Forbes December 15, 2025
Robert Pearl, M.D.

2025 was one of the most turbulent years in modern U.S. healthcare. The headlines were explosive, the rhetoric dramatic and the controversies nonstop. Yet for all the hoopla and upheaval, the medical care Americans received this month looked almost identical to what they experienced on January 1 — except far more expensive.

That yearlong pattern (of intense disruption followed by little improvement) played out across nearly every major healthcare storyline.

As an example, Luigi Mangioli is preparing to stand trial almost exactly twelve months after the fatal shooting of UnitedHealth CEO Brian Thompson. The killing sparked fears for major health insurers and raised questions about the fragility of the nation’s largest payer. In a February article, I called it a...

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