One of our ministers had the right idea (he's a socialist but a clever fellow nonetheless, and smarter than many of his colleagues). Insurance is this: you collect premiums, and if someone stubs a toe, you pay their medical bill. If (like in NL) everyone is insured for basic healthcare at the same rates and under the same terms... why then do we still need insurance companies? What are they going to compete on? Simpler to let the gov't self insure and cut out these horribly expensive middlemen who add no value, leave the insurers to offer us packages for additional coverage.
Source: http://rss.slashdot.org/~r/Slashdot/slashdotScience/~3/5qWmUwIYS84/story01.htm
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