More about America's high cost low quality health care

Insurance companies benefit from higher and higher prices for health care since that enables them to raise rates and profits generally follow as a portion of income.  This however is offset by the fact that they have to compete, so that if another insurance company does its underwriting job or its claim handling job at less cost they have a competitive advantage.  Hence the insurance companies tend to like Obamacare since it almost eliminates meaningful competition.  Rare there is a businessman who does not do everything he can to eliminate competition, which is why governments have to constantly force them to not do it.

I don't think, however, that we can blame anyone's greed for the American situation.  People are greedy everywhere.  No it's something about the system or about the institutions unique to America that is behind the problems, I think mainly the tort legal system, the guns, the fact that employers have traditionally provided insurance, creating a real problem for small businesses and the self employed, and of course the outrageous tax system (other countries pay more as a percent of GNP but without nearly the damage to the economy).  The partisanship is another factor, as well as a corrupt system of holding elections (political contributions and negative campaigns and television ads that are pure propaganda) as well as the gerrymandering and the ridiculous arrangement where every state has the same number of Senators.

I am not being critical or scornful, I am trying to be helpful.  When I'm in the States all I hear is that it is the best of the best, with the best systems and best government.  That this is patently not true is something Americans have to admit -- plus get rid of two thirds of the lawyers.