An insurance company can get more companies as customers and there can be more companies created. You are getting way to hung up on the internal details of how

An insurance company can get more companies as customers and there can be more companies created. You are getting way to hung up on the internal details of how it works. Insurance companies are one part of the healthcare package. There is a reason it's a business which can do well or not so well. Thats very different than a public healthcare system where EVERYTHING is budgeted.