To: koan who wrote (14403 ) 4/2/2012 7:31:51 PM From: sm1th 4 Recommendations Respond to of 85487 Private insurance has a 40% overhead. Medicare is 4%! koan, you have made this claim before and been proven wrong. I have posted results from publicly traded insurers before and will do so again. Below is form the latest SEC filing by Wellpoint, either the first or second largest private health insurance co. I apologize for the formatting, but the data is easily found for anyone actually interested in the truth. Overhead is about 13%, some of their competitors do better. Your comparison conveniently ignores the regulatory burden the govt puts on private insurance, but not on itself - Medicare. Govt solutions are almost always less efficient than those provided by an honest competitive market. VI. Results of Operations Our consolidated results of operations for the years ended December 31, 2011, 2010 and 2009 are discussed in the following section. Years Ended December 31 2011 vs. 2010 2010 vs. 2009 2011 2010 2009 $ Change % Change $ Change % Change Total operating revenue $ 59,865.2 $ 57,740.5 $ 60,740.0 $ 2,124.7 3.7 % $ (2,999.5 ) (4.9 )% Net investment income 703.7 803.3 801.0 (99.6 ) (12.4 ) 2.3 0.3 Gain on sale of business — — 3,792.3 — — (3,792.3 ) (100.0 ) Net realized gains on investments 235.1 194.1 56.4 41.0 21.1 137.7 244.1 Other-than-temporary impairment losses on investments (93.3 ) (39.4 ) (450.2 ) (53.9 ) 136.8 410.8 (91.2 ) Total revenues 60,710.7 58,698.5 64,939.5 2,012.2 3.4 (6,241.0 ) (9.6 ) Benefit expense 47,647.5 44,930.4 47,122.3 2,717.1 6.0 (2,191.9 ) (4.7 ) Selling, general and administrative expense 8,435.6 8,732.6 9,019.3 (297.0 ) (3.4 ) (286.7 ) (3.2 ) Other expense 1 669.7 681.7 1,394.9 (12.0 ) (1.8 ) (713.2 ) (51.1 ) Total expenses 56,752.8 54,344.7 57,536.5 2,408.1 4.4 (3,191.8 ) (5.5 ) Income before income tax expense 3,957.9 4,353.8 7,403.0 (395.9 ) (9.1 ) (3,049.2 ) (41.2 ) Income tax expense 1,311.2 1,466.7 2,657.1 (155.5 ) (10.6 ) (1,190.4 ) (44.8 ) Net income $ 2,646.7 $ 2,887.1 $ 4,745.9 $ (240.4 ) (8.3 ) $ (1,858.8 ) (39.2 ) Average diluted shares outstanding 365.1 415.8 480.5 (50.7 ) (12.2 ) (64.7 ) (13.5 ) Diluted net income per share $ 7.25 $ 6.94 $ 9.88 $ 0.31 4.5 $ (2.94 ) (29.8 ) Benefit expense ratio 2 85.1 % 83.2 % 83.6 % 190 bp 3 (40 )bp 3 Selling, general and administrative expense ratio 4 14.1 % 15.1 % 14.8 % (100 )bp 3 30 bp 3 Income before income taxes as a percentage of total revenue 6.5 % 7.4 % 11.4 % (90 )bp 3 (400 )bp 3 Net income as a percentage of total revenue 4.4 % 4.9 % 7.3 % (50 )bp 3 (240 )bp 3