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Market pressure on companies, to hold down premiums or to ensure benefits or networks are "competitive", has never really existed in health insurance.
It is not uncommon to find 50+ companies offering worker's compensation insurance in a given state, but no state has had more than 5 health insurance companies since the 1970's. (Not including catastrophic or Medicare supplemental policies, etc.)
Health insurance is moving to the same place as liability insurance for properties has already gone. There are millions of closed pools, playgrounds, sports programs, etc. mainly because liability insurance became too expensive, then too restrictive, then simply unavailable at any price.
But your tendency to simply blame the insurance company because your premiums are increasing is not looking deeply enough at the situation. You should put down the pitchfork. Yes insurance companies want to make money, but when it comes to health insurance companies, they can't necessarily just go and do that, especially now. They face risks of huge financial losses and they face risks of adverse selection (mandates notwithstanding).
Last edited by Neomalthusian; 13th April 2017 at 02:09 PM.
Because of the doubt after I talked to the financial person at the hospital, I almost cancelled the procedure, but I let hubby talk me into it. Glad to know ... and have polyps removed ... but waiting for the other shoe to drop.
In places where costs are higher, this is an issue. The actual premium pricing varies based on age, but what a young and old adult would actually pay on the exchange, all other things equal, would be the same. One's driving way more of the costs, both pay the same.
You seem to be arguing that some variation of cash and carry is the only rational basis on which to sell insurance. People should pay approximately what actuaries predict their health care will cost, plus a profit margin.
That's not even insurance! There's no risk spreading at all in your regime. Universal health care means none of us bears anything like the entire costs of our care, due to savings achieved and funding from higher taxes extracted from the rich.