You just repeated what you already said with more detail but didn't address what I said. The insurance companies are the ones paying the pharmaceutical companies hundreds of dollars for a vial of insulin.AFAIK it goes like this.
Car insurance: 5% profit margins
Life insurance: 5% profit margins
Health insurance: 5% profit margins
Experts on fox news and CNN viewing these stats: health insurance is obviously completely broke and needs to be replaced.
Meanwhile in the blacked out area where the media never looks.
Pharmaceutical drugs: 40% profit margins
Medical equipment manufacturers: 20% profit margins
Healthcare providers: 20% profit margins
...
I've been saying this since 2008'ish.
Maybe in another 50 to 100 years people might take it seriously.
Insurance companies are selling you a policy and betting against it costing them money, of course the margins are tighter than companies who actually sell goods. They hope to sell policies to people while they're younger and for longer so they get their money while they're less likely to have medical emergencies or costly procedures. Add with it the people who can actually afford health insurance aren't in poverty and as a result are healthier on average. So it costs too much and you won't even be covered if you have the wrong pre-existing conditions because they know you'll cost them money. That itself is the issue with how the industry works, not the profit margin.