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Notes -
I am immediately suspicious. Because if so why do they have so many ads? If they're not profit-driven, that seems negative sum.
The incentives facing executives at for-profits and executives at commercially managed non-profits (including large mutuals, and also fee-charging charities like university hospital systems) are more similar than they probably should be given the difference in mission.
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Wouldn’t having a large userbase be useful for smoothing out the statistics? As Norman mentions above.
So it’s also possible brand awareness in America is intended to fuel operations outside of the mutual umbrella.
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