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

Laboratory Benefit Managers on the Horizon?

I read through this short report on Laboratory Benefit Managers which included commentary on Pharmacy Benefit Managers. My overall opinion is they are middlemen and as such they add cost to the delivery of healthcare. The explanation does provide insight. The Time is Now for Laboratory Benefit Management, Managed Heathcare Executive, April 2022. PBMs Explained […]

Tracking States Implementing Medicaid’s Postpartum Coverage Extension

As taken from an earlier post on a woman’ healthcare. There are quite a few issues which can arise while a woman gives birth which I detailed in the 2019 post. Having good healthcare insurance is a big factor in having safe deliveries before, during, and after a birth. The first line of this section […]

Charlie’s dilemma . . . Will they pull the Football away Again?

Everyone already knows, Feinstein can retire or stay put. This is also one of our issues with government and the judiciary. The people in elected and appointed to positions make their decisions based upon what they want which leaves the constituency in a bad position. No matter how many good things done, they can all […]

Limiting the Environmental Protection Agency’s ability to protect wetlands

Pretty good article on the environment and SCOTUS saying its ok to obliterate a wetland for a house. Except Alito suggests we should do more! Brett Kavanaugh: Supreme Court EPA Ruling Could Risk Water Quality, businessinsider, Kelsey Vlamis “the majority was ignoring precedent and jeopardizing water quality in the US.” Supreme Court ruling issued Thursday […]

The expanding role of Medicaid in US health care

Mostly taken from “The expanding role of Medicaid in US health care: A research roundup, journalistsresource.org, Kerry Dooley Young. May 2023.” I have added commentary to this report. I do have another report on Medicaid which I have to deep dive to make shorter sense of it. This report includes information going back to Obama’s […]

Another Legal Challenge of the ACA Coming Out of Texas and the Fifth District

Cost-Free Preventive Care Under the ACA Faces Legal Challenge, JAMA | JAMA Network, Gregory Curfman, MD; Kirsten Bibbins-Domingo. The same federal Jackass judge in Texas who struck down the entire ACA (2018) has risen again. In this particular instance, he is taking aim at a core protection of the ACA or Cost-free preventive care. These […]

Survey: Toyota, Honda, GM Supplier Working Relationships

A story . . . Supplier working relationships were always tough in automotive. A lot of politicking going there, lunches, dinners, etc. Kind of difficult to walk a straight line with them and maintain an ethical standard. Yet, I did and was known for doing what I said I would do. I worked for several […]

Piercing the myth: How privatizers got their mitts on Medicare

Piercing the myth: How privatizers got their mitts on Medicare, The Stand, Kip Sullivan Insurance companies decried Medicare’s fee-for-service model. But then Congress let them replace it with something much worse. (May 4, 2023) — Congress enacted Medicare in 1965 as a fee-for-service system because the insurance industry did not want to insure the elderly […]

14th Amendment, Debt Ceiling & Perpetual Bonds

When I read this (third article below), I thought of an earlier commentary by one of our peer-reviewed economists. This is what Robert Waldman had to say: “Investors are glad to pay the Treasury to keep their wealth safe. Now consider the US Federal Government intertemporal budget constraint — the present value of spending must […]

Insurance Carriers Are About To Rebate Another $1.1 Billion To Policyholders Thanks To The ACA

My old Michigan standby on the PPACA. If there was something I needed to know, I could always count on Charles knowing the answer. I believe some of the state and federal politicians also relied on Charles for information. What is also kind of cool is Michigan Governor Gretchen Whitmer issuing a directive on Medicaid […]