It does seem like it's time to stop letting this "industry" profit off the misfortune of its customers. Making all of these a public service instead of private industry makes sense at this point.
Its also only meaningful when measured over a long period which takes good years and bad years into account.
Either that or a barrage of government policies which will make things worse for everyone and continue the US economy's descent into the death spiral.
They profit off the fortunate customers, those who have no need to claim from insurance.