Capitalism

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 ge... See more

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.

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.

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 acc... See more