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

Ch12 – MedPAC Report to Congress 2025

What you are reading here is a piece on the costs of Medicare Advantage Plans versus Traditional Medicare. Why is one so different than the other? The differences in MA and FFS are in coding intensity and selection. The later does not have such. MedPAC March 2025 report to the Congress Pages 338 to Page […]

Why we have laws governing armed conflict

Like Pete Hegseth and Donald Trump, I never had to serve in combat. But I’ve read enough history to understand why laws governing conduct of war have emerged. Secretary Hegseth thinks these laws are a sign of weakness and shouldn’t apply to the US military. I’m calling bullshit. But don’t take it from me, take […]

Trump’s NIH director embraces red state DEI

During my career, I served on NIH study sections and NSF grant review panels. What I personally witnessed was discussions over the scientific merits of various applications. There was no discussion of whether a proposal should be prioritized because the investigator worked at an elite institution on the east of west coast. Could the applicant […]

Abbreviated Version of Medicaid and SNAP Cutbacks Impacting Healthcare

This entirety of this piece by Commonwealth Fund covers more than a Jobs cutback. There is a definite meanness in this legislation by President Tru_p and Republicans. It is meant to skew tax breaks to people who do not need tax breaks at the expense of overall healthcare cuts. This will impact more than just […]

Ultra-processed foods are not poison

One of embarrassments of our time is the medicalization of food. No, kale isn’t a superfood. No, Froot Loops are not poison. Food isn’t medicine. As for the risks of ultra-processed foods, any pharmacologist or toxicologist will tell you that the dose makes the poison. Ultra-processed foods don’t cause obesity. Obesity is caused by consuming […]

Jobless claims: Holiday seasonality enters in a big way

 – by New Deal democrat The good news is, we are back to the normal weekly jobless claims releases. The really good news is that this week’s number, except for one week in 2022, was a new 50 year low! The bad news is that Holiday seasonality is very much in play, so take the good […]

ISM services for November generally positive and improving

 – by New Deal democrat Probably the most important economic news this entire week was this morning’s ISM services report. Services are about 75% of the economy, and this report was for November, which means it is the most wide-ranging and current datapoint we have at the moment. And the news on this front was almost […]

Wealth and Income

Just some basic information and explanation. A few notes on wealth and income and the growth for a few since 1989 K-Shaped Recovery A K-shaped recovery occurs when, following a recession, different parts of the economy recover at different rates, times, or magnitudes. It’s called K-shaped because the path of the different parts of the economy […]