
Healthcare
The Care Equation
How Healthcare Companies Create, Capture and Destroy Value
Healthcare is the largest industry in the world and one of the hardest in which to build a business. The United States alone spent about $5.3 trillion on health in 2024, nearly a fifth of its economy. Some companies have turned that spending into lasting value: integrated systems that keep their members healthier, devices that changed how surgery and diabetes are managed, drugs that reshaped whole diseases, and, in places such as India and West Africa, models that bring care to people the system had left out. Many more have not. Well-funded start-ups have built products that clinicians would not use, programmes whose savings vanished under a randomised trial, insurers whose growth outran their underwriting, and roll-ups whose profits came from a gap in a payment formula until someone closed it. Some of the most admired companies in other industries tried to fix healthcare and left within three years.
- 25 chapters
- 24 industry studies
- 100 companies
- 881 moves
- 1833–2026
- 158 hr 25 min audio







