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Because insurers decide if who is at fault and to pay or not. This system is creating bad incentives since the entity at fault and the entity deciding who is at fault are the same on one side.

The problem with American society, as your comment reflects, is that culturally every discussion always goes back to money.

But money, while quite a good proxy for many things, reduces the human experience to a simplistic model.

It's like game theory: beautiful in a lab, but a parody of life interactions IRL.

You have to shape the system so that the emerging behaviors take in consideration justice, happiness, sustainability, etc.



> Because insurers decide if who is at fault and to pay or not.

In my experience, insurers decide the other party is at fault, unless they are proven wrong. As such, there's no reason for a company to _not_ self insure, if they have the bankroll for it.


Friend of mine works for company with Cigna healthcare.

BUT the company is self-insured. They just let Cigna manage the plan and the ruleset.

I would assume the same happens here.




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