I mean, there are huge problems with American health care companies and insurance in general will always tend towards being a scam unless it’s extremely heavily regulated, but at a fundamental level insurance does offer a service (that of socializing the cost of extreme losses), and while executives do have fiduciary duties, the idea that they always have to pursue short term profit no matter what from a legal standpoint, is overblown and exaggerated: https://www.reddit.com/r/law/comments/3pv8bh/is_it_really_true_that_corporations_are_legally/