Bureaucracy now consumes most of your health care spending episode artwork

EPISODE · Feb 20, 2026 · 20 MIN

Bureaucracy now consumes most of your health care spending

from The Podcast by KevinMD

Vascular surgeon Paula Muto discusses her article "Give the health care dollar back to patients." Paula argues that the government shutdown over health care funding misses the real issue of administrative bloat consuming 75 percent of spending. She explains how corporate consolidation and third-party administrators have turned patient coverage into captivity while driving independent physicians out of business. The conversation highlights the need to bypass insurance middlemen by subsidizing patients directly through Health Savings Accounts and vouchers. Paula advocates for transparent pricing and ending network restrictions to restore the sacred relationship between healers and those they serve. Discover how giving Americans control over their own health care dollars can build equity and lower costs for everyone. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

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Bureaucracy now consumes most of your health care spending

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