Tuesday, November 11, 2008

Why we don't have health insurance…

It started when I changed jobs and went from being a W2 employee to a 1099 contractor without benefits. We learned fairly quickly that insurance costs everyone a lot more than it should. Let me explain:

Whenever we would have a doctor's visit and inform them that we were "self-pay," they would usually cut the bill in half. So, while we were paying more than a co-pay would have been, the doctor's office was not paying as much for claims processing and was able to return that savings to us. But insurance for our family of six would have cost us a minimum of $300/mo.—a great deal more than the extra we were paying at the doctor's office—and not covered co-pays, have a deductible of $5000, and give us only the tiniest discount on prescriptions. To get any real "benefit" from health insurance coverage, we would have had to pay $800 or more a month, which is more than our mortgage payment! We decided that we could put that $3600-9600/year to better use:

1. Because we know we are going to have to pay more out-of-pocket when we visit the doctor's office, as parents, we strive to improve our children's (and our) nutrition by eating foods as close to "whole" as we can. Because we ingest few preservatives and processed foods, we are not sick as often. (Not spending as much time in the doctor's office waiting room also cuts down on our exposure to colds and flu.)

2. Because we are not spending as much on insurance, we were able to increase our grocery budget, allowing us to afford the more healthful, closer to natural and whole foods, which keeps us healthier, and therefore needing less medical services/coverage.

3. Because we have chosen to take responsibility for our own health, my employer also doesn't incur the cost of paying for my health/lifestyle choices, and can use that money to invest in the business, including being able to pay me more for the work I do!

So, our reasons for making the "deliberate choice" were a matter of finances and adjusting the way we eat and buy groceries. A by-product of this choice is that we also don't contribute to medical coverage that we disagree with. Insurance, in many cases, has the practical effect of "wealth distribution" and "rewarding" those who don't take care of themselves by providing them with medical care to fix the problems they incur from unhealthy living.

As Christians, we believe that every person is imbued with value—whether they are healthy, productive adults or preborn children or aged and infirm. So, rather than planning to put our parents in a nursing home (another expensive option insurance-wise) to "run out the clock" when they can no longer take care of themselves, we are planning to provide housing and care for them. In fact, we have already brought my mother-in-law into our home to live with us, BEFORE she can't take care of herself.

Additionally—and not surprisingly—we are pro-life regarding preborn children. Our research (and that of friends in the industry) has shown that of all the insurance companies in the country, there are only a dozen insurance underwriters (the organizations that finance—and profit from—the insurance industry). While an individual company may not cover abortion, their underwriters most likely do. An industry professional was able to interview nine of the twelve underwriters: all nine they were able to contact pay for abortions. So, everyone who pays an insurance premium (unless one of the other three doesn't cover them) is paying into a fund that pays for abortions. That's not something we want to be a part of.

We do recognize, however, that there are real medical needs that others don't have the money to pay for and we should be willing to take on the burdens of others as we are able. That's part of the reason we are making plans to take care of our parents as they age. But, we also learn of needs through our church, through friends, and through people God brings into our lives. Rather than sending a check off to an unknown company that will then send a check to cover someone's expenses, we believe we are supposed to be more involved in people's lives than that. Someone who is suffering a painful and/or life-threatening ailment or injury needs more than money to cover their expenses: they need love and caring. I can't provide that to every person who receives a portion of my insurance premium. But, I can provide that to the specific people God brings into my life. My family can bring people into our home to share a meal; we can visit people in the hospital and pray for them; and we can take a meal to families who are celebrating a new life in their home and are resting after childbirth. The healing process is usually much more rapid when a personal touch is included with the care, rather than just relieving the monetary burden. It's a blessing when we're given the opportunity to provide both!

Fortunately, it's actually more cost-effective and healthful to eschew health insurance and take personal responsibility for our own family's health. And more loving and personal to take care of individual needs rather than handing off the responsibility to a claims process.

11 comments:

Anonymous said...

Excellent!! It is a great relief to see someone else articulate this (and in a much better way than I could!). This is a position I have held for quite a few years, and have often felt that others do not understand.

Thanks for encouraging me today in this area.

We did try on a couple of occasions to get involved with some of the "cost sharing" organizations that seek to help Christians help other Christians with medical needs. However, because we are involved in organic church and not "institutional church", we were not able to meet the requirements of "church attendance" and/or pastoral recommendation. Emails that I sent to those companies attempting to explain our position went unanswered. :(

Oh, well. Like you said, it's much better to share with those who are brought across our path directly anyway.

