Also good to point out - payors actually benefit from crazy costs. Insurance companies had their profitability capped as a percentage of premiums collected[1][2

Also good to point out - payors actually benefit from crazy costs. Insurance companies had their profitability capped as a percentage of premiums collected[1][2]. The easiest path to profit growth is just to let claims balloon, then use that to justify premium increases. [1] Technically it's a cap on all non-medical spending, rather than profit margin specifically. But in effect it's a cap on profits, as there's only so much overhead you can cut. [2] https://www.aeaweb.org/research/regulating-health-insurers-aca-medical-loss-ratio https://www.aeaweb.org/research/regulating-health-insurers-a...