Big Gulp, Meet Big Brother

[Yossarian]

Otherwise, we are just blaming health care companies for doing what they are actually designed to do, just as we blame Bain Capital for costing people jobs, when they are just doing what they are designed to do, which is to make profits for stockholders, not to create jobs. (I never thought I'd be in the position of defending Bain Capital OR health care companies, but it is a very similar situation, and blaming them for being good at what they are actually designed to do is not right).

What might BE right would be figuring out a way to have a health care system where providing the best quality care would be incentivized to the company, so THAT would be the best way for them to profit, rather than what we have now, which is them denying as much care as they possibly can to increase profits.

Your analogy is flawed, Bain is not a consumer company. Every consumer business weighs costs, price and service/quality levels. Companies can try to cut costs to maximize profit by denying service or features or quality parts, whether it's Apple, Accenture, IBM or United Healthcare, but they still have to try to produce a good product or they are out of business. As long as consumers have choices then the companies have the incentives you mention (note: it's called capitalism).

If you don't like capitalism and consumer choice, maybe consider the old mutual insurance company system where the policy holders were the owners. Any profit gets paid back to the policy holders, but it is still run like a business.