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

Medicare Insolvency Date is Sooner

Just some simple logic. It is easy enough to blame Tr__p for the decrease in Medicare insolvency. It is his bill which is driving the issue as well as well as other funding issues. Funding issues is no surprise as healthcare costs increased over the years. However, Congress could have acted to resolve the issue […]

High intelligence doesn’t predict good judgement

I taught medical students for over 30 years. The bar to admission at Saint Louis University Medical School was pretty high for metrics like GPA and MCAT scores. But as a professor, I realized that crossing those bars was no guarantee of sound judgement. Erica Schwartz, Trump’s CDC director nominee, wasn’t a SLUSOM grad*, but […]

Yes, Virginia, there’s arsenic in your rice

Whenever you read the conspiracy theories about fluoridated water, it’s a good idea to remember that much of the world’s water is naturally fluoridated. Indeed, the correlation between natural fluoridation and lower incidence of dental caries is what lead to artificial water fluoridation. There are plenty of other things to fret about if that’s how […]

Reducing Food Insecurity

Reducing Food Insecurity Among Children in the U.S. Econofact Lisa A. Gennetian and Diane Schanzenbach The Issue: Adequate access to healthy nutrition is a key component for children’s development. Children need food to grow and show up to school ready to learn. Yet in 2023 (latest data available) almost one in six children in the United States […]

What are ACA Enrollees Paying this Year due to Trump/GOP Policies?

NATIONAL: How much more are ACA enrollees *really* paying this year due to Trump/GOP policies? ACA Signups, Charles Gaba Partial post taken from; “How much more are ACA enrollees *really* paying this year due to Trump/GOP policies?” Charles Gaba @ ACA Signups. Nationally, on average, net ACA premiums have jumped by 58% this year vs. last, from […]

Making America unhealthy again

You probably have read about increasing reports of violent and potentially life-threatening diarrhea caused by cyclospora in multiple states. Cyclospora isn’t new, but the Trump administration stopped tracking it. “As of July 1, the Foodborne Diseases Active Surveillance Network (FoodNet) program has reduced surveillance to just two pathogens: salmonella and Shiga toxin-producing E. coli (STEC), […]

The V28 Model Balances the Differences Between Medicare Advantage and Traditional Medicare Plans

This is not new news. It goes back for years. Medicare Advantage costs more than Medicare. Much of this is due to price setting. Advantage plans will receive overpayments of approximately $76 billion Center for American Progress above what the same care would cost in traditional FFS Medicare. This is nothing new. It has been […]

The future of medical genetics

Nearly three decades ago, I created a course for first year medical students called “Molecular Biology and Genetics.” Together with a clinical faculty, I co-directed the course for 22 years. There’s a piece over at Medpage about “niche careers” in medicine. Here’s one: “7. Medical Genetics and GenomicsMedical geneticists diagnose and manage hereditary conditions, using […]

GOP and Trump Policies Increase ACA Insurance Costs

This is a long commentary. However, it is very detailed. Charles Gaba explains the impact of Republicans allowing the enhanced federal tax credits to expire as well as other Trump Regime policy changes. Quite a few middle and low citizens dropped healthcare policies or took lower costs due to affordability. “How much more are ACA enrollees *really* […]

More activity, less cancer

“Prolonged, uninterrupted sedentary behavior was associated with a significantly increased likelihood of dying of cancer, a study of more than 90,000 people showed. “Every additional hour of prolonged sedentary behavior per day was linked with a 10% higher hazard of cancer mortality. Replacing an hour of sedentary behavior daily with light physical activity or with […]