Okay, that wasn't the question. I was wondering how the insurance company knows it'll go in debt if it covers a pre existing condition if the person still pays them money.
You have to understand how insurance works in the first place. The only way insurance companies can make a profit is if they have more healthy people paying into the system than sick people. Therefore, they only accept healthy people (or they refuse to cover certain pre-existing conditions). They know some of those healthy people will become sick, but they also know a majority of them won't.
In a nutshell, when you buy insurance, you are pretty much betting that you, yourself, will get sick. They are betting you won't. If you win the bet, they pay you. If you lose the bet, you end up paying them. Sure, you may get into an accident and they will cover your medical costs, but often those costs don't add up to what you already payed them!
Insurance is basically the act of covering the costs of accidents that are unlikely to happen just in case they do happen. NHC is not insurance, because it covers everyone.
Trust me, I understand that insurance is a scam. Overall, the people as a whole pay more than the insurance company. If there was no insurance company at all, then the sum of medical costs would be cheaper for the people (as a whole).
Let's assume 10 people pay an insurance company a total of 1,000 dollars. The insurance company covers these people and in the end they only end up paying 500 for their medical costs. Without the insurance company, the 10 people would only have to pay the 500 dollars.
The reason why insurance companies can afford to fully cover people is because they drop people when they become high risk (that, or they become more expensive).
Why do people get insurance then?
If you get insurance, and you pay into the system for a long time before you get hurt, chances are you payed them so much money within that time frame that they
still made a profit off of you. This is not always the case, but often is.
In a nut shell:
Insurance is good under 2 conditions.
1. When you get hurt shortly after paying for insurance, and the medical costs are more than what you already payed the insurance company the short time you have been with them.
Example: If Ted pays 10 dollars a month and gets hurt and has a 50 dollar medical bill, he will have saved money if he had gotten hurt 4 months or less after he started paying his insurance company. If he got hurt after 5 months, he will have lost money to the insurance company.
2. When you have serious medical problems that become
very costly later on in life.
How can insurance companies afford to pay these people?
1. People with cheap medical costs will generally make up the loss as they stay with the insurance company.
2. Insurance companies drop people who become "high risk".
Why do people pay for health insurance in the first place? They pay for insurance because they are afraid they may get hurt shortly after paying for insurance, or they will have serious health problems later in life (before they are dropped).
I hope you understand why insurance companies don't cover people with pre-existing conditions.
Understand, that insurance is VERY corrupt. The only different between insurance and NHC is that NHC pays for everyone. The problem is, if everyone is covered, the system goes into debt.
The only way to sustain NHC is to accept the fact you are going into debt and to ration what you can squeeze with what little money you can salvage, or you raise taxes or the cost of NHC so much that everyone under NHC is paying more money to UHC than what UHC pays in medical costs. In that case, the people may as well cut out the middle man and pay their own medical bills.
The solutions seems to be that everyone should save their own money. The only problem is if:
1. You get hurt before you save enough money to cover medical costs.
2. Your medical costs are extremely expensive and eat the money you saved too quickly.
No matter what, people suffer. Why do I not support NHC? Because you have no choice. I would rather take my chances and get insurance when I'm 30 or 35 years old than start payments when I'm in my 20s.