Comment by tbrownaw

1 day ago

So a bit under 5% per the rest of the numbers in that link.

I can't find the detailed breakdown for 2025, but in 2024, they took in $308bn in premiums and paid out $264bn in medical costs. So even ignoring all of the downstream and systemic problems caused by insurance existing as a for-profit entity, they're taking 14% off the top just to exist as a middle-man.

https://www.unitedhealthgroup.com/content/dam/UHG/PDF/invest...

  • > they took in $308bn in premiums and paid out $264bn in medical costs ... they're taking 14% off the top just to exist as a middle-man.

    In 2023, they had a 0.8% profit margin[0]. 9 billion dollars in a trillion dollar industry.

    Ignoring the disingenuous framing ("taking off the top" including how much they pay their employees), how does that compare to other industries?

    [0]https://content.naic.org/sites/default/files/2024-annual-hea...

    • > including how much they pay their employees

      Highlighting that was actually part of my point. What utility does insurance add to justify its existence as a middle man? How are we better off with a middle man taking a cut vs nationalizing the industry? And that 14% is at best, given the other externalities of the existence of insurance and its perverse incentives.

      You're saying "how is that worse than other industries", but I'm saying, why is there an industry there at all?

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