The focus should be the patient and the health of the patient. 

The downside of having insurance companies control, view our private medical records, decide who gets covered, and what they cover for personal medical expenses is that this can lead to disparities in access to healthcare. Some individuals may be denied coverage or receive limited coverage based on various factors such as pre-existing conditions, age, or income level. This can result in financial strain and barriers to necessary medical treatments for those who are judged upon. The downside of having insurance companies control who gets covered and they cover for personal medical expenses is that can lead to limited access to necessary healthcare services for some individuals. Insurance companies may deny coverage for certain treatments or medications, leading to financial burden and potential health risks for those who cannot afford to pay out of pocket.

Additionally, insurance companies may prioritize profits over the well-being of their customers, resulting in decisions that may not always be in not adequately covered or the best interest of the individual. Additionally, insurance companies may prioritize profits over the patient's well's health. This could potentially result in delayed or inadequate care, leading to conflicts of interest and unethical practices. 

Overall, having insurance companies insurance companies control healthcare coverage can create barriers and control healthcare coverage and prevent accessing necessary medical treatment and result in inequities and creates challenges in accessing essential the overall health outcomes in medical care of individuals. It is important to advocate for policies that prioritize affordable and equitable healthcare for all individuals and focus on the patient not the profit.