Powerful ideas from top nonfiction
Try Blinkist to get the key ideas from 5,500+ bestselling nonfiction titles and podcasts. Listen or read in just 15 minutes.
Start your free trial
Blink 3 of 8 - The 5 AM Club
by Robin Sharma
Listen to the Intro
An American Sickness summary
Elisabeth Rosenthal
How Health Became Big Business and How You Can Take It Back
25 mins
Table of Contents
An American Sickness
summarized in 10 key ideas
Audio & text in the Blinkist app
Key idea 1 of 10
The American health-care system went from humble beginnings to high profits.
In the grand scheme of things, the American health-care industry isn’t very old. It emerged around 1900, with the introduction of the very first health-insurance policies, which were designed to compensate workers for income lost during illness.
The earliest US insurance companies were nonprofits that aimed to help hospitals get paid while also helping patients save money.
For a long time, Blue Cross and Blue Shield were the only major health-insurance companies. But in the 1950s, a decade during which the number of Americans buying health insurance jumped by 60 percent, it became clear that insurance was big business. Soon, for-profit companies started taking over.
Since then, health insurance has remained an extremely profitable business.
To understand just how big the industry has become, let’s look at Jeffrey Kivi, a New York chemistry teacher who has been treated for psoriatic arthritis since childhood. People with this condition have an over-responsive immune system that attacks their skin, and, without regular infusions of a drug called Remicade, their life would be almost unbearable.
Jeffrey’s treatments used to cost $19,000 every six weeks, and his insurance always covered it. But then, when Kivi’s doctor moved to another hospital, a single infusion suddenly started costing $130,000. Jeffrey was surprised when his insurance company picked up the tab, no questions asked.
It might seem crazy, but nowadays, insurance companies are actually looking for such absurdly high bills.
In 1993, Blue Cross spent 95 cents of every dollar they earned covering medical costs, but in the following years they decided to keep most of that money as profit. That is, until the Affordable Care Act (better known as Obamacare) required insurers to spend at least 80 to 85 percent of every dollar earned on patient care.
This requirement is what made Jeffrey’s insurance company so happy to pick up that $130,000 tab. Since they make so much money, they need to spend a lot of it in order to adhere to the rules.
But this is only scratching the surface of what’s going on in today’s American health-care system.
Want to see all full key ideas from An American Sickness?
Key ideas in An American Sickness
More knowledge in less time
Read or listen
Get the key ideas from nonfiction bestsellers in minutes, not hours.
Find your next read
Get book lists curated by experts and personalized recommendations.
Shortcasts New
We’ve teamed up with podcast creators to bring you key insights from podcasts.
What is An American Sickness about?
An American Sickness (2017) takes an honest look at the state of the American health-care system and frankly diagnoses its many ailments. When big business started taking over what were once charitable organizations, things began to go truly wrong. Rosenthal presents valuable information on how to reduce health-care bills and not get taken for a ride by greedy hospitals and over-prescribing doctors.
Best quote from An American Sickness
The list of hospital CEOs with million-dollar annual salaries is long – even if their hospital is listed as a not-for-profit.
—Elisabeth Rosenthal
Who should read An American Sickness?
- Americans, both healthy and sick
- Workers in the health-care and insurance industry
- Readers who want to save money
Categories with An American Sickness
Books like An American Sickness
People ❤️ Blinkist
Sven O.
It's highly addictive to get core insights on personally relevant topics without repetition or triviality. Added to that the apps ability to suggest kindred interests opens up a foundation of knowledge.
Thi Viet Quynh N.
Great app. Good selection of book summaries you can read or listen to while commuting. Instead of scrolling through your social media news feed, this is a much better way to spend your spare time in my opinion.
Jonathan A.
Life changing. The concept of being able to grasp a book's main point in such a short time truly opens multiple opportunities to grow every area of your life at a faster rate.
Renee D.
Great app. Addicting. Perfect for wait times, morning coffee, evening before bed. Extremely well written, thorough, easy to use.
People also liked
Start growing with Blinkist now
26 Million
Downloads on all platforms
4.7 Stars
Average ratings on iOS and Google Play
91%
Of Blinkist members create a better reading habit*
*Based on survey data from Blinkist customers