QUOTE(Wedchar2912 @ Dec 9 2025, 09:26 PM)
It can be government-subsidised, or even self-sustaining if the risk pool is enlarged and super diverse. Ie similar to company group insurance. When claims are high, premiums rise (which are effectively part of employee compensation). When employees are healthier, the savings can benefit everyone.
(which made me wonder: i've never heard of a older sick employee being told that the company insurance will not cover said person... have anyone?)
There are also other ways to support coverage for people with pre-existing conditions: targeted taxes (reduced tax rate for the insurance firm), incentives for hospitals, or basic service obligations for specialists.
The key point of a basic medical card should be affordability with super broad coverage, not just serving those who can already pay. Otherwise, it defeats the purpose.
This would also help ease pressure on government hospitals by shifting those who can afford private care (if the cost is cheap enough) out of the public system, rather than everyone queuing up cos it is only 1rm.
(there are definitely fat to be redeployed... since almost everyone is complaining about medical insurance being too expensive. who knows... take away agent's 1XX% commission and throw that back into the pool... lol)
That’s not a fair comparison. Group insurance is fairly expensive because it does cover pre existing illness. Also, Group medical insurance is priced in such a manner that it reflects the claims experience of that particular group. So say Company A and Company B both have 10,000 employees. The quotation at every renewal changes depending on their medical claims experience. If Company A claims more frequently and higher average claims size, their renewal premiums will increase accordingly.
Diverse insurance pool is good, but trust me most healthy people will cease buying medical insurance when they are young precisely because they can still buy it later on with no penalty when their health deteriorates
If it is government subsidised, that’s still money the government is pumping into the private sector.