“This is American healthcare.”
The care happens on the ship. But the money ends up at the bottom.
It’s easy to get lost in the weeds when it comes to healthcare.
But it comes down to two views — and neither one is wrong.
“Healthcare is a right. In a country this wealthy, everyone should have access.”
“Healthcare needs competition. That’s what keeps quality high and drives innovation.”
Most people believe some of both.
“Everyone deserves access to good, affordable healthcare.”
Before we argue about which direction to sail —
“What if we agreed to plug the holes?”
These aren’t left or right positions.
This is what Americans actually want.
United States Congress
H.R. 3 — Lower Drug Costs Now Act
Would have let Medicare negotiate prices on 250 drugs per year. Projected savings: $456 billion over a decade. Supported by 83-90% of Americans — including 71% of Republicans.
Read the full bill yourself →It passed the House. 230 Yes — 192 No.
The Senate Majority Leader refused to schedule a vote. 383 days.
Democrats tried again in the next Congress.
Three Democrats voted against their own party in committee. 29-29.
What survived was gutted. 250 drugs → 10. All Americans → Medicare only. $456B → $100B.
57 senators voted Yes on $35 insulin. Needed 60. Failed.
Schrader now lobbies for Pfizer. Sinema left the party — now earns $1M+/yr at a pharma lobbying firm.
The system doesn’t need one villain.
It has backups.
Why?
The details get buried inside massive bills — hundreds of pages long — where the real decisions are made in language nobody reads.
Your representatives can vote against the things you care about — and they know you’ll never hear about it.
The speeches. The tweets. The hearings. That’s the show.
The votes are where the actual decisions happen. And almost nobody is watching.
That’s not an accident. It’s the strategy.
You just watched a bill die four times.
Each time, a different person pulled the trigger.
But the same money was behind every one of them.
The healthcare industry spends $744 million on lobbying every year.
There are 535 members of Congress.
$0
$744 million ÷ 535
= $1.4 million per politician, per year.
That’s what it costs to buy inaction.
This isn’t ideology. It’s a business expense.
And right now, it’s the best investment in America.
So who’s at the bottom of the ocean?
Insurance
$1 trillion+ in revenue. They don't treat patients. They process paperwork. UnitedHealth profit, 2023: $22 billion.
PBMs
Three companies control 80% of drug pricing. They negotiate in secret. You never see the real numbers.
Hospitals
Regional monopolies. No competition. Prices 12-20% higher. No quality improvement.
Pharma
Same pill costs 2-10x more here. They spend more on marketing than research. Many drugs were developed with your tax dollars.
They have no incentive to fix the holes. They have every incentive to make more.
“You want to start a business. But your family would lose coverage.”
“Your kid has asthma. You can't leave your job.”
“You got laid off. COBRA is $2,100/month.”
“You got a surprise bill for $14,000. You have insurance.”
“You need insulin. It costs $5 to make. You pay $300.”
100 million Americans carry medical debt.
It’s the #1 cause of bankruptcy. This is the only wealthy country where this happens.
Right now, we’re fighting each other over which direction to sail.
But every day we fight each other, the lobbyists win.
Someone is stealing from you every time you go to the doctor.
Every time you pay your insurance bill.
Every time you pick up a prescription.
And they are counting on you to stay angry at your neighbor instead of looking at who’s actually taking your money.
Let’s beat them.
Not the other side.
The people who profit from making sure it doesn’t work at all.
Here’s what we can agree on. Right now.
Make prices visible.
Break the PBM monopoly.
Stop patent games.
Cut the paperwork.
Unchain coverage from your job.
Break hospital monopolies.
Public research, public benefit.
Every one of these has majority public support.
Every one has been killed by the people at the bottom of the ocean.
This can change. All of it.
Not overnight. Not with one election.
We’re here to help you with that.
Stop letting your representatives tell you they’re doing their best.
Know when they betray you.
If we can agree on one thing — that you deserve to keep more of your own money, and the people at the bottom of the ocean don’t deserve it more than you do — we’ll keep you informed. Specifically. Personally. With receipts.
That’s all this is. We watch. We show you. You decide what to do about it.
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