The Business of Illness

Healthcare in America isn’t broken—it’s perfectly aligned with the incentives that govern it. This episode examines how scale, insurance design, and cultural expectations have transformed medicine into a system where costs rise invisibly, accountability dissolves, and intermediaries thrive. From Medicare’s role as a dominant buyer to the psychological separation between patients and prices, the conversation explores why reform is endlessly discussed yet rarely achieved—and why the system continues to serve those closest to the money far better than the people who fund it.

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