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cover of episode Investor interests versus patient interests

Investor interests versus patient interests

2025/5/8
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Marketplace Morning Report

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David Brancaccio
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Nova Safo
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Ralph Nader
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David Brancaccio: 医疗行业的一个新例子表明,投资者的利益并不总是与患者的利益一致。这是一个重要的议题,值得我们深入探讨和关注,因为这关系到医疗资源的分配和患者的福祉。我们需要进一步了解投资者和患者利益冲突的具体案例,以及如何平衡两者之间的关系。 Nova Safo: UnitedHealth公司被指控欺诈股东,因为它减少了理赔拒绝数量,但没有提前警告利润将会下降。这反映出公司为了追求短期利益,而牺牲了长远利益和患者的利益。这种行为不仅损害了股东的利益,也损害了患者的权益,因为患者可能因为理赔被拒绝而无法获得必要的医疗服务。我们需要加强监管,防止类似事件再次发生。 Ralph Nader: 转向无现金社会会带来隐藏的成本,例如高额的未付余额利息、隐藏费用、罚款和身份盗窃风险,还会导致过度消费和陷入信用循环。这不仅会对消费者的经济造成损害,还会对社会公平造成影响。无现金交易的便利性被转化为剥削、敲诈和侵犯隐私。消费者在对银行、保险公司等机构提出投诉时,往往会遇到自动语音信箱,难以获得有效的回应,消费者的声音被忽视。无现金交易中存在大量隐藏费用、额外收费和罚款,消费者难以应对。无现金社会会让一部分没有银行账户的人群处于不利地位,阻碍他们积累财富。恢复邮政银行业务等措施可以改善无现金社会带来的问题,但需要公众广泛的意识才能实现这些措施。 David Brancaccio: 我认为这是一个非常重要的问题,因为这关系到医疗资源的分配和患者的福祉。我们需要进一步了解投资者和患者利益冲突的具体案例,以及如何平衡两者之间的关系。我们需要一个更透明和公平的医疗体系,以确保患者的利益得到保护。

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A new example from the healthcare industry that investor interests do not always align with the interests of patients.

I'm David Brancaccio in Los Angeles. UnitedHealthcare is facing a lawsuit claiming it defrauded shareholders by denying fewer claims but not warning ahead of time that its profits would decline. The nation's largest health insurer has been under heightened scrutiny following the murder of its then-CEO ahead of an investor conference in New York late last year. Marketplace's Nova Safo has details.

The proposed class action lawsuit is for anyone who owned a share of UnitedHealth Group between December 3rd and April 16th. Why those dates? Well, December 3rd is when the company issued its first forecast for its financial performance in 2025, expecting earnings per share of about $30. A day later, its CEO, Brian Thompson, was shot and killed outside a hotel in New York City.

April 16th is the day before the company updated its forecast, trimming earnings expectations by about 10%, saying its costs were higher than it had previously expected. The updated forecast caused UnitedHealth stock to plummet in value by the largest amount in more than 25 years.

The lawsuit says company leaders had the opportunity to warn investors ahead of time that their profits would take a hit because UnitedHealth had allegedly shifted strategies and was allowing more claims to go through, thus increasing its costs.

The company has not responded to the lawsuit and did not return a request for comment. I'm Novosaf for Marketplace. President Trump is expected to announce a new U.S. trade deal with Britain sometime today. The agreement would be the first country-to-country deal fleshed out since the president's big tariff rollout. The BBC's Henry Zeffman has that.

The agreement is likely to reduce tariffs facing British steel and cars. While technology might be a big theme, the UK has very notably not ruled out reducing the digital services tax paid by some of the US tech giants. President Trump teased this announcement in a social media post last night, declaring that he would be unveiling a major trade deal with what he called a big and highly respected country. It

It will be seen in Downing Street as a significant boost, diplomatically and economically. Henry Zeffman is with our news partners at the BBC. U.S. Treasury Secretary Scott Besson is calling his forthcoming meeting with China's vice premier negotiations. They're set to talk trade in Geneva this weekend. Besson said White House advisor Peter Navarro will not attend the meeting. Navarro is seen as perhaps the biggest booster of high tariffs in the name of more jobs on U.S. soil.

Carrying cash can be a pain. Pennies and nickels piling up on the bed stand, the dirty look from the cashier when all you have is a 20. But let's consider some hidden downsides that come with widespread card and cashless smartphone transactions. A new report from the Center for Study of Responsive Law finds cashless transactions may encourage using money you don't have. Longtime consumer advocate Ralph Nader is that organization's founder, and he joins us now. Mr. Nader, welcome.

Thank you. You and your team want us to know that this shift to go cashless also has its own costs. For sure. Once you get into the credit economy and you've got a credit score collar around you, intimidating, complaining, you start being exposed to sky-high interest rates for unpaid balances. You start getting exposed to hidden fees, penalties, identity theft.

And it also induces overbuying. You get stuck in a credit cycle. There are trillions of dollars, as you know. You want to use a debit card.

You don't want to borrow money for the transaction. You see a system set up for that that individuals don't really understand, but also may not have had much of a role in shaping. That's right. They're lured by visions of convenience. Of course, you know, just swipe or hit a button. And this convenience is transformed by these omnipresent fine print contracts, in

into exploitation, into gouging, into invading privacy.

And you try to get through to these banks, insurance companies, your state legislature, city council person, member of Congress, federal agencies, because you've got complaints. And what do you have? Robotic voicemail. So it's a closing out of the voice of the consumer, which, after all, is the greatest pillar of our economic activity and well-being.

And I think it ought to be raised to that level of personal freedom, control over your own money, control over your own personal data. We get disclosures either in the mail or online that talk about what the fee structure should be if we do a cashless transaction, I suppose.

how this all works, that information is available to us if we look. No, it's very difficult. There are all kinds of hidden fees, overcharges, penalties. I mean, you know, you can't keep up with it. Let's face it. The sellers are very skilled and buyers, you know, they have other things on their mind. They're trying to raise their families. They don't have the skill level to deal with the maneuvers and deceptions. As you talk about

the system's set up to make cashless easier and how it can disadvantage some consumers, you must still share the concern that portions of the population are unbanked and it's nearly impossible to build, say, generational wealth if you can't get financial services. Exactly. And being unbanked is usually a function of poverty. And that has to be addressed.

We should have postal banking reinstated after it was abandoned. So there are remedies, but we have to have a broad consumer consciousness to get these remedies in the public dialogue.

Consumer advocate Ralph Nader's Center for Study of Responsive Law has a report out on the cashless society. And Ralph has a new book out on paths to action to improve lives. The title is Civic Self-Respect. Just came out the other day. Mr. Nader, thank you very much. You're very welcome, David. Thank you. In Los Angeles, I'm David Brancaccio. It's the Marketplace Morning Report from APM American Public Media.

Hey, it's Jill Schlesinger, CBS News business analyst, certified financial planner, and host of the podcast Money Watch with Jill Schlesinger. It's a show where we answer your questions about your money, from investing to retirement and completing your taxes. I'll be your financial coach and help take the stress out of managing your money, but

Plus, we might even have a little fun along the way. Follow and listen to Money Watch with Jill Schlesinger on the free Odyssey app or wherever you get your podcasts.