank (600000) in March 2012, nine years after buying it, for an after-tax gain of $349 million. In February, HSBC completed a $9.4 billion sale of shares in Ping An Insurance (Group) Co. (2318)

Outstanding Loans
U.S. regulators are also pushing for bigger cushions against potential losses, proposing in July that lenders’ leverage ratios, or capital as a percentage of total assets, be pegged at 5 percent for holding companies, 2 percentage points more than the international minimum.

Westpac, established in 1817 as the Bank of New South Wales, is Australia’s oldest lender. It had 1,273 branches across the country as of June 30, the Australian Prudential Regulatory Authority said Aug. 21.

Mortgages represented 69 percent of the lender’s outstanding loans in Australia as of March 31, according to a company filing. Business lending accounted for 27 percent.
Outstanding mortgages in Australia rose 4.7 percent in the year to Aug. 31 and business credit climbed 1.4 percent, according to central bank data. Housing loans advanced on average 10.8 percent annually over the past decade while business lending grew 7.5 percent, the data show.

Source : Bloomberg.com
 

L&G bids for Co-op's household business

Legal & General has tabled a bid for the Co-operative Group’s household insurance book, according to reports. Sky News reports that L&G is not interested in the mutual’s motor insurance book, an approach which is forcing the Co-op to consider dividing up the business.

Catalina Holdings and Anacap are also reported to be amongst the bidders for the Co-op’s general insurance operation. And former RSA chief Andy Haste is rumoured to be working on a separate bid with private equity firm Advent International. A Co-op spokesman said: “We do not comment on speculation. We will issue an update on the sales process as and when appropriate.”

L&G declined to comment. Household accounts about 28% of the Co-op’s book and is highly profitable. For the full year of 2012, the household business reported a combined operating ratio of 78.9% compared to a GI total COR of 110.9% after the group strengthened its motor reserves. In the first half of 2013 its group COR improved to 96.2%. The Co-op is trying to raise £500m from selling off its GI and life insurance businesses to plug a £1.5bn black hole in the balance sheet of its bank.

It sold its life insurance arm to Royal London for £219m.
 

Glitches Mar Rollout Of Health Care Marketplaces

Technical glitches continued to plague the first day of healthcare signups for the Affordable Care Act -- more commonly known as Obamacare -- on Tuesday, with the healthcare.gov website at times temporarily shutting down. Republican critics of the healthcare program were quick to point out the problems, while President Obama said the mix-ups were largely a consequence of massive consumer demand.

"We're working to resolve the issue as soon as possible," the website told users who attempted to sign up for health insurance on the federal exchanges. "Please try again later."

Before the site shut down, users who attempted to create an account were guided through various steps such as picking a user name and password. The process came to a grinding halt when it came time to pick various "security questions" for the account. The drop-down menu of security question options didn't work.
Later in the day, the security questions were fixed and working properly, but the site was still unable to register new users.

Before Tuesday's healthcare launch, the U.S. Department of Health and Human Services had warned that early technical hiccups were likely. In an afternoon speech addressing the government shutdown triggered by congressional opposition to the ACA, Obama acknowledged "there are going to be some glitches" as the website gets up and running, but he said those problems are typical whenever any new product or service is introduced. He noted that even Apple had to fix a computer bug in its new iOS 7 smartphone operating system.

"I don't remember anybody suggesting Apple should stop selling iPhones or iPads," Obama said, adding that the healthcare.gov website had received an unprecedented one million visitors by 7 a.m. Tuesday morning.
Obama said the government will be working to speed up the website so that it can better handle the heavy user demand, with the goal of making insurance shopping as easy and hassle-free as other online purchases.
"The same way you'd shop for a plane ticket on Kayak, or a TV on Amazon," Obama said.

He referred consumers to the healthcare.gov call center -- 1-800-318-2596 -- to get help by phone.
One South Florida resident hoping to take advantage of the new insurance options is Robert Leaver. Leaver, a 51-year-old substitute teacher and freelance musician from Flagami, was diagnosed with a neurological disorder last year.

