The Issues

Corporate influence and unchecked greed have turned American health care into a profit center—leaving millions uninsured, underinsured, or deep in debt.

Profits Over Patients

As profits take priority over patients, the system grows more unsustainable.

Unaffordable Coverage

Families, seniors and small business owners are drowning in premiums and mandatory out-of-pocket spending.

Corrupt Influence

Lobbyists and disinformation campaigns block the change we need.

We fight to expose this corruption—
‍and to change it.

Our Initiatives

Explore our work on health insurance influence, out-of-pocket costs, and Medicare Advantage accountability.

Medicare Advantage Accountability Project

Medicare Advantage now covers more than half of all Medicare beneficiaries, yet growing evidence points to widespread concerns about prior authorization, denied care, overpayments, and corporate consolidation. The Medicare Advantage Accountability Project provides research, analysis, and educational resources to help policymakers, advocates, and the public understand how these practices affect patients and taxpayers.

Lower Out-of-Pocket Costs

Too many Americans have health insurance but still cannot afford the care they need. Through research, public education, coalition building, and policy development, the Lower Out-of-Pocket Costs Initiative works to advance solutions that reduce premiums, deductibles, copayments, coinsurance, and other financial barriers to care.

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Health Insurance Influence Tracker

The Health Insurance Influence Tracker shines a light on the political spending and influence of major health insurance companies. By compiling campaign contributions, lobbying expenditures, PAC activity, and other forms of political engagement in one public resource, the Tracker helps promote transparency and accountability in health policy decision-making.

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