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Much as I might see health insurers and private medical companies in general as often bad actors, I don't think "more competition" is at all a reasonable suggestion for any part of the health sector. Health insurance companies naturally need to be regulated - just one reason among many is that anyone could take people's money, pay claims for a bit and then vanish with money paid to shareholders who aren't liable for the scam. And once you have an industry, health care, that must have detailed state regulation, the only solution is nationalizing the industry, as medicine is nationalized in most civilized industrial nations.


They may need to be regulated, but that doesn’t change the fact that something is seriously broken and real competition would help. Regulation is surely part of the problem but maybe not all of it. The entire idea of “networks” seems designed to allow them as little competition as possible.




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