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Raymond Kordonowy MD's avatar

I’ll be linking your post in my upcoming Substack. Thanks for penning a concise history. At the crux of this scheme is price fixing by the proxy buyer Medicare. The big systems respond purely to this “Simon Says” incentive program. Its obscene.

YoginiMD's avatar

Thanks for this synopsis. Hugely important for the voting public who equated the ACA w greater access and therefore assumed it would decrease prices. As with anything in America, what the thing is called is usually the exact opposite from what it actually is. #realcheese

The end result is, sadly, that people and institutions learn and codify an incorrect philosophy — that caring for a greater number of people comes at a cost to the consumer. This is the dichotomy that hardens people to progress, inclusion and diversification — the very bedrock of human survival. Instead it legitimizes constriction, misplaced nostalgia for the good old days, and a rejection of concern for our fellow citizens, even if they are different from us.

This is how the far right wins elections and the pursuit of profit ends up owning healthcare.

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Apr 14, 2025
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Dutch Rojas's avatar

Boom! Yes, only independence can build it.