logoalt Hacker News

whimsicalism01/22/20254 repliesview on HN

Individual insurers pay out tens of billions of dollars in claims every year, frequently have non-profitable years, and are the counterparty on pretty risky contracts.

There are lots of problems with our current approach to healthcare, but insurers aren’t charging you way more than the cost to counterparty on that contract should be.


Replies

lenerdenator01/22/2025

"Frequently have non-profitable years"

A graph of the stocks for UnitedHealth, Elevance (formerly Anthem) and Cigna shows that they're all on the growth track for the last five years.

If a subscriber pays them what they do, and they don't have money to pay a claim declared medically necessary by a medical doctor, but do have the money to forward to a retirement fund, they are charging too much.

Most of the rest of the industrialized world seems to grasp this concept, and their people live longer.

show 2 replies
willcipriano01/22/2025

The United States spends more per capita on socialized medicine than any other nation on earth[0]. US socialized medicine spending per capita is more than any other nation spends total between both public and private in fact, it just fails to provide it to anyone but the very poor, very sick and elderly.

You'd think the healthy working population wouldn't be that much of a burden to care for as well, but they have to go out of pocket and get insurance to provide for themselves after providing for everyone else.

There is a lot of graft going on for this to be the case. It may not be the fault of insurance companies but someone is stealing a great deal of money from the American people.

Now here's the million dollar question; are you aware of this obvious fact? Have you ever heard someone frame the socialized medicine debate in this way: "If we could be as efficient as the UK we could give you free healthcare AND cut your taxes!". If not, why not?

[0]https://www.statista.com/statistics/283221/per-capita-health...

show 1 reply
bbqfog01/22/2025

None of this suggests a prosperous society. More like a corrupt and bureaucratic society.