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Brent Renkema's avatar

Very interesting! Along the journey from 2000 to 2022, employers implemented employee cost sharing to create a "consumer" mindset among employees ...to keep premiums down. Complexity was increased in the name of keeping premiums down (complexity caused by situational decision making for narrow networks, ER visits, etc). The ACA increased the pool of insured people by millions so the risks could be spread out...which should keep premiums down. High deductible plans were introduced to keep premiums down. Health systems emerged to keep care costs down.

None of these has been effective across the population. During this time period, we also watched the baby boomers hit retirement age ...and care costs tend to correlate with age.

The healthy still pay for the sick (that's the way insurance works)...and there are entire industries specializing in the "weird and wonderful" to develop more costly solutions for the sickest of the sick.

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