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So? They're insurance companies. Why should they have high profit margins?


I never wrote they should. I am disputing the notion that they earn huge profits (“enormous scoop”). Which is trivially disproven by looking at their financials.


The "enormous scoop" refers to their incentive to drive prices higher so their "scoop" (the 5%) is bigger in absolute terms, I believe.


My point was that if they could control the size of the scoop, then why would they limit it to 5%, when they could legally be getting 15% or 20%?

Answer is that they do not control the size of the scoop (as the original poster I replied to implied).


How is it disproven exactly? Are you saying 5% is not a lot because it's the number 5 or something?


From experience operating businesses and reading financials of various companies, 5% profit margin is on the low end. Walmart and other retail play in the 2% to 5% range.


Why would you compare such different businesses profit margins?

Anyway I just think saying a 5% profit margin is small because other businesses have larger profit margins is kind of naive. I mean if through competition insurance companies' profit margins dropped to 2%, then the current status quo of 5% would seem crazy.

It's all just a matter of perspective. Saying 5% is low because other businesses have higher profit margins doesn't make much sense since the businesses are totally incomparable.


The reason to compare it to other businesses is to see what kind of moat/regulatory capture/monopoly/monopsony power they have.

For those purposes, a 5% profit margin indicates that health insurance companies do not have the pricing power that many other industries have. They actually have some of the lowest, which is fine, but then the claims of them being in control go out the window.

Whether or not 5% itself is too high can be determined by looking at the competition. There are at least 7 other major publicly traded health insurers competing against each other, all with nearly the same profit margin.

So either they are colluding with each other and there is corruption on a massive scale, or, the current parameters of the health insurance business simply result in a ~5% profit margin. If you think you can do better, then you are betting that you can do the job better than all the employees at these 7 companies, which is a lofty claim.


S&P 500 average profit margin is typically around 10%. So, yes, 5% is low profit margins.


I already said it elsewhere, but I think blindly comparing profit margins across totally different industries is kind of dumb. But continue to compare insurance companies to Apple if you'd like.




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