Eager to get started, Leaver said he waited up until midnight -- when the plans were scheduled to go on sale -- to check out the new website. Leaver said his current insurance plan is too expensive. Recommended acupuncture and physical therapy treatments for his condition are not covered.
"I was stuck," Leaver said of his current insurance. "I couldn't leave because of my preexisting condition. No one else would take me"

At midnight, when Leaver logged into the affordable health care site, he couldn't get past the security questions. Around 6a.m., he still couldn't get through.

"I clicked refresh, refresh, refresh. I got nothing," he said.

Leaver said he was not discouraged. He expected some problems on the first day of enrollment.
"For a government website, I was actually impressed," he said. "I'm giving them a chance. I'm not stressed about not being able to enroll today."

He hopes to find a plan that works for him by the end of the week.

Though most states are using the federal marketplace website, some states set up their own online insurance exchanges. California officials did a better job than the federal government in getting their website ready. Visitors to the coveredca.com website were able to easily pull up and compare the prices of healthcare plans from different providers.

The online exchanges are the centerpiece of healthcare reform. They're set up to give consumers unprecedented power to examine an extensive menu of health plans and benefits side by side.
But with Florida relying on the federal system, the computer glitches prevented the state's residents from finding out how much they'll have to pay for insurance.

Reginald Zackery was one of about two dozen people who tried to sign up for insurance Tuesday morning at the Jessie Trice Community Health Center in Brownsville. He got as far as picking an online login and password, but then the problems with the federal website prevented him from proceeding any further. Zackery, 54, had to make an appointment to return next week to view his coverage options and finalize his decision.

Zackery is anxious to get health insurance, which he lost about a year ago after being laid off from a job that provided coverage.

"I want to see what my choices will be because having insurance will change my situation drastically," Zackery said. "I need that safety net."
For Florida, where an estimated 3.8 million people live without health insurance, the exchanges could make an especially big impact. The state ranks near the top of the nation in terms of plan choices, with an average of 102 health plans to choose from on the state's federally run exchange.

The U.S. Secretary of Labor, Thomas Perez, was scheduled to hold a Tuesday afternoon press conference at a Miami elementary school, but the event was cancelled at the last minute. Officials blamed the cancellation on "a lapse in funding" -- an apparent reference to the federal government shutdown caused by gridlock in Congress.

The congressional bickering is only the latest example of how politically polarizing the Affordable Care Act is. While much of the debate has focused on the individual mandate -- upheld by the Supreme Court in June 2012 and requiring most Americans to have minimum essential health insurance in 2014 -- less attention has been given to the overall cost of the law.

With nearly 50 million uninsured Americans, the ACA aimed to insure nearly everyone -- at an estimated cost of more than $900 billion over the next decade, from 2010 to 2019.

Who pays for that?

Many assume that, like most anything else, more or better healthcare equals more cost.
That assumption is not necessarily correct, said Steven Ullmann, a professor at the University of Miami School of Business Administration and director of its Center for Health Sector Management and Policy.
Ullmann offered an example of a hospital that improved the quality of patients' health while also lowering costs. The hospital, which Ullmann declined to name , had experienced a large number of patients who were repeatedly admitted with asthma and respiratory distress.

Social workers who visited the patients spotted a trend: In almost every household visited, they saw air-conditioning units with vents full of dust and mold.

Hospital administrators bought new air-conditioning units, at $90 apiece, for the patients. The number of patients admitted for asthma and respiratory distress fell dramatically -- saving the hospital the expense of caring for them and improving the health of patients.

"Much of healthcare can be provided much more efficiently and, in so doing, provide higher quality,'' Ullmann said.

The law also is expected to lower healthcare costs in another way: by spreading the risk of insurance. By expanding health coverage to include both those least likely to become seriously ill and those already or likely to become sick, the law was projected to reduce uncompensated care, lowering healthcare costs for the country and even reducing the national deficit.
The Obama administration pledged that health reform would save more than $200 billion over 10 years, and more than $1 trillion in the second decade. More cost reductions are expected from emphasizing preventive services and rewarding providers that deliver positive outcomes for patients.

It will take more than healthcare savings to pay for it all, though.

New fees and taxes will be levied on individuals and businesses, including a 40 percent tax on so-called Cadillac plans, beginning in 2018, on high-cost, benefits-rich health plans. And new regulations will require doctors, hospitals and insurance companies to operate more efficiently, or pay penalties.

