What’s Wrong With U.S. Health Care

The picture worth thousands of words is from down town U.S.A. and when I was in training this person would be immediately adm by a roving ci t izen to an acute care facility, a spotless one I might add.

This outcome of a life of potentially happy, joyous and free is grossly lost by a pursuit that has Sooo wrong the cure must come from the devil that created it.

The U.S. health care system is widely characterized by a “high cost, low performance” paradox, where it spends more per capita than any other wealthy nation yet achieves some of the worst health outcomes. As of early 2026, major systemic issues include severe affordability barriers, administrative waste, and deep inequities in access

Core Systemic Failures

  • Extreme Costs with Poor Outcomes: The U.S. spends approximately 18% of its GDP on health care—nearly double the average of other wealthy nations—yet ranks last among peer countries in life expectancy, infant mortality, and maternal mortality.
  • Affordability & Debt: Nearly half of U.S. adults report difficulty affording health care costs. Medical debt is the leading cause of personal bankruptcy in the U.S., affecting roughly 41% of adults as of 2026.
  • Administrative Waste: Approximately 25% of all U.S. health care spending is wasted on administrative complexity, billing inefficiencies, and “private-sector bloat”. The U.S. spends five times more per person on administrative costs than its wealthy peers.
  • Corporate Consolidation: Large insurers and private equity firms increasingly control clinical resources, often prioritizing shareholder profits over patient care. For example, UnitedHealth Group is now the largest employer of physicians in the U.S.
  • Access and Equity Gaps
  • Coverage Insecurity: Over 28 million Americans remain uninsured, a number expected to rise as federal subsidies for the Affordable Care Act (ACA) lapse and significant cuts to Medicaid are implemented.
  • Racial & Geographic Disparities: Black, Hispanic, and rural populations face significantly higher barriers to care and worse mortality rates for treatable conditions like diabetes and heart disease.
  • Workforce Burnout: A critical shortage of primary care physicians is worsening as providers retire early or leave the profession due to “moral injury” and excessive administrative burdens. National Institutes of Health (.gov)National Institutes of Health (.gov) +3

Current Market Impact (Insurance Sector)

Recent policy shifts, including effectively unchanged Medicare rates for 2026, have significantly impacted the financial health of major insurers. 

In 2024, the United States spent an estimated $14,885 per person on healthcare — the highest healthcare costs per capita across similar countries. For comparison, Switzerland was the second highest-spending country with $9,963 in healthcare costs per capita, while the average for wealthy OECD countries, excluding the United States, was $7,371 per person. Such comparisons indicate that the United States spends a disproportionate amount on healthcare.

The United States has worse healthcare outcomes compared to other wealthy countries

United

State

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Expectancy

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Mortality

Safety During
Childbirth

Unmanaged
Asthma

Unmanaged
Diabetes

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Ridenours’ List AZBN

Deborah C.

Arizona

6 years ago

They were so crooked..I had NO DUE PROCESS..THEY REVOKED MY RN LIC AND PROVED NOTHING IN COURT HEARSAY…ADMIN COURT IN BED WITH BOARD. THEY ARE ALL CROOKED

Arizona Name

6 years ago

Nurse’s have a right to due process and should be innocent until proven guilty. The AZBN does not have to abide by the laws of due process and can enforce disciplinary action without just cause. We have worked to hard to become nurses to allow an entity to remove our livelihood without proving guilt of wrongdoing.

Carol S.

Arizona

6 years ago

Nurses that are whistleblowers or have made honest error( errors that all nurses make) or nurses that hat have had false allegations made against them get their license revoked or disciplined. Nurses that harm patients or who are indifferent to patients get to take care of your family and friends.

Kimberly W.

Arizona

3 years ago

I have been unjustly disciplined by Arizona Board of Nursing x 2

name not displayed She was colleagues best worker, No name w/held out of fear of more retaliation.

Arizona

3 years ago

Today I’m being forced to surrender my license because I can’t complete my contract. I’ve spent over $10,000 and that’s not including $20,000 for rehabs. I was a great nurse.

Trudy B.Arizona

3 years ago I was denied due process and wrongfully arrested, charged and jailed for what later was dismissed in criminal court. After 5 years and 1 million dollars in losses and costs, and a consent agreement, I kept my credentials, was restored to good standing and immediately retired to prevent me from ever practicing as a Nurse Practitioner again. This experience brought about legislative change sponsored by Senator Nancy Barto. On August 6, 2016, SB 1445 was made law in Arizona and “MEDICAL SPEECH & PRACTICE PROTECTION ACT” was presented at ALEC(American Legislative Exchange Council) as model legislation on 9/12/2016. Thank you.

name not displayed Addiction is far from rare in nursing but can be sooo much handled better.

