It's easy to criticize the U.S. health care system for high spending and poor outcomes, but American patients may also be the problem, the Atlantic's David Freedman writes.

What's happening: One study found that 74% of the variation in life expectancy within the U.S. was attributable to lifestyle factors like smoking and inactivity — behaviors decided by patients, not doctors. And American patients don't like to be told they can't have expensive care, using more speciality care and emergency care than other countries.

  • A survey of 1,000 patients recently found that only 31% view cost as very important when making a health care decision.
  • Other countries often exclude expensive, unproven treatments from health coverage, but "when American insurance companies try this approach, they invariably run into a buzz saw of public outrage," Freedman writes.

The bottom line: Americans are often over-treated, but doctors say that's because patients demand it — and that they fear malpractice lawsuits.

  • And then there are patients who disregard what their doctors say — like failing to take their prescribed medication.

Go deeper: Drug pricing's "double whammy" for patients with chronic illnesses

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Quibi says it's shutting down

Photo: Igor Golovniov/SOPA Images/LightRocket via Getty Images

Quibi, the mobile-only video subscription streaming service, is shutting down, the company announced Wednesday. The company said the decision was made to preserve shareholder equity.

Why it matters: Quibi had struggled to hit its subscriber growth targets amid the global pandemic. The app launched six months ago.

Updated 1 hour ago - Politics & Policy

Coronavirus dashboard

Illustration: Aïda Amer/Axios

  1. Politics: Senate Democrats block vote on McConnell's targeted COVID relief bill McConnell urges White House not to strike stimulus deal before election.
  2. Economy: Why the stimulus delay isn't a crisis (yet).
  3. Health: New York reports most COVID cases since MayStudies show drop in coronavirus death rate — The next wave is gaining steam.
  4. Education: Schools haven't become hotspots — San Francisco public schools likely won't reopen before the end of the year.
  5. World: Spain becomes first nation in Western Europe to exceed 1 million cases.
3 hours ago - Podcasts

House antitrust chair talks USA vs. Google

The Justice Department filed a 63-page antitrust lawsuit against Google related to the tech giant's search and advertising business. This comes just weeks after the House subcommittee on antitrust issued its own scathing report on Google and other Big Tech companies, arguing they've become digital monopolies.

Axios Re:Cap talks with Rep. David Cicilline (D-R.I.), chair of the subcommittee on antitrust, about Google, the DOJ's lawsuit and Congress' next move.