Insurance Algorithms Are Increasingly Determining Patient Care
The history of insurance shows a privatized public insurance market is working as designed: maximizing revenue by charging taxpayers and minimizing payment by denying claims.

The history of insurance shows a privatized public insurance market is working as designed: maximizing revenue by charging taxpayers and minimizing payment by denying claims.

Making people afraid to get care does not protect the health system. It merely ensures that the care delivered is the most expensive, least effective and most desperate kind.

Health Access Programs offer basic services to uninsured residents. But delivery drivers are often too busy, too indebted and too scared to take advantage of them.

The wealthy can afford their skepticism. It is the poor who bear the consequences when herd immunity erodes.

Introducing a column about the chasm between patients’ experience and the health system.

While vaccination politics are centuries old, vaccine decisions today are treated like a consumer gadget — subject to the whims of brand loyalty and user experience.

The program has always been underfunded and overlooked. The current crisis is an opportunity to reimagine care for those who need it most.