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

Healthcare, Groceries, Jobs, and Earnings . . . the Economy

We are amazingly ignorant of what is going on economically in the United States. But for groceries, the nation had a good economy. The right president was in the right place to ensure Americans had what they needed during several years of a pandemic. He no leaves the nation and presidency with a sound economy. […]

The Last Institutionalist President

Joe Biden  – by New Deal democrat Over 5 years ago, I looked at the 500-year history of the Roman Republic. In my penultimate discussion of its downfall, I wrote: “By 78 BC the Republic was dead on its feet. Virtually all of its norms of office-holding had been swept away. Political mobs using violence to get […]

The Nation’s Increasing Federal Debt

A partial of a nice read on the US Federal Debt which will more than likely increase as this President and Congress will wish to make Trump’s 2017 tax break passed under reconciliation permanent. The issue being, it did not promote increased revenue which would have balanced out the deficit created. It (the issue) goes […]

The conflict between preventing harm and winning elections

When is it okay to “heighten the contradictions”, to allow bad things to happen for the sake of instigating political change?  I’ve been noodling on this problem for decades without making much progress, and Trump’s victory has forced me to dig in once again.  This is my current thinking, for what it’s worth.  Democrats have […]

Click and close

The way to make money in America’s private health insurance industry is to deny coverage. There’s no question about that. The question is whether the denials are valid. According to one long-time doc, industry is valorizing speed over accuracy. “In late 2020, Dr. Debby Day said her bosses at Cigna gave her a stark warning. […]

Generic Drugs . . . a Growing Profit Center for Vertically Integrated PBMs

“Specialty Generic Drugs: A Growing Profit Center for Vertically Integrated Pharmacy Benefit Managers,” Federal Trade Commission A brief post or commentary on Pharmacy Benefit Managers (PBMs). For the Big 3 PBMs and their affiliated pharmacies during our study period from 2017 through part of 2022 specialty generic drugs represented a growing profit center. FTC analyses […]

O Canada

Canada here we come California, Oregon, Washington, Michigan, Minnesota, Illinois, Vermont, New Hampshire, Maine, and Massachusetts to the United States of MAGA: “Canada here we come.” The Civil War is over; the South finally won (in their minds, it was never going to be over until they did). In the halftime, they corrupted a dozen […]

TikTok Goes the Clock

One Hour until the dread January 20th. 23 hours into the strange TikTok banned January 19th. Trump says he will delay the law banning TikTok by executive order. Can he do that???? Don’t ask me. I’m not a lawyer. However, I do have a first amendment right to play a lawyer on the web. Do […]