Relevant and even prescient commentary on news, politics and the economy.

Pharmacy Benefit Managers

Introduction to Pharmacy Benefit Managers and their role with pharmacies, insurance companies, drug manufacturers, and healthcare. They do have an impact on the costs of healthcare through the pricing of drugs. Also, a large impact on growth in drug prices, higher patient out-of-pocket costs, availability, and the closing of independent pharmacies. What Pharmacy Benefit Managers Do, and […]

Rhode Island Judge Blocks trump Again

It must be the state of Rhode Island citizens and judges are feistier than the rest of the nation. For the second time I am reading about a judge from Rhode Island blocking trump’s efforts to hold the nation up by blocking funding. Maybe it is the same judge? It kind of fits as Joel […]

Tariffs Result in a Delayed Fed Rate Decrease

Trump is tossing a hissy because “The FED” has decided to delay any decreases of the FED Rate. Which in my limited opinion of what is going on with a loose cannon government directed by a rogue president is a wise decision. Trump and politicians are not the ones who will bear the brunt of […]

Student Loan Debt

I did this a couple of years ago. What you are looking at is the current Student Loan Debt carried by former students. Also included is the ages of each group of students. I am using 2025 Quarter 1 numbers owed for the 50- to 61-year-old former students and also the 62 and older students. […]

Opinion Piece on the Use of State and Federal Military Against Civilians

I amongst many are against a premature calling out of the military against civilians. In this instance the California National Guard and the Federal Military. Both are classified as military units. There was no need of either. Trump has hardly moved out of the chair in his lunchroom watching TV while chowing down on a […]

Fallout for People Insured During Covid with the Passage of Trump’s Bill and Government Subsidies Ending

Lower-income person paying 2% of their income on their premium for healthcare insurance pre-covid, now pay nothing. Higher income people currently pay no more than 8.5% of their income on their premium. Pre-covid they were originally ineligible for financial assistance. All of this will change with the passage of Trump’s bill. Enhanced subsidies for Affordable […]

Just Some News on RFK Firing the Entire CDC Vaccine Advisory Panel

ACA Expert; Charles Gaba, April 22, 2025 My Monkey’s Paw prediction is coming true: RFK Jr. fires entire CDC vaccine advisory panel | ACA Signups So, all of that was last summer. Skip ahead ten months and voila, the U.S. Supreme Court did indeed hear arguments in the case yesterday…and while the headline from the AP […]

MedPac Report to Congress on Medicare and Medicare Advantage

Rewrite of important points on Medicare and the over payments to commercial MA plans. This is not the entire Chapter 12 MedPac report to Congress. Although, you may think it is as this a rather long post even after I boiled it down. Why Chapter 12? Simple . . . It talks about the rip-off. […]

Structural Racism and Disparities in Youth Exposed to Firearm Violence

The takeaway in this short report about firearm violence is “Black and Hispanic children were more likely to witness or be shot. Black children were 100 times, and Hispanic children 25 times, more likely than White children to be shot in Chicago and other major US cities. They are at greater risk of being shot […]