Forbes July 21, 2025
Robert Pearl, M.D.

The American healthcare system is approaching a crisis. Medical costs are rising far faster than the nation’s ability to pay. Healthcare jobs are expanding rapidly, but clinical outcomes aren’t improving. And the very professionals entrusted with healing others are burned out with many leaving the field.

Each of these trends is alarming. Together, they signal something far more serious: a system speeding towards a cliff, with no off-ramp in sight.

The Warning Signs

Let’s start by examining the three most urgent warning signs, then turn to the more pressing question: Why are the exit ramps that once helped the U.S. avoid economic disaster now closed?

1. Healthcare costs are rising faster than the economy can sustain

The Centers for Medicare...

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