Profit Over Patients: The Evolution of American Healthcare

This chapter examines the transformation of the American healthcare system, highlighting the shift from patient-centric care to a profit-driven model due to the rise of Health Maintenance Organizations (HMOs) and Pharmacy Benefit Managers (PBMs). It discusses the historical context of health insurance and the impact of these entities on medication pricing and chronic disease management. The chapter critiques the intertwined interests of the pharmaceutical industry, insurance companies, and systemic failures that prioritize profits over patient well-being.