As healthcare in the US deteriorates for regular workers, what about the rich and wealthy? Surely this hurts them as well, no?

The answer is simple: the rich simply don’t use the same medical system that we do. Instead, they get immediate, top-quality primary care through concierge medical practices (aka boutique medicine, retainer service, platinum practice) such as WorldClinic ( which costs “$10,000 to $250,000 a year for 24/7 care”^[1] and advertises <60s access to a personal doctor), paid for by themselves or their executive pay packages.^[2] They also get immediate access to specialist, national-expert doctors and hospitals via organizations such as the Healthnetwork Foundation, paid for by themselves or as a perk from memberships in elite CEO or donor foundations (e.g. Young Presidents Organization, Legatus). Individual medical institutions also offer concierge medical services (e.g. Stanford) or other privileged access for donors (e.g. UCLA ^{[3] [4] [5]})

As the US healthcare system degrades and economic inequality increases, concierge medicine is growing in popularity. Because the rich use these services to insulate themselves from the dysfunctional US healthcare system, they will never voluntarily fix it.