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

The big C

Nobody wants to get cancer. And there is no sure path to avoiding cancer. There are a number of gene alleles that predispose to cancer risk. If you inherit one of these alleles, your risk of cancer is higher than average. That doesn’t mean you can’t do anything. Knowing you’re at higher risk means you […]

Just Some News on RFK Firing the Entire CDC Vaccine Advisory Panel

ACA Expert; Charles Gaba, April 22, 2025 My Monkey’s Paw prediction is coming true: RFK Jr. fires entire CDC vaccine advisory panel | ACA Signups So, all of that was last summer. Skip ahead ten months and voila, the U.S. Supreme Court did indeed hear arguments in the case yesterday…and while the headline from the AP […]

MedPac Report to Congress on Medicare and Medicare Advantage

Rewrite of important points on Medicare and the over payments to commercial MA plans. This is not the entire Chapter 12 MedPac report to Congress. Although, you may think it is as this a rather long post even after I boiled it down. Why Chapter 12? Simple . . . It talks about the rip-off. […]

Structural Racism and Disparities in Youth Exposed to Firearm Violence

The takeaway in this short report about firearm violence is “Black and Hispanic children were more likely to witness or be shot. Black children were 100 times, and Hispanic children 25 times, more likely than White children to be shot in Chicago and other major US cities. They are at greater risk of being shot […]

RFK Jr says no need for COVID vaccines for healthy children and pregnant women

There was a lot going on with Covid last week. I had intended to write about NB.1.8.1, the new “variant under monitoring” by the WHO (World Health Organization), which has already become dominant in China, and the new US vaccine policy, but i just didn’t have time.   r.j. sigmund RFK Jr says no COVID vaccines […]

Defaulting Into Medicare Advantage Rather than Traditional Medicare Coverage

A bit of an explanation for this Health Affairs article. Today when you are eligible for Medicare Coverage, you are placed in Traditional Medicare. What would or could happen if every new enrollee were to be placed in Medicare Advantage instead of Traditional Medicare Coverage? The discussion centers on a two-year period in the beginning […]

Talking Healthcare Insurance and One State

What occurred over the last few days in our household was a review of our Medicare Supplemental healthcare insurance (backs up Medicare). We have Plan N which is a good plan. We pay the Part B deductible (if needed) of Medicare which is $257 this year. The rest of Part A and B costs are […]

Decreasing the Population by Cutting Medicaid

At least people talking around the internet do not have to guess what their senator thinks about Medicaid healthcare. One was bold enough and not afraid of elections to say it out in the open. ” for Heaven Sakes” is the right answer. Giving up your healthcare and joining them in not accepting government sponsored […]

RFK Jr and the clock that strikes 13

One of my favorite aphorisms, for which I haven’t located the source, is: “There’s something about the sound of a clock striking 13 that calls into doubt everything that came before.” That came to mind when I read about RFK Jr’s “Make America Healthy Again” report: “ The Washington Post reported, “Some of the report’s […]