Budget cuts are also in the mix as federal funding will be reduced for hospitals that treat disproportionate numbers of uninsured individuals. The government currently sends about $11.6 billion a year to states to distribute to these hospitals -- including Jackson Health System in Miami-Dade -- but the health law called for payment cuts under the assumption that uninsured patients would enroll in insurance programs, including Medicaid.

Miami Herald writers Nadege Green, Kathleen McGrory, and Elizabeth deArmas contributed to this report.
 

The Key players of Bettencourt scandal



Want to know about The Key players of Bettencourt scandal? Below is The Key players of Bettencourt scandal.
It started out as a dispute between the heiress to a cosmetics fortune and her family. Then the row over Liliane Bettencourt's finances escalated as far as the former French President, Nicolas Sarkozy.
The case against him has now been dismissed, but others are still facing prosecution.

The affair remains a tangled saga of names, connections, claims and rebuttals. The BBC News website profiles key players in the political drama that has gripped the French public.

Liliane Bettencourt

The story starts with Liliane Bettencourt, now 87, and the richest woman in France. She is the heiress to the L'Oreal cosmetics fortune and holds a 27.5% stake in the company. Her total wealth is put at about 17bn euros ($21bn; £14bn).

Twenty years ago, she befriended the society photographer Francois-Marie Banier, 62. Over the years, she gave him gifts worth around 1bn euros. These included cash, life insurance policies and artworks by Picasso and Matisse.

Her daughter, Francoise Bettencourt-Meyers, took the matter to court. She said Mrs Bettencourt was mentally incompetent and had been exploited by Mr Banier.

Mrs Bettencourt said she was a free woman, in full control of her faculties, and her daughter would just have to accept it.

But the dispute has now widened far beyond its origins.

In 2010 prosecutors opened a separate investigation into Mrs Bettencourt's tax affairs after secret recordings of conversations between the heiress and her wealth manager came to light.

The recordings, made by Mrs Bettencourt's butler, were passed to the police by her daughter.
Transcripts published by the news website Mediapart appear to refer to undeclared bank accounts in Switzerland and the Seychelles.

Mrs Bettencourt admitted tax evasion and promised to put her affairs in order.

But Mrs Bettencourt's political connections came under the spotlight.

Prosecutors began a separate inquiry into Mrs Bettencourt's donations to Nicolas Sarkozy's conservative party, the UMP.

Nicolas Sarkozy

The criminal investigation into the former French president for allegedly receiving illegal funding from Mrs Bettencourt has been dropped.

He lost his presidential immunity from prosecution in mid-June 2012, after his election defeat, and in July of that year, police carried out searches at his Paris home, offices and a law firm in which he owns shares.
It had been alleged that tens of thousands of euros were allegedly funnelled to Mr Sarkozy's 2007 presidential campaign by Mrs Bettencourt's office.

Individual campaign contributions in France are limited to 4,600 euros (£3,700) annually.
Mr Sarkozy had consistently rejected all accusations of impropriety.

Eric Woerth

The former French labour minister was also treasurer for the UMP for eight years.

He ran the party's finances at the time of the presidential election in 2007, when Mr Sarkozy was elected.
Mrs Bettencourt's former accountant Claire Thibout has accused Mr Woerth of taking delivery of undeclared campaign donations from the L'Oreal heiress. She says he received 150,000 euros in cash for the UMP in March 2007.

Mr Woerth has vehemently denied the accusations, saying he never received a single illegal euro. But the Bettencourt affair drove him to resign in 2010.

He said he was the victim of a witch hunt by the left because of his responsibility for pension reform and his plan to raise the retirement age from 60 to 62.

But in February 2012, he was put under criminal investigation for influence peddling - accused of securing France's highest award, the Legion d'honneur, for Mrs Bettencourt's financial manager, Patrice de Maistre.
In his previous role as budget minister, Mr Woerth had responsibility for pursuing tax dodgers.

Questions have now been raised about whether he turned a blind eye to Mrs Bettencourt's tax evasion.
A prosecutor says he informed the budget ministry of his suspicions about Mrs Bettencourt's tax affairs in January 2009. Mr Woerth denies having blocked an investigation.

He is expected to face trial for his alleged role in the affair.

Florence Woerth

To complicate matters still further, Mr Woerth's wife used to work for Mrs Bettencourt as an investment adviser.

