With governments, citizens under jurisdiction (read: within scope of a weapon+amo) are coerced to provide 33% to 50% of personal production value. As one becomes more valuable to hir fellow citizens, one contributes more, both in total amount and in percentage of hir production value, termed “progressive taxation”. These resources, termed “tax revenue”, are then up for grabs to “representatives” of the citizens. Medical programs are funded by 35% of this tax revenue, and regardless of one’s actions, planning, genetics, accidents, abilities, risky behavior, ignorance, education, etc., each citizen is alloted any amount of coverage for hir injuries. No need to ask who is responsible, what were the causes/associated actions, etc.
IMO, this is an example of great inefficiency.

With insurance companies, individuals seek to have the backing of a large financier in case unexpected life-threatening damage or changes occur. The individual must develop a reputation for practicing good health in order to keep premiums low while the insurance companies develop a reputation for financing those unexpected repairs.
IMO, this is an example of greater efficiency.

Why do you (author) describe the insurance company as a governmental agency?

Thanks,
D Jackemeyer
Assistant Researcher
Tempe, AZ