The Health Care Industry vs. Health Reform

Wendell PotterI'm the former insurance industry insider now speaking out about how big for-profit insurers have hijacked our health care system and turned it into a giant ATM for Wall Street investors, and how the industry is using its massive wealth and influence to determine what is (and is not) included in the health care reform legislation members of Congress are now writing.

Although by most measures I had a great career in the insurance industry (four years at Humana and nearly 15 at CIGNA), in recent years I had grown increasingly uncomfortable serving as one of the industry's top PR executives. In addition to my responsibilities at CIGNA, which included serving as the company's chief spokesman to the media on all corporate and financial matters, I also served on a lot of trade association committees and industry-financed coalitions, many of which were essentially front groups for insurers. So I was in a unique position to see not only how Wall Street analysts and investors influence decisions insurance company executives make but also how the industry has carried out behind-the-scenes PR and lobbying campaigns to kill or weaken any health care reform efforts that threatened insurers' profitability.

I also have seen how the industry's practices -- especially those of the for-profit insurers that are under constant pressure from Wall Street to meet their profit expectations -- have contributed to the tragedy of nearly 50 million people being uninsured as well as to the growing number of Americans who, because insurers now require them to pay thousands of dollars out of their own pockets before their coverage kicks in -- are underinsured. An estimated 25 million of us now fall into that category.

What I saw happening over the past few years was a steady movement away from the concept of insurance and toward "individual responsibility," a term used a lot by insurers and their ideological allies. This is playing out as a continuous shifting of the financial burden of health care costs away from insurers and employers and onto the backs of individuals. As a result, more and more sick people are not going to the doctor or picking up their prescriptions because of costs. If they are unfortunate enough to become seriously ill or injured, many people enrolled in these plans find themselves on the hook for such high medical bills that they are losing their homes to foreclosure or being forced into bankruptcy.

As an industry spokesman, I was expected to put a positive spin on this trend that the industry created and euphemistically refers to as "consumerism" and to promote so-called "consumer-driven" health plans. I ultimately reached the point of feeling like a huckster.

I thought I could live with being a well-paid huckster and hang in there a few more years until I could retire. I probably would have if I hadn't made a completely spur-of-the-moment decision a couple of years ago that changed the direction of my life. While visiting my folks in northeast Tennessee where I grew up, I read in the local paper about a health "expedition" being held that weekend a few miles up U.S. 23 in Wise, Va. Doctors, nurses and other medical professionals were volunteering their time to provide free medical care to people who lived in the area. What intrigued me most was that Remote Area Medical, a non-profit group whose original mission was to provide free care to people in remote villages in South America, was organizing the expedition. I decided to check it out.

That 50-mile stretch of U.S. 23, which twists through the mountains where thousands of men have made their living working in the coalmines, turned out to be my "road to Damascus."

Nothing could have prepared me for what I saw when I reached the Wise County Fairgrounds, where the expedition was being held. Hundreds of people had camped out all night in the parking lot to be assured of seeing a doctor or dentist when the gates opened. By the time I got there, long lines of people stretched from every animal stall and tent where the volunteers were treating patients.

That scene was so visually and emotionally stunning it was all I could do to hold back tears. How could it be that citizens of the richest nation in the world were being treated this way?

A couple of weeks later I was boarding a corporate jet to fly from Philadelphia to a meeting in Connecticut. When the flight attendant served my lunch on gold-rimmed china and gave me a gold-plated knife and fork to eat it with, I realized for the first time that someone's insurance premiums were paying for me to travel in such luxury. I also realized that one of the reasons those people in Wise County had to wait in long lines to be treated in animal stalls was because our Wall Street-driven health care system has created one of the most inequitable health care systems on the planet.

Although I quit my job last year, I did not make a final decision to speak out as a former insider until recently when it became clear to me that the insurance industry and its allies (often including drug and medical device makers, business groups and even the American Medical Association) were succeeding in shaping the current debate on health care reform. While the thought of speaking out had crossed my mind during the months leading up to the day I gave notice, I initially decided instead to hang out my shingle as a consultant to small businesses and nonprofit organizations.

I decided to take the shingle down, though, at least for a while, when I heard members of Congress reciting talking points like the ones I used to write to scare people away from real reform. I'll have more to say about that over the coming weeks and months, but, for now, remember this: whenever you hear a politician or pundit use the term "government-run health care" and warn that the creation of a public health insurance option that would compete with private insurers (or heaven forbid, a single-payer system like the one Canada has) will "lead us down the path to socialism," know that the original source of the sound bite most likely was some flack like I used to be.

