in the campaign for a national health insurance plan (e.g., Medicare for All), published an article 18 months ago in 'The Nation' (March 31, 2022) titled 'Medicare for All is Not Enough'.They go through the ways in which the ownership of our health system has changed, particularly over the last decade, to focus on profit for the private owners rather than improving "health care".That is to say, while a single-payer Medicare for All program would likely limit the considerable negative impact that for-profit insurance companies wreak on our collective health, as long as forprofit companies continue to increasingly own our actual health delivery systems (in the form of hospitals, nursing homes, pharmacies, and physician practices), those singlepayer dollars from such a Medicare for All program would flood into investors' pockets rather than patient care.Insurance companies like United Health and giant pharmacy firms like CVS own large portions of our practice and health delivery sector.At least as terrifying is the role of private equity companies and investors, with their "buy 'em and burn 'em" approach to acquisition and profit, in taking over our delivery system.
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Joshua Freeman (2024) studied this question.
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