Joseph Q Jarvis MD MSPH
@drjqjarvis.bsky.social
Public health physician and advocate for better, simpler health care financed fairly for all, Chair-Utah Cares Political Issue Committee www.utahcares.vote
About time we eliminate the useless health insurance business model. Read the Utah Cares Act (www.utahcares.health) for an example of how this can be done. DONATE, JOIN THE CAUSE!
November 26, 2025 at 1:06 PM
About time we eliminate the useless health insurance business model. Read the Utah Cares Act (www.utahcares.health) for an example of how this can be done. DONATE, JOIN THE CAUSE!
The Utah Cares Act will solve functional uninsurance. Read about the Act and DONATE to this solution at www.utahcares.health.
November 25, 2025 at 3:27 PM
The Utah Cares Act will solve functional uninsurance. Read about the Act and DONATE to this solution at www.utahcares.health.
“And it is how this nation can heal itself from the divisive and increasingly violent ugliness into which national discourse has deteriorated.” open.substack.com/pub/josephqu...
Can There Be a Conservative Health Policy?
An excerpt from my book “ For the Hurt of My People: Original Conservatism and Better, Simpler Health Care:
open.substack.com
November 24, 2025 at 3:29 PM
“And it is how this nation can heal itself from the divisive and increasingly violent ugliness into which national discourse has deteriorated.” open.substack.com/pub/josephqu...
The Utah Cares Act will guarantee better, simpler health financed fairly for all. Read about it and DONATE to join the campaign at www.utahcares.health !!!!
November 23, 2025 at 10:46 AM
The Utah Cares Act will guarantee better, simpler health financed fairly for all. Read about it and DONATE to join the campaign at www.utahcares.health !!!!
“In 1999, approximately 71% of non-elderly workers were offered health benefits by their employer. By 2024, the offer rate was down to 54% for firms with three or more workers.” open.substack.com/pub/healthca...
UnitedHealth, Cigna and Elevance's House of Cards Is Wobbling
From mass physician expulsions to downcoding schemes to threats against hospitals, Big Insurance is tightening its grip—even as Wall Street punishes them for slowing enrollment and shrinking margins.
open.substack.com
November 22, 2025 at 1:55 PM
“In 1999, approximately 71% of non-elderly workers were offered health benefits by their employer. By 2024, the offer rate was down to 54% for firms with three or more workers.” open.substack.com/pub/healthca...
Yet again the nation is facing steeply rising health care costs. The Utah Cares Act (read it at www.utahcares.com) is the way forward to better, simpler care financed fairly for all. Make a donation so that we can all make this happen.
November 21, 2025 at 4:33 PM
Yet again the nation is facing steeply rising health care costs. The Utah Cares Act (read it at www.utahcares.com) is the way forward to better, simpler care financed fairly for all. Make a donation so that we can all make this happen.
“To know that if I’m sick, needed healthcare will be paid for, that is freedom. Not true in the US.”https://m.youtube.com/watch?v=EBklyksgbco
November 20, 2025 at 3:59 PM
“To know that if I’m sick, needed healthcare will be paid for, that is freedom. Not true in the US.”https://m.youtube.com/watch?v=EBklyksgbco
The U.S. health care system is uniquely dysfunctional. A different approach is entirely possible—if we have the will to boldly govern the health care system in the interests of patients, clinicians, and taxpayers. That means directly tackling prices. open.substack.com/pub/yourloca...
5 ways our health care system has become utterly insane
A deep dive into the U.S. health care system: rising costs, corporate takeover, and why reform keeps failing.
open.substack.com
November 19, 2025 at 3:19 PM
The U.S. health care system is uniquely dysfunctional. A different approach is entirely possible—if we have the will to boldly govern the health care system in the interests of patients, clinicians, and taxpayers. That means directly tackling prices. open.substack.com/pub/yourloca...
Hospitals are no longer charitable facilities. Public hospitals have declined sharply, while giant for-profit systems, such as HCA Healthcare and CommonSpirit, have expanded nationwide. In half of U.S. metro areas, just one or two systems dominate the market. open.substack.com/pub/yourloca...
5 ways our health care system has become utterly insane
A deep dive into the U.S. health care system: rising costs, corporate takeover, and why reform keeps failing.
open.substack.com
November 18, 2025 at 3:10 PM
Hospitals are no longer charitable facilities. Public hospitals have declined sharply, while giant for-profit systems, such as HCA Healthcare and CommonSpirit, have expanded nationwide. In half of U.S. metro areas, just one or two systems dominate the market. open.substack.com/pub/yourloca...
“The US system is drowning in private-sector bloat and bureaucracy. .The result is staggering inefficiency: roughly one in four dollars spent on health insurance goes to something other than care, like marketing, billing, profits, or middlemen.” open.substack.com/pub/yourloca...
