Skip to content
Search

Latest Stories

Top Stories

What a health insurance CEO's murder reveals about America's pain

What a health insurance CEO's murder reveals about America's pain

Cancer, healthcare and support with a woman holding hands with her man in the hospital. Medicine, insurance and trust with a couple in a clinic for treatment or help before death, mourning and loss

Getty Images//Stock Photo

The murder of UnitedHealthcare CEO Brian Thompson represented a horrific and indefensible act of violence. His family deserves our deepest sympathy.

As a physician and healthcare leader, I initially declined to comment on the killing. I felt that speculating about the shooter’s intent would only sensationalize a terrible act.


Regardless of the circumstances, vigilante violence has no place in a free and just society.

But now, more than a month later, I feel compelled to address one aspect of the story that has been widely misunderstood: the public’s reaction to the news of Thompson’s murder. Specifically, why tens of thousands of individuals “liked” and “laughed” at a post on Facebook announcing the CEO’s death.

What causes someone to ‘like’ murder?

News analysts have attributed the social media response to America’s “ simmering anger ” and “ frustration ” with a broken healthcare system, pointing to rising medical costs, insurance red tape, and time-consuming prior authorization requirements as justifications.

These are all, indeed, problems and may explain some of the public's reactions. Yet these descriptions grossly understate the lived reality for most of those affected. When I speak with individuals who have lost a child, parent, or spouse because of what they perceive as an unresponsive and uncaring system, their pain is raw and intense. What they feel isn’t frustration—it’s agony.

By framing healthcare’s failures in terms of statistical measures and policy snafus, we reduce a deeply personal crisis to an intellectual exercise. And it’s this very detached, cognitive approach that has allowed our nation to disregard the emotional devastation endured by millions of patients and their families.

When journalists, healthcare leaders, and policymakers cite eye-popping statistics on healthcare expenditures, highlight exorbitant insurer profits, or deride the bloated salaries of executives, they leave out a vital part of the story. They omit the unbearable human suffering behind the numbers. And I fear that until we approach healthcare as a moral crisis—not merely an economic or political puzzle to solve—our nation will never act with the urgency required to relieve people’s profound pain.

A pain beyond reason

In Dante’s Inferno, hell is a place where suffering is eternal and the cries of the damned go unheard. For countless Americans who feel trapped in our healthcare system, that metaphor rings true. Their anguish and pleas for mercy are met with silence.

It is this sense of abandonment and powerlessness, not mere frustration, that fuels both a desperate rage and anger at a system and its leaders who appear not to care. The response isn’t one of glee—it’s a visceral reaction born of pain and unrelenting remorse.

As a clinician, I’ve seen life-destroying pain in my patients—and even within my own family. When my cousin Alan died in his twenties from a then-incuurable cancer, my aunt and uncle were powerless to save him. Their grief was profound, unrelenting, and eternal. They never recovered from the loss. But Alan’s death, heartbreaking as it was, stemmed from the limits of science at the time.

What millions of Americans endure today is different. Their loved ones die not because cures don’t exist but because the healthcare system treats them like a number. Bureaucratic inefficiencies, profit-driven delays, and systemic indifference produce avoidable tragedies.

To appreciate this depth of pain, imagine standing behind a chain-link fence, watching someone you love being tortured. You scream and plead for help, but no one listens. That is what healthcare feels like for too many Americans. And until all of us acknowledge and feel their pain, little will improve.

Curing America’s indifference

When we focus solely on cold numbers—the millions who’ve lost Medicaid coverage, the hundreds of thousands of avoidable deaths each year, or the life-expectancy gap between the U.S. and other nations—we strip healthcare of its humanity.

But once we stop framing these failures as bureaucratic inefficiencies or frustrations and, instead, focus on the devastation of having to watch a loved one suffer and die needlessly, we are forced to confront a moral imperative. Either we must act with urgency and resolve the problem or admit we simply don’t care.

