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Victor Roy

@victorroy.bsky.social
68 followers 19 following 6 posts

physician, sociologist, health equity builder | asst prof Penn in family medicine + comm health | health + political economy project | book: Capitalizing a Cure (UC Press, 2023), bit.ly/3HnMXUQ | victorroy.com

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Victor Roy @victorroy.bsky.social · 10/02/2025
This is all part of a broader trend of the "financialization" of health in the U.S. that I've described in the NEJM with colleagues last year: www.nejm.org/doi/full/10....
nejm.org
The Financialization of Health in the United States | NEJM
What do new forms of financial-sector ownership and influence in the U.S. health care system, with their emphasis on short-term profit growth, mean for patients’ health and pocketbooks?
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Victor Roy @victorroy.bsky.social · 10/02/2025
Such payouts can come at the expense of enhancing affordable healthcare access, advancing research and development, and improving patient care. At a time when Americans also face rising financial burdens from healthcare, there’s much more we could do to make it affordable and accessible.
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Victor Roy @victorroy.bsky.social · 10/02/2025
With as much as 70% of the US health system operating through tax-based financing, rewarding shareholders at this scale deserves greater scrutiny.
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Victor Roy @victorroy.bsky.social · 10/02/2025
These payouts went to dividends and buybacks, the latter of which is a financial maneuver that boosts short-term share prices. Just 19 companies were responsible for 80% of these shareholder payouts, with pharma, biotech, and insurance the biggest players. Why does this matter?
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Victor Roy @victorroy.bsky.social · 10/02/2025
Our finding: Between 2001-2022, 92 healthcare companies in the S&P 500 made $2.72 trillion in total profits, and distributed $2.6 trillion (95%) to shareholders. For example, Pfizer directed $363 billion, UnitedHealth $128 billion, and Hospital Corporation of America $89 billion to shareholders.
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Victor Roy @victorroy.bsky.social · 10/02/2025
*NEW STUDY in JAMA Internal Medicine* Where do our healthcare dollars go? A substantial share is going to corporate shareholders, not our healthcare. w/ @carygross.bsky.social, Joe Ross, Victor Amana
jamanetwork.com
Shareholder Payouts Among Large Publicly Traded Health Care Companies
This cross-sectional study evaluates the implications of shareholder payouts from large health care companies for the goals of health care affordability, quality, and equity.
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