The corporations keep any profits as their reward. The size of those profits is of no concern to the government, as long as its policies are implemented and enforced upon the population. If there are losses, the government uses taxpayer money to make the corporations whole again. Lastly, but most important, if there is excessive risk inherent in certain aspects of policy implementation, the government acts as the corporation's guarantor or, in the case of medical care, the insurer of last resort. Under a corporatist health care system, employers are expected to pay the health care premiums of their workers.
Workers are unaware of how much is actually being paid over by their employers to the insurers.
And for the most part, what is being paid out far exceeds what they would spend if they were allowed to choose coverage for themselves in a free and robust market. Yet these families use minimal health care resources, and the premiums prices are based on a global population, not just the young and healthy. And this is where the government does its part in the corporatist partnership. Government siphons off and assumes the risk of caring for the less healthy and more expensive people. Well, Medicare of course, has long cared for those over 65, for people with kidney failure, and for some others.