Congress created the 340B Drug Pricing Program to extend federal resources and improve patient care. The Affordable Care Act added requirements for hospitals to provide free care and financial aid to poor patients, also known as charity care. What’s particularly striking is that charity care continues to decline year after year. Patients owe at least $220 billion in medical debt, and nearly 75% of it is owed to hospitals, with Black and Hispanic communities disproportionately impacted. The 340B Program has become a cash cow for its providers, and too many big hospital systems are abusing it. This system is failing them! Patients are starting to ask the question: Is the 340B Program the Next ‘Too Big to Fail’?