Uninsurance markets

From Scott Alexander on the Amish health care system:

The Muslims claim Mohammed was the last of the prophets, and that after his death God stopped advising earthly religions. But sometimes modern faiths will make a decision so inspired that it could only have come from divine revelation. This is how I feel about the Amish belief that health insurance companies are evil, and that good Christians must have no traffic with them.

The post is about the advantages of the Amish health care system, which seems to have much lower costs and equal effectiveness when compared to conventional American health insurance centered health care.

The post is gripping (well, at least if you're interested in why American health care is so expensive), so I recommend reading it. But briefly, the Amish seem to have much lower costs with the same quality of care due to:

I wonder if much of this could be replicated with, not an insurance plan, but, something else… an "uninsurance plan":

I suspect that such a plan would be very cheap, to make a number up, perhaps no more than $10 per month. If it were only $10 per month, and members got an HSA, they might want to join just for that. And, if they got insurance-negotiated rates when paying out-of-pocket while being uninsured, the would almost certainly be willing to pay for it.

Such an uninsurance plan would encourage consumers to plan ahead, shop around, and save for medical expenses in their HSA, maybe giving them health care approaching that of the Pennsylvania Dutch.


VXX is a dangerous chimeric creature; it is structured like a bond, trades like a stock, follows VIX futures and decays like an option. Handle with care.

And, currently being algo traded by a program written in Excel VBA.

Strange times indeed.