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The Guardian - UK
The Guardian - UK
World
Arwa Mahdawi

Welcome to Trump’s America! A place where people can’t afford to call an ambulance

Older couple paying bills at kitchen table
Self-employed people are going to see the cost of their cover go up by 26% on average. Photograph: Posed by models; MoMo Productions/Getty Images

I’ve got a genius business idea for people with few discernible skills. First you establish a “health insurance” company and get people to pay you large sums every month. Then, when a customer tries to use their insurance to cover medical costs, make a habit of denying their claim. While doing that, pay lobbyists to keep politicians amenable. Repeat this strategy until your company is worth billions.

I’m not saying this is exactly how the US health insurance industry works, but it’s close enough. There is a reason Americans spend the most on healthcare in the industrialised world, but have the worst health outcomes, according to an analysis by the Commonwealth Fund. Privatising a public good is great for a few well-remunerated executives but rarely benefits the masses.

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