Where Accountability Dies

No transparency. No negotiation. No consequences. Just profits.

1. Unaccountable Administrative Waste

Americans spend $2,500 per person annually on healthcare administration—six times more than other nations. Why? Because no one is accountable for efficiency.

Billing, coding, insurance verification, and claims processing employ more people than actual healthcare providers in many hospitals. No one tracks this waste. No one answers for it.

A single hospital visit generates hundreds of pages of paperwork and dozens of separate bills—with zero accountability for the complexity or cost.

25%

of healthcare spending on administration—with zero accountability for results

$1T

wasted annually while administrators face no consequences

Administrative Complexity

2. Unaccountable Drug Pricing

The same insulin that costs $300 in America costs $30 in Canada. Why the 10x markup? Because pharmaceutical companies face zero accountability for their prices. They don't have to justify why Americans pay more. They don't have to explain their margins. They just charge whatever they want.

Both parties have protected this lack of accountability for decades, despite overwhelming public support for transparency.

10x
What Americans pay vs. other countries—with no price justification required
$450B
Could be saved if pharma were accountable for their pricing
$41B
Annual pharma profits from unaccountable U.S. pricing
0
Number of drug companies required to justify their U.S. prices
"Drug companies spend more on lobbying than research—to keep their pricing unaccountable. They charge Americans whatever they want because both parties let them operate without transparency."

3. Hospitals Refuse Accountability

Try getting a hospital to tell you what a procedure costs before you get it. They won't. They can't—or refuse to. Hospitals charge wildly different amounts for identical procedures, and you find out only when billed. Months later.

This is the opposite of accountability. In any other industry, refusing to disclose prices would be fraud. In healthcare, it's standard practice—protected by both parties.

$1,000

What a bag of saline can cost in a hospital (actual cost: $1)—with zero accountability for the markup

400%

Price variation for the same procedure at different hospitals—hidden until after you're billed

In any accountable market, businesses tell you the price before you buy. Healthcare is the only industry completely exempt from this basic consumer protection.

Surprise Medical Bills

4. Insurance Companies Avoid Accountability

The top 10 health insurance companies made $41 billion in profit last year—extracted from healthcare spending without treating a single patient. They deny claims without clear explanations. They delay payments to force providers to accept less. They operate with near-zero accountability.

When your claim is denied, do they have to justify it publicly? No. Do they have to publish their approval rates? No. Do they face consequences for systematic denials? No. They're unaccountable.

18%
Of premiums can go to profits—no accountability for what you get
30%
Of claims initially denied—without public accountability
$500B
Annual insurance industry revenue with minimal transparency requirements
$10M+
CEO compensation while denying patient claims

Built to Avoid Accountability

Healthcare in America isn't broken—it's designed this way. Administrative bloat, hidden drug prices, opaque hospital billing, and insurance middlemen all serve one purpose: extracting maximum profit while avoiding any accountability to patients.

5. Hospital Monopolies Escape Accountability

Hospital mergers have eliminated competition in 90% of metro areas, creating regional monopolies that face zero accountability. When there's only one hospital system in your area, they can charge whatever they want—and never have to justify it.

Both parties allowed this consolidation despite knowing it would eliminate market accountability. Why? Because consolidated hospital systems donate more to campaigns.

90%

of metro areas now have monopoly hospital systems—unaccountable to patients

20%+

Price increases after mergers—with no accountability for outcomes

"When hospitals merge, accountability dies. Prices go up, choice disappears, and no one has to answer for it. Both parties watch while writing campaign rules that encourage consolidation."

Demand Accountability

Real solutions require forcing hospitals, pharma, and insurers to operate transparently—which both parties refuse to do.

Demand Transparency Politicians Protect Them