If you get into an accident your car insurance goes up right? That
should end the discussion about whether we put people with different
level of risks into different risk pools.
Let's say the risk of
needing more than $10,000 of health spending in a year is .05% per
person for those who are young and healthy. (these numbers are only
for example right now). So let's say that 10,000 people fit this
category. Either each person needs to have a private savings account
just for health care of $10,000, for a total of $100,000,000. OR we
can have an insurance policy with $50,000 in place to cover all those
who will actually get sick at this level. This requires only $5 a year
from each person, plus overhead costs.
You ask if I just joined this debate, but did you ever take a class on economics?
You assert that a community based actuary plan isn't sustainable unless there are those who pay more into the system than they get out. First, you can do something else other than a community based actuary plan, you can actually separate by risk pools. And yes, insurance plans don't work unless some people pay in more than they will get back. In fact, a lot of people will pay in more than they get back. But under my example, they will only be paying their own risk value, they will not be subsidizing the higher risk value of other groups.
Are you just stupid? Or did you really never think of this?