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sgerenserlast Thursday at 3:37 PM1 replyview on HN

Insurance companies don’t actually make very much profit. I don’t recall the exact number, but something like 80-90% of premiums taken in are paid out in claims. Insurance companies are an easy target though, since no one wants to go after the doctors and hospitals for charging too much.


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jjavlast Thursday at 7:49 PM

> Insurance companies don’t actually make very much profit.

Insurance companies usually (maybe it's always, not certain) are regulated to a percentage cap spent on categories. What is the result? They are incentivized to push prices ever higher as much and as fast as possible because a % of higher price is more profit for them.

> Insurance companies are an easy target though, since no one wants to go after the doctors and hospitals for charging too much.

Doctors and hospitals actually provide a valuable service, they provide health care. They deserve to be paid.

Insurance companies provide no value whatsoever, they are just a middleman siphoning off profits off the work of doctors (and nurses and everyone else doing the actual work).

Also, doctors don't actually charge that much. When I get billed $980 for a 15 minute doctor visit (as I just was last month), it is most certainly not because the doctor is earning ~$4000/hr. That doctor isn't paid more than your average senior software engineer (in Silicon Valley anyway), all the rest of the money is lost to middlemen who didn't contribute anything.