Skip to main content

272 billion reasons to fear privatization

Below is a list of the 11 US health corporations on the Fortune 500 list.  They had a combined revenue of approximately $272 billion in 2011.   They make about $15 billion in profits.

These aren't your friendly mom and pop businesses.  This is BIG business.

Trying to reform America's largely for-profit health care system is bound to come up against these interests.  With such large revenue streams they have incredible power and resources to divert health care reform to match their own interests.  They have (literally) billions of reasons to do so.

Corporate health care has not led to good results.  The privatized American system is far and away the most expensive health care system in  the world.  Despite this, tens of millions of Americans have no health care insurance and tens of millions more have inadequate health care insurance.

Already, we are beginning to see a similar trend (on a smaller scale)  in the long term care, health care infrastructure, and home care sectors in Canada, where corporations have crept in.  Private insurance corporations are probably burning to expand their (currently) secondary role in health care.

If Canada let's more and more corporations run our health care system, we will more and more face the same corporate interests able and willing to push health care in the same direction that corporate health care pushes the American system.


RevenuesProfits
RankCompanyFortune 500 rank$ millions% change from 2010$ millions% change from 2010
1UnitedHealth Group22101,862.08.25,142.011.0
2WellPoint4560,710.73.22,646.7-8.3
3Humana7936,832.08.81,419.029.1
4Aetna8933,779.8-1.41,985.712.4
5Cigna13021,998.03.51,327.0-1.3
6Coventry Health Care21912,186.75.2543.123.8
7Health Net22111,901.0-12.672.1-64.7
8Amerigroup3856,318.48.8195.6-28.4
9WellCare Health Plans4016,106.912.3264.2N.A.
10Centene4535,340.619.5111.217.3
11Molina Healthcare5004,769.916.720.8-62.1

Issue date: May 21, 2012

Comments

Popular posts from this blog

More spending on new hospitals and new beds? Nope

Hospital funding:  There is something off about the provincial government's Budget claims on hospital capital funding (funding to build and renovate hospital beds and facilities).    For what it is worth (which is not that much, given the long time frame the government cites), the province claims it will increase hospital capital spending over the next 10 years from $11 billion to $20 billion – or on average to about $2 billion per year.   But, this is just a notional increase from the previous announcement of future hospital capital spending.  Moreover, even if we did take this as a serious promise and not just a wisp of smoke, the government's own reports shows they have actually funded hospital infrastructure about $3 billion a year over the 2011/12-2015/16 period. So this “increase” is really a decrease from past actual spending. Even last year's (2016-17) hospital capital funding increase was reported in this Budget at $2.3 billion - i.e. about 15% more th

Ford government fails to respond to 72% increase in COVID inpatient days, deepening the capacity crisis

COVID infections continue to drive up hospital costs and inpatient hospitalizations in Ontario. For the most recent fiscal year (April 1, 2022- March 31, 2023) hospital stays related to COVID cost $1.221 billion, according to new CIHI data.   This is about 4% of total hospital spending, creating a very significant new cost pressure beyond the usual pressures of population growth, aging, inflation, and rising utilization.   Costs for COVID related hospitalizations increased 22.2% in Ontario in 2022/23 from the previous fiscal year, rising from $999 million to $1.221 billion.  That rise is particularly notable as the OMICRON spike of late 2021 and early 2022 had passed by the the 2022/23 fiscal year.   The $222 million increase in COVID hospitalization costs came in the same year as the Ford government cut special COVID funding and, in fact, cut total hospital funding by $156 million.     In total, there were 60,653 COVID hospitalizations in Ontario in 2022/3, up from 47,543 in 2021/2. 

Paramedic Services in Canada: Structure, Privatization, Unionization and other issues

Governance and Funding :  While police and fire services are usually municipal services, Emergency Medical Services (EMS) are typically controlled by provincial governments.  In Ontario, regional municipal governments have responsibility for delivering and funding EMS.  But even in Ontario the province plays a key role, strictly regulating EMS, providing funding for 50% of the approved land ambulance costs, and paying 100% of the approved costs for air ambulance, dispatch, base hospitals, First Nation EMS, and for territories without municipal government. Delivery :  Like police and fire services, EMS is predominantly a publicly provided service in Canada.   But businesses have now made some significant in-roads into EMS, primarily  Medavie,  a private corporation based in the Maritimes that describes itself as not-for-profit.  Medavie goes back over 70 years, with its roots in health insurance.  It still operates Medavie Blue Cross with 1,900 employees.  It now a