On 28 Oct 2008 at 16:05, Jim Sharkey wrote:

> Dave Land wrote:
> 
> >On Oct 28, 2008, at 11:11 AM, John Williams wrote:
> 
> >> Do you think other people should pay for your daughter's health
> >> care while you should only contribute a small amount, even though
> >> you could contribute much more?
> 
> >This is *precisely* how private insurance works: everyone pays
> >a "little bit" so that anyone who has enormous expenses can be
> >taken care of.
> 
> Exactly.  The larger the pool of participants in a health plan, the smaller
> the cost to each participant in that pool.  Assuming your actuaries are
> competent, anyway.  :-)

Except that's not how it works, you simply end up excluding anyone 
very likely to need treatment or with pre-existing conditions. That's 
called Adverse Selection.

The approach in the Netherlands using a pool to offset Adverse 
Selection (combined with the fact the basic package has to be 
offered) works a lot better.

AndrewC
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