I was referring to insurance writ large, but yes it's true recently health insurers have been profitable - but not massively, more like 3-4% average margins. [0]

> If a subscriber pays them what they do, and they don't have money to pay a claim declared medically necessary by a medical doctor, but do have the money to forward to a retirement fund, they are charging too much.

If it is only legal to lose money on providing insurance, nobody would do it.

> Most of the rest of the industrialized world seems to grasp this concept, and their people live longer.

I agree that there are problems with cost/performance in our healthcare market. I think it is largely due to overutilization & misallocation, combined with some poor genetic/cultural luck around opioids and obesity.

0: https://content.naic.org/sites/default/files/industry-analys...