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> if you punch into a chatbot questions about the employer pool insurance product, your comment is exactly how the chatbot characterizes it. That's because it'

> if you punch into a chatbot questions about the employer pool insurance product, your comment is exactly how the chatbot characterizes it. That's because it's the truth? I've taken graduate health policy classes from people like Don Berwick - I assure you that I did not and do not need to ask chatgpt to explain self-insurance to me. > f course, "administrative sides of [health] insurance" includes... How does this have anything to do with the fact that the self-insuring entity bears the risk for its insureds? The problem with the GP comment about 'giving money back to Apple' is that the money always belonged to Apple and its co-insurance / copays only exist to steer employee behavior.

doctorpangloss 4mo ago
it doesn't matter if the "self insuring entity bears the risk for its insured." every word in that quote misses the point. it might as well say "blah blah blah blah blah blah blah." it doesn't tell you why UNH is an interesting and successful business, or why people are pissed off about it.
- bonsai_spool 4mo ago
  Uh ok bud.
  - doctorpangloss 4mo ago
    haha okay, what i am trying to say is that from apple's point of view, it doesn't really matter if UNH is selling them a health insurance product or jacuzzi or eyebrow threading services or whatever. apple employees say they want it, for some idiosyncratic reason apple is the party that gives it to them, and UNH is providing a uniquely cheap version of it. the gap between what employees think they are getting and what they are actually getting is huge. when you go on hacker news and people are talking about 80% medical loss ratios (that don't apply here, but that's not what you are spending your breath talking about) and "insureds" or whatever, you are enhancing the illusion. that UNH has people carrying its water in this way: that's another reason, of many, that it is so big.

doctorpangloss 4mo ago

it doesn't matter if the "self insuring entity bears the risk for its insured." every word in that quote misses the point. it might as well say "blah blah blah blah blah blah blah." it doesn't tell you why UNH is an interesting and successful business, or why people are pissed off about it.

bonsai_spool 4mo ago
Uh ok bud.
- doctorpangloss 4mo ago
  haha okay, what i am trying to say is that from apple's point of view, it doesn't really matter if UNH is selling them a health insurance product or jacuzzi or eyebrow threading services or whatever. apple employees say they want it, for some idiosyncratic reason apple is the party that gives it to them, and UNH is providing a uniquely cheap version of it. the gap between what employees think they are getting and what they are actually getting is huge. when you go on hacker news and people are talking about 80% medical loss ratios (that don't apply here, but that's not what you are spending your breath talking about) and "insureds" or whatever, you are enhancing the illusion. that UNH has people carrying its water in this way: that's another reason, of many, that it is so big.