She was employed by Patrice de Maistre, Mrs Bettencourt's wealth manager, but resigned in 2010 after she and her husband were accused of a conflict of interest.

In the secret tapes, Mr de Maistre says clearly that he gave the job to Mrs Woerth after being asked by Mr Woerth to employ her.

Patrice de Maistre

Patrice de Maistre was Mrs Bettencourt's wealth manager. His company, Clymene, had as its sole function the investment of the estimated 278m euros that Mrs Bettencourt drew annually from her stake in L'Oreal.
He was detained by Bordeaux police for 88 days in early 2012. He was released after posting bail of 4m euros.

He denies accusations by Claire Thibout, who says he asked her for 150,000 euros, which he promised to give "discreetly" to Eric Woerth at a dinner.

In the tapes recorded by Mrs Bettencourt's butler, he is heard to tell the heiress that Eric Woerth is "very nice, and also he's the man who is in charge of your taxes... He's a friend."

Investigators are interested in 4m euros which he allegedly transferred to France from a Bettencourt bank account in Switzerland in 2007-2009.

Mr de Maistre was awarded the Legion d'Honneur. Eric Woerth denies it was in return for employing his wife.

Mr de Maistre is also expected to face trial for his alleged role in the affair.

Claire Thibout

Ms Thibout was formerly Mrs Bettencourt's accountant.

She told prosecutors that in March 2007, she had been involved in withdrawing 150,000 euros in cash from Mrs Bettencourt's accounts.

She said she herself took out 50,000 euros - the maximum she was authorised to withdraw - and handed the money to Patrice de Maistre.

Police have checked bank records and have confirmed the withdrawal.

The money was to be given to Mr Woerth in plain envelopes as a donation for the UMP, she said.
Ms Thibout admitted she herself had not witnessed the handover.

Francois-Marie Banier

Described as an aesthete, Francois-Marie Banier made his name as a photographer. His work has been published in Le Figaro and the New Yorker.

In his youth, Francois-Marie Banier was the friend of 1960s cultural icons like Salvador Dali and Samuel Beckett.

But his friendship with Mrs Bettencourt angered her family. Mrs Bettencourt's daughter, Francoise Bettencourt-Meyers, called him "the predator".

In December 2009, a court ruled that Mr Banier did have a criminal case to answer for "abuse of mental fragility".

Mr Banier went on trial in July 2010, but the case was quickly adjourned. He denied all the charges, saying he did not take advantage of Mrs Bettencourt.

In December 2010, he made an out-of-court settlement with Francoise Bettencourt-Meyers, under which he will not benefit from her mother's fortune.

But he remains under investigation by the authorities, and is expected to face trial for his alleged role in the affair.

 

Obamacare and Mega Blue

The Obama administration plans on Monday to announce scores of new health insurance options to be offered to consumers around the country by the Blue Cross and Blue Shield Association and the United States Office of Personnel Management, the agency that arranges health benefits for federal employees, according to administration officials.
The options are part of a multistate insurance program that Congress authorized in 2010 to increase options for consumers shopping in the online insurance markets scheduled to open on Tuesday.
Congress conceived multistate plans as an alternative to a pure government-run insurance program — the “public option” championed by liberal Democrats and opposed by Republicans in 2009-10.
And this is good because . . . .?
The federal government negotiated the benefits and premiums for the Blue Cross and Blue Shield products, so this plan carries a federal seal of approval.
But how is this good for consumers?
Supporters of the multistate plans authorized by Congress say the plans will increase competition in local health insurance markets, many of which are dominated by one or two carriers. 
Introducing a "super plan", issued by ONE carrier, will increase competition in markets dominated by one or two carriers.
Really?
 

Cavalcade of Risk #193: Call for Submissions (And A Special Note)

Dennis Wall hosts next week's Cav, and he's chosen to build it around a rather interesting (and provocative) theme:

The Rich Get Richer from the Great Recession, The Unemployed Stopped Looking.

So, please try to submit a post that fits this theme (of course, non-themed posts are also welcome).

Submissions are due by Monday the 30th.

To submit your risk-related post, just click here to email it.

