No, it's all based on western economical theory. It's essentially when you think of insurance pools and how they work they are selective and try to bring in their lowest risk patients. When the ACA was introduced the individual mandate was supposed to help offset the risk as well as the money allotted for the high risk pools.
That said- Trumps plan (which continues to change)- would drop those out of the pool or create HSA that are tax shelters. The issue is that those who access healthcare on a regular basis will need more than a HSA, especially if it transitions without any support. When we look at the market and where the MR and MC occur in insurance that is where the profit taking is. In an industry like RXMD we could be taking out it's revenues that are supported by it's structure now. For example, they do home visits, Rph consultations, and other forms that are billable under the ACA. This type of support/structure could be removed and then that revenue stream may be cut off. I think that is the advantage of RXMD is that they are implementing their pharmacy similar to an HMO but within the scope of their company. The CC gave me a sense that is the route they are going which I think is smart- but managed care will get shredded under trump which means reimbursements will take a huge hit and folks will drop out of the insurance pool. It's not political its the reality if you study health care econ.