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

The economics of healthcare is sick in Vermont

My parents retired to rural upstate NY, where they lived happily for 20 years. But naturally, as they aged, their health declined. At one point, my mom had a pulmonary embolism, and landed in a community hospital in Bennington VT, about 30 miles away. She got the care she needed, but when she was later […]

Robots and medicine: the future is now

I’m reading every now and then about the future of robot assisted medicine. Robots have long replaced humans in routine, repetitive tasks like auto assembly, but surgery seems like a bespoke activity beyond the reach of robots. Not so. A few years ago, I had mesh hernia repair surgery. The procedure was robotic-assisted laparoscopy. There […]

The politics of water fluoridation

When I was growing up, fluoridation of water was regarded as a commie plot by the John Birch Society wingnuts. Nevertheless, hundreds of millions of Americans (including my wife and I) have lived with fluoridated water without evidence of harm. I see where RFK, Jr is predicting that the second Trump Administration will recommend against […]

New Rule Expanding the Coverage of Birth Control

It has been a while since I have posted a Charles Gaba commentary from ACA Signups. Charles is the person to read on the ACA and also governmental healthcare programs impacting and beyond the ACA. Biden-Harris Admin proposes new rule dramatically expanding coverage of birth control, ACA Signups Currently, the Affordable Care Act’s preventative services […]

With Medicare’s approval, a health insurance company can enroll a member of its marketplace into its Medicare Advantage coverage

Behind this commentary: With Medicare’s specific approval, a health insurance company can enroll a member of its marketplace or other commercial plan into its Medicare Advantage coverage when that individual becomes eligible for Medicare. Called “seamless conversion,” the process requires the insurer to send a letter explaining the new coverage, which takes effect unless the member […]

Healthcare and the 2024 presidential election

Republicans have long objected to the ACA, and Trump tried several times to have it overturned; he’s claimed he’ll replace it with something better, but in eight years, he’s never come up with even a rudiment of a proposal. And here’s Speaker Johnson at a campaign stop yesterday: “No Obamacare?” an attendee asked Johnson, referring […]