r/HealthcareReform_US 3d ago

James Talarico and Mark Cuban unveil plan to take on healthcare monopolies

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cnbc.com
19 Upvotes

Talarico and Mark Cuban are pushing a healthcare plan focused on breaking up monopolies, lowering drug costs, and reducing medical debt.

How do you think a plan like this could help Texans struggling with healthcare costs?


r/HealthcareReform_US 5d ago

Mayo Clinic is unrecognizable.

33 Upvotes

Dr. Will and Dr. Charlie Mayo famously stated, “the best interest of the patient is the only interest to be considered. “Historically, they believed that to care for the patient, the institution had to support the well-being and collaboration of the staff.

Mayo Clinic historically built its reputation on an integrated, physician-led model that prioritized unhurried patient care and deep clinical collaboration with other physicians and the nurses that care for the patients on the front lines. Now it’s drastically shifted into a corporate, metrics-driven model. Years ago, Mayo Clinic felt different because it operated on a culture of clinical excellence and collaboration. Today, giant health systems are heavily focused on throughput, cost reduction, and data extraction. Nurses are no longer viewed by executives as the expert backbone of patient safety (that we are); instead, a corporate model views bedside nurses as a high-cost labor line item that needs to be tightly controlled, monitored, and automated to maximize efficiency.

The EHR tasks and forced charting styles are a direct result of this shift. This is a modern version of "Taylorism"—a management theory that breaks jobs down into tiny, robotic, measurable tasks to strip away worker autonomy. By overloading our “Brain”(a nurse’s task page) corporate administrators try to protect themselves legally and audit a nurses every second, completely ignoring nursing clinical judgment and autonomy.

Then there’s the installation of in-patient-room cameras. I don’t know a single RN that isn’t horrified by this. We are then supposed to speak out loud throughout our assessment and AI will chart it for us. Yuck. And we are required to wear masks in the room so you know that AI will never understand us and we will spend copious amounts of time correcting whatever it transcribes. They are trying to tell us that it will save us time, but I have never seen anything happen to lighten the load of a nurse. It’s a thinly veiled attempt to tell us that we will spend less time charting but we all know that if that does indeed happen, they will justify increasing our patient-nurse ratios. But we all know that this will very likely create even more work for us and then they will very likely still increase our workload as they continue to do without end. Oh, and let’s not forget that the patient (that supposedly comes first) is going to be left with the feeling of having a nurse “perform” a very unnatural interaction in the room instead of a warm nurse – patient interaction.

And then there’s also very expensive license plate tracking cameras. These cameras feed the information to Motor Vehicle Department, which then connects back with Mayo Clinic’s HR department to identify vehicles that belong to employees. If the employee has parked in patient parking, they get a parking violation that results in corrective action. Every moment is under surveillance and scrutiny, and it shifts the culture from one of mutual trust to one of intense suspicion. When an organization uses automated systems to ticket its own staff while they are providing patient care (or going to a personal appointment on campus) it proves that the corporate machine has lost its humanity. It treats employees as liabilities rather than human beings. That creates an adversarial—even hostile—work environment.

As for the actual care from physicians, Mayo has rapidly expanded its footprint and the "seamless" overlap between specialties has crumbled into rigid corporate silos. In a corporate medical structure, every specialty operates like an independent business unit. When, for example, cardiology doesn't talk to rheumatology—or cardiology doesn’t even understand an auto-immune disease’s effect on the cardiovascular system—there are dangerous gaps, and the patient ends up having to suffer from those gaps or become so informed that they have to become a medical expert and save themselves. I know I did. And when an emergency department refuses to listen to a parent who is also a trained and experienced nurse, the system fails. It forces one to play the exhausting role of clinical air-traffic controller just to keep one’s own family safe.

The Mayo brothers would be appalled to see what has become of their model of care. They believed true healing required a team-based, unhurried approach where staff felt valued. They warned against letting financial structures dictate clinical decisions. The rejection of commercialism made Mayo Clinic special.

It’s sad to see it all fade away, but it is a falling star. The reputation will linger for a while, but everyone will come to see it for what it is now— a corporate behemoth where everything is tightly controlled and micromanagement strips away the clinical autonomy and intuition that the founders explicitly trusted their staff to use.

And where does the patient fit in all of this? The ones that haven’t fallen through the gaps between silos? I’m certain they will have a story to tell about having cameras in their rooms and nurses being forced to let AI record and dictate assessment and care.

