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My friend is against the public option.

He says that it will be impossible to compete with a government run health option because insurance companies only make about 1-3 pennies off of every dollar that is paid out in premiums.

I have heard things about 30% overheads, and lobbying costs, and investment, and other shady record keeping tactics.

What is the real story? How much do they actually make in profit, and how are those costs handled?