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Wednesday, December 3, 2025

Of Two Minds - Why Healthcare Is in a Death Spiral: Follow the Money

 If each of these is not a part of any 'reform,' than all that is being done is pouring money into a monopolizing cartel, just in a slightly different way.

Unbeknownst to those of us with little inside knowledge of the complex financial plumbing of the US healthcare system, healthcare is in a death spiral that will surprise everyone but insiders who grasp the system's unsustainability.

To help us outsiders understand the death spiral, I asked a senior MD to guide us through "follow the money."


Trump Blasts "Big, Fat, Rich Insurance Companies" As Lawmakers Propose Ways To 'Fix' Obamacare.

Since this is the issue of the day and it falls within my expertise, here are some thoughts.

Executive Summary

Multiple conditions are aligning for a broad re-alignment of medical care delivery in the US, resulting in the development of a two-tiered delivery model: high-quality, efficient, innovating cash-pay for those who can pay and low-quality, wait-rationed care delivery for those who can't.

If you can't afford it, don't get sick.......

https://www.oftwominds.com/blogdec25/healthcare12-25.html?fullweb=1 

....Thank you, senior MD for the guided tour of healthcare's financial death spiral. I have long stated that healthcare in its current extractive-cartel form will bankrupt the nation all by itself:

Why America's Healthcare (Sickcare) System Is Broken and Unfixable (July 16, 2014)

Sickcare Will Bankrupt the Nation (March 21, 2011)

My questions:

1. Is any of this financial plumbing actually private insurance, or is it all just sluicing government funding through a profitable skimming operation?

2. How can a 'healthcare' system that refuses to connect digital derangement, ultra-processed diet and poor fitness to 'health' possibly generate 'health' as an output?

These questions are taboo because the answers would implode the entire system.