See perhaps "Insurance companies aren't the main villain of the U.S. health system": * https://www.noahpinion.blog/p/insurance-companies-arent-the-main https:/

See perhaps "Insurance companies aren't the main villain of the U.S. health system": * https://www.noahpinion.blog/p/insurance-companies-arent-the-main https://www.noahpinion.blog/p/insurance-companies-arent-the-... The margins and ROE for health insurance companies aren't that big, health providers on the other hand… Of course that doesn't necessarily mean the insurance companies are useful: * https://paulkrugman.substack.com/p/health-insurance-is-a-racket https://paulkrugman.substack.com/p/health-insurance-is-a-rac... But given the realpolitik of when Obamacare was passed, the current US system was probably the only way at the time to get to universal healthcare. The ACA barely managed to get passed after all (219–212 and 60–39): * https://en.wikipedia.org/wiki/Affordable_Care_Act https://en.wikipedia.org/wiki/Affordable_Care_Act “Politics is the art of the possible, the attainable — the art of the next best.” ― Otto von Bismarck