Coffee heat rising

How bad public policy and other people’s foolishness cost you and me

Am I the only so-o-o-cialist in the world who is annoyed at the way my homeowner’s insurance floats ever upward to cover the cost of homes that people deliberately build in harm’s way? Does anyone else wonder why local governments issue building permits in disaster-prone areas and why state and federal governments do nothing to discourage or prevent people from moving into areas where lives and property are put at risk? Is there really any justification for having you and me pay when houses built in the way of floods, tornadoes, and fires are reduced to piles of ash or sodden sludge?

In 2004, disaster-related economic costs in this country exceeded $145 billion, up from the $3.9 billion annual cost in the 1950s. The problem is not so much storms and fires allegedly related to global warming but the fact that too many people are building in risky areas. In Canada, where an expanding population is moving into forest fire-prone areas, citizens saw their homowner’s premiums rise 4.3 percent in 2001 over the previous year, a rise of 9.4 percent from 1997.

New Orleans was known to be at risk of disastrous hurricane damage for years before Katrina struck. Yet people were allowed to continue living and building in districts that scientists and government agencies recognized would flood—and flood catastrophically—when a major hurricane hit the city. Little was done to rebuild the eroded marshes and barrier islands that, before human intervention, protected the site where the city stands. Many parts of the coastal Southeast are prone to powerful storms and major flooding; the Midwest is notorious for its tornadoes, yet people are permitted to live in flimsy mobile homes throughout these regions.

And then we have California: what possesses humanity to build its homes in canyons whose ecology is evolved to thrive in brushfire?

Yes. Chaparral actually needs fire to germinate. Nature has designed plants that grow along the West Coast to function like torches. They’re bombs waiting to explode. This is something that has been widely known for years. But how do we respond? We let people build deep in a fire zone, and then we underwrite their short-sightedness.

When an insurer pays to rebuild a house incinerated in one of these fires, the  operative word is we. The insurance company raises everyone’s rates to help cover its losses. This year the losses in California are likely to be huge. Topanga Canyon alone houses over 5,400 people. It is an area of extreme fire hazard and today is among many populated areas in the path of the vast wildfire presently consuming a large swath of Southern California, where more than 12,000 homes are at risk.

Why should firefighters lose their lives and every homeowner in the country see their insurance costs soar because foolish people insist on living in the San Gabriel and Santa Monica mountains, areas where wildfires and mudslides are part of the local environment’s natural cycle? Instead of relying on insurance companies to cover untoward and foolish risk and then screaming when the companies refuse to insure homes in disaster-prone regions—or raise premiums out of sight—we should be passing laws that prohibit people from deliberately building  structures whose likely destruction will hit everyone’s pocketbooks.

Now, I yearn to get out of the city’s anthill as much as anyone else, and if I had enough money to build a manse in the Santa Monica hills, I’d be sorely tempted. But maybe if people who crave and can afford a pleasant, quiet environment were forced to stay in the city with the rest of us peons, we’d all have more livable cities! If, instead of running away from poorly planned, blight-ridden urban areas, wealthy homeowners lived in their cities, the money and political influence they would bring to the urb would fuel renovation, improvement, effective crime control, enforcement of noise abatement laws, better schools, walkable shopping districts, decent public transport, and green space.

And the rest of us would have lower homeowner’s insurance premiums.

Image: David S. Roberts, The Harris Fire on Mt. San Miguel
One homeowner died in this fire; his teenaged son suffered burns, as did four firefighters who attempted to rescue them. Four migrant workers also are thought to have died in the Harris fire. Nine hundred thousand people were evacuated, and a power emergency was declared after several major transmission lines, including the 500,000-volt power line from Arizona to San Diego, were damaged.

Health insurance flap settles down

Our Beloved Employer’s announcement that its only health insurance plan to cover the Mayo has been discontinued caused some annoyance among a number of employees. As it developed, I was not alone.

The HR website gave no clue as to what plans we will have for the open enrollment that starts today. One page says something about Aetna, but another page — dated 2007 — makes no mention of an Aetna plan. If you call on the phone or e-mail, they won’t tell you anything. Instead, they instruct you to attend one of the “benefits fairs” slated for this month.

So I trudged across campus to today’s “fair,” hoping to pick up some paperwork that will compare plans and maybe even say what hospitals are covered. No such luck: the two-hour “fair” amounted to an endless PowerPoint presentation! Attendance was standing-room only.

Oh, lord. So I sat on the floor, having run a little late because my car’s battery went dead and it took an hour or two for my mechanic to come up to my house, jump-start the chariot, and then follow me to his shop and change the battery and fix the fuses that blew in the process. Mercifully, the HR “presenter” paused as she cast up a slide listing the prices of the various plans, just long enough for me to raise my (literally) sweaty little paw and ask if any of them covered the Mayo. Yes, she said: RAN-AMN, an EPO with a monthly premium of $30.

Hot dang! I couldn’t believe it. The plan that worked was a sister EPO — our 2007-08 premiums have been about $25. I picked the now-defunct Schaller-Anderson plan because HR told me it was the only plan that covered the Mayo. So this means either they misinformed me last year or RAN-AMN has picked up the Mayo as a network member.

I’d figured I was going to have to go with the PPO, whose rates are around $200 a month for a single person, or try to get a bare-bones high-deductible plan and go with a doctor in a boutique practice, by way of getting access to medical care…something that’s in short supply around here. Having learned to take what HR says with a crystal of sea salt, I called the Mayo’s billing department and learned that yea verily, they are part of RAN-AMN’s network.

So that’s a relief. If I’d had to go back to the PPO, it would have meant the end of my plan to save enough to pay off the Renovation Loan, since the monthly setaside for that is almost exactly the same as the PPO’s premium.

Interestingly, deep in RAN-AMN’s fine-print paperwork, I found a proviso saying that if you are eligible for Medicare (not if you have it, but if you’re eligible), then the insurance you’re buying through GDU becomes “secondary.” This implies that you can NOT opt out of Medicare just because you have a job that offers comparable but cheaper coverage.

It looks to me like Medicare is going to be an expensive proposition. Everyone gets Medicare Part A, “free” for 40 years of payroll deductions. But it doesn’t cover much and leaves you open to bankruptcy should you develop an expensive ailment. So you have to take Medicare Part B, which costs almost $100 a month. Then you also have to take Medicare Part D — if you decline it and then later pick it up, you have to pay an extra premium (a de facto fine), for the rest of your life. Medicare D costs around $30 a month, and rising. But Medicare A, B, and D still don’t cover you well adequately, because Medicare has become so chintzy that more and more doctors won’t accept “assignment” — that is, they won’t work for what Medicare pays. So, to guarantee you can see the doctor of your choice or a competent specialist, you also must buy “supplemental” or “Medigap” insurance, which apparently costs upwards of $145.

So you have to cobble together four different plans to get full coverage, and by the time you’ve done that, the cost of health insurance for a retiree will exceed $250 a month. I would find that a strain on the decent salary I’m earning. To have to pay eight or nine times my present healthcare premiums for Medicare when I’m living on a reduced, fixed income will pose an interesting challenge.

As you can imagine, any Pushmi-Pullu as jury-rigged is this is complicated and confusing. The government’s official Medigap document linked above is 52 pages long, and following it requires your full, undivided attention. Then we have this overview of Medicare, 113 pages full of details whose complexity rivals the U.S. tax code!

Look, I’m grateful not to have to pay the exorbitant rates with which insurance companies gouge older Americans — $400, $500, $600 a month. But still…I’m brought back to the same thought that always occurs to me every time I have to look into our health-care system:
There’s no excuse for this.