Medical darwinism (n.) — A state of inequality where access to healthcare is predominantly decided by one's means to pay for treatment, as opposed to having a fair and proportionate system. Medical darwinism is present when barriers to healthcare such as appointment costs, insurance costs, and waiting lists are in place, leading to those with the deepest pockets to have better outcomes in life.
'America's healthcare system is pure medical darwinism, but underfunded single-payer systems which co-exist with private healthcare can lead to similar problems as well.'
by Catmily January 29, 2026
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