←back to thread

Is the world becoming uninsurable?

(charleshughsmith.substack.com)
476 points spking | 4 comments | | HN request time: 0.362s | source
Show context
bluedevil2k ◴[] No.42733208[source]
Like we see in California, when the government sets a price ceiling, insurance companies just leave. Same in Florida. If the free market truly was allowed run normally, the insurance rates in Pacific Palisades or on the Florida coast would be so high that no one could afford to live there. Is that a bad thing? If someone was living in a house near where they tested missiles, we'd call them crazy. At what point can we say the same about people building and rebuilding over and over in these disaster areas.
replies(20): >>42733219 #>>42733293 #>>42733338 #>>42733367 #>>42733486 #>>42733536 #>>42733984 #>>42734013 #>>42734047 #>>42734060 #>>42734202 #>>42734459 #>>42734714 #>>42734874 #>>42739590 #>>42740487 #>>42741749 #>>42742138 #>>42743881 #>>42744799 #
epistasis ◴[] No.42733486[source]
I've been trying to talk to people locally, a place with lots of homes built in the woodland-urban interface, about the risks of climate change and how insurance will have to change. Unfortunately these discussions almost never go well, because it seems that most people have at best a surface level understanding of what insurance is and how it works, and everyone is convinced that it's a full scam and insurance companies are fabricating everything. When in reality, insurance is one of the rare areas where risks are very well assessed, not just by the initial insurer but also by a second party when reinsurance is purchased. And often those exits from the insurance markers are due to inability to purchase reinsurance.

Of course, explaining anything in detail is likely to make people think you work in the industry (I do not) and get accused of being a shill. All of which proves to me that older generations had a much easier life because nobody so financially ignorant today is in any sort of position to be able to buy a home.

All that said, I don't think it's actually a price ceiling. It's a limitation of what factors can be taken into account to set rates, and constitutional amendment from Prop 108 prevents the legislature from changing it.

replies(6): >>42733549 #>>42734452 #>>42734486 #>>42734774 #>>42735260 #>>42742768 #
Aurornis ◴[] No.42733549[source]
> Unfortunately these discussions almost never go well, because it seems that most people have at best a surface level understanding of what insurance is and how it works, and everyone is convinced that it's a full scam and insurance companies are fabricating everything

I have the exact same experience when discussing anything insurance related: People have wild assumptions about how much profit insurance companies are making.

When I ask people how much cheaper they think their insurance (health, home, etc) would be if we forced insurance company profits to zero they usually have some extreme guess like 50%. When you point out that, for example, health insurance profits are low single digit percentage of overall healthcare costs they just don’t believe it. The discourse is so cooked that everyone who just assumes insurers are making unbelievable profits without ever checking.

Like you said, when I try to bring numbers into the discussion I get accused of being a shill (or a “bootlicker” if the other person is young).

The environment this creates has opened the door for some really bad politics to intervene in ways that aren’t helpful. I wouldn’t be surprised if the eventual outcome in a lot of these places is that politicians pass legislation putting the local government on the hook for insurance after they squeeze regular insurers so hard they have to back out to avoid losing money in those markets. The consequences won’t manifest for several years, potentially after the politicians have left office, but could be financially burdensome. Similar to how many local governments were very generous with pension plans because politicians knew the consequences would only be felt by their successors.

replies(9): >>42733578 #>>42733608 #>>42734172 #>>42734218 #>>42734299 #>>42734765 #>>42734992 #>>42736524 #>>42744063 #
1. hattmall ◴[] No.42734218[source]
Health Insurance IS a huge racket. Insurance profits are only a small slice. Executive compensation isn't part of profits. The profits of the required sole source medical supplies company isn't part of insurance profits. The contracts, salaries, benefit packages, overpayments, and waste of healthcare systems and pharmaceutical companies aren't reflected in insurance profits. Just looking at the raw profit percentages returned to shareholders is absolutely meaningless.

You have to look at the entire healthcare picture and realize that insurance is the system driving the exorbitant costs. There is no legitimate reason for healthcare prices to be so insane.

replies(2): >>42734417 #>>42737930 #
2. chii ◴[] No.42734417[source]
> There is no legitimate reason for healthcare prices to be so insane.

these profit margins are why some people claim that the US is actually subsidizing the rest of the world's low cost health outcomes.

These companies make money in the US, at high margins, which enables them to operate at low margins in other more regulated countries.

replies(1): >>42734614 #
3. tsimionescu ◴[] No.42734614[source]
This might apply to Pharma, which actually operates in international markets, but not to US health insurers, PBMs, or for-profit Healthcare providers.
4. gruez ◴[] No.42737930[source]
>Health Insurance IS a huge racket. Insurance profits are only a small slice. Executive compensation isn't part of profits.

"Executive compensation" is even a "smaller slice" than profits, orders of magnitude smaller.