Profits before patients: the hidden cost of U.S. health care

If you want to understand what “profits before patients” means in American health care, don’t start with a spreadsheet. Start with a story.

During residency, I cared for a middle-aged mother of two who came to our community hospital emergency room struggling to breathe. It didn’t take long to realize she needed something we couldn’t offer: urgent heart surgery at a larger hospital.

After a 30-hour shift, I filed the transfer request …

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Profits before patients: the hidden cost of U.S. health care