The American health care system is profoundly broken. We spend more than any peer nation, and have worse outcomes.  Worse, for what we pay, the system

The ENTIRE healthcare system is broken, not just health insurance companies. It is NOT HEROIC to assassinate insurance CEOs

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2024-12-14 05:30:04

The American health care system is profoundly broken. We spend more than any peer nation, and have worse outcomes. Worse, for what we pay, the system is not even user friendly. I am a practicing oncologist, health policy expert and professor, and I have difficulty navigating the complex world of in-network, co-pays and billing. Toss on training modules and EPIC, and I get pissed off trying to provide care, receive care, and study health care. That’s the trifecta.

Pharmaceutical firms - Pharma firms routinely run seeding or uninformative trials and ram through unproven medical products. Because of how they have lobbied, they ensure that Medicare and insurance will reimburse for these things. They drive up health care spending.

FDA/ CMS - these government officials live through the revolving door. They often have little incentive to be a tough regulator because they benefit (in terms of future employment from lowering the bar). Lately, under Marks/ Califf, they have done a particularly shit job: exondys, lartruvo, aducanumab, covid boosters, paxlovid, melflufen, selenexor the list goes on and on.

Insurance companies - make no mistake, insurers would love to see not 20, but 50% of US GDP spend on health care. What people don’t realize is that insurers make more TOTAL PROFITS the more we spend on healthcare, not the less we spend. The Affordable care act caps their profit on revenue, depending on the plan, at 15-20%. In other words, insurers can only take this maximal percentage of all the money that passes through them. (currently, they are often lower than this).

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