You'll need to provide:

■ Your post's url and title
■ Your blog's url and name
■ Your name and email
■ A (brief) summary of the post

PLEASE remember: ONLY posts that relate to risk (not personal finance tips and the like unless directly theme-related). And please only submit if you are willing to link back to the carnival if your submission is accepted.
 

Cute vs Real

This is how Ms Shecantbeserious sees the ObamaTax:


And this is reality, barking back at her:


[HatTip: Ace of Spades]
 

ObamaTax Exchange Crunch-Time edition

 

A Gentle Reminder...

 

Health Wonk Review is up!

Peggy Salvatore presents this week's terrific Health Wonk Review, celebrating blogger Brad Wright's 700th post (Mazel Tov, Brad!). The main theme of this week's collection of wonky posts is (no surprise), the ACA. Lots of quality entries this week - enjoy!

Bonus: Mike's post (about how the ACA is playing out in the Golden State) got top billing - go Mike!
 

Singles for Obamacare

Psst. Wanna save money on your Obamacare plan? Stay single. If you are married, get a divorce.

The "wedding tax" is upon us.
To illustrate, let’s start with the 60-year-old married couple with no children 
If they have identical earnings totaling $65,000, which will usually net down to $50,000 or below after all income and payroll taxes, their Obamacare exchange Silver Plan premium next year with the same earnings will be $16,382, or about one-third of what used to be their take-home pay. (And they call it the “Affordable Care Act”?)
PJ Media

That's going to hurt. But wait.
What can this couple do? Well, they could decide to earn a few thousand dollars less, which will negate the five-figure premium hit. Encouraging ordinarily willing workers to put in less effort isn’t good in any economy, but especially not this one. But if either spouse’s earnings are unpredictable or hard to precisely track, they could still “mess up” and get socked with a premium they can’t afford.
The “easiest” solution would be to avoid the “wedding tax” entirely by getting divorced while still living together. Here’s what would happen if they make that choice:

 Similar occurrences at other ages. Do you suppose this was planned?
 

One Down, Ninety-Nine More To Go

Obamacare navigators. Much has been written about this job creation project that is tied to
Obamacare. Take 3 days of training and you are qualified to answer any and all questions about Obamacare. Background checks not required.

The state of Georgia decided to pass on creating our own exchange which meant the feds had to handle that task . . . along with setting up exchanges in 32 other states.

Navigators will earn $10 - $14 per hour and even more if you are fluent in Spanish or other languages.

Georgia's insurance commissioner has not hid his feelings about Obamacare. One good thing he did for the citizens was to require 40 hours of training and a proficiency exam before you can work as a navigator.

So what's the problem?
A major part of The Affordable Care Act will go into effect and some say Georgia is nowhere near ready and the state's top insurance official won't talk about the topic.
Channel 2 political reporter Lori Geary has learned there will be very few people ready to help Georgians sign up for health insurance when the law takes effect next week.
The state has issued a license to just one navigator and there should be nearly 100. 
WSB-TV

One navigator to serve the entire state.

That person will be very busy.
"Isn't it the insurance commissioner's job to inform Georgians about what are your options in obtaining that health care?" (State Sen. Nan) Orrock asked.
No it isn't.

There are insurance agents who can handle that task. Navigators are not now, nor were they ever needed to promote Obamacare.
"I don't think that accelerating anyone's entry into a program that I believe is destined for failure is doing anyone any kind of service," (State Sen. Josh) McKoon said.
"I think the reason we're not hearing more about it in Georgia is that we're going to see over the next couple of months, I think, is the beginning of the end of The Affordable Care Act because it is a tremendous over promise," McKoon said.

Train.

Wreck.
 

Spain's Obamacare on the Ropes

Spain is like most other European countries in providing their own version of Obamacare, a
government managed health care delivery system funded by taxpayers. And like other countries that provide "health care for all", the program is bleeding profusely.
"The impact we have seen in the year since the reform is simply devastating," the president of the organisation, Alvaro Gonzalez, told a news conference, launching a new publicity campaign against the cuts.
Citing government figures, he said 873,000 people had had their access to Spain's free public healthcare system discontinued since September 2012 -- most of them immigrants whose entitlement lapsed because they lost their jobs.

Almost a million people have lost access to "free" health care in the last year. Immigrants who lost their jobs and health insurance.