Bottom line: I ultimately decided the stakes are too high for me to just sit on the sidelines and let the special interests win again. So I have joined forces with thousands of other Americans who are trying to persuade our lawmakers to listen to us for a change, not just to the insurance and drug company executives who are spending millions to shape reform to benefit them and the Wall Street hedge fund managers they are beholden to.

Take it from me, a former insider, who knows what really motivates those folks. You need to know where the hard-earned money you pay in health insurance premiums -- if you lucky enough to have coverage at all -- really goes.

I decided to speak out knowing that some people will not like what I have to say and will do all they can to discredit me. In anticipation of that, here are some facts:

  • I am not doing this because my former employer was pushing me out the door or because I had become a disgruntled employee. I had not been passed over for a promotion or anything like that. As I noted earlier, I had a financially rewarding career in the industry, and I'm very grateful for that. I had numerous promotions, raises, bonuses, stock options and stock grants over the years. When I left my last job, I was as close on the corporate ladder to the CEO as any PR person has ever climbed at the company. I reported to the general counsel, the company's top lawyer, whose boss is the chairman and CEO, a man I like and worked closely with over many years.
  • The decision to leave was entirely my own, and I left on good terms with everybody at the company. In fact, I agreed to postpone my last day at work by more than two months at the company's request. My coworkers gave me a terrific going-away party, and I received dozens of kind notes from people all across the country including friends at other companies and at America's Health Insurance Plans, the industry trade association.

I still consider all of them my friends. In fact, the thing I have missed most since I left is working as part of a team, even though I eventually came to the conclusion that I was playing for the wrong side. Being a consultant has its advantages, but I have missed the camaraderie. After a few months, I thought that maybe I should consider working for another company again. At one point, a former boss told me that another insurer had posted a PR job and encouraged me to contact a former CIGNA executive who worked there about it. Against my better judgment, I did, but I immediately decided not to pursue it. The last thing I wanted to do was to go from one big insurer to another one. What the hell was I thinking?

I'm writing this because, knowing how things work, I'm fully expecting insurers' PR firms to quietly feed friends of the industry (which include a roster of editorial writers and pundits, lawmakers and many others who fall under the broad category of "third-party advocates,") with anything they can think of to discredit me and what I say. This will go on behind the scenes because the insurers will want to preserve the image they are working so hard to cultivate -- as a group of kind and caring folks who think only of you and your health and are working hard as real partners to Congress and the White House to find "a uniquely American solution" to what ails our system.

I expect this because I have worked closely with the industry's PR firms over many years whenever the insurers were being threatened with bad publicity, litigation or legislation that might hinder profits.

One of the reasons I chose to become affiliated with the Center for Media and Democracy is because of the important work the organization does to expose often devious, dishonest and unethical PR practices that further the self interests of big corporations and special interest groups at the expense of the American people and the democratic principles this country was founded on.

After a long career in PR, I am looking forward to providing an insider's perspective as a senior fellow at CMD, and I am very grateful for the opportunity to speak out for the rights and dignity of ordinary people. The people of Wise County and every county deserve much better than to be left behind to suffer or die ahead of their time due to Wall Street's efforts to keep our government from ensuring that all Americans have real access to first-class health care.

Wendell Potter is the Senior Fellow on Health Care for the Center for Media and Democracy in Madison, Wisconsin.


The current state of health care access in this country is a national disgrace. Thank you for adding your voice to the dialog.

Kudos! You don't know how happy I am to see somebody like you speaking out. Thank you for doing so. Any ideas on how to counter people who say "I don't want the government handling my health care"? I think we won't see universal health care until we truly answer the concerns of those who are not outraged that their health is being treated like a business. You're a PR pro, what to do? Thanks again!

I appreciate the time and effort you've put in the post. Keep up the good job. Very good writing , always come back for this kind of articles. Angela

Mr. Potter: Thank you!! Hear, Hear!! God bless you. You know, much better than I, the duplicitous nature of these guys. But I ALWAYS suspected it, believed it, actually. So good to finally hear an insider speak out. Are there more like you, still inside, who could provide information (evidence) on just how severely they're screwing the public financially, and essentially killing people? Do they have the same courage and integrity that you are now displaying??? I have physician friends who believe (they say KNOW) how screwed up things are and have some good ideas about how to fix it, but are afraid to speak out. They're scared! For good cause, no doubt. Time to hear from them, not just in big HEALTH, Pharma, tobacco, etc., but how about agri-biz, control of drinking water, "clean" coal. God bless!

