EDIT: I think you mean "allegedly"
e.g. https://d12t4t5x3vyizu.cloudfront.net/ritchietorres.house.go...
Well yeah, it's not exactly easy to get everyone to understand that insurance isn't magic and money out has to match money in.
So yeah, money out not matching money in is exactly the problem.
https://www.unitedhealthgroup.com/content/dam/UHG/PDF/invest...
God forbid individuals and organizations not choose paths of action that "low level piss off" millions of people such that their chance of being at the business end of some outlier who will actually do violence upon them is non-trivial.
It's not hard to not be "the thing" in any given crazy's life they choose to go out with a bang over, especially if you're not something they deal with every day. If that means that the default amount of screwage your organization applies needs to be dialed back, or that you must clean house a little better or more often then cry me a river.
>most adults in the room understand that "people being mad at you" is pretty independent of how righteous your cause is
Except it's not. The "budget" you have to wrong people and cause despair before people would be apathetic to violence done upon you is pretty directly coupled to the amount of good you do to offset your harm.
> The "budget" you have to wrong people and cause despair before people would be apathetic to violence done upon you is pretty directly coupled to the amount of good you do to offset your harm.
https://en.wikipedia.org/wiki/Assassination_of_Abraham_Linco...
https://en.wikipedia.org/wiki/Assassination_of_John_F._Kenne...
https://en.wikipedia.org/wiki/Assassination_of_Martin_Luther...
https://en.wikipedia.org/wiki/Murder_of_John_Lennon
Agree to disagree. I'm not willing to trust the judgement of those most willing to commit gun violence as to whom deserves gun violence.
In 2023, they had a 0.8% profit margin[0]. 9 billion dollars in a trillion dollar industry.
Ignoring the disingenuous framing ("taking off the top" including how much they pay their employees), how does that compare to other industries?
[0]https://content.naic.org/sites/default/files/2024-annual-hea...
Highlighting that was actually part of my point. What utility does insurance add to justify its existence as a middle man? How are we better off with a middle man taking a cut vs nationalizing the industry? And that 14% is at best, given the other externalities of the existence of insurance and its perverse incentives.
You're saying "how is that worse than other industries", but I'm saying, why is there an industry there at all?
The real problem with our system is that for anyone who is going to hit their deductible, or especially their out of pocket max, the costs no longer matter at all. Sure, that cancer drug can be $500,000. GLP1 drugs for $1,000 a month? Why not?
Of course, there's no free lunch on this. In a single payer system you get things like the UK not approving certain cancer treatments for people over a certain age, certain medications just aren't available, etc.
Otherwise you could make every plan a very high deductible plan, possible just not cover medications at all, etc. But then people will complain about people not being able to afford things, especially in the short term.