We should never have expected private, for-profit health insurance companies that have to answer to shareholders to do something they cannot, or will not, do, which is to insure people who cannot afford to pay or put the health and lives of their clients above profits. There are things, as every economist can tell you, that cannot be handled well enough by private individuals and companies. National defense is one. Protecting property rights is another. Providing an economic infrastructure that is good for incomes and profits is another. And healthcare and health insurance.