Tricky Dick Nixon and the original Deform of health care: "All the incentives are towards less medical care"
Ehrlichman: “… the less care they give them, the more money they make.”
So explains John Ehrlichmann in the 1971 recording of how we came to regulate practitioners of the "first do no harm" axiom according to the dictates of "mo money, mo money, mo money" principles (transcript here).
I'd not encountered it before, but the discussion of that recording was apparently a landmark on the country's fateful trip (and fall!) to health care done under the Health Maintenance Organization Act of 1973.
Because Tricky Dick liked how the incentives for the private enterprise solution we know as Kaiser Permanente lined up, what became law under the Act is how we rationalize the rationing of medical care in these United States.
And socio-economic demographic factors have always been useful to those who draw the lines of discrimination so, if you lose or change jobs, don't have money for private insurance, or other factors such as these force you to run the gauntlet for new insurance, etc., the health insurance companies have increasingly sophisticated the ways they can filter and allocate their "health care finance" decisions based -- increasingly -- upon the "financial" rather than the "care" portions of their equations.
Now, with some sort of regime-change impending, there's no real justification needed to increase premiums 39 to 75 percent, it's just whether or how the incentives line up with your demographic!
This is America and they are for-profit concerns, with charters typically designed solely for the purpose of making money by ANY legal means.
So as our country battles over how to resolve the morality versus profitability paradox, it's critical to remember that those under corporate charter are not concerned with how the world's richest nation can secure for its citizens the most basic
assurances that are provided the constituencies of the rest of the civilized
Their champions ALWAYS assume that there's a point beyond which profit turns into loss and where benefit shifts entirely to cost.
There's always an arbitrarily expendable margin of the population that it is just not worth covering.
Is that our kind of civilized American society?