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Daily news & progressive opinion—funded by the people, not the corporations—delivered straight to your inbox.
The provider has—for good reason—become the most powerful lightning rod for patient and medical staff critiques of how private insurers operate.
Healthcare is big business in the United States. So big it can be hard to wrap your head around.
America’s largest healthcare company, the UnitedHealth Group, pulled in over $100 billion in revenue in just the fourth quarter of 2024 alone. For the full year, the giant’s insurance division, UnitedHealthcare, just reported record revenue of $298.2 billion.
These staggering revenue totals actually fell below investor expectations. Right after the announcement, UnitedHealth Group shares slipped 6% on the New York Stock Exchange.
The outpouring of anger after the December killing of UnitedHealthcare CEO Brian Thompson—anger not at the shooting but at the company Thompson represented—shows just how many Americans are currently suffering under our privatized healthcare system.
That tells you a lot about what’s important in the healthcare industry: profit, not care. Health insurance companies in particular can only profit by paying out less in claims than they collect in premiums. And that means denying patients coverage for the care they need.
Just outside the New York Stock Exchange, victims of our for-profit healthcare system—doctors and patients alike—recently braved freezing temperatures to call out the suffering that engineered UnitedHealth’s exorbitant earnings.
One of those demonstrators, Jenn Coffey, has been battling complex regional pain syndrome (CRPS), a condition so incredibly painful that it’s often called the “suicide disease.”
UnitedHealth denied her the prior authorization needed to have her critically important treatment adequately covered. “UnitedHealthcare would rather leave me in torture than grant me the peace my infusions bring,” says Coffey. “I’m asking for a life worth dignity. I’m left begging for a life worth living.”
Several other speakers shared their deeply personal experiences with a healthcare system that far too often treats patients as disposable.
Dr. Toutou Moussa Diallo, a New York-based researcher and healthcare activist, detailed how insurance denials led to subpar treatment for his broken ankle that only made the initial injury more debilitating. Nephrologist Cheryl Kunis shared the story of a patient who died after UnitedHealthcare refused to cover a PET scan of a malignant neck tumor.
These experiences amount to much more than isolated one-off incidents. The outpouring of anger after the December killing of UnitedHealthcare CEO Brian Thompson—anger not at the shooting but at the company Thompson represented—shows just how many Americans are currently suffering under our privatized healthcare system.
The ongoing campaign protesting how UnitedHealth does business began well before Thompson’s headline-grabbing killing. The Care Over Cost mobilization, led by People’s Action, has been organizing rallies protesting America’s biggest private insurers for years.
UnitedHealth has—for good reason—become the most powerful lightning rod for patient and medical staff critiques of how private insurers operate. The company’s gargantuan profits rest on decisions that regularly exploit patients at every opportunity.
Just a few snippets from recent news accounts offer a vivid picture about how UnitedHealth goes about making its billions.
UnitedHealth Group’s pharmacy benefit manager, Optum RX, marked up some cancer treatments by over 1,000%. UnitedHealthcare systematically limited access to critical treatments for children with autism to cut costs. And along with two other insurers, the company intentionally denied nursing care to patients covered by Medicare Advantage—all to maximize profit.
And how has the UnitedHealth Group been spending all its ill-gotten gains? One telling stat: UnitedHealth Group CEO Andrew Witty pocketed an astonishing $23.5 million in 2023 compensation.
As the rally in front of the New York Stock Exchange ended, protesters called on UnitedHealthcare to publicly release its claim denial rates, oppose federal tax cuts that would result in Medicaid service reductions, and end the company’s care-denying prior authorization requirements.
Those eminently reasonable demands for the company. Meanwhile, the rest of us should consider whether we want healthcare to be a tool for the public good—or just private profit.
"All these stories paint a picture of a healthcare industry in desperate need of transformation," said the head of the think tank behind the awards.
The "winners" of the annual Shkreli Awards—named after notorious "pharma bro" Martin Shkreli and given to the 10 "worst examples of profiteering and dysfunction in healthcare"—include a Texas medical school that sold body parts of deceased people without relatives' consent, an alleged multibillion-dollar catheter scam, an oncologist who subjected patients to unnecessary cancer treatments, and a "monster monopoly" insurer.
The Shkreli Awards, now in their eighth year, are given annually by the Lown Institute, a Massachusetts-based think tank "advocating bold ideas for a just and caring system for health." A panel of 20 expert judges—who include physicians, professors, activists, and others—determine the winners.
This year's awardees are:
10: The University of North Texas Health Science Center "dissected and distributed unclaimed bodies without properly seeking consent from the deceased or their families" and supplied the parts "to medical students as well as major for-profit ventures like Medtronic and Johnson & Johnson," reporting revealed.
9:
Baby tongue-tie cutting procedures are "being touted as a cure for everything from breastfeeding difficulties to sleep apnea, scoliosis, and even constipation"—despite any conclusive evidence that the procedure is effective.
8: Zynex Medical is a company facing scrutiny for its billing practices related to nerve stimulation devices used for pain management.
7: Insurance giant Cigna is under fire for billing a family nearly $100,000 for an infant's medevac flight.
6: Seven suppliers allegedly ran a multibillion-dollar urinary catheter billing scam that affected hundreds of thousands of Medicare patients.
