Academy of Management

By Daniel Butcher

The killing of UnitedHealthcare CEO Brian Thompson in New York in December 2024 exposed Americans’ intense frustration and deep-seated anger at the U.S. healthcare system. They’re forced to pay more and more for health insurance every year, while dealing with administrative burdens and denials of doctor-recommended procedures, medications, and other medical services.

Academy of Management Scholar Tim Pollock of the University of Tennessee, Knoxville said that people’s reactions to Thompson’s killing point to the horrible reputation that the U.S. health insurance industry has with the general public.

“Almost anyone in the U.S. you talk to about health insurance has complaints—I’m sure you could probably recount your own healthcare or health insurance war story, when something got declined, or you had problems getting treatment or getting [a procedure or medication] paid for,” Pollock said. “It happens to everybody in the U.S., and in some cases it can be pretty devastating, resulting in bankruptcy and losing all your assets when you have to absorb the costs when coverage is denied for a medical emergency or an expensive medical treatment.

“So there’s a lot of anger around how our healthcare system has been working or failing to work for for people, and it creates this pent-up anger in the [American] populace,” he said. “And so, aside from leading one person who was clearly having additional issues to go out and kill the CEO of UnitedHealthcare, you see the public respond by putting up these social-media posts, like ‘Request for thoughts and prayers denied’ and ‘You failed to get prior approval for having an object removed from your chest, so therefore, it will not be covered’—that kind of stuff, and making the shooter almost a folk hero in certain quarters.

“These kinds of posts that people are putting out there and many others cheering them on speaks to the anger that folks have.”

Merriam-Webster defines infamy as an “evil reputation brought about by something grossly criminal, shocking, or brutal.” Some health insurance leaders have looked themselves in the mirror and wondered what they could do differently, while others have denied responsibility for people’s suffering, both physical and financial.

“We talk about celebrity a lot, which is tied to people’s positive emotional reactions,” Pollock said. “But there’s another kind of emotional reaction called infamy, which is a bad reputation associated with people’s negative emotional reactions that are highly visible.

“A lot of these industries have become infamous, and as the face of the companies, the CEOs will take the brunt of people’s ire.”

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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