2. I’m almost certainly talking about health insurance, made obvious by you even mentioning that. There’s a HN guideline about discussing in good faith.
3. I find it humorous you hand-wave away our inhuman healthcare system as “for a variety of reasons”.
4. I see your career is in hedge funds, defense, and big tech. Best of luck ;)
As mentioned the problems with the US healthcare system are numerous, complex, and interrelated. I don't think they have a simple solution, nor do I think they are insurance problems at their core. For example the cost of drugs in the US vs the rest of the world has very little to do with insurance.