One supposes they could just pay for health care but that defeats the purpose of free.
"The government is insisting that the economy is recovering... but still our health system, which in past years was the envy of neighbouring countries, is suffering one cut after another," Gonzalez said.
Is Obama running their country too? 
Some of the regional authorities that control local health budgets have also started making patients pay part of the cost of their prescriptions.
"This has meant that 16 percent of the pensioners in our country are being cast out of the healthcare system because they cannot meet the cost of paying for medicine for their chronic illnesses," Gonzalez said.
Pensioners would be the equivalent of U.S. seniors on Social Security and Medicare. Is this a prediction of what will happen here?

Donde esta Obamacare?
 

Euthanasia in Netherlands up 13% in 2012. Aren't the Dutch happy?

The number of Dutch people killed by medical euthanasia has more than doubled in the 10 years since legislation was changed to permit it, rising 13 per cent last year to 4,188 . . . One explanation for the steep rise of Dutch cases is the introduction last year of mobile euthanasia units allowing patients to be killed by voluntary lethal injection when family doctors refused.”

Is this bad news or good news?  Does the growing use of euthanasia mean the Dutch are actually becoming less happy?  Could it be the Dutch are less happy than Americans - even though - on the prestigious, European-based "Happy Planet Index" - Netherlands ranks 67th while the U.S. ranks only 105th?

Even after 10 years, I still think it's not yet possible to know the answers to these kinds of questions.  We can measure transactions and form opinions, but can those tell us whether the Dutch are doing the right thing?  I think not.  And besides, what does euthanasia have to do with happiness?

Decisions about caring for people at the end of life remain among the most significant and difficult decisions facing families today.  The Dutch model for euthanasia is a meaningful effort to help families deal with these decisions and therefore deserves the careful observation and analysis that it is receiving.

Officially the Dutch model relies on families and family physicians to reach decisions about euthanasia. That does not entirely avoid the future possibility that someday, the Dutch national health care program, or some other government's program  - say, in the U.S. - may actually prescribe euthanasia as a matter of law or regulation, in order to save money. That’s my idea of the ultimate death panel.  Brave New World indeed.

History shows that governments insist on participating in financial decisions when they are paying for the outcomes.  In other words, a government health care program cannot pretend to be a fair and impartial third-party, because it is an interested participant in the outcome. It's a conflict of interests that won't go away.

How can America avoid that possible future?  For one thing, the public cannot afford to rely on lawmakers; we must do our best to watch what other governments  - such as the Netherlands - are doing.  And for another, we must watch what our own government is doing.
 

Feature or Bug?

Yesterday's McPaper characterized one aspect of the ObamaTax pricing regime as the "Family Glitch:"

"Congress defined "affordable" as 9.5% or less of an employee's household income ... the "error" was that it only applies to the employee — and not his or her family. So, if an employer offers a woman affordable insurance, but doesn't provide it for her family, they cannot get subsidized help through the state health exchanges."

Why is this both an "error" and a "glitch?" And why presume in the first place that it was not, in fact, intentional? After all, even the folks in Capital City had to foreseen how many employers would be dumping shifting their employees (and retirees) onto the Exchanges in an effort to gain some control over the financial hurdles being placed before them.

Our Elected Betters© wouldn't have done something stupid, right?

Right?
 

Patient Protection Act - Cause it isn't Affordable

With insurance Exchanges Marketplaces nearing their grand opening HHS has released another issue brief on the "low rates" people will pay after subsidies. In one of the examples they use a 27 year old in Texas who makes $25,000 per year. This person will pay $145 for the second lowest cost silver plan or $83 for the bronze plan after the subsidy.

HHS is so focused on premiums and making this trainwreck look affordable that they are missing the boat on a key component, the benefits. Without knowing the health history of the individual they may in fact be promoting the exact opposite of what the person is looking for: the greatest value for their dollar.

If I am a 27 year old with diabetes, am extremely obese, and suffer from Crohn's disease would I want to purchase a plan with a $5000 deductible and $6350 out of pocket maximum? That is what I will likely get for $83 per month. 

From a financial standpoint: 

Income:  $25,000
Premiums:  $996
OPM:  $6350

Net Income: $17,654

30% of income for insurance and health care costs. This is what HHS considers "affordable".
 

