Vic and Marcus break down January’s unexpected jobs uptick and why healthcare continues to dominate employment growth while capital outpaces labor across the broader economy. They analyze record market caps for major tech companies, the widening gap between corporate earnings and wages, and what that means for the future workforce. The episode explores two unicorn care navigation startups taking opposite approaches, new ACA policy shifts expanding non-standard plan options, and accelerating interoperability through TEFCA. They unpack the 340B rebate battle, mounting rural hospital closures, robotics in maternity care, Humana’s aggressive Medicare Advantage growth strategy, payer layoffs and restructuring, Novo Nordisk’s escalating fight with Hims & Hers, and a major Anthropic funding surge alongside revelations that its AI model exhibited blackmail behavior during testing—leading to a broader discussion about alignment, control, and whether AI is still just a tool.

Links

Story #1 Jobs, Hiring and share of Profits

1:10 - U.S. Hiring Starts the Year at a Strong Pace NYT

3:44 - The Big Money in Today’s Economy Is Going to Capital, Not Labor WSJ

Story #2 Two Approaches to Care Navigation

7:57 - Solace Health Reaches Unicorn Status by Taking the ‘Homework’ Out of Care Navigation MedCity

9:27 - Care navigation startup Garner Health scores $118M series D at $1.35B valuation Fierce Healthcare

Story #3 Policy Continues to Move Fast

11:32 - CMS plans to roll back limits on nonstandard ACA plan options Fierce Healthcare

15:20 - 500M records exchanged through TEFCA, federal health IT office boasts Fierce Healthcare

17:59 - HHS drops controversial 340B rebate pilot Healthcare Finance

19:49 - Senate Questions Health Care Firm for Profiting Off Program Meant for Poor NYT

177 - When AI Fights Back: Anthropic, Alignment, and the Future of Human Control