Bob Herman covers health insurance, government programs, hospitals, physicians, and other providers — reporting on how money influences those businesses and shapes what we all pay for care. He is also the author of the Health Care Inc. newsletter . You can reach Bob on Signal at bobjherman.09.

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Hello! Good to see you here. The $5.3 trillion health care system remains one of the central sources of American job growth. That’s especially the case among women who graduated college, but not among men who graduated college.

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The good vibes are toast

Since the Affordable Care Act went into effect, health insurance companies have been a favorite on Wall Street. More people were gaining health coverage, and the shift toward government programs created steady, sizable profit margins.