
It's no secret that the American healthcare system is broken. Despite spending more on healthcare than other high-income countries, the US has the worst health outcomes. The decisions made by those in charge of the US healthcare system are resulting in supply and demand imbalances that can negatively affect access to care for millions of individuals.
However, there is no single decision-maker when it comes to the healthcare sector. Everyone, including healthcare consumers, voters, politicians, the Centers for Medicare & Medicaid Services (CMS), local government officials, insurance companies, pharmaceutical companies, private equity firms, and healthcare personnel, such as physicians, nurses, and administrators, all have an impact on the system. Furthermore, decisions made by these groups have a long lag time before their effects are realized. This results in a dissociation between cause and effect, resulting in an imbalance in supply and demand.