I don't think that most Americans are opposed to companies that invest money into an enterprise, making a profit. I worked in health care management and public affairs for the VA for almost 30-years and a large non-profit for about five. The non-profit, actually made a profit, but for tax reasons was called something else. The biggest difference between a totally government funded program, like the VA, and private health insurance is that one is more prepared than the other for the unexpected. A big chunk of the money that insurance companies take in is invested to hedge against disasters. If insurance companies did not invest money and make profits, the 9-11 attacks would probably have triggered a deep recession. In the UK, health care administrators hold their breaths through flu season each year, hoping that this isn't the one that takes their system down. People were fine with profits until employers started cutting benefits, by forcing co-pays and larger deductibles on their employees, through their insurance companies. I am sure they chose these over charging employees a premium and spreading the cost to all, to hide the change as much as possible. But, what it did was punish the sick. It is no surprise that these changes evolved during the Reagan Revolution when unionism was in the crosshairs and selfishness was a trait to be rewarded, not punished.