Does it make a little more sense when you remember that "health care" and "health insurance" are industry segment names in the US, not literally descriptions for what those segments are centered on? Both of them are for-profit industries that focus on converting maladies, and the absence of maladies, into money, respectively. That's their prime focus. And you can be cynical about that and go "So, what, it's in their interest to get people sick and then keep them sick? That's insane!"

And yes.

Yes it is.