You don't even see it, do you.

You are so far up your own ass, so high on your own supply, that there's nothing that will make you let go of your "might as well just go shoot a CEO" teddy bear.

Here's where this beatdown started: "What could he have done to improve the lots of healthcare for those with less access?" This is balanced against the task of "shoot a CEO." I'ma give you some chunks of my life so you can see stuff that doesn't involve "shoot a CEO."

- We now have a lobbyist on the payroll. Because inflation is up and payments are not which means to give our staff raises we go into the red. Which means the only way to improve sustainability is to improve reimbursement which means renegotiating every contract which means juice from the state legislature. Each and every one of those people is doing more to improve outcomes than shooting a CEO.

- I rebalance our "should we provide insurance" equation about every four to six months. Obamacare is good enough that depending on our staff's demographic makeup it either costs us between 40 and 70k extra not to bone the ones who work the least. "HOW DARE YOU NOT PROVIDE INSURANCE!" you say, because you don't pay any attention to anything except that which outrages you. I don't provide insurance because I have a bunch of women working 15-25 hours a week and pulling down $70k a year but every four months or so, I try. Fucking doing that is more useful than "shoot a CEO."

- My wife hardly practices anymore. Mostly she writes legislation these days, increasing access to low-impact healthcare facilities with lower expenses, greater outcomes and higher minority utilization than hospitals. Doing that is more useful than "shoot a CEO."

But let's talk about the fucking CEO, shall we.

- Because the first part of reimbursement is dealing with the local adjuster flak, and she has no power. We talk to her all the time, all dozens of her, spread across sixteen insurance companies, and none of their positions would change an iota if we shot their CEO.

- The local adjuster flak has a regional adjuster flak and they have a little bit of power. We try to get through to them, but that mostly involves leaning on friends within the corporate world who self-insure because they have more power than we do. None of them talk to CEOs.

- The regional adjuster flak is responsible to underwriting and they're insulated from everyone. They ultimately report to accounting, who couldn't give the first fuck about the CEO.

- Accounting ultimately puts together the annual report. It's all actuarial bullshit, after all but that annual report is what juices the stock. Because ultimately, it all goes back to the fucking shareholder. And they'll care for fifteen minutes, but not really, because let me show you just how fucked that situation is.

UnitedHealthcare total shares: 923m

UnitedHealthcare institutional ownership: 952m

UnitedHealthcare ETF ownership: 496

Just browsing that list, United is in my portfolio at least twice. Just knowing you have a job, I guarantee United is in your 401(k) somewhere. There's 70m people out there with 401(k)s and if they didn't own UnitedHealthcare their brokers would be malfeasant. We're talking about a corporation with 400,000 employees that's up 90% in the past five years.

And yeah. A whole lot of 'em are at "fuck yeah shoot the CEO." But fuckin'A, dude, I even put it in stark terms of "things that are more useful than shooting the CEO" and you still reefed back to "bu bu bu bu the only solution is violence." And whenever you are engaged on the subject that supposedly has your ire, you immediately change the subject as to why it's all hopeless because apparently the democrats just voted on something completely different so why should you be allowed to let go of your smug, self-satisified cynicism.

because you're spitting in the face of everyone who ever tried, asshole.