It was said: -- begin quote --

As to care, as I've said a lot before, care is most often more expensive than coverage.

Clearly this can't be true or every health insurance company would be going out of business. Coverage has to be more expensive than care of they wouldn't be in the business of providing coverage. -- end quote -- You've missed the essential gamble of insurance: care given to an individual insured party is usually more expensive than the premiums paid by that individual. The gamble is that the aggregate premium collected from all the insured in the pool will exceed the aggregate cost of care for those in the pool that collect benefits. That the insurance business is profitable proves the gamble usually pays off.