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Great questions, all. I'll start here:

>> Are "health" "insurance" companies required to approve/pay out 100% of whatever Pharma tells its white-coated sales force ("doctors") to prescribe/charge?

Yes, actually... and it's because of companies like UHC and CVS. The ACA kept private insurers but didn't address mergers. The 15% cap on profits incentivized hospital groups like UHC to buy insurance companies so they could charge anything they wanted, and take 15% on that. So yes, literally what you said is true, and IMO, ACA and corporate health giants like UHC share blame here--

https://www.thebignewsletter.com/p/how-obamacare-created-big-medicine

>> I'd please like to see where you're getting that "$30K average today" on premiums

Same article as above, which links to a 2022 report. I was hazy on some details, it's $32k average healthcare costs for a family, up triple from ~$11k in 2004.

>> What percentage should the claim denial rate be?

IDK not in health insurance but probably less than double the industry average would be a good start:

https://cloudfront-us-east-1.images.arcpublishing.com/bostonglobe/3G4K7ZD2MBCGHDOHSJPXAESXGU.jpg

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