not really. most forms of insurance are not mandated by law and try to charge people something like the expected value of their claims over a certain period plus a profit margin. if health insurance were allowed to operate more like other kinds of insurance, healthy young people would pay a couple hundred bucks a year and old people would pay tens, if not hundreds of thousands of dollars. an eighty year old buying health insurance is the equivalent of someone with five DUIs, multiple at-fault accidents, and a ferrari trying to purchase car insurance.