Anonymous said...

I was not aware that the underwriters fund abortions, but it makes sense since money runs the sick care industry. Being pro-life, that's yet another reason I don't care to be part of it.

The one question I am continually asked is how will I cover a life-threatening "emergency" situation that could be very expensive? Earlier this year, we had to take my wife to the hospital for severe abdominal pain and were concerned her appendix might burst. $11,000 later, the medical doctors could find nothing wrong with her, and we were left paying that amount out of our personal pocket.

Praise God we were able to pay this from savings without borrowing, but it has been a major setback for our plans for that money.

We will continue to walk by faith and not fear.

Webs said...

If members of your family get hurt in a car accident, will your auto insurance cover the medical bills?

Anonymous said...

I've also had the blessing of going full-time self-employed as of last May. Health insurance has been one of the big issues I've wrestled with so your post was very helpful.

I too like the idea of paying our own way for health care. I've found that we now ask better questions and avoid unnecessary services. And when you make the situation known, doctors are more likely to prescribe a medication on the Walmart $4 list than something expensive currently being promoted by the drug manufacturers.

But the one thing that gives me pause is how a catastrophic medical event could completely wipe out our family financially. I'm sure you too have thought through this and would love to hear your comments on how you've worked through it.

Anonymous said...
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james3v1 said...

Good post, Jim-Bob! I would add, though, that taking part in one of the health care sharing ministries like Samaritan Ministries (full disclosure, I work there) is a good option, IMO, for those things that get bigger than you can handle through just being responsible yourselves. As your friend Jonathan found out recently, sometimes God sends a trial that is too big for us to handle on our own, and I'm thankful to have been a part of Samaritan for so many years. And every month I get to help with another family in need, and it's 100% pro-life.

Steve--I'm sorry you didn't get a response from Samaritan about your questions. I don't know who got them or what happened, but you if you want to send them on to me personally again, I'll follow up with the staff on that. You can get me at jlansberry [at] smchcn [dot] net.

Anonymous said...

1) The vast majority of insurance plans don't cover abortion services. Check yours before you go haring off on your own.

2) Let's hope that you never become chronically ill, never get cancer, never bear a seriously ill baby or the like. Those things happen even to the "responsible" who take great care of their health and eat "whole" foods. Any one of those events could leave you hundreds of thousands of dollars in the hole. Eleven grand is PEANUTS.

3) It is not "living by fear" to keep your ass covered. It is not "fear" to plan for the worst while praying for the best. God helps those who help themselves.

4) I recall reading about something like Samaritan Ministries (if it is what I think) and it's major medical insurance by another name with a Christian flavoring. Nothing wrong with that, but it is still what it is no matter what you call it. If it works for you, cool.

I'll pray you don't get sick.

(signed)
Chronically Ill and Glad for Insurance

Anonymous said...

If I may, anonymous, "God helps those who help themselves" is not a scriptural principle. However, the following are:

"Take no thought for tomorrow as to what you shall eat or what you shall wear."

"My God shall supply all your needs according to his riches in Christ Jesus."

"If the Father cares so much about the lilies of the field or birds of the air, how much more will he take care of you?"

Planning for the worst while praying for the best sounds to me more along the lines of being a "double-minded" person, of which the Bible does not speak very positively. "Trust in the Lord with all your heart."

I will pray that you get well. May it be done to you according to your faith.

Michelle said...

That's great! I'm going to share this with Doug! :)

Unknown said...

James, thanks for posting. I agree whole-heartedly with your statements about a burden-sharing program like Samaritan Ministries (disclosure: I do not work for Samaritan, I am not a Samaritan member, I get no compensation from Samaritan, but I do know all of the principles in the organization and know them all to be men of integrity and caring; and they we are glad to have them as regular advertisers in Homeschooling Today magazine) and encourage every Christian family I know to look into it.

There are others with which I am less familiar: Christian Care Medishare also advertises with us. One of them is bound to be a good fit for any Christian family.

Dani said...

I can only imagine the hospital bills we would be paying off had we not had good medical coverage after the birth of our 2nd son. We only had a very brief NICU stay, and we still had at least a couple thousand in medical bills WITH insurance. I saw the before amount and we would've been in debt up to our eyeballs without it. For our family having adequate medical insurance is the responsible thing to do. I shiver when I think about what might happen if that spot on my husbands's back is indeed a skin cancer that needs to be surgically removed. Without health insurance - more debt.