Mandatory insurance has profits at all levels. (Except, at the ground floor.)
-Reinsurers receive premiums against potential catastrophic losses of health insurance companies.
-Health insurance companies receive a greater amount of markup & profit.
-Health insurers also know that, with taxes levied against noncustomers, the market is extremely soft and they can ask for larger markups. Laws against pooling like-risk individuals also in higher premiums all around.
-Brokers receive greater commissions on increasingly expensive policies. They also have more customers, meaning a possibility to sell more insurance products.
-Hospital administrators have no reason to be truthful about the cost of providing procedures to non-paying patients. They can say that a $100,000 surgery is performed and that, a non-paying patient's equal surgery then cost them $100,000. They get to list it that at full or nearly full price, so to "balance" the books.
-Doctors have no reason to compete, since their jobs are assured if they do less and waste more. Only a few nurses are left frustrated as the messes grow larger and unused tools need to be cleaned again.
-Patients also have no reason to find cost-effective providers, as their costs aren't really posted to their bills. It's distributed to everyone.
-Health insurance is a redistribution plan, from the unhealthy to the healthy. Instead of covering catastrophic issues, it covers the daily expenses and essentially skips out on the unexpected.
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