what insurance companies hate is no limit on their risk, and being unaware of the risks. If you have a plan that's capped at say, 50k or maybe 100k, with a $1000-$3000 deductible per year, that will be affordable, and it will take care of the great majority of health/medical issues. then have another plan, with a 50k or 100k deductible and capped at 1/4 mill-1/2 mill, and it will be affordable, too. There will be little call to utilize this plan, cause typically, such a bad case kills you before the costs go over the 100k of the first plan so the insurance company can handle the cost of it and it will either stabilize you for travel, or you'll die no matter what is done. then you can have a plan that has a 1/4 million-1/2 million deductible, has no upper cap on it, but it's only good in Thailand or Nicaragua, where you get great care for 10%-20% of what it costs here. That will be affordable also, cause almost nobody will want to take advantage of it, unless they are desperate, which means most will die in a short time, limiting the costs to the insurer
How about we abolish deductible. It's insane to allow insurance companies to charge premiums, but refuse to offer the services the customer is paying for. Private insurance should be a premium only service with no minimum out of pocket requirement. Having deductables is like going to a bank and opening up savings account, putting in the minimum starting amount, paying all fee's, and having the bank tell you you don't get to earn interest until you double your balance. Insurance companies claim that dedctables guard against "moral hazard". This basically means that they charge the extra money to make people think twice before getting sick or injured. It is based on the assumption that all claims made on insurance are because of avoidable sickness or injury, and that the insurance company has the right to charge a deductible to act as an incentivize for people to avoid getting sick or injured.
