"Depending on what you count, over‑prescribing costs the United States anywhere from a few billion dollars a year in easily measurable drug waste to more than half a trillion dollars…" writes Dr. Vikas Saini, president of the Lown Institute.
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The data to support these criticisms has been cataloged and quantified by the Lown Institute, a nonpartisan think tank interested in “bold ideas for a just and caring system for health.” It’s abundantly clear that “nonprofit” is now a misnomer when referring to hospitals. The fair share deficit — the disparity between what a hospital provides its community and what it receives from the American taxpayer — reached an all-time high of $25.7 billion in 2024. Yet fully 80% of “no-profit” hospitals claimed to be “in the red.
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The Lown Institute has released its highly anticipated index of America's Most Socially Responsible Hospitals. This year's honor roll comes at a critical time, as hospitals work to maintain equitable care amid potential Medicaid cuts, rising costs and ongoing workforce challenges. Duke Regional Hospital topped this year's acute care ranking, marking its fifth year on the list.
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Lown, a nonpartisan healthcare think tank, annually evaluates hospitals nationwide on more than 50 metrics pertaining to equity, value and health outcomes. Out of more than 2,700 acute care hospitals nationwide, Lown recognized 125 “Honor Roll” hospitals for achieving the highest scores in its latest 2025-2026 rankings.
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