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I asked Google: "What is gross margin of United Healthcare?" The response: "UnitedHealth Group average gross margin for 2022 was 24.17%, a 2.38% increase from 2021. UnitedHealth Group average gross margin for 2021 was 24.76%, a 3.73% decline from 2020." The source here is a website called "Macrotrends." For 2023, UHC had earnings before interest and taxes of 32.358 billion dollars on revenues of $290,827 billion, a rate of profit of a little over 11%. So I don't know where Noah Smith is getting his numbers, but it's not from the annual report of UHC, and his summary of the business sounded very suspect to me. They did post a net loss in one recent fiscal year.

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