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Healthcare's high-stakes
fiercehealthcare.com ^ | 10/5/26 | Anastassia Gliadkovskaya, Cailey Gleeson, Dave Muoio, Heather Landi, Paige Minemyer

Posted on 10/05/2026 8:02:17 AM PDT by spintreebob

Healthcare is facing a wave of high-stakes litigation that could redefine drug pricing, insurance oversight, health technology competition, AI deployment, labor policy and public health regulation. The cases span nearly every corner of the industry, with courts increasingly serving as the venue where major policy disputes are decided. Together, these legal fights will influence how healthcare is paid for, regulated and delivered in the years ahead.

From 340B drug pricing and Medicare Advantage star ratings to competition, antitrust claims against Epic Systems and patient privacy disputes, courts are increasingly becoming the battleground for some of healthcare's biggest policy and business fights.

Artificial intelligence is emerging as a new legal frontier. Lawsuits are challenging insurers' use of algorithms in claims determinations and AI developers' liability for medical advice and diagnoses.

(Excerpt) Read more at fiercehealthcare.com ...


TOPICS: Business/Economy; Culture/Society; Government; News/Current Events
KEYWORDS: lawsuits; medicaid; medicareadvantage; pricing

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This long article has paragraphs on healthcare topics related in that they all involve law suits.... and they all involve the mess when capitalist competition for consumer money is removed from the marketplace.

The government must fill the vacuum...the need to resolve differences rather than the free market. The government is inherently inefficient. Much of the money goes to the lawyers and lawsuits....and to avoiding lawsuits and government regulation.... and not to the customer... nor to the private business.

1 posted on 10/05/2026 8:02:17 AM PDT by spintreebob
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To: spintreebob

โ€œU.S. Prescription Drug Spending Poised to Cross $1 Trillion, With Weight Loss Drugs Driving Historic Growth in 2025
Published: April 30, 2026โ€

https://news.ashp.org/News/ashp-news/2026/04/30/us-prescription-drug-spending-poised-to-cross-1-trillion-with-weight-loss-drugs

That works out to be close to $3,000 per year per American resident.

Family of four? ~$12,000/year


2 posted on 10/05/2026 8:05:46 AM PDT by Brian Griffin
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To: spintreebob

For health care, bring on market force:

1. Break most hospitals into two highly competitive entities.

2. Convert other hospitals into real estate leasing entities with competing surgical suites and nursing wings.

3. Separate out drug coverage so hospital systems can run care coverage systems and cut out insurance company overhead and meddlers.

4. Create interstate drug plans that donโ€™t have to pay what the drugmaker wants for every drug. To qualify for exchange listing and federal subsidies, they would have to most (~80% or more) in all important types (large volume recombinant, small volume recombinant, breakthroughs under patent, etc.). Group and exchange plans to offer time-limited vouchers at plan set amounts for out-of-formulary drugs. Voucher plans would have variable premiums. Plans without minimums (or vouchers) could be vended directly to individuals and families.

5. These plans would be all the doctors (and computer algorithms) prescribe for formulary drugs with co-pays equal to manufacturing cost

6. Reform medical education, breaking down medicine and dentistry into simpler chunks and start it in the first year of college

7. Replace most primary care doctoring with algorithmic computer-based care.
(Insurers would pay human doctors to confirm computer diagnosis, orders for expensive tests[MRI, genetic], prescribe radiation imaging[CT, PET, X-ray]/treatment, and voucher/government co-pay drugs. Other human doctor care would be private pay.)

8. Place radioisotope-related care at international airport centers.


3 posted on 10/05/2026 8:10:21 AM PDT by Brian Griffin
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To: Brian Griffin

There is only one viable way at this time to gfix our healthcare insurance disaster, Immediately put EVERY PUBLIC EMPLOYEE IN AMERICA on Obamacare at their own expense. Then and only then will CONgress get serious and fix the problems.


4 posted on 10/05/2026 8:25:06 AM PDT by eyeamok
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To: spintreebob

You want costs to come down, quality to improve, get government the hell out of it, except as a safety net for the truly indigent.


5 posted on 10/05/2026 8:30:12 AM PDT by mewzilla (Swing away, Mr. President, swing away! ๐Ÿ‡บ๐Ÿ‡ธ ๐Ÿด๓ ง๓ ข๓ ฅ๓ ฎ๓ ง๓ ฟ)
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To: eyeamok

That is also a way to make sure vaccines are a lot safer.

Require every member of Congress to take every vaccine approved for adults every year.

If they get caught faking it they get ten years in prison mandatory.


6 posted on 10/05/2026 8:41:23 AM PDT by cgbg (Four seconds is all it takes to beat the brainwashing.)
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To: spintreebob

Tax citizens.
Use tax dollars to feed the unfortunates.
Use tax dollars to pay healthcare professionals and drug companies to assist the unfortunates in losing weight.
Repeat until money dries up or revolution.
To not do so is racist, lardist or bullying


7 posted on 10/05/2026 8:41:26 AM PDT by MrBambaLaMamba (Pืขื•ืž ืœืฆื“ ื™ืฉืจืืœ. The only good commie is one that's dead - Country Joe McDonald)
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To: eyeamok

“Then and only then will CONgress get serious and fix the problems.”

Most of the problems are at the state level. States regulate providers such as doctors and hospitals.


8 posted on 10/05/2026 8:49:06 AM PDT by Brian Griffin
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To: cgbg

“Require every member of Congress to take every vaccine approved for adults every year.”

Key company people and significant shareholders, roll up your sleeves.


9 posted on 10/05/2026 8:51:51 AM PDT by Brian Griffin
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