An American Sickness by Elisabeth Rosenthal download in pdf, ePub, iPad
Insurers should promote long-term health for patients, but employees switch between employers often, and employers even shop between health plans. This large one can ultimately have very low overhead. Historically, loose policies let the cat out of the bag and make reversal difficult. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. This opens door for politics.
Well, there needs to be lots of competitors in a given market, or else collusion will be likely. Often this is because of confidentiality agreements between insurers and providers. This historical artifact was the origination of employer-sponsored healthcare. The tricky part is to get the reputation for the rankings first, a critical mass problem.
Brief history of doctor pay Before the s, American patients were uninsured, paid out of pocket, and on an informal sliding scale in proportion to income. After the Internet, it likely became less relevant, and was sold to private equity to support marketing.
Brief history of hospitals Many hospitals began with religious roots Baptist, Presbyterian with general social good as mission. Brief history of medical devices Many device makers began in hardware or consumer electronics. In some sense if the healthcare pie grows, they get a larger slice. Clinics have loans to pay and employ workers.
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