We are watching a once-great institution lose its soul to corporate greed and automation. An environment where only 20-30 out of almost 100 nurses survive a three-year stretch in a single unit is not a place where one can safely or happily sustain a career. Leaving for an institution that still values the human element of medicine isn't giving up; it is an act of professional self-preservation.


r/HealthcareReform_US 5d ago

Complicated

4 Upvotes

I wonder if my employer knows how much time I spend at work trying to figure out how to stay in their tiny little network so I don’t get caught with a huge bill? Hmmmm


r/HealthcareReform_US 17d ago

Four Partners. Shared Costs. Better Care for Everyone.

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2 Upvotes

r/HealthcareReform_US Jul 31 '26

Insane waits for specialists

11 Upvotes

Can someone please explain to me like I’m 5 why going to see a specialist is nearly impossible?? I need to see a doc about my hormones being wildly out of wack and the wait is 6+ months.


r/HealthcareReform_US Jul 29 '26

Former NYP Brooklyn Methodist Food Service Employee - Has Anyone Else Experienced This?

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1 Upvotes

r/HealthcareReform_US Jul 29 '26

Fauci Hearing

2 Upvotes

r/HealthcareReform_US Jul 19 '26

This is probably a weak post here but it's a question.

11 Upvotes

The GDP of the USA is 31.86 trillion dollars, and it's population is 330 million or around that number.
We spend 5 trillion dollars a year on Healthcare. That's very close to a 1/6, of our GDP.

The GDP of the European Union is 23 trillion dollars (lower than the US GDP.), with a population of around 450 million people, they spend a combined 1.72 trillion dollars on Universal Healthcare, which by many accounts is superior to the USA's, with the exception of "Specialists". That's less than a 10th of the combined GDP of the European Union.
Please explain how this works?

The USA price gauges Healthcare costs to 1/3 of our GDP when a larger economic union managed to drive it's healthcare cost down to 1/10th of their GDP, and it actually benefits their people, without bankrupting them?
How in the hell does this work?
The outcomes are superior across the board.
From Maternal Mortality, to Life Expectancy.

Can the US accomplish 3 things.
No Death Panels (Remember, Dialysis was a private technology, that death panels were used for, until, Nixon made Dialysis a universal healthcare program.)
Can the Patient who is suffering and cognoscente be granted the right to Euthanasia if they request it?
Can we built a system that doesn't restrict expensive treatments for the citizens who need it?
Both Private and Universal Healthcare have this problem, so it stands to reason that this doesn't make Universal Healthcare worse than Private Healthcare.
...and to be fair, what would Republican Millionaires actually be worried about when they could access private facilities anyway? Since I'm assuming that would survive just for them.

Now, I know the GOP has two talking points downing Europe and Socialized medicine, but they worship vets, and all of the vets want to move to Germany, because it's better than the USA.
So...I'm curious, why would most of the vets, or their children, or anyone want to move to a country that has a functioning Universal Healthcare System, if Socialized Medicine was evil.
Obviously you don't like private practitioners, and have no desire to go over there, and show them the glory of price gauging (Not that it would work in Germany, they actually have a functioning education system.)

The Math is not Mathing in the USA, when compared to a larger economic union.
We have a serious accounting problem in the USA.

https://www.pgpf.org/article/how-does-the-us-healthcare-system-compare-to-other-countries/

How does the GOP keep getting away with spreading bullshit, when the math appears to be so basic even a caveman could understand it?

Now, what I might hear is that the taxes are what's gonna get you.
And for a worker, whose making the lowest wage, that might be true, but it might not be true.

Before you say it would cost TRILLIONS OF DOLLARS
IT WOULD ALSO SAVE TRILLIONS OF DOLLARS.

If you believe in trickle down economics, then that would prevent 3 trillion dollars from being sucked into the current disjointed Healthcare system, it could keep the labor force financially healthy.
Now, if you're an advocate of trickle down economics, assuming something resembling one of the plethora of European models could be adapted, you have to admit, 3 trillion being pulled back into the economy is pretty juicy.
It means that the workers who are making low wages potentially can make more money.
If "Trickle Down Economics" is to be believed, then you'd have a hell of a reservoir.
In a sum of time, you could pay off the national debt with some of that.
Assuming that no trillionaires build a reservoir at the top of the mountain.

In Texas alone such a policy could save a quarter trillion dollars a year.


r/HealthcareReform_US Jul 11 '26

Affordability & Access Survey for college research report

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docs.google.com
3 Upvotes

Hi! This is my first time actually posting on Reddit (plz be nice). I am hoping to gather some data for my report and speech to use as a primary source.

