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But can we still also get blackjack and hookers?
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While it's good that you'd want to improve the system you'll have to look deeper as to why.
First results from my search:
Health insurance has about 3.3% net profit margin. United had 3.6% last data I found. (The rest of US industry average is 8.54%.)
The profit margins of insurance alone can't explain why your healthcare costs 40% more than any other country.
A small percentage of hyper inflated prices over a large consumer base still equates to MASSIVE profits. It is a fundamental ethical flaw that we even allow for-profit medicine that is compounded by obvious cartel organization structures and corruption.