5 ways our health care system has become utterly insane
A deep dive into the U.S. health care system: rising costs, corporate takeover, and why reform keeps failing.
open.substack.com
November 17, 2025 at 3:24 PM
“The US system is drowning in private-sector bloat and bureaucracy. .The result is staggering inefficiency: roughly one in four dollars spent on health insurance goes to something other than care, like marketing, billing, profits, or middlemen.” open.substack.com/pub/yourloca...
We pay the most and get the least.
The United States spends far more on health care than any other wealthy country yet achieves worse outcomes, less access, and a more demoralized workforce. open.substack.com/pub/yourloca...
The United States spends far more on health care than any other wealthy country yet achieves worse outcomes, less access, and a more demoralized workforce. open.substack.com/pub/yourloca...
5 ways our health care system has become utterly insane
A deep dive into the U.S. health care system: rising costs, corporate takeover, and why reform keeps failing.
open.substack.com
November 16, 2025 at 3:35 PM
We pay the most and get the least.
The United States spends far more on health care than any other wealthy country yet achieves worse outcomes, less access, and a more demoralized workforce. open.substack.com/pub/yourloca...
The United States spends far more on health care than any other wealthy country yet achieves worse outcomes, less access, and a more demoralized workforce. open.substack.com/pub/yourloca...
“Truly the political parties have failed us. Partisanship produces poor candidates who run divisive, ugly political races, with winners who are poorly prepared to govern.” open.substack.com/pub/josephqu...
What I Said 9 Years Ago
Letter: Post-partisan America
open.substack.com
November 16, 2025 at 2:44 AM
“Truly the political parties have failed us. Partisanship produces poor candidates who run divisive, ugly political races, with winners who are poorly prepared to govern.” open.substack.com/pub/josephqu...
“One in three Americans has medical debt, and more than half worry they’ll fall into debt any time they use the health care system. That fear changes behavior: people delay.”https://open.substack.com/pub/yourlocalepidemiologist/p/aca-health-care-insurance-us-jetelina?r=17gidd&utm_medium=ios
5 ways our health care system has become utterly insane
A deep dive into the U.S. health care system: rising costs, corporate takeover, and why reform keeps failing.
open.substack.com
November 15, 2025 at 3:26 PM
“One in three Americans has medical debt, and more than half worry they’ll fall into debt any time they use the health care system. That fear changes behavior: people delay.”https://open.substack.com/pub/yourlocalepidemiologist/p/aca-health-care-insurance-us-jetelina?r=17gidd&utm_medium=ios
The Utah Cares Act will eliminate out of pocket costs at the point of service. Read about it at www.utahcares.health. DONATE to support suing the State of Utah to place the Act on the ballot.
November 14, 2025 at 3:25 PM
The Utah Cares Act will eliminate out of pocket costs at the point of service. Read about it at www.utahcares.health. DONATE to support suing the State of Utah to place the Act on the ballot.
Health insurance in 2024 profits:
Centene: $3.2 billion (+590% since 2014)
UnitedHealth Group: $32.2 billion (+214% since 2014)
Elevance: $9.1 billion (+78% since 2014)
Humana: $2.6 billion (+8.3% since 2014)
Molina: $1.18 billion (+780% since 2014)
open.substack.com/pub/healthca...
Centene: $3.2 billion (+590% since 2014)
UnitedHealth Group: $32.2 billion (+214% since 2014)
Elevance: $9.1 billion (+78% since 2014)
Humana: $2.6 billion (+8.3% since 2014)
Molina: $1.18 billion (+780% since 2014)
open.substack.com/pub/healthca...
Big Insurances’ Stocks Are Turbulent as ACA Subsidy Extension Fails
Wall Street reacts to the failed ACA subsidy extension — and to the president’s swipe at “money sucking insurance companies.”
open.substack.com
November 13, 2025 at 2:11 PM
Health insurance in 2024 profits:
Centene: $3.2 billion (+590% since 2014)
UnitedHealth Group: $32.2 billion (+214% since 2014)
Elevance: $9.1 billion (+78% since 2014)
Humana: $2.6 billion (+8.3% since 2014)
Molina: $1.18 billion (+780% since 2014)
open.substack.com/pub/healthca...
Centene: $3.2 billion (+590% since 2014)
UnitedHealth Group: $32.2 billion (+214% since 2014)
Elevance: $9.1 billion (+78% since 2014)
Humana: $2.6 billion (+8.3% since 2014)
Molina: $1.18 billion (+780% since 2014)
open.substack.com/pub/healthca...
“69% of Americans say they are concerned about affording their health insurance. 70% say they worry about paying for a medical emergency, and 65% paying for prescriptions or other medications. www.scrippsnews.com/health/premi...
Scripps News/Talker Research poll: Most Americans fear they can’t afford health care
Poll finds 69% of Americans worry about affording health insurance, with many skipping medical care due to soaring costs and high deductibles.
www.scrippsnews.com
November 12, 2025 at 4:31 PM
“69% of Americans say they are concerned about affording their health insurance. 70% say they worry about paying for a medical emergency, and 65% paying for prescriptions or other medications. www.scrippsnews.com/health/premi...
