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hospitals
We Need to Get the Private Healthcare Incentives Out of Our Hospital Bathrooms
An attempt to procure toilet paper and face tissues during a hospital stay illustrates everything that's wrong with the US healthcare system.
Dec 20, 2025
Have you ever seen quality toilet paper in a hospital restroom? Seriously. Most of the time, we are all just damned lucky if we have a clean bathroom in the patient’s room, and we all know the situation with most hospitals’ public restrooms (yuck).
Decent toilet paper seems to be a small request to make of your hospital given that the status of our bodily functions (digestive issues or issues causing digestive issues) is often the reason for hospitalization. And sometimes we must get well enough to have our digestive systems functioning to be released. The health industry earns massive profits—so much more in daily charges than any hotel room you or I have ever imagined staying in—and yet the decisions made about our most basic comforts related to personal hygiene don’t reflect those profits at all.
With Congress deciding to dump the Affordable Care Act subsidies, hospitals will have to tighten their belts even more to retain their precious profits, so I doubt we will be getting Charmin and Puffs any time soon.
Well, most hospitals secure their cheap, one-ply toilet paper under lock and key. I couldn’t believe it, though you’d think I would by now. Like they are guarding gold at Fort Knox, the hospital corporations protect their toilet paper and paper towel assets more than they protect patients by locking up the worst and cheapest paper products they could secure. Having extra replacement rolls anywhere seems really a stretch for these facilities too. And if the staff who hold the keys are not at work or if the hospital is short-staffed like many are these days, getting paper products may be on you. It sure was for us, and HCA Healthcare is true to that trend of cutting corners on one of the items that “touches” patients and their families.
Not having toilet paper to wipe a sore bottom or tissue to blow your nose is one thing. We wonder who buys the supplies for the operating room?
I begged people to find us toilet paper and paper towels—nurses when I could find one, techs when they had one, housekeeping on the days there was one, and even tried teasing that I’d bring it from home. The first day we got by, but by the fifth day we were weary of the begging and saying, “Pretty please” to anyone who looked like they might give a damn. No one did until one young man cleaning an empty room figured out that if I was asking for his bucket and mop, I might need help somewhere. He was getting that empty room ready to fill again with more revenue—a new patient—no time for him to attend to patients already in a room languishing without needed services and no toilet paper.
I sent messages through the patient portal because no one answered any admin lines for patients and families. Surprise, surprise, surprise.
MyHealthONE Help Desk
Please get my husband paper towels & TP in his bathroom and clean the room
You
(Sent) 8/9/2025
at 5:02 pm
We know it's a weekend, and we are very sorry its hard to staff the hospital appropriately for that, but I'd like my husband to have paper towel and toilet paper in his bathroom so I do not have to provide paper products to him from outside PSLs in Denver. I need a mop and cleaning supplies to clean his room as well. I'll do it because yesterday, Friday, only one tech had to cover the floor, one cleaning person stuck her head in and said it looked good, and today it is gross. Just gross. My husband has tried to clean his own bathroom several times. If he is hurt doing that, I fear the problems that will create for him. Please help us. Please.
I hope you will follow here that if they will do this with basic supplies and services, my friends, what do you think they do with all the other purchases they make to run the hospital?
I’m sharing my DoorDash receipt copy below as a cautionary tale:
Door Dash Order Complete
Saturday, August 9, 2025 at 5:42 pm
Enjoy!
Your Dasher: [Redacted]
Total $19.79;
Retail Delivery Fees $0.29
Delivery Fee $2.99
Service Fee $3.00, $.99
Estimated Tax $1.66
Dasher Tip $5.00
Total $27.73
Payment
[Redacted] · 8/9/2025 · 5:26 pm
$27.73
Address
1719 E 19th Ave
Denver, CO 80218
Instructions: I will meet you at the curb of the Main entrance, main lobby of PresStLukes Hospital. You need to hand this order directly to me.
I sat in the lobby of a health industry behemoth that made more than $600 million in clear profit last year and received my delivery order. Exhausted from being the unpaid staff of the hospital—Presbyterian St. Lukes in Denver, an HCA Healthcare facility—at least I had tissue to wipe my nose that didn’t leave me raw and bleeding like their protected paper did. I cried a lot, and no one had a tissue. Patients are not given facial tissue anymore nor are they given other personal hygiene items. It must be an expense they just couldn’t justify.
