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

Healthcare Notes

National Health Spending at $3.5 Trillion in 2017, CMS Says: CMS is reporting healthcare spending was $3.5 trillion in 2017. National healthcare spending grew by 4.6%, up 3 tenths of 1% from 2016. The increase was blamed on increased spending for Medicare and higher premiums for healthcare insurance. The increase in healthcare premiums can be […]

David Dayen reminds us opioid emergency ends in a couple weeks

Lest we forget: David Dayen’s Weekly Newsletter Politico notes today that the 90-day emergency declared actually ends in a couple weeks, and we’re in essentially the same place that we were before the declaration. Trump has not formally proposed any new resources or spending, typically the starting point for any emergency response. He promised to roll […]

From Employer Coverage to Single Payer Health Insurance

From Employer Coverage to Single Payer Health Insurance This holiday season I’ve heard several tales of woe from working class acquaintances, mostly self-employed, about Obamacare: how they are just above the subsidy cutoff and would rather pay the fine than buy expensive individual policies, or how they are just below and can’t afford to put […]

FCC Just Repealed Net Neutrality

“The FCC voted 3-2 Thursday to repeal net neutrality rules, ending Obama-era regulations that prohibited Internet providers from blocking or slowing web content. Whereas all Internet traffic previously shared same ‘lane,’ it can now be split among different lanes with different speeds. Those differing speeds could hurt telemedicine since it requires a ‘pretty robust connection,’ […]

“Congressional Leaders Signal They Intend to Kick the Can Down the Road on CHIP” Again

A Little History of the legislator who wrote the bill: Chair of the House Appropriations Committee since 2017, Rodney Frelinghuysen’s campaigns have been funded by the aerospace, defense, pharmaceutical and health care industries. On domestic issues, he opposes legalized abortion, Planned Parenthood, sanctuary cities, and federal regulation of greenhouse gas emissions. He endorsed Donald Trump […]

CVS Pharmacy Chain buys Aetna Healthcare Insurance

Pharmacy chain CVS Health has agreed to buy health insurer Aetna for $69 billion in cash and stock, retaining its current management, the companies announced late Sunday. The deal brings together one of the largest providers of pharmacy services with the No. 3 U.S. health insurer, which together would establish a healthcare giant with more […]

ACA without a mandate

It appears almost certain that the ACA (Obamacare) mandate will be eliminated. This actually means that Obamacare will correspond to Obama’s 2008 proposal which didn’t include a mandate. Obama claimed it would work (he was lying or, to be polite, playing 11 dimensional chess). Can ACA without a mandate work at all ? Can it […]