They weren't forced to cover the uninsurable without payment. The costs were spread among the millions of insured. The US picked up a good chunk of the premiums for many formerly uninsured. This happened 16 years ago, but it is causing problems now. Go back to the RW web and see what other crap you can repost without insight.
I do this for a living. Any group that is still utilizing fully insured insurance is likely a loser for the insurance company. Only groups with bad risk are staying in that place. When insurance companies know they are losing $ in that space, they have to make up for it elsewhere. This isn’t rocket science.
But yes, medical trend is up double digits every year now. As I said, it’s not an either/or scenario, it’s both. I’d be happy to educate any owners/CFOs, HR people you know that are struggling with costs. Have to be pretty creative these days.
“spread among the millions of insured” = increased for the millions of insured.