Single payer will put them between rocks and hard places too.
Right you are using conventional logic.
However, HC insurer C suite leadership for the big four do not care about long term years out repercussions whether their companies will exist in the form of previous business model.
They are reaping Huge salaeies, bonuses, stock price & options which ensure they’ll be fine in future retirement.
They know single payer is a foregone conclusion.
Client is planning on functioning as single payer administrator, and provide provider & enrollee care services, ie: patient care and outcome monitoring via big data analytics, for instance.
Unfortunately you can expect Huge deterioration in health care services as physicians continue to retire in droves due to ACA / Medicare hassles & underpayment, and remnant of docs are consolidating their practices with hospitals.
HC costs will assurdedly continue to soar and hurt consumers in the face of real income earnings decline.
Stay healthy, avoid disease and accidents.
You won’t be able to afford not to.
The ACA 2000+ page pincer takeover of 18% of the economy was done dilberately by our Marxist - Muslim America hating WH occupant and his insane followers.