BREAKING: Nation Outraged By ‘For-Profit Healthcare’ While 8 of Top 10 Health Giants Are Literally Tax-Exempt Empires WASHINGTON, D.C. — Americans once again expressed outrage over “for-profit healthcare,” bravely ignoring the mildly inconvenient detail that 8 of the 10 largest health systems in the United States are technically ‘nonprofit’ which, in modern healthcare, is a special religious term meaning “pays no taxes while building luxury towers and buying physician practices like Pokémon cards.” “Everyone knows greedy corporations like HCA and Tenet are the real problem,” said a health policy expert who coincidentally consults for Kaiser, a $115.8 billion nonprofit with more office towers than Goldman Sachs. “Nonprofits are mission-driven, so they only pay their CEOs $12 million instead of $14 million. Checkmate, capitalism.” According to IRS filings that no one reads: Kaiser Permanente ($115.8) is a Nonprofit. Also owns more real estate than the Jesuits. CommonSpirit, Advocate, Providence, UPMC, Ascension, Trinity, Mass General Brigham. All nonprofit. All operate like private equity funds with chapels. HCA and Tenet. For-profit. Convenient villains for all op-eds. When asked about their nonprofit mission, a spokesperson for one system replied, “We are deeply committed to community wellness. This is why we acquired a cardiology group 43 miles away, shut down their charity clinic, and added a wine bar to our new outpatient cancer pavilion. You’re welcome.” Meanwhile, independent physicians, who actually pay taxes, build clinics with personal guarantees at 8% interest, and treat Medicaid patients without subsidy, were last seen standing in the bank lobby asking why their loan requires collateral when the hospital down the street floated $2 billion in tax-exempt bonds to build a marble lobby with a waterfall named after a donor who never went to medical school. “This system would collapse without nonprofits,” said another expert who has never read an IRS 990 form. “Where else can communities receive care inside a $600 million tower financed like a church but billed like the Ritz-Carlton?” In unrelated news, Ascension just launched a private equity arm. Providence acquired its 37th dermatology group. UPMC issued a press release stating they are “humbled to serve” while announcing CEO bonus adjustments due to “historic margin performance in the charity care arbitrage vertical.” COMING SOON: “New Study Finds Charity Care is Mostly a Vibe” — Nonprofit Hospitals Explain That ‘Not Billing’ One Patient in February Was a Sacrificial Act Worthy of Tax Exemption.

I wish we had capitalism and free markets in healthcare! Then we’d have 10,000+ insurance companies competing for every type of coverage imaginable. We would have 1,000 apps like Expedia where we could pay cash for the 17.95 Billion commodity healthcare treatments and services. We would likely have a healthcare commodities exchange and all prices would revert to the mean. We would have outcomes data on everything!

We want healthcare not insurance.

Meta. Google. TikTok. Amazon. Shopify, and X: You can solve healthcare tomorrow. You’ve built the infrastructure to make any product shoppable. Prices visible. Comparisons instant. Checkout frictionless. So here’s the question: why not healthcare? 18 billion CPT-coded medical services are rendered every year in the U.S. Each has a price, a description, and a licensed physician or healthcare professional. That’s a product listing waiting to exist. Lab tests: 15 billion Physician consults: 1.2B Physical Therapy: 400B Radiology: 300M All shoppable. The technology already works. The only difference is category. When prices are hidden, they drift. They detach from reality. Hospital systems charge 3x what independent providers do for identical services. No one can compare. No one can choose. Prices float untethered to the actual cost of delivery. Price discovery collapses that gap. The moment you can see what an MRI actually costs, at Hospital A versus independent radiology center B the market corrects itself. Prices converge toward their true value. Mean reversion happens automatically. You know how this works. You’ve already built it everywhere else. The question isn’t whether it’s possible. It’s whether you will. I’ll help you, I have prices and locations. @finkd @JeffBezos @elonmusk @tobi @mcuban @bgurley @Jason @chamath @DavidSacks

Healthcare coverage is not complicated. Enforce price transparency. Let prices behave like prices. Allow a free market and competition will do the rest. The United States processes 18 billion individual medical services every year. That’s not a system. That’s a market, waiting to be unlocked. Want to unleash investment and innovation? Publish the prices and hand Silicon Valley a clean data feed for every CPT code. Within 90 days, we’d see: Real-time price feeds and healthcare commodities exchanges 10,000 new coverage models built around actual prices, not mystery bills A wave of apps, bundles, subscriptions, and new insurance products Employers and families finally able to shop, compare, and choose. That is how you get affordable and accessible care for everyone. Not through more regulation. But through transparency, competition, and freedom to choose. Unlock the prices. The market will build the rest. @POTUS @VP @BasedMikeLee @SenRickScott @RogerMarshallMD @repkevinhern @RepGregMurphy @SenJohnKennedy @SecKennedy @RepMcCormick @GOPDoctors