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

Republican ACA proposal is Worse than I thought

Charles Gaba assessing Republican and Trump’s mandated changes to the ACA. One sure thing the Congressional Republicans are resisting is the thought of extending the enhanced tax credits. Without which, most people could not afford healthcare insurance. Keep in mind what this is all about also. Just in case you forgot, the program cuts is […]

Aluminum is the new mercury

Looks like RFK Jr has pivoted from lying about the long-discredited Thimerosal-autism connection to blaming aluminum-containing adjuvants for autism. Since there’s no evidence for this, RFK Jr’s position is that studies have not definitively ruled out a link between vaccines and autism. Well, science doesn’t deal in proof, it deals in the weight of evidence. […]

Health Insurance Premium Spikes in Another Month as Enhancements Set to Expire

Abbreviated look at the impact of discontinuance of ACA subsidies in 2025 if Congress does not extend them. Keep in mind the discontinuance of these subsidies will help to balance out the tax breaks President Trump and Republicans have planned for upper income brackets. Much needed by Republicans and Tru_p.. “Health Insurance Premium Spikes Imminent […]

One Million Seniors Lose Their Medicare Advantage Plan

This does not surprise me. Medicare Advantage is more costly. Medicare Advantage plan extends services well beyond what Traditional Medicare provides. Furthermore, the Advantage plans were heavily subsidized with Traditional Medicare funds. How is Medicare Advantage funded? This was a long time coming . . . Some Medicare Advantage funding comes from the enrolled people’s […]

Expiring ACA Tax Credits Cause Higher Premiums Due to Age Rating

If Congress does not extend the enhanced premium tax credits, older Marketplace enrollees, especially early retirees and the self-employed, would see some of the steepest increases in premiums. The enhanced premium tax credits lowered the share of income enrollees had to pay toward premiums and expanded subsidy eligibility to people with incomes above 400% of the federal […]

Economic Impact of Medicaid Work Requirements

Republicans are campaigning for work requirements in order to get Medicaid. According to one report in May: “Between 4.6 million and 5.2 million adults would lose Medicaid coverage in 2026 due to proposed work requirements.” Denying Medicaid does not mean people will not get healthcare if needed. It does mean, hospitals would not be paid […]

Tru_p Skips Global COP Summits

How some of the world looks at the United States and its leadership . . . “Trump says US to skip G20 summit in South Africa,” Nikkei Asia. And the reasoning? “No U.S. government official would attend the Group of 20 summit in South Africa later this month, because of what he said were “human […]

Boost your brain power with fluoridated water

Artificial fluoridation of public water supplies, which reduces dental caries, tooth decay, and dental health disparities, is one of the 20th century’s great public health achievements. The idea began with the observation that communities where the natural levels of fluoride in the water is high had unusually low levels of dental decay. When I was […]