In the halls of Congress, lawmakers continue to weigh modest reforms to prior authorization requirements and Medicaid spending—baby steps that won’t fix a system in crisis. The truth is that without bold, transformative action, healthcare will remain unaffordable and inaccessible for millions of families whose anguish will grow. Here are three examples of the scale of transformation required:

  1. Reverse the obesity epidemic with a two-part strategy. Congress must tax ultra-processed, sugary foods that drive hundreds of billions of dollars in healthcare costs yearly. In parallel, lawmakers should cap the manufacturer-set price of weight-loss medications like Ozempic and Wegovy to be no higher than in peer nations.
  2. Change clinician payments from volume to value. Current fee-for-service payment systems incentivize unnecessary tests, treatments, and procedures rather than better health outcomes. Transitioning to pay-for-value would reward healthcare providers, specifically primary care physicians, who successfully prevent chronic diseases, better manage existing conditions, and reduce complications such as heart attacks, strokes, and kidney failure.
  3. Empower patients and save lives with generative AI. Tools like ChatGPT can help reduce the staggering 400,000 annual deaths from misdiagnoses and 250,000 more from preventable medical errors. Integrating AI into healthcare enables at-home care, continuous disease monitoring, and personalized treatment, making medical care safer, more accessible, and more efficient.

If elected officials, payers, and regulators fail to act, they will have chosen to perpetuate the unbearable pain and suffering patients and families endure daily. They need to hear people's cries. The time for transformative action is now.

Robert Pearl, the author of “ ChatGPT, MD,” teaches at both the Stanford University School of Medicine and the Stanford Graduate School of Business. He is a former CEO of The Permanente Medical Group.

Read More

Following Jefferson: Promoting Inter-Generational Understanding Through Constitution-Making
Mount Rushmore
Photo by John Bakator on Unsplash

Following Jefferson: Promoting Inter-Generational Understanding Through Constitution-Making

No one can denounce the New York Yankee fan for boasting that her favorite ballclub has won more World Series championships than any other. At 27 titles, the Bronx Bombers claim more than twice their closest competitor.

No one can question admirers of the late, great Chick Corea, or the equally astonishing Alison Krauss, for their virtually unrivaled Grammy victories. At 27 gold statues, only Beyoncé and Quincy Jones have more in the popular categories.

Keep ReadingShow less
A close up of the Immigration and Customs Enforcement badge.

Trump’s mass deportations promise security but deliver economic pain, family separation, and chaos. Here’s why this policy is failing America.

Getty Images, Tennessee Witney

The Cruel Arithmetic of Trump’s Immigration Crackdown

As summer 2025 winds down, the Trump administration’s deportation machine is operating at full throttle—removing over one million people in six months and fulfilling a campaign promise to launch the “largest deportation operation in American history.” For supporters, this is a victory lap for law and order. For the rest of the lot, it’s a costly illusion—one that trades complexity for spectacle and security for chaos.

Let’s dispense with the fantasy first. The administration insists that mass deportations will save billions, reduce crime, and protect American jobs. But like most political magic tricks, the numbers vanish under scrutiny. The Economic Policy Institute warns that this policy could destroy millions of jobs—not just for immigrants but for U.S.-born workers in sectors like construction, elder care, and child care. That’s not just a fiscal cliff—it is fewer teachers, fewer caregivers, and fewer homes built. It is inflation with a human face. In fact, child care alone could shrink by over 15%, leaving working parents stranded and employers scrambling.

Meanwhile, the Peterson Institute projects a drop in GDP and employment, while the Penn Wharton School’s Budget Model estimates that deporting unauthorized workers over a decade would slash Social Security revenue and inflate deficits by nearly $900 billion. That’s not a typo. It’s a fiscal cliff dressed up as border security.

And then there’s food. Deporting farmworkers doesn’t just leave fields fallow—it drives up prices. Analysts predict a 10% spike in food costs, compounding inflation and squeezing families already living paycheck to paycheck. In California, where immigrant renters are disproportionately affected, eviction rates are climbing. The Urban Institute warns that deportations are deepening the housing crisis by gutting the construction workforce. So much for protecting American livelihoods.

