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Our healthcare system is off the rails. Primary-care appointments set for 2023 are the norm. Disrupted supply chains are creating shortages in everything from local anesthetic to cancer treatments. And the solution? Add oil to the fire by expanding already misguided ObamaCare subsidies (“When ‘Temporary’ Subsidies Are Forever,” Review & Outlook, May 31).

It’s time to tell the truth. Middlemen make up an astonishing 73% of healthcare spending—one-third of every tax dollar. GPOs and PBMs, in collusion with insurers, raise prices but restrict access. They are protected by a 1987 safe-harbor law that exempts them from oversight.

The voter has the right to know where the money is going. Do you want to pay for treatment or pay for a complex bureaucracy designed in the 1960s to deny care? Our system is archaic. Patients, not insurers, are more than capable of authorizing their own care.

Price transparency is federal law. Let’s stop rewarding bad behavior, especially when it disproportionately affects those with the most limited resources. It really isn’t difficult to solve this problem.

Paula Muto, M.D.

Founder and CEO, Uberdoc

Andover, Mass.