End the duopoly

Geoff Dolman: Health care is the dark side of American exceptionalism

By Geoff Dolman Every day during this horrible pandemic, we see American exceptionalism in our health care service providers, in our first responders, and in our infrastructure professionals with their bravery and dedication to service. We also see such generosity among individuals donating to worthy causes. Another example American exceptionalism is health care in the U.S., the only system in the developed world not providing and guaranteeing universal coverage. And it is the only system built on profit; the only system whose goal is to make money for its stakeholders not to provide high quality healthcare. The healthcare insurance industry maximizes profits in two ways: making as much money as possible up-front and reducing payout costs on the back end. Insurers charge customers as much as possible (sky high premiums with huge annual increases, copays, coinsurance, and outrageous deductibles). And they hire legions of administrative investigators to analyze every claim to find reasons to reject them. These investigators’ compensation is based on how many claims they can reject and how much money they can save. Australia, Belgium, Canada, Denmark, Finland, France, Germany, Iceland, Ireland, Israel, Italy, Japan, Netherlands, New Zealand, Norway, Spain, South Korea, Sweden, Switzerland, Taiwan, and the […]

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