Imagine a roulette wheel with a million numbers on it. Spin the wheel and if you get double zero you will die of a terminal disease. Sounds like a stupid game doesn’t it, why would you play?
Now imagine that instead of betting on one number coming up, you bet on every number, and everyone bets on every number. The wheel is spun and someone’s version of double zero pops up.
Luckily for that person all the bets placed on every number went into a pot to pay for the treatment of those who are unwell, so now the unlucky soul will either be saved or at least be treated.
Everyone plays the game because in this way everyone is covered.
Now imagine that the wheel has 300,000,000 slots, one for every citizen in the USA, and imagine there are lots of people’s numbers that will come up every day. So long as there is enough cash in the pot, those who get sick can get covered.
But if some people choose not to play the game for whatever reasons, then the pot gets smaller, and it can become too small to pay for those who are sick.
And imagine if the croupier starts to charge a fee to allow you to place a bet, a really big fee. Suddenly it gets a lot harder to take care of everyone.
Some people decide to stop playing roulette and instead create a series of smaller games of craps, with very few people playing each game. Each game really doesn’t have enough cash to deal with those who lose. But more games means more croupiers, which is great if you happen to be a croupier. And each game can decide who can play, keeping those most likely to lose out of their games, or place really high limits on how much they can win.
As a casino, this is not a place worth going to play. As a healthcare system, it looks like a scam.
Well that’s what we have.