Arizona

3 years ago I also felt forced to surrender my license after being given requirements to attend substance abuse therapy, and diagnosised as an addicted person by a mental health “professional” that got facts wrong in the final report due to not listening or taking wrong notes. I have a medical illness. The board investigators LIE in reports and twist statements. Its a battle you can’t win.

Carol S.

Arizona

2 years ago

Because the nursing board in Arizona destroyed my nursing career I spend thousands of dollars for classes they didn’t disciplined me they destroyed me.

Arizona

Peary B

The Medical Mafia were told the truth about a very incompetent surgeon whom had a mental illness causing many injuries and death..I presented all the evidence ; the azbn took my license. Isaac M. Thapedi, Joey Ridenour, Diane Milhasky, T.Scott King, Linda Monas, of course Elizabeth A. Campbell and Therese Rowan followed only the money and all are criminals and a cancer to our society.

The list of civil & criminal violations against nurse in Arizona is long, there are many more and are being categorized by dedicated nurses such as Darlene Nelson . Her work is national so be advised the list is huge, and not all entries by alleged nurse victims is professional. However, I am on that list and can clearly define and prove felonies by court officers in Arizona. However the problem is nation-wide.

Darlene Nelson R.N. Nurse Advocate Writes

Nurses are denied the ability to practice and earn an income. When going through the phases of a disciplinary actions, nurses are forced into financial hardship with such agonizing outcomes as loosing their homes and vehicles, loosing medical coverage for themselves and their families or loosing such as the ability to pay for their children’s schooling, dental needs, medications or simply pay the bills. It is a time of great despair, loss, shame, fear and undue hardship. It is a process that destroys lives as nurses who are innocent or who made a non-injurious, first time error are treated not only as if they are guilty but also as if they are criminals. The process is unduly punitive and cloaked in secrecy.

Many a nurse has discovered they are being made to suffer such torment based on employer retaliation most often for speaking up regarding patient safety concerns. Employers are given immunity from being held to their actions and complicity in creating unsafe conditions in which things predictably went wrong or fell through the cracks. Employers claim peer review immunity as they scapegoat the nurse for being a victim of unsafe staffing levels, being assigned too heavy and too acute of assignments, or having inadequate resources or assistance in getting a patient’s needs addressed. Boards of Nursing hear from accused nurses such mitigating circumstances all the time yet they fail to hold accountable to the Nurse Practice Act those Nurse Leaders who knew of and allowed such threats to patient safety. Employer’s and claimed witness’s provide solicited, accusatory statements to the Board that the nurse will never have the opportunity to review or rebut, because the employer has been granted immunity. And the Board will take those statements as fact as they are permitted to consider as evidence hearsay. This would never be permitted in criminal or civil cases, only in administrative law. Because of the Nursing Boards refusal to seek to uncover the root cause of breaches in the standard of care, mitigating circumstances, and complicity of Nurse Leaders they permit the continuation of unsafe conditions therefore failing to protect the public. They further fail to protect the public when they ignore exculpatory evidence in non-comprehensive investigations and in doing so permit the real wrong doer to continue to place patients at risk.

Petition maybe extended w/personal abuse of nurses and stories maybe added here

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Whistleblower Indices For AZBN

#1 The nurse whistle blower must be experienced enough to comprehend medical documents and their logisticstal locations. Victim witnessing should remain confidential.

#2 The nurse whistle blower must have another form of income outside of nursing as termination of career is likely.

#3 A direct connection w/legal authorities, including law enforcement, state and federal justice systems, major SM platforms, and nurse practice laws will be prominent.

#3 The Nurse Whistle Blower will confront public safety issues in all arenas where the court of public opinion lives.

#4 The Nurse Whistle Blower should have knowledge of the criminal statutes as well as civil knowledge and be prepared for incarcerated times.

#5 The Nurse Whistle Blower should prepare for major psychic changes both from close associates and colleagues as well.as personal physic changes; not to omit unkowns.

#6 The Nurse Whistle Blower should prepare for unknown noteworthy recognition. Both good and bad.

#7 The Nurse Whistle Blower will need secondary physical and social support from stress related issues.

#8 The Nurse Whistle Blower needs to accept that corporate involves all systems to close cases at the nurse’s expense.

#9 The Nurse Whistle Blower will see colleagues and court officers falsey testify and learn clearly the trail of the $

#10 The Nurse Whistle Blower should develop another power not in the corporate system. A conscious contact with that higher power and carry this vision on daily schedules. Unity by prayer is a daily requirement for the nurse whistle blower.