The U.S. healthcare system has long been a subject of intense debate, characterized by its high costs, inefficiencies, and often suboptimal outcomes. A recent article from Fortune, authored by Hemant Taneja, CEO of General Catalyst, and Teresa Carlson, President of the General Catalyst Institute, delves into the root cause of these persistent issues: misaligned incentives. Published on March 20, 2025, the article argues that the current system prioritizes profit over patient well-being, creating a cycle of inefficiency and poor health outcomes.

At the core of the discussion is the concept of health assurance, a transformative model that shifts the focus from reactive, volume-based care to proactive, value-based care. The authors highlight that the existing system rewards healthcare providers for the quantity of tests and procedures performed, rather than the quality of outcomes achieved. This misalignment, they argue, is unsustainable and detrimental to both patients and the broader economy.

The article underscores the critical role of technology and innovation in addressing these challenges. Artificial intelligence (AI), data analytics, and other digital tools are identified as key enablers of personalized, efficient, and equitable healthcare. By leveraging these technologies, the authors believe the U.S. can transition to a system that prioritizes prevention and long-term health over short-term profits.

Notably, the piece mentions President Donald Trump and Health Secretary Robert F. Kennedy Jr. as central figures driving efforts to reform the healthcare system. The authors describe their collaboration as a push to “make America healthy again,” with a focus on aligning incentives to improve patient outcomes. A photo accompanying the article captures the two leaders, symbolizing their shared commitment to this ambitious goal.

One of the most compelling arguments presented is the economic case for healthcare reform. Taneja and Carlson emphasize that a healthier population would not only enhance quality of life but also boost productivity and reduce long-term costs. They call for policy changes and cross-sector collaboration to create a system that works for everyone—patients, providers, and payers alike.

The article concludes with a powerful call to action: it’s time for a paradigm shift in how healthcare is delivered and financed. The authors urge stakeholders to embrace the health assurance model, which prioritizes prevention, leverages technology, and aligns incentives with patient outcomes.

This vision for a reformed healthcare system is not just about fixing what’s broken—it’s about creating a future where health and well-being are at the center of every decision. As Taneja and Carlson put it, “Fixing healthcare is not just a moral imperative; it’s an economic one.”

By focusing on the human impact of these changes, the article reminds us that healthcare reform isn’t just about policies and profits—it’s about people. It’s about ensuring that every American has access to the care they need to live healthier, more fulfilling lives. With the right incentives, technology, and collaboration, that future is within reach.