Health Affairs March 22, 2023
Dr. Donald Berwick’s impassioned and powerful indictment of greed in the US health care system has gotten a great deal of attention. “The grip of financial self-interest in US health care is becoming a stranglehold, with dangerous and pervasive consequences,” the former administrator of the Centers for Medicare and Medicaid Services (CMS) and the founder of the Institute for Healthcare Improvement wrote in his widely read JAMA article. “No sector of US health care is immune from the immoderate pursuit of profit, neither drug companies, nor insurers, nor hospitals, nor investors, nor physician practices.”
Berwick’s examples are rock-solid: profiteering among drug companies that use loopholes in the patent laws to delay competition and take advantage of the lack of drug...
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