Coverage, costs, and the arc of US health policy
Americans have more healthcare than ever, pay proportionally less out of pocket, and lead the world in cancer survival. And they are angrier about healthcare than almost any other issue. The problem isn't insurance companies. It's what 70 years of third-party payment taught us to expect.
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America's healthcare system — covering 92% of the population, costing patients just 11 cents of every dollar spent — was never designed. It was built through a series of accidents, incentives, and unexpected consequences, starting with a wartime wage control in 1942.
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