Capitalism

But the Cigna review system that blocked van Terheyden’s claim bypasses those steps. Medical directors do not see any patient records or put their medical judgment to use, said former company employees familiar with the system. Instead, a computer does the work. A Cigna algorithm flags mismatches between diagnoses and what the company considers... See more

Now, the GoFundMe and DonorsChoose thing is closely related, but it gets its own throughline. These platforms emerge to seemingly supplement gaps in the public safety net for things like education and health care. But instead, they’re in a kind of enabling feedback loop: instead of your taxes ensuring that kids have desks and cancer patients can... See more

The unabated “creative destruction” of one kind of capital after another has only further increased the wealth of a few and done nothing to emancipate the overall collective creative spirit, which has remained stagnant. Today, almost every artistic effort inevitably (perhaps unknowingly) reinscribes the values of the ruling capitalist class.

“We have to overcome some legal hurdles, but we could unionize musicians tomorrow,” DeFrancesco said. “SAG is like an alternate history for musicians. We’ve done all this before and won, just not within recent memory.”

Some musicians are in fact unionized. The American Federation of Musicians, with 80,000 members in the U.S. and Canada, collectively... See more

Blue Cross and Blue Shield began as nonprofits that insured all comers. But as big profit-seeking insurers targeted younger and healthier people, the Blues were left to insure the older and less healthy, which made it impossible for them to continue. They turned to making money. Now, private equity runs hospitals, into the ground.

As a society, we are so fully invested in capitalism, competition and algorithms that it’s almost impossible to pull ourselves out of the cycle to see a bigger pattern, which is that we have entire economies built upon our misery.