None of this ought to make you feel safe. Not having toilet paper to wipe a sore bottom or tissue to blow your nose is one thing. We wonder who buys the supplies for the operating room? The neonatal intensive care unit? Do they cut those same corners with everything? What do you think?
The only way out of this mess is to finally pass universal single payer, improved and expanded Medicare for All and get the profit incentives out of our hospital bathrooms. Please.
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Let's Get Real: US Healthcare Is an Industry, Not a System
Insurance and hospital corporations embrace higher profits over patient safety.
Dec 05, 2025
This is your nurse. We called him Doug.
a camera monitor is used in patient rooms on August 2025 at HCA/Healthcare. (Photo by Donna Smith)
Some days we didn’t see a nurse for entire shifts—and only for medication delivery and scanning the bar codes for payment. This is also your patient technician. Oh, wait, techs are in short supply, and the robot camera doesn’t do hands-on patient care. This camera isn't even your fall-risk protection. The camera watches as you fall to record your missteps and guard against liability.
And with the help of every hospital administrator and every one of its complicit employees who have given themselves over to its inhumanity, the medical-financial-industrial complex (MFIC) has evolved to put patients in their places. It is an industry driving nearly one-fifth of the country’s economy—it is not a system.
Patients are widgets, at best, deserving of protection only to the extent that our profitability remains intact. Once the costs of delivering care exceed the revenue generated by our health insurance coverage or bank balances, the MFIC finds ways to turn that equation back to solid gold. The profits are dear. Your health is not the goal. That’s an industry, not a system.
We have an industry that uses patients as widgets and counts profits as the only desired measure of success.
Calling the US healthcare mess a system is the softening of economic terminology that drives the health industry ever forward to higher profit margins. Patients receiving care are medical losses to the insurance side of the house, while those same patients are revenue line items for hospitals and clinics. Our lives are not being protected, and our personal resources are often drained. Industry and greed do that, not health systems designed to heal and serve.
This year is on track to bring record profits to hospitals in Denver like the one in which my husband was trying to heal from complications of hip replacement surgery. Denver area hospitals did great this year and last, even if they try to dance around the facts behind their business successes, and corporate public relations staff work hard to keep the public out of that loop.
Look at the newspaper’s description of the profits. Do you see or hear the measures of how many patients were made healthier by their care? Nope. The measures are almost all business and economics—this is an industry, not a system.
Denver hospitals, in 2024, per the Denver Post:
- AdventHealth: $68.6 million loss, -4.5% margin
- CommonSpirit Health: $222.2 million profit, 9.2% margin (Kaiser patients must now use this hospital too)
- Denver Health: $52.9 million loss, -4.1% margin
- HCA HealthOne: $616.8 million profit, 21.3% margin (my hubby helped boost this number for 2025)
- Intermountain Health: $138.3 million loss, -6.5% margin
- UCHealth: $1.2 billion profit, 17.9% margin (nonprofit, for sure, eh?)
If you choose any city in the country, the consolidation of business interests in healthcare is rapidly making the measure of success one of profits built on the backs of the patients-widgets, their home caregivers who are used in hospital settings as unpaid staff, and taxpayers giving tax breaks to large hospitals corporations to build and expand their services to more paying customers—patients-widgets.
For many years, I have advocated for an expanded and improved Medicare for All coverage plan for all of us. We all pay in already, yet we still pay huge insurance premiums to health insurance companies that simply process paper. Why are we doing that? The coverage we all already pay for in payroll and other taxes is not a welfare plan or socialized medicine. I dare say we’d all be healthier if it were. Medicare as it stands covers our elderly and many disabled people through taxes.
If we improved that and expanded Medicare, private premiums would go away and we could all choose whoever and wherever we wanted to seek care. No government hospitals or doctors to screen care—that’s a lie the profit engine needs to push out. I am 100% in favor of getting the profit motive out of hospital care as much as possible. Greed knows no limits, and greed does not belong as a measure of our health.
This health industry is a largely unregulated mess. You know it, and I know it. It’s time to speak the truth about it—the United States does not have a health system. We have an industry that uses patients as widgets and counts profits as the only desired measure of success. Making money is a fine thing so long as it doesn’t mean lying about how we do it. We fuel our economy on suffering and illness, and without the Patient Protection and Affordable Care Act-ACA-Obamacare subsidies, the health industry will be even more attentive to their bottom line. You ready?
