They are deluded. They still think about the American dream as if it wasn't a nightmare. Yeah, leave all your people behind, let them die or rot in poverty, as long as you make it.
They take those premiums, and what employers pay, and all the co-fees like when you pay a $30 copay on a drug that would cost $5 out of pocket (there are many! but you have to research) and invest them.
They make tons and tons of money on all the premiums. So it isn't even $100k in, $1mil out. It's 100k times a thousand in, and that $1mil is peanuts by comparison out.
Coupled with the fact that the $1mil in treatment is all fake cost values made up by the industry, when in reality, it probably would cost 1/10th that, to still turn an operational profit.
Not disagreeing with you either, just pointing out the monetary disparity is insanely worse.