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I'd like to point out that this is the exact same argument feminists use when they say that any advice like "Don't get drunk in a skimpy outfit and hang around lots of desperate horny men" is actually blaming the victim and morally wrong. That said, my personal position (not that I can speak for the people you're referring to) isn't so much "more health insurance ceos need to be gunned down in the streets" as it is "these health insurance ceos need to be reigned in so they aren't causing so much damage to society". If a fentanyl dealer gets killed because he sold a bad batch of drugs that killed a bunch of his clients, I'm not going to pretend that I'm terribly upset when someone gets revenge on him. Play stupid games, win stupid prizes - and when your industry performs as awfully as the US healthcare insurance industry does, profiting on the back of destroying lives and denying people medically necessary procedures, you're going to be buying a lot of tickets for the Luigi lottery. Sure, most of the victims will just die or suffer in silence, but all it takes is for the right person to get screwed over and something like this will happen again. The right thing to do would be for the government to crack down on these people and implement a much better healthcare system, but seeing as how that isn't happening anytime soon we're just going to get more and more cases like Brian Thompson as the years go on.
Insurance companies, in general, tend to make more money when they don't have to pay out. They often make the worst day of your life even harder by looking for any excuse to not pay you. I got rear-ended at a stoplight a while ago; I took a picture of the car that hit me, including their license plate, as they sped away. When submitting the claim, I included the license plate number, the photo, and described the person driving the car as a "man between ages 20 - 50 with dark hair". My claim was denied because the license plate I reported belonged to a 70s model car (the car in the photo was obviously an older model, so definitely matched) registered to a man in his 30s. Because it was a government monopoly (thanks, ICBC), I couldn't do anything about it, and had to pay the repair costs out of pocket. This was obviously infuriating, and the start of my character arc towards hating any and all governments.
With something like healthcare in the US, where the costs range from "all the money you'd make in a month" all the way up to "all the money you'd make in a lifetime", dealing with individuals who are determined to nickle and dime you over things your physician said you'd need in order to not be dead is something that boils the blood; like, it's more surprising to me that someone didn't do something sooner. I've also heard that Brian Thompson/UnitedHealthcare was particularly stingy; that may or may not be true, but it's probably a bit of a factor.
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Feminists are saying that it is possible to say such things sincerely but most people who say them in real life aren't? I find this unlikely as a feminist position.
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But they're not. US healthcare is overpriced, but the money is flowing to doctors and hospitals, not to the insurance industry, whose profits are small. The insurance industry are just the middle man, paid to redirect the customers' ire from those lovely doctors and nurses.
Although your misunderstanding does really highlight how bad the 'randomly execute people I assume are responsible for my problems' method of political activism is.
This is a more complicated question than it sounds.
It's true health insurance companies have very thin margins: almost always <5%. And it's even true that the ratio of premiums paid out to revenue collected (the 'loss ratio') is rather high across the board: >80%. ...But the reason it's strictly >80% is that that's the legally mandated minimum per the ACA. If they fall below that number, they have to issue rebates to customers to meet it.
On the face of it this sounds like a good thing, right? I've argued in the past that corporations aren't always eager in practice to maximize profit (principal-agent issues where employees and not owners are making most of the decisions), but they largely do try to maximize their own size. The law limits administrative bloat!
Except... it doesn't. It limits bloat to a percentage of payouts. If they negotiate well and push prices down, they reduce their profit/operating budget! Unless it's compensated by more custom, of course; the normal competitive pressures do still exist. But this rule absolutely acts against that pressure.
This is a classic example of Goodhart's Law. Without this requirement, loss ratio is a good measure of efficiency; since a company will always try to minimize their expenses (the ones that involve sending checks to other businesses and don't benefit any employees, anyway), high loss ratios just mean there's adequate competitive pressure to keep them lean. But now? Who can say? The number is going to be >80% no matter how much or little competitive pressure they're under. If competition is insufficient, they'll just throw money at doctors and hospitals, because that's the only way they're allowed to raise profit/operating budget (via higher premiums). And if they were, it would exactly like you're describing.
But are they? I'm really not sure. Loss ratios were often lower before the ACA (sometimes as low as 60%), but a lot has changed about the healthcare market since 2011. Health costs are going up everywhere, not just the US. It's a murky subject and I don't think there are many easy answers to be found.
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I don't see any numbers in that linked post, or in the posts linked from that, that compare hospital profit and insurance industry profit.
And even some of the links from that post blame the problems on the insurers when you seem to think they don't.
The bloat is not necessarily "profit". For instance, when insurance companies and hospitals hire armies of bureaucrats to argue over the claims, all those bureaucrats get paid and none of that is "profit" to either side.
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Er... what? I'm not making any argument of the sort, simply observing that most any time I see someone expressing the "that's to be expected" point of view it's because they are actually happy the guy was murdered. I'm not sure how you get from there to some kind of thing about victim blaming.
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