What Now? with Trevor Noah

The Most Dangerous Part of America’s Healthcare System Isn’t What You Think with Tom Mueller

90 snips
Nov 27, 2025
In a gripping discussion, investigative author Tom Mueller delves into the complexities of America's healthcare, particularly focusing on dialysis. With a background in banking, he reveals how white-collar crime erodes trust and leads to patient exploitation. Mueller shares alarming insights on how corporate interests have turned life-saving treatments into coercive systems, disproportionately affecting marginalized communities. He emphasizes the urgent need for reform, calling on listeners to advocate for change and support whistleblowers in the fight for better care.
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INSIGHT

Dialysis As A Microcosm

  • Dialysis reveals how good medical miracles can be corrupted by profit incentives and bad oversight.
  • Tom Mueller shows dialysis as a microcosm of how systemic failures warp patient care and outcomes.
ANECDOTE

How The Investigation Began

  • Tom found the dialysis story after following whistleblower lawsuits and noticing huge corporate settlements.
  • His investigation moved from finance to nephrologists to the dialysis floor, revealing systemic harm.
INSIGHT

Medicare's Dialysis Exception

  • Dialysis became the one treatment Congress federally covered in 1972, creating a unique Medicare-for-all pocket.
  • That choice later got absorbed by profit-driven actors as politics shifted toward cost-cutting and privatization.
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