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I basically believe the medical insurance industry should be nonprofit, not profit-making. There is no way a health reform plan will work when it is implemented by an industry that seeks to return money to shareholders instead of using that money to provide health care.

Today we have a health insurance industry where the first and foremost goal is to maximize profits for shareholders and CEOs, not to cover patients who have fallen ill or to compensate doctors and hospitals for their services. It is an industry that is increasingly concentrated and where Americans are paying more to receive less.

For a long time, the for-profit world has told us in the not-for-profit sector to behave more like businesses.

The health insurance industry does not like to pay out claims, because they don't make money. The only way they can make a profit is if they don't pay for your operation. If they pay for your operation and your doctor's appointment and your pharmaceuticals, they don't make any money.

In other industries, value is defined by the ultimate stakeholder - the one who benefits, or not, from the service. We should do the same in medicine.

I think legislation needs to put an end to doctors profiting on businesses to which they can funnel patients - that is business, not medicine. If you try to call it medicine, then it is corruption. Without legislation, it will keep happening.

Profit is not the legitimate purpose of business. The legitimate purpose of business is to provide a product or service that people need and do it so well that it's profitable.

While many in the social enterprise space often qualify themselves as 'non-profit,' these organizations should instead treat themselves as 'for-purpose.' These organizations should focus on their mission to create social good, while still treating themselves with the same commitment to rigor and discipline as the best for-profits.

It has become clear that the function of a private health insurance is to make as much money as possible. Every dollar not paid out in claims is another dollar made in profits for the company.

Pay-for-procedure or fee-for-service reimbursement rewards doctors and hospitals for volume - not keeping patients healthy or being efficiency. Pay-for-Performance is clearly one tool that can change the incentives to reward quality.