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I think there's explanatory power in remembering that private, for-profit insurance companies have as their corporate priority maximization of shareholder value. Protecting people from bankruptcy due to medical expenses is not a corporate goal.



If word gets out that a company's insurance is kinda shitty, they're going to find themselves with fewer customers going forward, which is not good for shareholder value. Nickle and diming on a claim isn't where shareholder value comes from, but rather providing a good product that does what it is meant to do.


> If word gets out that a company's insurance is kinda shitty

Does any insurance company have a good reputation? Is there any insurance company that doesn't have an InsuranceCompanySUCKS.com page?


That's not really a factor when your employer is the one choosing your insurance providers.


Prove that to the shareholders and executives.


That's true of any company (that profit is the goal). Yet, amazingly many companies do a great job, because happy customers = profit!


> corporate priority maximization of shareholder value.

I'm not sure if you're commenting on their observed behavior or their actual obligation. It would be good to put the phrase away since it's usually short-hand for a moral judgement on short-term focus (be sure, I'm not arguing either way here though I do hold an opinion). The fact is there is no legal duty for a corporation to maximize shareholder value, a couple of links:

https://corpgov.law.harvard.edu/2012/06/26/the-shareholder-v...

https://www.salon.com/2012/04/04/the_shareholder_fallacy/


> maximization of shareholder value.

Attempting to get the ACA repealed by posting lower than average profits (while running less efficiently, not taking all the tax breaks available, and increasing executive compensation and perks) would certainly maximize shareholder value long term.




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