Every year, a health care think tank called the Lown Institute ranks the 10 worst examples of 'profiteering and dysfunction' in health care and 'honors' the winners.
Every year, a health care think tank called the Lown Institute ranks the 10 worst examples of "profiteering and dysfunction" in health care and "honors" the winners.
"Showing all these stories together paints a picture of a health care system in desperate need of transformation," Saini said at the event. "Not just because the stories are shocking, but because often what they’re depicting, like Martin Shkreli’s infamous price hike, is perfectly legal."Host and producer of "An Arm and a Leg." Previously, Dan was a staff reporter for Marketplace and Chicago's WBEZ.
So Martin Shkreli jacked up the price — from thirteen-and-a-half dollars a pill to seven hundred and fifty bucks. Rings a bell, right? So, who gives out awards named after that guy? Vikas Saini : So this year, the journalists behind these stories will be receiving a Shkreli Reporting Award. And I have one in my hand here.
Dan: This is An Arm and a Leg. A show about why health care costs so freaking much, and what we can maybe do about it. I’m Dan Weissmann. I’m a reporter, and I like a challenge. So the job we’ve chosen on this show is to take one of the most enraging, terrifying, depressing parts of American life, and bring you something entertaining, empowering, and useful.
Vikas Saini : The center’s business supplied the body parts to major for-profit ventures like Medtronic and Johnson Johnson. The investigation found repeated failures at the center and at the county level to contact family members who were, in fact, relatively easy to identify and reach. But as Vikas Saini reflected when we talked, this probably wasn’t a story about a few rogue administrators. It sounded to him more like a really grisly example of how health care institutions get run.
And this was a state medical school. As we’ll see, as you know, this theme — gotta make our numbers — runs through the whole awards ceremony and through so much of health care. Vikas Saini : Number nine, out of the mouths of babes, a taste for tongue-tie cutting intensifies. Vikas Saini : At an April 2024 event for pediatric dentists billed as tequila and tongue ties, representatives for the laser device company trained attendees on the procedure before doing rounds of tequila shots and margaritas.
Vikas Saini: Dr. Lown’s motto was we do as much as possible for the patient and as little as possible to the patient. Vikas Saini: This idea that the manufacturers train people in the technique, that’s not confined to this. This goes on all over the place.Vikas Saini: Yeah, yeah, yeah. Gallbladders and gimlets.
Vikas Saini : That should be good news for patients looking to reduce the diarrhea, nausea, vomiting, and mouth sores that can occur. Dan: Before giving “final approval,” the FDA has asked Amgen for extra studies, but meanwhile, the drug is on the market, and the “FDA-approved” dose on the label is … the higher one.
Dan: That two billion dollars? The New York Times story says that could amount to a fifth of all Medicare spending on medical supplies for that year. That's just seven “suppliers.” Related StoriesDan: So, with trillions of dollars moving around, and a LOT of people who need to hit their numbers, we get high-priced drugs that may not be worth the money and body parts sold off without anybody's consent. Folks getting procedures they may not need. Companies billing for catheters no one seems to have gotten.
The hospital denies that allegation, but NBC News found that their charity care policy had been altered in 2023 to exclude cancer treatment. The Shkreli Awards gave their number one spot to Steward’s CEO — well, now he's the former CEO: Ralph de la Torre, who reportedly made a quarter-billion dollars over the four years leading up to the bankruptcy.
And a team at STAT News — that's a news outlet covering health, medicine and science — they did a massive series on United in 2024, documenting just how big United has grown, and how its tentacles interact. Vikas Saini : According to STAT this tactic may have allowed the company to take tens of billions of dollars in additional payments from us, the taxpayers, over the past decade. UnitedHealth faces a federal lawsuit for this behavior, as well as an ongoing antitrust investigation. And of course, the company denies any wrongdoing.
Dan: By the same logic, United owes its shareholders maximum return. Grows bigger and bigger. And other players — trying to hit their numbers — they try to grow big enough to compete. Vikas Saini: If we’re going to treat health care as a commodity and we’re going to have the magic of the marketplace solve all these problems, which some people still think is the way forward - I happen to disagree in many dimensions - but according to the logic of the marketplace, what’s the product off the assembly line? If the product is health care activity, health care procedures, then we have the system we have, but what if the product were health? What if the product were wellness?Vikas...
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