Douglas_Knight comments on Open Thread: June 2010 - Less Wrong
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Actually, I think that for voluntary insurance, the observed adverse selection is negative, but I can't find the cite. People simply don't do cost-benefit calculations. People who buy insurance are those who are terribly risk-averse or see it as part of their role. Such people tend to be more careful than the general population. In a competitive market, the price of insurance would be bid down to reflect this, but it isn't.