5: Memorial Medical Center in Las Cruces, New Mexico allegedly refused cancer treatment "to patients or demanding upfront payments, even from those with insurance."
4: Dr. Thomas C. Weiner is a Montana oncologist who allegedly "subjected a patient to unnecessary cancer treatments for over a decade," provided "disturbingly high doses of barbiturates to facilitate death in seriously ill patients, when those patients may not have actually been close to death," and "prescribed high doses of opioids to patients that did not need them." Weiner denies any wrongdoing.
3: Pharma giant Amgen was accused of pushing 960-milligram doses of its highly toxic cancer drug Lumakras, when "a lower 240mg dose offers similar efficacy with reduced toxicity"—but costs $180,000 less per patient annually at the lower dose.
2: UnitedHealth allegedly exploited "its vast physician network to maximize profits, often at the expense of patients and clinicians," including by pressuring doctors "to reduce time with patients and to practice aggressive medical coding tactics that make patients seem as sick as possible" in order to earn higher reimbursements from the federal government."
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1: Steward Health Care CEO Dr. Ralph de la Torre was accused of orchestrating "a dramatic healthcare debacle by prioritizing private equity profits over patient care" amid "debt and sale-leaseback schemes" and a bankruptcy that "left hospitals gutted, employees laid off, and communities underserved" as he reportedly walked away "with more than $250 million over the last four years as hospitals tanked."
"All these stories paint a picture of a healthcare industry in desperate need of transformation," Lown Institute president Dr. Vikas Saini said during the award ceremony, according toThe Guardian.
"Doing these awards every year shows us that this is nothing new," he added. "We're hoping that these stories illuminate what changes are needed."
The latest Shkreli Awards came just weeks after the brazen assassination of Brian Thompson, CEO of UnitedHealth subsidiary UnitedHealthcare. Although alleged gunman Luigi Mangione has pleaded not guilty, his reported manifesto—which rails against insurance industry greed—resonated with people across the country and sparked discussions about the for-profit healthcare system.
"After witnessing 15 months of relentless violence and destruction in Gaza, we can no longer carry on as if everything is normal," said organizer Doctors Against Genocide.
As Israel's 15-month annihilation of Gaza continues with intensified attacks on medical infrastructure and workers, an international coalition of advocacy groups is planning a
#SickFromGenocide global day of action on Monday "to take a stand against the targeted attacks on healthcare."
Organizer Doctors Against Genocide (DAG) and co-sponsors including Healthcare Workers for Palestine, Palestinian Youth Movement, Do No Harm Coalition, Labor for Palestine, Jewish Voice for Peace Health Advisory Council, and others are calling on healthcare workers around the world to take a day of mental health leave "to reflect on the immense moral injury of funding a genocide and engage the most important aspect of treatment: publicly demanding an end to the genocide in Gaza."
Monday's day of action is set to include a "Sick From Genocide" global vigil and pop-up clinics in cities across the United States, whose government gives Israel billions of dollars in weapons support each year.
"For 15 months, we have watched in horror as children and families have been obliterated by unrelenting attacks," DAG said in a statement Friday. "Hospitals, the bedrock of lifesaving care, have been turned into death traps. The recent bombing and burning of Kamal Adwan Hospitaland the arrest of our colleague, the pediatrician Dr. Hussam Abu Safiya,exemplify the deliberate targeting of healthcare workers and facilities—tactics designed to accelerate the annihilation and forced displacement of the Palestinian people in Gaza."
DAG member Dr. Rupa Marya—a University of California, San Francisco professor of medicine who's currently on paid suspension after questioning how to manage students coming to U.S. schools from a zone with an active genocide where military service is mandatory—told Common Dreams this week that healthcare professionals should "take a mental health break to grieve and take care of ourselves. Let's call in sick on January 6th. We are sick from genocide."
"We are burned out from 15 months of these images and our humanity being denied in our places of work, where we are being silenced, we are being framed as 'haters' for standing against a genocide," she advised.
"What we're asking people to do, is get your friends together, and start a pop-up clinic, set up a free clinic in the street," Marya continued. "Are other people sick from genocide? Come, we'll take care of you. Do people need free healthcare? Come, we'll take care of you."
"We need to demand that our institutions of care cut off relationships with a nation that is actively committing genocide," she asserted. "We need to demand that the United States stop sending arms to Israel. We send billions and billions of dollars to Israel to arm itself while we have people not getting healthcare in the United States."
"We have record numbers of people in the streets, many of them who have lost their homes because the most common cause of personal bankruptcy in the United States is medical debt," Marya noted. "So we can't even fund our own healthcare here, while we're sending money to Israel, where they have universal healthcare."
"Let's start showing people what a different healthcare system would look like based in a moral commitment to care, based on our love for our communities, and based on justice," she said. "That is the healthcare system that we need."
"Why are we spending our money destroying another people's healthcare when we can use that money to be taking care of our own here?"
Referring to last month's assassination of UnitedHealthcare CEO Brian Thompson in New York City, Marya added: "And if you don't believe me, look what happened to that CEO. We don't want to see political violence here. We don't want people to have to get murdered for us to understand how desperate people are for healthcare."
"So," she asked, "why are we spending our money destroying another people's healthcare when we can use that money to be taking care of our own here?"