The $5 Trillion Lie: Why U.S. Healthcare Fails Us All With Guest Dr. Don Berwick

In this powerful episode of The Benefit Whisperer, host Ralph Weber is joined by legendary health policy expert Dr. Donald Berwick, former CMS administrator, Harvard-trained pediatrician, and co-founder of the Institute for Healthcare Improvement, for a candid and urgent conversation about what’s really broken in American healthcare. Dr. Berwick pulls no punches as he exposes the systemic greed, institutional profiteering, and regulatory loopholes that continue to drive costs up while delivering subpar outcomes. From Medicare Advantage overpayments and PBM manipulation to private equity’s quiet takeover of hospitals and autism care, Berwick breaks down how a system designed to heal has become a $5 trillion machine that transfers wealth from the poor to the rich. They also discuss the global models that prove a better way is possible, and why American employers, lawmakers, and voters must step up if we want real reform. If you’ve ever felt that our healthcare system isn’t working for you, this episode is essential listening. Chapters 00:00 Introduction to Healthcare Reform 01:01 Dr. Berwick's Journey in Healthcare 03:34 The Impact of Profit-Seeking in Healthcare 06:25 Defining Greed in Healthcare 10:27 Healthcare as a Human Right 14:28 The Role of Legislation and Public Activism 18:38 Aligning Incentives with Patient Outcomes 20:57 Employer Responsibility in Healthcare 22:48 Global Perspectives on Healthcare Systems 24:31 Myths About Choice in Healthcare 26:54 Urgent Changes Needed in Congress 28:09 The Role of AI in Healthcare 34:11 Reflections on Leadership Changes in Healthcare