Uncovering Big Med
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Uncovering Big Med

Why is American healthcare so ridiculously expensive?

How healthcare institutions are becoming oligopolies and reasons to stay hopeful for healthcare reform.

Illustration: United Nations COVID-19 Response on Unsplash

There was a common fear that medical bills would be more expensive than expected, not knowing in advance the list of medical procedures that would be performed on you, and the pervasive feelings of frustration and resignation that patients are denied real choice or autonomy throughout their healthcare experience.

Some of the questions I received:

The bad stuff

Graphic credit to Luke Brookes
Photo by Ehimetalor Akhere Unuabona on Unsplash
Photo by BP Miller on Unsplash

The way that we should understand the American healthcare industry is that it is an ecosystem, within which each institution has built relationships with others and are mutually dependent to sustain themselves. What that implies is that each individual component of the healthcare system has grown and succeeded within today’s suboptimal ecosystem, and they all have skin in the game to maintain the status quo.

Things that give me hope — and the work remaining

Price Transparency Rules for Hospitals

Value-Based Care for Insurers

Are any of these people getting regulated?



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