I have made reference to this notion before, but never really got a response, so here it goes... I would postulate health insurance is fundamentally different from all other forms of insurance. Car, homeowners, and term life insurance all have something in common. They protect against a risk. They protect against the possibility of a negative outcome. However, health insurance is not like this. It can't protect against the possibility of a negative outcome because everyone will fall ill at some point. Not everyone will crash their car, having their house burn down, or die within the next ten years. Everyone will fall ill at some point. Everyone will develop heart disease, cancer, diabetes, or hypertension. Disease and death are part of the human condition. This is why the insurance model for the provision of health care services is ultimately unstable.