The ENTIRE healthcare system is broken, not just health insurance companies



Vinay Prasad, MD MPH; Physician & Professor
Hematologist/ Oncologist
Professor of Epidemiology, Biostatistics and Medicine
Author of 500+ Peer Reviewed papers, 2 Books, 2 Podcasts, 100+ op-eds.
If you want to contact me, do it here: http://www.vinayakkprasad.com/contact

Instagram: https://www.instagram.com/vprasadmdmph/
Google Scholar: https://scholar.google.com/citations?user=ym4rwk0AAAAJ&hl=en
Substack: https://vinayprasadmdmph.substack.com/
Podcast: https://podcasts.apple.com/us/podcast/plenary-session/id1429998903
Personal Website: www.vinayakkprasad.com
Laboratory Website: www.vkprasadlab.com
Podcast Website: www.plenarysessionpodcast.com
Academic Publications: http://www.vinayakkprasad.com/papers

Follow me on:
Twitter @vprasadmdmph

source

25 thoughts on “The ENTIRE healthcare system is broken, not just health insurance companies”

  1. Dismissing the outrage against insurance companies as just noise on Bluesky seriously underestimates the widespread anger toward the industry. Countless people have faced bankruptcies, lost loved ones, and spent endless hours fighting for coverage. Shifting the focus to suggest that people should simply educate themselves more or take better care of their health is incredibly tone-deaf. It echoes the same dismissiveness seen from some Democrats who relied on economic facts and figures to tell people their concerns weren’t valid. If only they “understood” economics, they’d see things differently—an approach that clearly missed the mark.

    Reply
  2. Always amazing content Vinay. I'm excited for this new admin too but we need more than 4 years to undo and create better inroads. But hopefully 2025 will prove to be a great start

    Reply
  3. The entire system has fundamentally broken incentives.
    This video does an awesome job calling out stuff wrong with insurance and hospitals, but there's more to that too.

    Hospitals being allowed to coexist in the same overall corporate structure as insurance is a serious issue, as hospitals are incentivized to get care to be affordable to expand their customer base and improve margins whereas insurance is incentivized to have baseline care be unaffordable to force the usage of insurance.

    Hospitals should be negotiating the price of care, but insurance-owned hospitals can essentially price fix in favor of insurance and prevent independent hospitals from being as financially viable or capable of negotiating due to other hospitals owned by insurance having fixed the price.

    The patent system as applied to pharma is also clearly broken. It doesn't just help companies more than recoup their R&D to work toward the next thing, but helps insurance to fuck pricing and further reduces the theoretical capacity of hospitals to negotiate affordable pricing with excessive length monopoly control and the ability to incentivize doctors to prescribe specific drugs.

    Reply
  4. The Wall Street and investing system is based on eternal growth. So investors who also include pension, funds, and retirement, funds, and things that your parents are probably invested in, demand increasing rates of return. It’s a healthcare CEOs legal responsibility in the system to maximize profits for shareholders.So ironically, it’s people that are in pensions, retirement, funds, etc., inadvertently forcing the hand of CEOs to maximize profits.

    Reply
  5. No Broken. FULLY CORRUPT. It is working EXACTLY how very smart people designed it to work. BILLIONS goes into the pockets of these people every month. It is a CASH COW. Illness is very profitable. Health is not. It is really that simple.

    Reply
  6. Loved the call out on UPMC. The paper trail is out there. But sometime ago, they hired on a new research director and their first act was to increase research overhead from 20-ish% to 40% overnight through a memorandum. What a scam and a tax on a system. Overhead =/= work being performed. It’s just money in the pocket of the system and the administrators.

    Reply
  7. You could have left out the patronizing part about bluesky apparently being where people go to celebrate the assassination of an innocent human being. Running a health insurance company in a way to specifically meet claims denial targets is not innocence. It's complicity. Of course murder is not the answer to that complicity. Murder is not the answer to anything. This is why social murder of medical patients for profit is so egregious. And what your patronizing opening accomplished was to divide your audience from the get-go, which I'm sure was not your intention. Your message about the broader problem deserves a better intro. If we're ever going to change this broader systemic system, it will require bringing people together, not dividing them.

    Reply
  8. I agree with your evidence and points but Thompson was in no way remotely innocent by any means or any factors. He decides policies. He Police's the results by passing policies to use AI to auto reject claims, force employees via quotas to deny. Owns all 3 layers of healthcare: the forced pharmacy of customers, the middleman drug manager schedules, and the insurance. UHC and all health insurance control. Uniquely UHC is a monopoly on all the layers of the market being so big.

    Reply
  9. There are some great parts and bad.
    Good- my daughter had a foot pain issue. We called and got an appointment for later that day. She got a boot fitted, then an MRI the next morning and the result read to us later that day. This happens in no other country.
    Good- had a chat with a guy today who was diagnosed with cancer. Later the same week he had an operation. That happens nowhere else.
    Bad- you have to fight and sometime sue for your own medical needs. And still may be denied.

    Reply

Leave a Comment