Alzheimer's Update: Good news (for once)

SoIB Gail S tips us to this recent story in the Dayton Daily News, recounting an award-winning therapy that's deceptively simple:

"Three years ago, Wright State University professor Dr. Govind Bharwani was given a challenge: Find a way to help people living with Alzheimer’s disease so they are less prone to becoming confused, agitated, withdrawn and falling."

And it appears that he has, in fact, succeeded:

"The therapy works by providing each person with their own “memory box” filled with family photos, books and movies they love and other special items."

Once you think about it, it's kind of intuitive: one of the reasons that Alzheimer's patients become so frustrated is that loss of "connection" to the world. I recall that, with my mother, I eventually realized that she wasn't having "good" days or "bad" ones, so much as "today she's in her own world" versus "our world" days. What better way to restore (or at least enhance) that connection than re-establishing treasured experiences?

Another benefit is that this is all done with no drugs, which can be expensive and often have undesirable side effects. Research is now continuing to see how (or if) this can be applied to those living at home with this dread condition.

Kudos to WSU and Dr Bharwani.
 

Take two apps and call me in the morning

Introducing the iDoc® (not really, but we're getting close):



[Hat Tip: FoIB Jeff M]
 

How uninformed can NYT readers, commentors possibly be?

Every once in awhile you see a comment that just makes you stop and ask how clueless and misguided people can be, then you remember they are allowed to vote.


Your typical NYT tripe from some blowhard that doesn't understand 90% of what he is talking about. The real gem is down in the comments though;

  • mikeoshea
  • Hadley, NY
"All Republican Congresspeople - except those on Medicare - should be required to buy their own and their family's health care BY THEMSELVES, just as I must buy my wife's (I'm on Medicare, thank the gods) health insurance by myself."

Odd, I thought that is exactly what the law (ACA) required.....until a Democrat President ordered OPM to ignore the law and subsidize it. I also have seen only Republicans fighting to undo the waiver.


In a news report today, Rep. Phil Gingrey, M.D., expressed his opposition to the Obamacare exemption for Members of Congress and their congressional staffs.

This is yet another example of the Obama administration changing the law for political gain,” Gingrey said. “The exemption for members of Congress and their staffs must be rescinded. Between increased health care costs, scores of missed deadlines and political handouts to friends, this is further proof that Obamacare must be repealed.”


Lets all just hope this Mike O'Shea idiot doesn't vote. And to the NYT, great job informing your readers there paper of record! 
 

ObamaTax Health Exchange (Marketplace) news

So yesterday, I did my Exchange training and exams. Started at about 9:30 in the morning, finished about 4:30 in the afternoon.

I understand Pat completed this in just a few hours, but he's a lot younger (and apparently smarter) than I am. And I also took the liberty of saving all the training material for future reference (which no doubt added some time, as well)

I'll have a more complete report soon, but here are some of my initial impressions fresh off the training and exams:

I'll just say this: if you're comfortable having ALL your personal medical, financial, tax and what-all info being zipped around between SSA, IRS and DHS (Department of Homeland Security?? Really??), then by all means head right for 'em on 10/1 (assuming they're actually online then).

I'm pretty knowledgeable about this stuff (really!) and even I was amazed and appalled at the level of intrusion this train-wreck has wrought. Oh, and you'll be pleased to know that as taxpayers, you'll have the double-mitzvah of paying through the nose not just for your own health care, but for all those wonderful "others" who qualify for premium and "cost-sharing" subsidies.

Here's my favorite part, though:

"QHPs [Qualified Health Plans] in a Marketplace must also provide coverage that meets one of five levels of generosity ... It is important to emphasize that AV is an average measure of generosity ... the percentage of medical costs the plan will cover after premium payments."

And just who's being generous with MY money? Oh, yeah.

And to top it off, this just in at the WSJ:

"Less than two weeks before the launch of insurance marketplaces created by the federal health "overhaul, the government's software can't reliably determine how much people need to pay for coverage"

Yeah, this is going to end well....
 

ObamaTax School's Now In Session!

Learn it, live it, love it:

 

I've been remiss....

In case you missed it, I'm the newly-installed Content Expert Writer (Insurance) for Answers.com. It occurs to me that IB readers might be interested in some of my work in that venue, so here are some free samples:

Part 1 of a 3-part series on Universal Life

An explication of Insurable Interest

Enjoy!
 

