Exofunctor
Joined 9 years ago
Joined 9 years ago
No, car insurance is not you subsidizing other people. Car insurance is you paying in proportion to your own estimated risk. That means if your expected costs are 5x higher (nicer car, young driver, etc.) you pay 5x more.
Medical insurance in the US emphatically does not work this way. More expensive people don't pay proportionately more than cheap people, meaning that the expensive people are being subsizidized. You should be alarmed at the fact that you apparently fundamentally misunderstood the way insurance works in an open market, or what the ACA is. The only part of the ACA that is even reminiscent of car insurance is the individual mandate, which is actually way worse than car insurance because you don't need to buy car insurance just for being alive. You only need car insurance if you drive on public roads.
It's too bad that your friend has a disease, but I'd rather have them pay for it than pass the bill off to a bunch of innocent people who aren't sick. If you choose to have tunnel vision and focus on health alone, it's worth noting that the second-order effects of making other people's lives more expensive will also include worsened health from poorer nutrition, increased stress, less frequent medical consultation, etc.
When you have car insurance, the insurance companies are allowed to use statistical techniques to predict how much you are going to cost them. Competition between insurance companies involves treading the line between beating the price of other insurance companies while charging slightly more than the customer is expected to cost.
If we let health insurance companies do this, then yes, healthcare would get substantially more expensive for very risky/unhealthy people. Of course, it would also get drastically less expensive for healthy people. From a moral perspective, I think this is preferable, but obviously not everyone will agree.
Now, from a utilitarian perspective, these two possibilities seem roughly equivalent at first glance. However, I'd argue that the latter (where insurance companies are allowed to set prices like car insurance) has a number of (significant) positive side effects.
The largest side effect is that it incentivizes customer health improvement. A lot of health risks, including at least the top 6 causes of death worldwide (heart disease, stroke, lung infections, COPD, respiratory cancers, diabetes) can be substantially mitigated by personal choices such as diet and exercise. If you had to pay an extra $200/mo to your insurance company because you were morbidly obese, one would expect that this would encourage a lot of people to start eating better. Let the market do the heavy lifting! This is exactly the sort of thing that the market excels at. Society benefits from healthier people, but in almost all countries rich enough to have insurance (including the US and nations with socialized healthcare), there is no mechanism to incentivize this! An actual insurance market would do the job.
That's not to say there aren't some good arguments for IP, but they sort of inherently have a planned-economy bent.
Privige has nothing to do with it; for whatever reasons, women don't actually want to study tech fields. I actually find it pretty ridiculous and patronizing that people like you insist that there's something wrong with the world because women don't make the career choices you think they ought to.
This is a good example of how relatively small populations can have huge cultural effects.
Another example is how migrants from Islamic countries can carry out terrorist attacks and completely change European and American culture for the worse. The loss of American travel culture post 9/11 is tragic, and I can't think of a better word to describe it than "erasure".
Paris is now building a wall around the Eiffel Tower, thanks entirely to recent massacres committed by strongly religious immigrants for religious reasons.
Heavily Muslim neighborhoods in the U.K. have volunteer "sharia police" that harass women for dressing "immodestly".
Swedish officials removed traditional Christmas displays from Muslim areas, and then blamed the structural integrity of lamp posts (yes, really) when asked why.
Cultural erasure doesn't take a huge influx of people; it just takes a small population with aggressively viral cultural memes and a host culture with insufficient memetic defenses.
But, of course, I must be a racist for preferring European culture over throwing gays off buildings, women being unable to drive or show their faces, etc. etc.