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Your Life, Your Health, Your Money2025-07-28

View health as an investment, not an expense.

John Quelch

One of the drivers of inefficiency and costs in in healthcare are the middlemen and bureaucracy. When you go to the store to buy groceries or to a restaurant to eat, you pay for that directly. The prices and menu are displayed and transparent. Why not have the same for outpatient clinical care and for hospitals?

Part of the rationale for middlemen like insurance companies and bureaucracy was pooling risk among a population and safeguarding quality. Short-term profit making and lack of alignment in incentives have denatured these processes. In the age of AI and precision health, those two processes can be made much more efficient and cheaper. Organizations that can integrate both under one roof will thrive. For example, Tesla offers auto insurance to its drivers, which is very precise individualized, and adjusted often, as it has all the data on the driving patterns of the individual.

There is also the option to forgo any insurance, pay for everything yourself out of a savings account dedicated to healthcare, and keep things very private. You can comparison shop and quality check by doing your own AI-assisted research, and really invest in preventive health, as it will save you money in the short term- and your life in the long term. (This can work at the level of organizations and countries also, when they are the direct payors. They have an incentive in their people doing well. However, the larger the entity, the more likely that incentive alignment will be lost and bureaucracy creeps in).

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