Towers of ilium is confused. Are the ongoing debates about health care and health insurance in the U.S. two separate things? Does better health insurance lead to better health care outcomes? Will better health insurance lead to health care cost curve bending?
Given that all people in the country will at some point require massively expensive medical care (whether they want it or not in many cases) would it be better to refer to insurance companies and programs as savings/transfer agencies?
We should note an obvious truth. The most effective insurance companies depend on a large risk pool for success and quality of service. By extension, the most successful insurance organization is the combined wealth of a nation.