When healthcare is decided by algorithms, who wins?

Hands typing on laptop with a stethoscope next to it. Photo by Daniel Stone / National Cancer Institute

I’m starting this with a personal story. My mother was a New York City public school teacher for many years. When she joined the school system, part of the deal was that, when she retired, many of the costs of her traditional Medicare plans would be subsidized by her union and by the city. So far, so good. However, now the city, in order to save money, is moving all its retirees, including the public school teachers, to a Medicare Advantage plan.

(If you don’t know what Medicare is,...

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