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The reason you can’t afford healthcare: Healthcare premiums are too high. Taxing Jeff Bezos more may be right for other reasons but it will do nothing to fix this. Premiums are too high because insurance companies game the pricing model brought by Obamacare. Obamacare capped gross margins at 15%. So for healthcare companies to make more money, they didn’t have to find efficiency or compete harder, they could coordinate and raise prices. And they did that. Making 15% on $10,000 with little competition is better for them than making 15% or more on $1,000. Now Obamacare says you must spend these extra dollars on services but if you look at the growth of administrative staff and the flatlining of life expectancy, what really happened was that the extra dollars just sloshed around in the system and eventually made its way to stockholders with no measurable impact to quality - look at life expectancy vs admin staff growth in healthcare or stock price of health care stocks vs life expectancy. So to make healthcare affordable again, change the gross margin rules and force competition between the private insurers/PBMs/providers.