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I didn´t say it´s a bank only function but it´s not a primary function of a health insurer. You still refer to financial needs of the pharma industry that would be unchanged no matter what kind of system you have for the insurers.

Just wanted to say that not every financial service is based on the shortage of capital and not every financial service will most effectively work with a profit motive. Thus far nobody was yet able to show me why a non profit cooperative model for insurers would not work... especially when you have the living proof in other countries that it does work. I am fully aware that we are talking about the holy cow of redistribution of wealth here but at some point you need to know if you can justify millions of uninsured people with the profits for a handful who don´t use the profits to create new jobs or use in R&D (other than new methods how to rip your customers most effectively)... and i don´t mean the phama industry, let them make insane profits as long as they put more money into R&D than marketing

Every country has a different system, different needs, you are right about that, but there is no significant different in the US compared to those other three dozen countries that explains why the US is either incapable or cuturally different that it can not have at least basic health insurance for everyone. Well maybe the holy cow is the difference ;)

For the sake of common ground, I've said I support wholeheartedly non profit and co-oped insurance options. In the US, to pull that off would actually require some DE-regulation to enable those vehicles.

I know every financial service isn't based solely on shortage of capital, but protecting and providing for the risk of large financial outlay, which most insurances are for, is a factor of scarcity of capital. And because insurance requires capital beyond outlay, the only way to provide for that risk protection to more and more people is to lure more capital, both through premiums, money management, and attracting direct investment. Don't forget about the reserve requirements that private insurance has. They can't run a $40 Trillion unfunded liability like Medicare can.

Forget the 'holy cow' of redistribution of wealth and simply view it from an efficiency standpoint. At the end of the day, it's all some form of redistribution of wealth (capital transfer), it's just a philosophical belief as to who is more effective at it, and what support system (profit) provides the greatest incentive to drive that efficiency.

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The whole 'redistribution of wealth' thing is so stupid. We all pay taxes because we all need certain things like school, roads, police, fire departments...and health care.

Build your own roads, fight your own wars, educate your own children, protect your own family and your own domicile, or let it go.

I would LOVE if my tax dollars had not been blown on Iraq, but they were, and that's how it works. I wasn't crying 'OH NOES SOCIALISM' then, and I'm not going to cry it now.

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The whole 'redistribution of wealth' thing is so stupid. We all pay taxes because we all need certain things like school, roads, police, fire departments...and health care.

Build your own roads, fight your own wars, educate your own children, protect your own family and your own domicile, or let it go.

I would LOVE if my tax dollars had not been blown on Iraq, but they were, and that's how it works. I wasn't crying 'OH NOES SOCIALISM' then, and I'm not going to cry it now.

Off topic?

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For the sake of common ground, I've said I support wholeheartedly non profit and co-oped insurance options. In the US, to pull that off would actually require some DE-regulation to enable those vehicles.

I know every financial service isn't based solely on shortage of capital, but protecting and providing for the risk of large financial outlay, which most insurances are for, is a factor of scarcity of capital. And because insurance requires capital beyond outlay, the only way to provide for that risk protection to more and more people is to lure more capital, both through premiums, money management, and attracting direct investment. Don't forget about the reserve requirements that private insurance has. They can't run a $40 Trillion unfunded liability like Medicare can.

Forget the 'holy cow' of redistribution of wealth and simply view it from an efficiency standpoint. At the end of the day, it's all some form of redistribution of wealth (capital transfer), it's just a philosophical belief as to who is more effective at it, and what support system (profit) provides the greatest incentive to drive that efficiency.

I appreciate your answers, this is overall quite a decent discussion. Insurers do require money beyond outlay but for a beginning the government can provide the startup money, so actually non profit cooperatives do have a chance if a.) a capable and experienced management is installed and b.) motivation for that management is provided. The government is indeed not capable to manage an insurance business all by themselfes but it is capable of setting up a new structure and new rules for a market that has became a bit disfunctional and it also can provide financial startup help for those new market players. Personally I think the Obama government is indeed running too much of a cash book policy instead of finding innovative ways and ideas to regulate and reform.

Anyway, no matter what people suggest and what will become reality... if the goal still is to insure more people if not all people, there has to be any kind of restribution... it really comes down to the decision which market players - who do make profits - will have to (will be forced to) sacrifice a portion of their profits without losing any or much of its efficiency.

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