Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Doctor accepting new patients
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

Health insurers have come up with the idea of the century

Stewart Segal, MD
Policy
August 29, 2011
Share
Tweet
Share

I have come up with the idea of the century.  My idea will make your company the richest in the world while attracting millions of new patrons to your credit and debit card services.  I don’t know why no one has done it in the past.  It has made the insurers of America countless billions of dollars and now you can profit as well.  My only request is that you pay me 1% in royalties for bringing this opportunity to you.

Ready?  It’s so simple it will knock your socks off.  Under your current company guidelines, your cardholder charges a purchase and takes his merchandise home.  You charge your cardholder interest and charge the merchant a processing fee.  Once the transaction is processed, you pay the merchant the money owed to him.  You make a profit off of interest and fees.

Under my plan, the cardholders still charge their purchases, pays you interest at a greatly reduced rate, the merchant still pays you a processing fee, and you still process the transaction.  Ready to be amazed?  Under the new plan, you no longer pay the merchant, you “reimburse” him at a rate you set.

Yes, you take a lesson from the insurers of America.  You strong arm (“negotiate with”) the merchants by threatening to take their patrons away.  By reducing the interest rate your cardholders pay, you buy their undying loyalty.  No longer do you have to pay a merchant $100 for a $100 dollar purchase.  Now, using your newfound power, you can pay the merchant $60 and pocket the other $40.  Your profits will skyrocket.  Your cardholder loyalty will grow exponentially.  When the merchants protest, you tell them they will have to get rid of waste and tighten their belts.

As your profits and power grow, you will be able to “negotiate” better contracts.  In years to come, you will drop reimbursements to 50%.  You will establish the concept of “reasonable and customary charges.”  Under “reasonable and customary,” you will arbitrarily decide what merchandise and services are worth and then reimburse their costs at your new, lower rate.  Merchants will complain but customers will love you.

Eventually, you will learn about product substitution.  Instead of sending your cardholder a $400 Coach purse, you will send them a Goach (generic substitution costing you $10).  Your profits will continue to grow.  You’ll offer to replace the Goach if it breaks (limit of two replacements).  After the second failure, you offer to send a Coach for just $100 more.

Your profits will exceed those of the insurance industry.  Patients can avoid seeing the docs for their colds but no one can afford to pass on that new dress at Macy’s.  Wall Street will love you.  Yes, the cost of items sold will rise as merchants strive to keep their doors open.  Eventually, you will “negotiate” the cost of items for your cardholders.  Owning your VISA card will become a necessity.  Paying cash will be unaffordable.  Those who do not have a VISA card will either go without merchandise and services or mortgage their house to buy what their family needs.

Your company will have transitioned to a near God-like monster, much like today’s insurers.  You won’t care; you’ll be rich and powerful beyond your wildest dreams.  You’ll fund Congressmen and Senators and presidential elections, owning the White House.  You’ll even be able to control the insurers!  All of this can be yours for 1% of your profits.  Call me, we’ll talk.

Stewart Segal is a family physician who blogs at Livewellthy.org.

Submit a guest post and be heard on social media’s leading physician voice.

Prev

Doctors should learn personal finance during medical school

August 28, 2011 Kevin 9
…
Next

Social media tips for students applying to medical school

August 29, 2011 Kevin 2
…

Tagged as: Public Health & Policy

< Previous Post
Doctors should learn personal finance during medical school
Next Post >
Social media tips for students applying to medical school

ADVERTISEMENT

More by Stewart Segal, MD

  • a desk with keyboard and ipad with the kevinmd logo

    I dream of practicing free medicine

    Stewart Segal, MD
  • a desk with keyboard and ipad with the kevinmd logo

    I have a problem and my problem is me

    Stewart Segal, MD
  • a desk with keyboard and ipad with the kevinmd logo

    Click, click, click: How can I help you today?

    Stewart Segal, MD

More in Policy

  • Flexible health care funding: Moving beyond disease eradication

    Selena Kattick
  • Immigration policy and child health: a medical student’s perspective

    Adam Zbib
  • Executive order on homelessness: Why forced treatment fails

    Gary McMurtrie
  • Immigrant caregiver burden: the hidden cost of the five-year Medicaid wait

    Ranjita Suresh
  • Employer-sponsored DPC: Why private equity is winning the infrastructure race

    Dana Y. Lujan, MBA
  • Why Filipino nurses faced higher COVID-19 mortality rates

    Joaquim Diego Santos
  • Most Popular

  • Past Week

    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Why Medicare must cover atrial fibrillation screening to prevent strokes

      Radhesh K. Gupta | Conditions
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • Teaching joy transforms the future of medical practice [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why Filipino nurses faced higher COVID-19 mortality rates

      Joaquim Diego Santos | Policy
  • Past 6 Months

    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • Leading with love: a physician’s guide to clarity and compassion

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • Waiting for the system to change causes burnout [PODCAST]

      The Podcast by KevinMD | Podcast
    • MOC patient outcomes: Why recertification doesn’t guarantee quality

      Brian Hudes, MD | Physician
    • When the doctor becomes the patient: a breast cancer journey

      Amy E. Sanders, MD | Conditions
    • Why medical education assessment kills curiosity in residents

      Mythili Ransdell, MD | Education
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • Community ownership transforms the broken health care system [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 8 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Why Medicare must cover atrial fibrillation screening to prevent strokes

      Radhesh K. Gupta | Conditions
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • Teaching joy transforms the future of medical practice [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why Filipino nurses faced higher COVID-19 mortality rates

      Joaquim Diego Santos | Policy
  • Past 6 Months

    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • Leading with love: a physician’s guide to clarity and compassion

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • Waiting for the system to change causes burnout [PODCAST]

      The Podcast by KevinMD | Podcast
    • MOC patient outcomes: Why recertification doesn’t guarantee quality

      Brian Hudes, MD | Physician
    • When the doctor becomes the patient: a breast cancer journey

      Amy E. Sanders, MD | Conditions
    • Why medical education assessment kills curiosity in residents

      Mythili Ransdell, MD | Education
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • Community ownership transforms the broken health care system [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Health insurers have come up with the idea of the century
8 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...