But the real cost isn’t measured in dollars. It’s measured in broken families, empty classrooms, and quiet despair. The administration has deployed 10,000 armed service members to the border and ramped up “self-deportation” tactics—policies so harsh they force people to leave voluntarily. The result: Children skipping meals because their parents fear applying for food assistance; Cancer patients deported mid-treatment; and LGBTQ+ youth losing access to mental health care. The Human Rights Watch calls it a “crueler world for immigrants.” That’s putting it mildly.

This isn’t targeted enforcement. It’s a dragnet. Green card holders, long-term residents, and asylum seekers are swept up alongside undocumented workers. Viral videos show ICE raids at schools, hospitals, and churches. Lawsuits are piling up. And the chilling effect is real: immigrant communities are retreating from public life, afraid to report crimes or seek help. That’s not safety. That’s silence. Legal scholars warn that the administration’s tactics—raids at schools, churches, and hospitals—may violate Fourth Amendment protections and due process norms.

Even the administration’s security claims are shaky. Yes, border crossings are down—by about 60%, thanks to policies like “Remain in Mexico.” But deportation numbers haven’t met the promised scale. The Migration Policy Institute notes that monthly averages hover around 14,500, far below the millions touted. And the root causes of undocumented immigration—like visa overstays, which account for 60% of cases—remain untouched.

Crime reduction? Also murky. FBI data shows declines in some areas, but experts attribute this more to economic trends than immigration enforcement. In fact, fear in immigrant communities may be making things worse. When people won’t talk to the police, crimes go unreported. That’s not justice. That’s dysfunction.

Public opinion is catching up. In February, 59% of Americans supported mass deportations. By July, that number had cratered. Gallup reports a 25-point drop in favor of immigration cuts. The Pew Research Center finds that 75% of Democrats—and a growing number of independents—think the policy goes too far. Even Trump-friendly voices like Joe Rogan are balking, calling raids on “construction workers and gardeners” a betrayal of common sense.

On social media, the backlash is swift. Users on X (formerly Twitter) call the policy “ineffective,” “manipulative,” and “theater.” And they’re not wrong. This isn’t about solving immigration. It’s about staging a show—one where fear plays the villain and facts are the understudy.

The White House insists this is what voters wanted. But a narrow electoral win isn’t a blank check for policies that harm the economy and fray the social fabric. Alternatives exist: Targeted enforcement focused on violent offenders; visa reform to address overstays; and legal pathways to fill labor gaps. These aren’t radical ideas—they’re pragmatic ones. And they don’t require tearing families apart to work.

Trump’s deportation blitz is a mirage. It promises safety but delivers instability. It claims to protect jobs but undermines the very sectors that keep the country running. It speaks the language of law and order but acts with the recklessness of a demolition crew. Alternatives exist—and they work. Cities that focus on community policing and legal pathways report higher public safety and stronger economies. Reform doesn’t require cruelty. It requires courage.

Keep ReadingShow less
Multi-colored speech bubbles overlapping.

Stanford’s Strengthening Democracy Challenge shows a key way to reduce political violence: reveal that most Americans reject it.

Getty Images, MirageC

In the Aftermath of Assassinations, Let’s Show That Americans Overwhelmingly Disapprove of Political Violence

In the aftermath of Charlie Kirk’s assassination—and the assassination of Minnesota state legislator Melissa Hortman only three months ago—questions inevitably arise about how to reduce the likelihood of similar heinous actions.

Results from arguably the most important study focused on the U.S. context, the Strengthening Democracy Challenge run by Stanford University, point to one straightforward answer: show people that very few in the other party support political violence. This approach has been shown to reduce support for political violence.

Keep ReadingShow less
Celebrating Congressional Excellence: Democracy Awards 2025
United States Capitol in Washington, D.C.

Celebrating Congressional Excellence: Democracy Awards 2025

In a moment of bipartisan celebration, the Congressional Management Foundation (CMF) will honor the winners of its 2025 Democracy Awards, spotlighting congressional offices that exemplify outstanding public service, operational excellence, and innovation in governance.

The ceremony, scheduled for this Thursday, September 18, 2025, in Washington, D.C., will recognize both Republican and Democratic offices across multiple categories, reinforcing the idea that excellence in Congress transcends party lines.

Keep ReadingShow less