Reply #2: Yeah Congress picking winners of hundred billion dollar statewide contracts. [View All]

[Statistical]

I am sure there will be no lobbying, corruption, and kickbacks on that idea.

Hell if I spend $1B lobbying congress to get a state like CA then make $100B a year for next 10 years thats a nice ROI.

Larger risk pool = better but you quickly reach a point of diminishing returns.

That is why many major companies (20,000+ employees) simply manage their own healthcare.

Risk pools are important going from a policy with 100 people to one with 1000 or one with 100 to one with 10K or even one with 10K to one with 100K.

However at each steps the gains are less and less.

No need to make a statewide (millions or tens of millions) of person risk pool.

Simply allowing for example all small businesses in a state to organize and join same policy (thus 1000 small businesses with combined employees of 250,000) could negotiate costs down would be sufficient.