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For-Profit Healthcare Makes Us Sick!
The harmful behaviors of profit-driven healthcare companies—from tax dodging to insurance denials to carelessness with patient safety—stem from the same illness: a disregard for the community they serve.
Nov 02, 2025
Even though most of us think of healthcare as a human right, the reality is that in the United States the provision of healthcare is big business. It places profits over people, demonstrating that priority through tax dodging, price gouging, insurance denials, and unsafe conditions for patients, as documented in a recent joint report from our two organizations, Americans for Tax Fairness and Community Catalyst.
The report, “Sick Profits,” highlights how seven healthcare corporations have together saved over $34 billion in federal taxes thanks to the 2017 Trump-GOP tax law recently extended by the current Trump administration and Republican Congress. They paid for those corporate tax breaks in part by cutting Medicaid and jeopardizing health coverage for 15 million people, and failing to preserve the enhanced premium tax credits for people buying health insurance through the Affordable Care Act (ACA) Marketplaces.
We currently have public policy that cuts taxes on corporations while ignoring nearly two-thirds of people who believe that big companies are not paying enough. Instead, healthcare corporations have each enjoyed hundreds of millions—in most cases, billions—of dollars in tax savings thanks to the Republican tax law, the most expensive part of which was a two-fifths cut in the corporate tax rate. They have also saved taxes by exploiting loopholes that the law (and its extension) failed to close, including in the accounting for stock options and the treatment of profits shifted offshore.
Not surprisingly, the companies examined in the report did not use their tax savings to lower prices, hire more providers, or improve patient care. No, the money went instead to higher executive compensation and increased payouts to shareholders through dividends and stock buybacks.
We must demand more transparency, fairer tax policy, and better oversight of these institutions.
Additionally, companies are maximizing their profits by simply not paying for care. By demanding “preauthorization” for a dizzying number of procedures then routinely denying approval, insurers can save billions at the expense of their policyholders. High percentages of initial denials are overturned on appeal, showing that “no” is simply the initial default position, taken in the hopes that patients and doctors won’t push the issue. Claim denials often result in medical debt and can also disrupt treatment for chronic medical conditions, delay or deny access to lifesaving care, and lead to avoidable complications—or even death.
Claim denials affect the health and well-being of people every day. They are people like Little John Cupp, who began feeling short of breath and experienced swelling in his feet and ankles. His doctor recommended a catheter exam to determine whether the arteries in his heart were blocked. However, the medical benefits management company EviCore (owned by Cigna) twice denied the catheter exam while eventually approving a much lower-cost stress test. The delay in diagnosis proved catastrophic. Less than two days after Mr. Cupp received the stress test, he died of cardiac arrest.
The tragedy of the end of Mr. Cupp’s life demonstrates the incredibly real risks that the first obstacle to getting care creates. Unfortunately, clearing that hurdle and receiving approval for care does not ensure quality. You could find yourself getting treatment at a facility saving money for shareholders by reducing staff and failing to maintain safe and hygienic conditions. NBC News aired a six-part investigation of hospital-operator HCA Holdings that uncovered, in the words of our report, “roaches in the operating room, leaking ceilings, essentially unmonitored vital signs, overworked nurses, overcrowded emergency rooms, closed departments, and other threats to patient health and safety.”
Or you may receive care at a facility owned or controlled by private equity interests. One cautionary tale is Prospect Medical Holdings, which operated hospitals and other health facilities in multiple states and was driven into bankruptcy after it was acquired by a private equity firm that extracted over $650 million in debt-financed dividends from the targeted company. While the private equity partners enjoyed lucrative payouts, patients suffered from unsanitary conditions, supply shortages, insufficient staffing, and shuttered departments.
Our diagnosis is simple but serious. The harmful behaviors of profit-driven healthcare companies—from tax dodging to insurance denials to carelessness with patient safety—stem from the same illness: a disregard for the community they serve. We must demand more transparency, fairer tax policy, and better oversight of these institutions. That means closing tax loopholes, raising the corporate tax rate, curbing the routine denials of coverage, and strengthening regulatory oversight of health facilities. That’s the only way to ensure that people’s needs are prioritized over corporate profits.
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