We are witnessing a transformation in U.S. healthcare. The global pandemic of Covid-19 created cracks in our health care system that relies on volume, fee-for-service, and layers upon layers in the supply chain to transact money for the delivery of health care services and dispensing medications. Consider how it took such a pandemic for our doctors to figure out how to deliver virtual care to their own patients.

For the last four decades, U.S. health care has been defined by third-party managed care companies, outsourced coding and billing systems, massive bureaucracy, higher and higher deductibles, and rising premiums outpacing both inflation and wage growth.

The largest transfer of wealth has taken place due to the enormous bloat and inefficiencies in our health care system. You see this with shocking news articles about patients being charged $400 for an aspirin tablet in the hospital, or the fact that GoodRx can make so much money using the same exact infrastructure owned the largest pharmaceutical benefit managers such as Optum, Express Scripts, and CVS.

In early 2022, hospitals began publishing their negotiated rate schedules online for all to see. On July 1st of this year, every employer will have to do the same regarding their own sponsored health plans. Most will see, for example, that and MRI of the brain under their UHC health plan costs 4x the price of what a cash-paying patient would be charged. Or conversely, that the same hospital receives just 2.5x the price from a Blue Cross patient.

Health care is now a $4 trillion dollar industry – it didn’t get this way by accident, but it’s also happened on the backs of every working American in this country. We’ve funded this whole thing.

Knowledge empowers consumers. We can’t fix what we can’t see and the industry for many years has not wanted us to see what’s going on. Let’s see what happens next.