Is it true that in the long run insurance companies can “make profits at the expense of their customers?” Discuss

Problem 7 in the “Issues to Ponder” section at the end of chapter 4 refers to the 1994 health care debate.
Provide a response to this question using your knowledge of the current health care debate. Is it true that in the long run insurance companies can “make profits at the expense of their customers?” Discuss.