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> Get sick, go to hospital, insurer covers. There is a shortlist of things the insurer won't cover. You pay the insurer each month. > Insurance isn't complicated.

But for things they do cover, what price do they pay? That seems to be the crux here.

Something like travel insurance is simpler, because when they buy you a hotel room / a new suitcase, most of the other buyers are not insurance, and so there's a market price they can refer to. But healthcare isn't like that, and it seems the the prices of many procedures vary wildly, like 100x between different hospitals. Nobody can afford a 100x increase in premiums.

From what I understand about better-functioning health insurance systems, there's usually also a pricelist written up by the government. That seems like the crucial foundation for a useful health insurance market. Much as I wish there was a nice market mechanism for this, I have yet to see one.




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