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

Coronavirus dashboard for May 20

Coronavirus dashboard for May 20: signs of a peak in BA.2.12.1 in bellwether jurisdictions; is BA.4/BA.5 next? With no significant economic data today, let’s take a look at where the BA.2.12.1 COVID wave is. Nationwide cases (thin line below) have increased about 3.5x from their bottom of roughly 26,700 five weeks ago, to just over […]

Your Subsidy Expires? What You Will Pay for Healthcare Insurance

As is typical, Charles Gaba at ACA has the answers to the question. Charles does a lot more of this type of analysis such as the Healthcare’s Three – Legged Stool, ACA Enrollment, Risk Pools, etc. All three of these are at Angry Bear. I am not sure why Michigan state and federal legislators […]

Coronavirus dashboard for May 13: the virus will gradually become less lethal

Coronavirus dashboard for May 13: the virus will gradually become less lethal – because you can only die once, COVID-19 is still a pandemic and will gradually transition to an endemic. A year ago I thought that between nearly universal vaccinations and an increasing percentage of the population already infected, the virus would wane into […]

Medicaid Estate Recovery imposed on Medicaid enrollees

  Andrew writes on healthcare, mostly the PPACA plan and the various metal plans, and the latest gig (ARPA) resulting in lower costs for anyone under 250% FPL and lower costs for anyone higher than 400% FPL. All made possible due to Biden and Democrat’s American Rescue Plan Act of 2021. It will expire EOY 2022 […]

Making the physician sausage

I started teaching medical students in 1988 and have been an instructor and course director for one or more first-year med school courses continuously since 1990. When I started, there were two full years of pre-clinical course-work. Now we’re down to a year and two-thirds and there are plans to shrink further. Some medical schools […]

Medicare vs Commercial Insurance Pricing 2012 – 2019

Copy and Paste for now until I can get into the Health Affairs article. Hospitalization averages a third of all healthcare costs. The pricing (Pricing equals costs in this instance) varies by region which kind of tells me there “may” be variation due to the strength of ACOs in regions. Trends in Hospital Prices Varied […]

Coronavirus dashboard for April 27: Estimating the BA.2.12.1 wave

Coronavirus dashboard for April 27: Estimating the BA.2.12.1 wave The CDC updated its variant proportions data yesterday. BA.2.12.1 cases grew from 19% to 29% of all US cases:  and from 45% to 60% in NY and NJ. At the other end of the spectrum, BA.2.12.1 was only 9% of cases in the Pacific Northwest and […]

Healthcare Sector Indicators and Insights

This is mostly a C&P with editing involved. Taken from Altarum Health Sector Economic Indicators, and “Insights from Monthly National Health Spending Data through December 2021.” I have added the link Altarum to return to the original article. Without the additional government spending covering Covid costs and a recession during 2020 -2021, overall healthcare spending […]

Masking Up to Prevent SARS-CoV-2 transmission

SARS-CoV-2 transmission on planes – Katelyn Jetelina ( This substack article came to me by way of a commenter asking if I was interested in it. Of course, I am. It is a part of healthcare and covers a topic I believe is important to all of us. Stopping the transmission of Covid. Introduction On […]