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@ e3ba5e1a:5e433365
2025-02-05 17:47:16
I got into a [friendly discussion](https://x.com/snoyberg/status/1887007888117252142) on X regarding health insurance. The specific question was how to deal with health insurance companies (presumably unfairly) denying claims? My answer, as usual: get government out of it!
The US healthcare system is essentially the worst of both worlds:
* Unlike full single payer, individuals incur high costs
* Unlike a true free market, regulation causes increases in costs and decreases competition among insurers
I'm firmly on the side of moving towards the free market. (And I say that as someone living under a single payer system now.) Here's what I would do:
* Get rid of tax incentives that make health insurance tied to your employer, giving individuals back proper freedom of choice.
* Reduce regulations significantly.
* In the short term, some people will still get rejected claims and other obnoxious behavior from insurance companies. We address that in two ways:
1. Due to reduced regulations, new insurance companies will be able to enter the market offering more reliable coverage and better rates, and people will flock to them because they have the freedom to make their own choices.
2. Sue the asses off of companies that reject claims unfairly. And ideally, as one of the few legitimate roles of government in all this, institute new laws that limit the ability of fine print to allow insurers to escape their responsibilities. (I'm hesitant that the latter will happen due to the incestuous relationship between Congress/regulators and insurers, but I can hope.)
Will this magically fix everything overnight like politicians normally promise? No. But it will allow the market to return to a healthy state. And I don't think it will take long (order of magnitude: 5-10 years) for it to come together, but that's just speculation.
And since there's a high correlation between those who believe government can fix problems by taking more control and demanding that only credentialed experts weigh in on a topic (both points I strongly disagree with BTW): I'm a trained actuary and worked in the insurance industry, and have directly seen how government regulation reduces competition, raises prices, and harms consumers.
And my final point: I don't think any prior art would be a good comparison for deregulation in the US, it's such a different market than any other country in the world for so many reasons that lessons wouldn't really translate. Nonetheless, I asked Grok for some empirical data on this, and at best the results of deregulation could be called "mixed," but likely more accurately "uncertain, confused, and subject to whatever interpretation anyone wants to apply."
https://x.com/i/grok/share/Zc8yOdrN8lS275hXJ92uwq98M