And Swiss democracy at its finest, some years ago, decided that the medical insurance industry switching to for-profit had been a bad idea, and in what amounted to a nationwide referendum banned the practice.
Yes, the for-profit insurers are incented to nonsense like finding excuses not to insure people, or worse, recission (weaseling out of the insurance they’ve sold because a claim was filed).
But do concur that the real problem with healthcare in the U.S. is that there is no competitive force holding not just prices but also costs in check. The whole industry is fat, dumb, and happy, the way automobiles were before Toyota offered a quality car (which lasted twice as long) at a reasonable price in the 1970s — or before the Taiwan based PC makers upended the US computer business in the 1990s and 2000s. I watched the absolutely brutal shockwave through not just the main computer manufacturers but also every single step of their supply chains back 15 years ago: painful but necessary. What Wal-Mart did to retail in the U.S.
Time to apply competition to the entire medical business, which means the regulatory groundwork needs to be laid now to ensure that the entrenched competitors can’t simply go after medical licenses, facility licenses, medicare reimbursement eligibility, etc to stifle this competitor (who needs to be nonprofit) when they arrive.