FIRST DO NO HARM · SPECIAL SERIES

The Corporatization of American Healthcare

How business interests, financial incentives, and corporate decision-making are changing American medicine.

What happened to American healthcare?

Hospitals are expanding. Physician practices are being acquired. Private equity is investing in healthcare, and nonprofit hospitals increasingly resemble large corporations.

After nearly three decades practicing medicine and serving in healthcare leadership, I've watched these changes from both the bedside and the executive suite.

This series examines who controls American healthcare, where the money goes, and what it means for patients, physicians, and the communities hospitals are supposed to serve.

EXPLORE THE SERIES

Part 1: Who Owns Your Doctor

The Disappearance of Independent Medicine

Explore how corporate ownership is changing medical practice and physician independence.

Part 2: When Private Equity Comes To The Exam Room

Examine the financial incentives behind private equity investment in medical care.

Part 3: When Did the Nonprofit Hospital Become a Corporation?

Tax Breaks, Billion-Dollar Health Systems, and What Communities Get in Return

A closer look at nonprofit hospitals, tax exemptions, community benefit, and executive accountability.

Part 4: The Insurance Company That Employs Your Doctor

Health insurers aren’t just paying for healthcare anymore. Increasingly, they’re delivering it.

Explore how health insurers are expanding beyond paying for medical care to owning physician practices, employing clinicians, and delivering healthcare themselves, raising questions about financial incentives, physician independence, and patient care.