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An Arm and a Leg

The Hack

An Arm and a Leg

An Arm and a Leg

Society & Culture, Medicine, Health, Health & Fitness, Documentary

4.81.1K Ratings

🗓️ 11 April 2024

⏱️ 22 minutes

🧾️ Download transcript

Summary

When a subsidiary of the giant UnitedHealth Group got hit by a cyberattack recently, a big chunk of the country’s doctors, pharmacists, hospitals and therapists just stopped getting paid. 


It’s been a huge disruption, with some providers wondering if they can keep their doors open.


But thanks to their huge size and reach, the situation may have had a silver lining — for United.


Which seems like a big problem, and got us wondering: What can we maybe do about it?


The answer turns out to be: Maybe more than we think, via antitrust enforcers at the Federal Trade Commission and the U.S. Department of Justice.


Strap in for a wild ride — and then maybe check out FTC Chair Lina Khan’s talk with Jon Stewart on The Daily Show. We include some short excerpts, but the whole thing is worth a watch.


Thanks to reporters Brittany Trang (STAT News) and Maureen Tkacik (The American Prospect) for guiding us through their reporting.


And to the novelist/journalist/activist Cory Doctorow, who has been writing about antitrust enforcement for years. Here are a couple of his columns about Lina Khan and what she and other antitrust enforcers are up to.


If you want a deeper dive on the new antitrust movement: It’s summed up in a terrific (and short) book by Tim Wu, a Columbia University law professor and former White House adviser: The Curse of Bigness: Antitrust in the New Gilded Age


And you may be able to get it for free! If your local library uses a system called Hoopla, you can borrow it as either an audiobook or an ebook.


Super-fun tangent: Cory Doctorow and Tim Wu went to elementary school together — and apparently played a lot of Dungeons and Dragons — when they were kids in Toronto


Here’s a transcript of this episode


Send your stories and questions. Or call 724 ARM-N-LEG.


And of course we’d love for you to support this show.



Hosted on Acast. See acast.com/privacy for more information.

Transcript

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0:00.0

Hey there. Brittany Trang is a reporter for Stat News. That's a health care news outlet.

0:05.3

In fact, we talked with Brittany's colleague Bob Herman in our last episode and like Bob,

0:10.4

Brittany's been covering the business of health care and for her this story starts with Bob

0:16.8

Flagging a story to their team. He dropped a link in the chat that said like hey guys, I think we should write about this,

0:23.2

question mark, and nobody replied.

0:25.4

This story was about a cyber attack against a company called Change Healthcare.

0:30.8

I was like, that sounds like a startup.

0:32.4

I was like, who cares about some sort of health tech startup. But Bob kept bringing it up.

0:36.5

I finally clicked on the link and I was like, oh no, this is a big deal. This touches most of the American health care system.

0:45.0

Yeah, and it's no joke.

0:47.0

Change health care is what's called a data clearinghouse

0:50.0

and it's a big one.

0:51.0

It's an important part of health care's financial

0:54.0

plumbing. Somebody had gone in and basically hijacked their computer

0:58.0

system and said unless we get $22 million we're not giving it back. So change went offline and a huge chunk of the country's

1:07.0

pharmacists, doctors, therapists, hospitals just stopped getting paid. And change health care stayed offline for weeks and

1:15.8

weeks. And here's this other thing. Change health care, you know, isn't a startup.

1:20.6

It's been around for like 20 years. And in late 2022, change got purchased by another

1:27.1

company. A company that's starting to become a real recurring character on this show. United Health Group.

1:35.4

You might remember, they are the country's biggest insurance company and they've got their

1:39.4

hands in just about every other part of health care in a big way.

1:43.2

For instance, they are the very biggest employer

...

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