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Profit as Primary Driver: The Daily Disaster of U.S. Healthcare


This article comes from the winter 2020 edition of the Nonprofit Quarterly as part of an article series on “America’s healthcare crisis.” To learn more about this topic, please join us on Thursday, January 21st, at 2 pm EST for a free webinar on Health, Racial Disparities and Economic Justice.

The Nonprofit Quarterly has long suggested that some fields of endeavor should be removed from the for-profit marketplace—because when profit takes a front seat in those particular endeavors, they actively violate the public good and rob public pocketbooks all at the same time.

Nursing homes are one of those endeavors that should be restricted to nonprofits and/or be far more tightly regulated to prevent profiteering that is against public interest. Other such enterprises in the realm of healthcare might include hospice, home healthcare, and the pharmaceutical industry. In each of these fields, there is clear evidence based in research of the profit motive profoundly harming the quality/cost proposition. But there are also powerful lobbying groups at work. Changing away from a system that places profits above mission and patient rights would require a dedicated effort based on a clear set of design principles that put the health of the public over profit-making.
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