Health Insurance Exchange Decisions…So Far!
But in this partisan world, not all states are going ahead with the idea of creating these exchanges. The Washington Post’s Sarah Kliff has a nice summary, in one simple picture, of where things stand:
Under the Big Beautiful Bill, the federal government is making steep cuts to Medicaid funding. Those cuts could increase the price you pay for medical care. Here’s why when the government cuts Medicaid funding, we all pay the price. Read more here
States face a tough choice right now, of whether to expand their Medicaid roles with 90% of the costs being borne by the government. (Medicaid is a combined Federal/State program to pay for healthcare of low income individuals and families.) Why is taking money from the Feds a tough decision? For starters, it means supporting,…
Medicine, today, is supposed to be “patient-centered.” But sometimes the patients feel a little off balance. What can they do when everyone seems to be trying to push aggressive, expensive treatments on them? One solution — or a partial solution — is known as shared decision making, in which patients are given specific tools, such…

Here is a new post I’ve got up at the Health Care Cost Monitor, in which I try to convince folks that even Republicans should be in favor of federalizing Medicaid. I’d love your feedback, as I’m still developing this idea.
A great cartoon from the Kaiser Health News website that pithily captures the “wonders” of the American health insurance system. (Click here to view comments)
In a recent Atlantic post, James Hamblin reports on the increasing frequency with which surgeons perform hysterectomies with the assistance of robots. Here is a picture from that post: To be clear: robotic surgery doesn’t mean a robot performs the operation. Instead, the surgeon uses a laparoscope, usually, and the surgeon controls the tools at…