First, Do No Harm: Healthcare Profiteering, Hospital Never Events, and Implications for Racial Equity
Mission-driven healthcare leaders and providers have started to make great strides towards advancing health equity and addressing the social and structural drivers of health equity. But at some institutions, this good work is being overshadowed and even undermined by predatory financial practices that harm patients and drive health and social inequities. More than 100 million U.S. residents have been pushed into debt by medical bills, forcing some to cut back on food, burn up their savings, or even forgo needed medical care—with the burden falling heaviest on Black, Latino, and other racially minoritized communities. These predatory financial practices are a form of healthcare profiteering—which extracts wealth from socially and economically marginalized communities—that undermine efforts to advance health equity and can harm the very patients and communities that many of us are deeply committed to helping.
In this webinar, leaders in health policy and hospital administration described these harmful practices and highlighted how mission-driven healthcare leaders and providers can support patients and counteract harmful financial practices, healthcare profiteering, and racial capitalism. They spotlighted examples of how vanguard health systems are working to prevent financial harm to patients as part of their health equity efforts. And they drew connections between harmful financial practices and persistent inequities—and presented ways to help leaders ensure that all hospitals “first, do no harm.”
- Rishi Manchanda, MD MPH, CEO, HealthBegins (host)
- Dave Chokshi, MD, MSc, Physician at Bellevue Hospital, Senior Scholar at the CUNY School of Public Health and Health Policy, and former Health Commissioner of New York City
- Adam Beckman, Harvard MD, MBA Student; Former Special Advisor to the U.S. Surgeon General
- Berneta Haynes, JD, Staff Attorney, National Consumer Law Center
- Quynh Chi Nguyen, Associate Director, Community Catalyst
By the end of the webinar, attendees will be able to:
- Identify predatory financial practices and the ways these practices harm patients and drive health and social inequities.
- Describe racial capitalism, its relationship to healthcare profiteering, harmful financial practices, and medical debt.
- Describe “never events” and other concrete steps to help leaders identify and end abusive practices and harmful medical debt.
Staff Spotlight: Ellen Lawton, Pioneer of Medical-Legal Partnership
“There should be a lawyer, a legal aid lawyer, in every single clinic in the country. You don’t have to call them a legal aid lawyer. You can call them a problem solver.”
Staff Spotlight: Sara Bader, From Urban Planning to Health Equity
“I would encourage people that if they feel driven to the work of reducing inequities that there is a role for them in this work.”
Staff Spotlight: Taleen Yepremian, Determined to End Inequities in Health Care Access
“It was heartbreaking to see kids that can't see a doctor or can't see psychologists or any type of provider they need because they don't have the insurance, they don't have the access to care.”