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

2023 ACA Open Enrollment Period is the best ever

The 2023 ACA Open Enrollment Period is the best ever. The prime reason being the expansion of enhanced premium subsidies, first introduced in 2021 via the American Rescue Plan. ACA premiums became less costly for those who were already qualified. The lower pricing of ACA plans resulted in the expansion of eligibility to millions who were […]

Interesting Stuff from my In-Box, January 25, 2023

It has taken a bit of time after Christmas to get back into the swing of things. A week during Christmas while in Breckenridge, I spent it in bed due to Attitude Altitude sickness. One night I was looking at the vertical wood slats on the wall which appeared to be populated with numbers similar […]

Two basic problems of a declining population in a Country

From the NYT opinion pages comes Paul Krugman’s description of the two basic problems of a declining population in a country, Dr. Krugman ues China as an example. China’s population declined last year, for the first time since the mass deaths associated with Mao Zedong’s disastrous Great Leap Forward in the 1960s. Or maybe it […]

Tomorrow, January 22, is the fiftieth anniversary of the Right to Decide

A bit of history as reviewed on a “woman’s right to decide,” by Professor Heather, “Letters from an American.” Tomorrow marks the fiftieth anniversary of the Roe v. Wade decision. On January 22, 1973, the Supreme Court decided that for the first trimester of a pregnancy, “the attending physician, in consultation with his patient, is free to […]

Whatever happened to MOOCs?

10-15 years ago, Massive Online Open Courses (MOOCs) were a higher education fad. Universities could dispense with physical (lecture halls, heating, cooling, cleaning, security) and administrative (room scheduling) costs and just teach students online. During this period, I was associate dean for research and the Dean of our medical school brought up the suggestion that […]

Saying No to Insurance Company Medication Switches

I can not say I have been exposed to any of this switcheroo as my meds are older technology. We are also on regular Medicare and not Medicare Advantage. I have a larger say with the former. Part D works mostly except the pharmacies in my area are less helpful than they were in Michigan. […]

January Update: COVID Death Rates by Partisan Lean & Vaccination Rate

Charles Gaba is doing another update on Covid death rates taking into consideration Partisanship and vaccination rate. At the bottom I include his last update if you wanted to compare commentary. “January Update: COVID Death Rates by Partisan Lean & Vaccination Rate (including BIVALENT BOOSTER data),” ACA Signups, Charles Gaba (sigh) Last month I posted what […]

Kaiser Permanente Commits LIbel

I received an e-mail from Kaiser Permanente with a link to click. I clicked the link and learned that Kaiser Permanente (KP) has libeled me. Below see a definite assertion of fact. KP definitely asserts that I have ignored my legal obligations (the required DPT vaccination — I will not present proof on this point […]

Medicare Advantage has Overcharged FFS Medicare by Billions for Years

And the news Media is waking up to this? In December 2022, NPR wrote, “Medicare Advantage plans overcharged Medicare by millions,” Health News : NPR, Fred Schulte and Holly K. Hacker Citing an April 26, 2016 example of US government auditors asked a Blue Cross Medicare Advantage health plan in Minnesota to turn over medical […]