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Opinion: I was a health insurance executive. What I saw made me quit.

Shareholders, not patient outcomes, tend to drive decisions at health insurance companies. The consequences are devastating.

An exam room at Mass General Hospital’s Charlestown Health Clinic in Charlestown, Mass., Nov. 2, 2023. (Damon Winter/The New York Times)

An exam room at Mass General Hospital’s Charlestown Health Clinic in Charlestown, Mass., Nov. 2, 2023. (Damon Winter/The New York Times)