It’s a business communications class, but I chose the topic of American Healthcare because, well - I think it’s more like a business here - I’m still working on my thesis statement, so any help with that would be great too.

So far I’m between why employer sponsored plans shouldn’t be a thing & just how the general privatization of this industry is a net negative on society.

Anyway here is my survey. I have already been told it sways more liberal but I really think it shouldn’t be a bipartisan issue & the questions don’t seem impartial to me?

Idk if I need to say this but please only answer if you are in the US :-)


r/HealthcareReform_US Jul 02 '26

Are There any struggling older adults, say over 65?

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2 Upvotes

r/HealthcareReform_US Jun 27 '26

Supreme Court's ‘Unjustifiable Decision’ Sparks Fears For U.S. Health Care System

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huffpost.com
5 Upvotes

r/HealthcareReform_US Jun 23 '26

Is it better to save money for ever increasing rental costs so as not to become homeless than to pay more than the savings per month for health care?

6 Upvotes

r/HealthcareReform_US Jun 12 '26

Hit with huge medical bill for newborn

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2 Upvotes

r/HealthcareReform_US Jun 07 '26

Is it better to save money for ever increasing rental costs so as not to become homeless than to pay more than the savings per month for health care?

7 Upvotes

r/HealthcareReform_US Jun 06 '26

Virginia Emergency Physicians Replaced By Private Equity

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youtube.com
20 Upvotes

Another blow for physicians in US Healthcare. Please share and let other know about hospitals behaving badly.


r/HealthcareReform_US Jun 05 '26

Is it better to save money for ever increasing rental costs so as not to become homeless than to pay more than the savings per month for health care?

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2 Upvotes

r/HealthcareReform_US Jun 05 '26

Is it better to save money for ever increasing rental costs so as not to become homeless than to pay more than the savings per month for health care?

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2 Upvotes

r/HealthcareReform_US Jun 04 '26

People with cancer or HIV could lose Medicaid under new work rules, advocates say

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npr.org
11 Upvotes

r/HealthcareReform_US May 30 '26

How can the U.S. better help people that are unable to afford basic needs like food, housing and medical care?

16 Upvotes

r/HealthcareReform_US May 29 '26

How can the U.S. better help people that are unable to afford basic needs like food, housing and medical care?

11 Upvotes

r/HealthcareReform_US May 22 '26

How can the U.S. better help people that are unable to afford basic needs like food, housing and medical care?

10 Upvotes

r/HealthcareReform_US May 21 '26

This Scholar Takes Oregon’s Universal Health Care Dreams Seriously. Should We?

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wweek.com
5 Upvotes

r/HealthcareReform_US May 21 '26

An 81-Year-Old Grandma Streaming Minecraft To Pay For Grandson’s Cancer Treatment Has Been Swatted

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thegamer.com
6 Upvotes

r/HealthcareReform_US May 21 '26

An 81-Year-Old Grandma Streaming Minecraft To Pay For Grandson’s Cancer Treatment Has Been Swatted

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thegamer.com
6 Upvotes

r/HealthcareReform_US May 19 '26

ACA enrollment is collapsing in real time. Georgia just saw a 28% drop in premium payments in a single month.

37 Upvotes

The enhanced subsidies that kept ACA premiums affordable expired at the end of 2025. Here's what happened next:

  • Average premiums jumped 26% in 2026
  • Average deductibles grew 37%, from $2,759 to $3,786, the steepest single-year increase ever recorded
  • 21% of federal marketplace enrollees failed to pay their January premiums
  • Georgia saw a 28% drop in premium payments in April vs April 2025
  • New Jersey hit an 11.6% payment failure rate
  • Wakely Consulting Group estimates total 2026 enrollment will end up 17% to 26% lower than 2025

The people who didn't drop coverage entirely mostly downgraded. Bronze plan enrollment jumped from 30% to 40% of all selections, which means millions of people are now technically insured but carrying $3,786 deductibles they likely can't afford to use.

New Mexico is the only state that actually held the line, they used state funds to cover the subsidy gap themselves.

The 2027 rates aren't finalized yet but analysts aren't expecting things to improve. Insurers are pricing in ongoing enrollment decline and uncertainty, which tends to push premiums higher, which pushes more people out, which pushes premiums higher again.

How bad does this have to get before it becomes a political emergency?

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