On Mon, Feb 16, 2009 at 1:37 PM, Gruss Gott <grussg...@gmail.com> wrote:
> Insurance makes money off of investing premiums.  Paying out is a cost
> of doing business like any other business has to pay for computers,
> buildings, etc.

Here's what you don't seem to get. Paying out is not only a cost of
doing business, it *is* their business. That's what they exist for. If
they didn't have to pay out we wouldn't need insurance companies. And
because it is a cost of doing business they are motivated to try and
reduce that cost. Which is quite reasonable. Except that the payouts
are what we, as consumers, are expecting them to do for us. They can
do it in some ways which are transparent to consumers, like
negotiating lower rates with doctors, and they can (and do) do it in
more obvious ways like denying claims and reducing coverage. Add that
in with increased rates and you have a situation which just isn't
beneficial to consumers.

I'm not trying to demonize the insurance industry here. I'm just
pointing out that a fundamental part of private insurance is doing
less (payouts) for more (premiums) and that that isn't necessarily a
good thing for something routine and important like healthcare.

Not that complicated really.

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