ACA subsidies are not the solution for high health care costs. The Utah Cares Act will bring better, simpler care financed fairly for all. Read about it at www.utahcares.health and DONATE to the campaign we have started to put the Act on the ballot.
November 11, 2025 at 2:46 PM
ACA subsidies are not the solution for high health care costs. The Utah Cares Act will bring better, simpler care financed fairly for all. Read about it at www.utahcares.health and DONATE to the campaign we have started to put the Act on the ballot.
“The New Testament has it right, for when we heal “the lame, the maimed, the blind, the mute, and many others,” when we visit the sick and injured, even the least of them, we will be invited into a new kingdom, a regime on the right hand of God.” open.substack.com/pub/josephqu...
Healing US: Health Care and the Body Politic
The following is a chapter from my book “For the Hurt of My People: Original Conservatism and Better, Simpler Health Care”.
open.substack.com
November 10, 2025 at 4:01 PM
“The New Testament has it right, for when we heal “the lame, the maimed, the blind, the mute, and many others,” when we visit the sick and injured, even the least of them, we will be invited into a new kingdom, a regime on the right hand of God.” open.substack.com/pub/josephqu...
no one should need to start a GoFundMe account to pay for needed health care. The Utah Cares Act will provide for better, simpler care financed fairly for all. Donate to the campaign to make that happen at www.utahcares.health.
kslsports.com/ncaa/byu-foo...
kslsports.com/ncaa/byu-foo...
Utah Cares
www.utahcares.health
November 9, 2025 at 3:15 PM
no one should need to start a GoFundMe account to pay for needed health care. The Utah Cares Act will provide for better, simpler care financed fairly for all. Donate to the campaign to make that happen at www.utahcares.health.
kslsports.com/ncaa/byu-foo...
kslsports.com/ncaa/byu-foo...
“We already have the most profitable health-care system in the world and therefore the least patient-centered and most expensive health-care delivery among all developed nations—and one that is the least oriented to rural America.” open.substack.com/pub/josephqu...
Health Care Will Heal the Body Politic
This is an excerpt from my book “For the Hurt of My People: Original Conservatism and Better, Simpler Health Care”:
open.substack.com
November 8, 2025 at 4:42 PM
“We already have the most profitable health-care system in the world and therefore the least patient-centered and most expensive health-care delivery among all developed nations—and one that is the least oriented to rural America.” open.substack.com/pub/josephqu...
The American health insurance business model is the most wasteful, useless way to finance healthcare ever invented. The Utah Cares Act will replace health insurance with better, simpler care financed fairly for all. Read about it and DONATE at www.utahcares.health.
November 7, 2025 at 3:37 PM
The American health insurance business model is the most wasteful, useless way to finance healthcare ever invented. The Utah Cares Act will replace health insurance with better, simpler care financed fairly for all. Read about it and DONATE at www.utahcares.health.
Across the States: Utah’s Single-Payer Effort, and Colorado’s Momentum
open.spotify.com/episode/795a...
open.spotify.com/episode/795a...
November 6, 2025 at 12:49 PM
Across the States: Utah’s Single-Payer Effort, and Colorado’s Momentum
open.spotify.com/episode/795a...
open.spotify.com/episode/795a...
Stop beating around the health reform bush. Single payer health reform is the way forward in the US. Support the Utah Cares Act with a donation at www.utahcares.health. We will use donations to sue the State of Utah in order to place the Act on the ballot in 2026.
November 5, 2025 at 3:47 PM
Stop beating around the health reform bush. Single payer health reform is the way forward in the US. Support the Utah Cares Act with a donation at www.utahcares.health. We will use donations to sue the State of Utah in order to place the Act on the ballot in 2026.
“Americans have the most profitable health-care system in the world, yet American patients are least likely in the first world to benefit from proven mortality-reducing medical interventions.” open.substack.com/pub/josephqu...
Altruism Bests Avarice As a Motive in Health Care
The following is an excerpt from my book—“For the Hurt of My People: Original Conservatism and Better, Simpler Health Care”:
open.substack.com
November 4, 2025 at 2:57 PM
“Americans have the most profitable health-care system in the world, yet American patients are least likely in the first world to benefit from proven mortality-reducing medical interventions.” open.substack.com/pub/josephqu...
Six in ten adults who say they can afford their bills with money left over nonetheless say they are “very” or “somewhat worried” about being able to afford unexpected medical bills (62%) or the cost of health care services (60%) for themselves and their family.” www.kff.org/health-costs...
KFF Health Tracking Poll: Economic Views and Experiences of Adults Who Struggle Financially | KFF
Half of adults say they have difficulty affording monthly bills or are just able to afford household expenses without having money left over. These groups overwhelmingly rate the economy negatively an...
www.kff.org
November 3, 2025 at 3:42 PM
Six in ten adults who say they can afford their bills with money left over nonetheless say they are “very” or “somewhat worried” about being able to afford unexpected medical bills (62%) or the cost of health care services (60%) for themselves and their family.” www.kff.org/health-costs...