3 Comments
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David Roberts's avatar

Grim tidings. But tough to argue 🫩

Kunle's avatar

really was hoping someone would tell me how I'm wrong

Shamay's avatar

> "Trends like these will elicit responses across policy, technology, culture and more, so it’s unlikely that they continue as I’ve described here. But it’s unlikely, given our information environment, that those responses are sufficient to stem the tide."

We're already seeing the rise of self-pay subscription marketplaces for labs, imaging, and medications (Function/Superpower, Costplus Drugs, etc).

Could imagine this subscription model extending to routine primary care with some degree of AI-powered automation, while traditional insurance is redesigned strictly to cover unpredictable, high-cost major medical events.

I agree the transition will be messy, but I'm curious why you think it's not sufficient?