Hey, Mal! So ‘fess up — are you actually a dog?
Okay, okay… Just a dog wannabe… :-}
A lot of people make a lot of money from healthcare, and mostly we are fine with it because they add a lot of value. healthcare is a fount of good jobs, perhaps the single most robust part of the economy. Our concern is only when people seem to make excessive amounts of money without adding value.
My suggestion that profit on health insurance is immoral does not preclude making profit in other parts of the healthcare business. As I said…
When it comes to research and innovation I can see a reasonable argument for a for-profit business model.
Nor does it mean that people cannot have jobs in a non-profit health insurance businesses, or any other part of the health care industry.
The ACA’s effort to limit profit to 20% is a step in the right direction… albeit poorly conceived, and mangled out of all possibility of success by political fighting. However, from my perspective, one of the worst problems with the ACA is that it provides no alternative to the for-profit health insurance industry. If for-profit health insurance businesses had to compete with something like the originally proposed “public option” there would be no need to limit their profit to 20%… the competition would be a very effective intensive for them to self-limit their profits. All of this discussion of the ACA may well be moot, as the Republican Congress seems to be determined to gut the ACA. Personally, I would much prefer a single payer system… perhaps Medicare for all… or maybe the Swiss system that you referred to… I don’t know much about that.
It is probably obvious from what I have already said that I am a “flaming Liberal.” I have a lot of disdain for the for-profit insurance industry in general, mainly because I have seen profit incentivize abuse of the service they claim to offer. I find this sort of abuse especially egregious when it comes to life and death or quality of life situations.