A Health insurance policy is a contract between an insurance company and an individual. The contract can be renewable annually or monthly. The type and amount of health care costs that will be covered by the health plan are specified in advance, in the member contract or Evidence of Coverage booklet. The individual policy-holder's payment obligations may take several forms[7]: Premium: The amount the policy-holder pays to the health plan each month to purchase health coverage. Deductible: The amount that the policy-holder must pay out-of-pocket before the health plan pays its share. For example, a policy-holder might have to pay a $500 deductible per year, before any of their health care is covered by the health plan. It may take several doctor's visits or prescription refills before the policy-holder reaches the deductible and the health plan starts to pay for care. Copayment: The amount that the policy-holder must pay out of pocket before the health plan pays for a particular visit or service. For example, a policy-holder might pay a $45 copayment for a doctor's visit, or to obtain a prescription. A copayment must be paid each time a particular service is obtained. Coinsurance: Instead of paying a fixed amount up front (a copayment), the policy-holder must pay a percentage of the total cost. For example, the member might have to pay 20% of the cost of a surgery, while the health plan pays the other 80%. Because there is no upper limit on coinsurance, the policy-holder can end up owing very little, or a significant amount, depending on the actual costs of the services they obtain. Exclusions: Not all services are covered. The policy-holder is generally expected to pay the full cost of non-covered services out of their own pocket. Coverage limits: Some health plans only pay for health care up to a certain dollar amount. The policy-holder may be expected to pay any charges in excess of the health plan's maximum payment for a specific service. In addition, some plans have annual or lifetime coverage maximums. In these cases, the health plan will stop payment when they reach the benefit maximum, and the policy-holder must pay all remaining costs. Out-of-pocket maximums: Similar to coverage limits, except that in this case, the member's payment obligation ends when they reach the out-of-pocket maximum, and the health plan pays all further covered costs. Out-of-pocket maximums can be limited to a specific benefit category (such as prescription drugs) or can apply to all coverage provided during a specific benefit year. Prescription drug plans are a form of insurance offered through many employer benefit plans in the US, where the patient pays a copayment and the prescription drug insurance pays the rest. Some health care providers will agree to bill the insurance company if patients are willing to sign an agreement that they will be responsible for the amount that the insurance company doesn't pay, as the insurance company pays according to "reasonable" or "customary" charges, which may be less than the provider's usual fee. Health insurance companies also often have a network of providers who agree to accept the reasonable and customary fee and waive the remainder. It will generally cost the patient less to use an in-network provider. Health plan vs. health insurance Historically, HMOs tended to use the term "health plan", while commercial insurance companies used the term "health insurance". A health plan can also refer to a subscription-based medical care arrangement offered through health maintenance organization,HMO, PPO, or POS plan. These plans are similar to pre-paid dental, pre-paid legal, and pre-paid vision plans. Pre-paid health plans typically pay for a fixed number of services (for instance, $300 in preventive care, a certain number of days of hospice care or care in a skilled nursing facility, a fixed number of home health visits, a fixed number of spinal manipulation charges, etc.) The services offered are usually at the discretion of a utilization review nurse who is often contracted through the managed care entity providing the subscription health plan. This determination may be made either prior to or after hospital admission (concurrent utilization review). Inherent problems with insurance Insurance systems must typically deal with two inherent challenges: adverse selection, which affects any voluntary system, and ex-post moral hazard, which affects any insurance system in which a third party bears major responsibility for payment, whether that is an employer or the government. Some national systems with compulsory insurance utilize systems such as risk equalization and community rating to overcome these inherent problems.

Cyberwarfare

Cyberwarfare refers to politically motivated hacking to conduct sabotage and espionage. It is a form of information warfare sometimes seen as analogous to conventional warfare although this analogy is controversial for both its accuracy and its political motivation.

Cyberwarfare has been defined by government security expert as actions by a nation-state to penetrate another nation's computers or networks for the purposes of causing damage or disruption. The Economist describes cyberwarfare as the fifth domain of warfare, and William J. Lynn, U.S. Deputy Secretary of Defense, states that as a doctrinal matter, the Pentagon has formally recognized cyberspace as a new domain in warfare which has become just as critical to military operations as land, sea, air, and space.

In 2009, President Barack Obama declared America's digital infrastructure to be a strategic national asset, and in May 2010 the Pentagon set up its new U.S. Cyber Command (USCYBERCOM), headed by General Keith B. Alexander, director of the National Security Agency (NSA), to defend American military networks and attack other countries' systems. The United Kingdom has also set up a cyber-security and operations centre based in Government Communications Headquarters (GCHQ), the British equivalent of the NSA. In the U.S. however, Cyber Command is only set up to protect the military, whereas the government and corporate infrastructures are primarily the responsibility respectively of the Department of Homeland Security and private companies. Cyber warfare is the least common type of warfare and has not been used effectively to date.

In February 2010, top American lawmakers warned that the threat of a crippling attack on telecommunications and computer networks was sharply on the rise. According to The Lipman Report, numerous key sectors of the U.S. Economy along with that of other nations are currently at risk, including cyber threats to public and private facilities, banking and finance, transportation, manufacturing, medical, education and government, all of which are now dependent on computers for daily operations. In 2009, President Obama stated that cyber intruders have probed our electrical grids.

The Economist writes that China has plans of winning informationised wars by the mid-21st century. They note that other countries are likewise organizing for cyberwar, among them Russia, Israel and North Korea. Iran boasts of having the world's second-largest cyber-army. James Gosler, a government cybersecurity specialist, worries that the U.S. has a severe shortage of computer security specialists, estimating that there are only about 1,000 qualified people in the country today, but needs a force of 20,000 to 30,000 skilled experts. At the July 2010 Black Hat computer security conference, Michael Hayden, former deputy director of national intelligence, challenged thousands of attendees to help devise ways to reshape the Internet's security architecture, explaining, You guys made the cyberworld look like the north German plain.