Just before reading your blog account on the health care insurance industry, I heard a very pointed attack on "socialized medicine" on a local conservative leaning radio station. An Arizona state representative has pushed through legislation to help "protect choice" and specifically counter any National Health Care plan operating in this state. The representative claims she has no ties to the insurance or health care industries, and that it is a proactive move to prevent Arizonans from suffering the harm of a Nationalized health care system, which she claims is a huge failure in Canada. She cited examples of people having to unreasonably "wait' for care in Canada, and other Canadians "flocking" to the US for care. This past Monday, the Arizona State Senate approved the Health Care Freedom Act (HCR2014). This will put a proposal on the 2010 ballot which would constitutionally override any law, rule or regulation that requires individuals or employers to participate in any particular health care system. Using the usual fear tactics of "socialized" medicine, and adding a Tenth Amendment state's rights argument into the mix, Arizona may have the issue on the ballot for public approval so that our less fortunate citizens also will not need to suffer through nationalized health care (They can just go without any care.) Thank you Mr. Potter for standing up for what is right and honorable and helping expose the wrongs in our current for-profit medical care insurance system. The only "choice" available now, and as proposed by the right, is for those people with the money to go wherever they want ; to "choose." The rest of us must happy with their delayed or denied insurance claims, or go bankrupt. Nice choice.

THANK-YOU for speaking out. THANK-YOU! Don't stop. Don't slow down. Keep going. Jean

I love your style too, I'm glad I found your blog. You made something from this boring day. Awesome keep up the good work. Elizabeth writer at health blog

Cigna destroyed my life and cost me my home. I am a +25 year survivor of HIV and my employer Apple eventually suggested that I stop working and apply for disability when my health deteriorated to the point that my job performance began to suffer. A variety of doctors and organizations acknowledged the reality of my health problems but Cigna declared that there was nothing wrong with me. I lost my supply of antivirals which fight HIV and I lost my home due to a lack of income......Cigna had contracted with Apple to provided Long Term Disability benefits to disabled Apple employees. I had a lot of health issues but Cigna declared there was nothing wrong with we. Then, a year later, Cigna lost a laptop computer with my name, address, SSN, medical information, and birthdate to theft. They informed that they had reason to believe the laptop was not encrypted when it was lost. If I could, I would hurt Cigna executives in any way possible. They are scum and I hope they all die painful deaths. Their children should be taken from them before they twist the kids' minds with their warped values and persistent greed and dishonesty. If there is a god and a heaven and a hell the executives of Cigna will spend their afterlives in hell suffering horribly. Good thing none of them live in my city or I would have taken action against them and picketed outside Cigna's offices to no end....and when that failed I would have killed a few. I hope they all die slow painful deaths.

Don't worry, Obama has re-assured us that if we like our private insurance we can keep it! Yeah right! Most people hate their private insurance companies. I am sorry for what CIGNA did to you. I am afraid we are not making progress towards single payer. I also think Obama's effort to rush through a bill by this fall is more of an attempt to saddle us with a crappy mandate to buy private insurance with only a weak private option. We really need more time to get organized to fight for a single-payer plan.

Dear Mr. Potter, Thank you for taking a courageous, principled and public stand against such powerful interests. America is my adopted country, and I am "an American by Choice". While my early years were all about career success,my current passion is to make this a better country for my kids and future generations. From this perspective, I cannot be partisan on any issue, but must rely on my own judgement on what's good for our country and future generations.... I try to be fiercely independent. On the subject of Healthcare, I see a meaningful Public Health Plan as ABSOLUTELY VITAL, for stability and predictability in our personal lives. I pray that such a plan option will be available to me. I travel frequently to Canada, and work closely with many Canadian citizens. I am always impressed by the fact that no Canadian is constrained from leaving a job and starting his or her own business by concerns about retaining Health Insurance. While their system is not perfect, it is far superior to ours, in terms of "Maximum Good for Maximum Folks". I am deeply troubled by mixed signals coming from the Senate, especially from Democratic senators such as Joe Lieberman on this issue. I hope that the outcome will be Statesmanlike, and not proof that the good senators are completely beholden to special interests. Again, thank you for your stand.... you are anything but alone!!! Sincerely, Rao from NC