Bill Gates is glad his fellow billionaires Warren Buffett, Jeff Bezos, and Jamie Dimon are getting into health care. He’s not so sure their new effort will help unlock solutions for the entire U.S. health care system.

Their plan to form an independent health care company for employees of their companies — Amazon, Berkshire Hathaway, and JPMorgan Chase — has been hailed as a way to “disrupt” health care. In an interview with STAT, Gates said that while the industry titans might be able to curb costs and improve the health of their own employees, the broader U.S. health care system is “super complex” and rife with misincentives.

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