Academy of Management

By Daniel Butcher

As Americans pay more and more for health insurance every year, with paperwork burdens and denials of doctor-recommended procedures, medications, and other medical services, their anger and frustration at the U.S. healthcare system continues to simmer.

Academy of Management Scholar Tim Pollock of the University of Tennessee, Knoxville said that it’s difficult to go after a big, faceless $500 billion corporation, so people blame their suffering on the industry’s corporate leaders. Public discourse in the wake of UnitedHealthcare CEO Brian Thompson’s killing in December 2024 is case in point.

“The CEO is somebody that they can vent their anger on and becomes a target,” Pollock. “So I wasn’t surprised at the nature of the reaction to Thompson’s killing and the apprehension of suspect Luigi Mangione.

“I would hope that the health-insurance and benefits-administration CEOs are listening and paying attention to people’s reactions,” he said. “If they’ve been so insulated from the reality of what their companies have been doing and how it’s affecting people, hopefully this wakes them up.

“But I’m not sure, because it seems like a lot of what they’re doing is beefing up security and taking down information about boards of directors and about senior executives from their websites, as opposed to understanding where this anger is coming from.”

Pollock suggested that senior executives in the health insurance industry should look themselves in the mirror and ask: Why are they infamous? Why are these negative emotional reactions to Thompson’s killing and Mangione’s arrest so widespread?

“It’s an unfortunate extreme outcome, but it illustrates how many people are feeling about the U.S. healthcare system,” Pollock said. “There may be some CEOs who actually say, ‘Oh, my God, we really need to change what we’re doing,’ but there are a lot who are going to rationalize it, and they’re going to have their inner circles tell them, ‘It’s nothing that we’re doing wrong—it’s a crazy person who just went nuts.’

“They’ll try to downplay or rationalize away what happened, as opposed to open themselves up to thinking about the root cause of people’s anger directed towards them and their role in it,” he said.

Author

  • Daniel Butcher is a writer and the Managing Editor of AOM Today at the Academy of Management (AOM). Previously, he was a writer and the Finance Editor for Strategic Finance magazine and Management Accounting Quarterly, a scholarly journal, at the Institute of Management Accountants (IMA). Prior to that, he worked as a writer/editor at The Financial Times, including daily FT sister publications Ignites and FundFire, Crain Communications’s InvestmentNews and Crain’s Wealth, eFinancialCareers, and Arizent’s Financial Planning, Re:Invent|Wealth, On Wall Street, Bank Investment Consultant, and Money Management Executive. He earned his bachelor’s degree from the University of Colorado Boulder and his master’s degree from New York University. You can reach him at dbutcher@aom.org or via LinkedIn.

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