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

Pharmacy Benefit Managers

Introduction to Pharmacy Benefit Managers and their role with pharmacies, insurance companies, drug manufacturers, and healthcare. They do have an impact on the costs of healthcare through the pricing of drugs. Also, a large impact on growth in drug prices, higher patient out-of-pocket costs, availability, and the closing of independent pharmacies. What Pharmacy Benefit Managers Do, and […]

Traditional Medicare versus Medicare Advantage

City workers in NYC are getting a raw deal or some would call it a better deal (if you are the city) on healthcare when one retires. There must be some type of deal going on here. Medicare Advantage does have its coding issues and smaller sources of healthcare places a member can go to. […]

The Big Beautiful Bill will kill American hospitals

It’s bad enough that Republicans believe poor Americans should be allowed to die without health care. But if you ever need a hospital, whether or not you have insurance, this could kill you, too. “That’s because each node of the system is interdependent. If the 190 rural hospitals estimated in a recent Center for American […]

Threats to Senate’s July 4 Reconciliation rush

What is sitting before the Republicans to be solved before taking a Reconciliation Vote. Been rush and scramble to get this bill in order to please holdouts and pass before July 4th. Hopefully, some of these critters will start to have a heart. Hopefully they start to think about how their actions will hurt their […]

Regressive Bill? Yes, in All of History

Robert Reich offering up how bad trump’s Big Beautiful Bill is and the havoc it will cause for low-income Americans. One example? The reversal of Biden’s subsidy increase from 600% to 400% FPL by Trump. It will price many families out of the healthcare market. There is more detail here “House Bill and Healthcare,” Angry […]

Thought there wasn’t a healthcare insurance angle to Trump’s dictator gambit in Los Angeles? Guess again

No pay. no healthcare insurance, no rack to sleep in and probably no mess hall meals somewhere. I am going to guess their being federalized grants them access to regular Army healthcare. Still does not take care of family. Civilian authorities always like the help of Federal Detachments until it comes time to provide essentials. […]

I agree with RFK Jr.

Though it feels weird to say it, RFK Jr and I agree on something: curtailing direct-to-consumer marketing of pharmaceuticals. “The Trump administration is discussing policies that would make it harder and more expensive for pharmaceutical companies to advertise directly to patients, in a move that could disrupt more than $10 billion in annual ad spending. […]

Cuts to Medicaid Threaten Access to Healthcare

Usually, this type of information is pages long and I end up boiling it down, editing it, and sometimes rewriting portions (shhh, do not tell anyone). This report by the AHA is straight forward in what it presents. In fact, Angry Bear has presented information on rural hospitals as detailed by the CHQPR here, here, […]

Medicaid and ACA Cuts Will Increase Costs for Older Adults and Medicare

As taken from Health Affairs. This report magnifies the impact of Trump and the Republican piece of garbage healthcare bill. A bill which targets those who have low income, are older, and make more than the 400-percent-of-the-federal-poverty-level subsidy cliff. The subsidy increase about 500% FPL was to help more people, families, and older people qualify […]

Trump hates veterans

We already knew that Trump has called soldiers who died in service “suckers” and “chumps.” “Doctors at Department of Veterans Affairs (VA) hospitals nationwide could refuse to treat unmarried veterans and Democrats under new hospital guidelines imposed following an executive order by Donald Trump. “The new rules, obtained by the Guardian, also apply to psychologists, […]