But it's a nice hat. That's because the people paid for that hat.

Remember the President's assurances that his ACA would finally “bend the cost curve”?

Despite a determined rear-guard media that clings to Obama's every word as universal truth, evidence accumulates that the President was talking thru his hat.

On September 17, 2013, CBO released it's most recent Long-Term Budget Outlook.

According to CBO, in 20 years, “major health care programs” will be the largest component of federal spending

CBO expresses its estimate relative to GDP - which is also growing.  CBO's estimate is that federal health care spending will increase from roughly 3% to north of 8% of GDP.  That's almost tripling the share of a base number that is itself growing every year.   CBO thus anticipates federal dollar spending growth for health care more like 4X's to 5X's its level in 2013.

Bend the cost curve, indeed.  

Talking thru his hat.

(btw, the same CBO estimate finds that  within the next 25 years, federal debt held by the public will be 100% of America’s entire GDP "without accounting for the harmful effects that growing debt would have on the economy."  The corresponding percentage as late as 2007 was less than 40% of GDP.  This administration's failure to bend the federal spending cost curve is clearly a serious problem that extends well beyond "health care".)
 

Cavalcade of Risk #192: Galloping Into View edition

Nancy Germond hosts this week's romp through the wilds of risk, a maze of medical conditions, and a not-so-*fowl* post on chickens (cluck all you want).
 

Bored Game

If you have nothing to do, what happens? Some drink. Some go shopping. Others create board

games.
"Everybody has to pay. Nobody ever wins,"
Each player starts out on the "Buy Insurance" square as a small business owner (except for the Occupy Wall Streeters, who begin the game unemployed). Along the way, players are taxed, troubled, hospitalized, or may even fall victim to a death panel as they make their way across the board.
CNS News

Do not pass Go.

Do not collect $200.
"We may have added some funny exaggerations in the game," LeFeber said. "But since the original bill was brought to you by the same folks who so efficiently manage the US Postal Service, Social Security Trust Fund, recent Bank Bailouts, and soon-to-be $17,000,000,000,000.00 in government debt--you know the game is rigged against us from the start."
Just like real life. You have to play the game to know what is in it.
 

Obamacare Cry Babies

Employees of Bibb County (GA) schools got an early peek at their new benefit plan for 2014.
Through the end of this year employees had a choice between several plans administered by UHC or Cigna. They could pick an HMO or PPO. Copay or high deductible HSA or high deductible HRA.

Choices, choices.

That was then. This is now.

The Georgia Blue's got tired of sitting on the sideline and made a winner take all offer to the SHBP (State Health Benefit Plan) administrator.

Blue won the contract. Cigna and UHC are gone.

Say bye-bye to copay plans and freedom of choice. Employees can pick from one of three plans and their choice is Blue or Blue.

No more copay plans.

They are calling the new design a PPO with an HRA wrap.

Last year the state provided this comparison between the 2012 and 2013 plans. The plans were not bad and not good. Most employees preferred the HMO because of the doc copay's.

2014 is a new year and copay's are last years news. The new PPO Wrap looks like this.

As you can guess, most of the employees are not happy.

Where are the copay's?  Gone . . . .

They can't do this to us! Yes they can . . .

I want my Obamacare plan. This IS your Obamacare plan . . .

For some reason I am reminded of that scene from Private Benjamin.
Pvt Benjamin - "I think they sent me to the wrong place. I did join the army, but it was a different army. I joined the one with the condo's and private rooms."

No doubt, many Pvt. Benjamin's will be checking out the exchange offerings when it opens in a few weeks. Some may even sign up, expecting to get a subsidy . . . or a condo with a private room.

A subsidy that will never happen.

The law says if you have an "affordable" health insurance plan through your employer, you can still buy from the exchange but you are not eligible for subsidies.

How is affordable defined?

Glad you asked. If the employee premium is less than 9.5% of the employee's W-2 gross income the plan is deemed affordable.

If the employer plan meets that criteria, neither the employee or their dependents will qualify for an Obamacare subsidy.

Elections have consequences.
 
 
Support : Creating Website | Johny Template | Mas Template
Copyright © 2011. The Insurance Blog - All Rights Reserved
Template Created by Creating Website Published by Mas Template
Proudly powered by Blogger