The largest U.S. health insurance companies aren’t just insurers anymore.
They own hospitals, employ doctors, run clinics, operate pharmacies, and control pharmacy benefit managers (PBMs) that decide which drugs you can get and how much you pay.
In one revealing moment at a Senate hearing, executives were asked to raise their hands if their company:
- Owns/controls a health insurance division
- Employs providers or owns clinics/specialty pharmacies
- Owns/controls a PBM
- Has a legal duty to maximize shareholder value
Almost every major hand stayed up.
They diagnose, treat, dispense drugs, set prices, and decide coverage—all while legally obligated to prioritize profits over patients.
One entity now controls almost every step of your healthcare journey.
That’s not competition. That’s consolidation.
They own hospitals, employ doctors, run clinics, operate pharmacies, and control pharmacy benefit managers (PBMs) that decide which drugs you can get and how much you pay.
In one revealing moment at a Senate hearing, executives were asked to raise their hands if their company:
- Owns/controls a health insurance division
- Employs providers or owns clinics/specialty pharmacies
- Owns/controls a PBM
- Has a legal duty to maximize shareholder value
Almost every major hand stayed up.
They diagnose, treat, dispense drugs, set prices, and decide coverage—all while legally obligated to prioritize profits over patients.
One entity now controls almost every step of your healthcare journey.
That’s not competition. That’s consolidation.
11:44 AM - Feb 06, 2026
Only people mentioned by JacksRule in this post can reply
Judy Anonette
@biju
06 February, 04:30
In response Truth Seeker to his Publication
Wouldn't this be illegal and against the code of ethics? No wonder people have so much trouble having medical testing done in a reasonable amount of time to reduce the pain and suffering they go through. This makes me so furious. How has this gone on for so long?
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Robin Oxman
@Robino
06 February, 12:32
In response Truth Seeker to his Publication
This is so true.....if u question them it u are likely to get kicked out of their practice.....I battle this every month....
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In response Robin Oxman to her Publication
😦.. I really don't know how anyone can live under an obvious one way system like that, it seems heads they win & tails they win, you lose always. At least here in England I've never had to pay for any medical 'insurance', never had 'pet insurance either' (vets just see ££$$ signs first if your pets is insured)😒. I've only seen a doctor once in about 10yrs (which turned out to need nothing doing anyway). So I feel for all you guys having been put though such a totally Unhelpful, Unhealthy and blood sucking way of life.🙏
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Judy Anonette
@biju
06 February, 04:37
In response Robin Oxman to her Publication
I am so sorry. I hope you are able to say no more and walk away. Our medical system is so messed up!!!!!!!!!!!!
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