I've decided to make a collection of the non Medicaid health insurers 15-20% of my portfolio. Major risk of (a) change in government policy, (b) utilization / loss rates being materially higher than estimates over more than a few years (c) some other major competitive change in the value chain I think are extremely low - with (a) being far lower now than maybe a few years ago with both parties showing no interest in changing the status quo. I think buying as a basket gets you a pretty easy 10%+ per year especially with a few of the MA players (CVS, Humana) now trading at value prices. If multiples ever go up from ~10-12 EV/EBITDA that's a kicker