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The Goodman Institute Health Blog

Category: Affordable Care Act

The FDA is Increasingly Skeptical of Therapies for Rare Diseases

Posted on March 7, 2026March 6, 2026 by Devon Herrick

The FDA under Trump has consistently maintained its stated goal of removing bureaucratic obstacles to drug approval. FDA commissioner, Marty Makary, announced steps to speed the approval of new drugs, including allowing one well-designed clinical trial rather than two or more trials to show efficacy. Yet, drug companies continue to claim inconsistent guidelines, endpoints changed and a skeptical agency when it comes to rare disease therapies. Recently drugmakers have complained the FDA moved the goalposts, after agreeing to them. 

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Why Insurers Do Not Negotiate Aggressively to Hold Medical Prices Down

Posted on March 3, 2026March 3, 2026 by Devon Herrick

The Kaiser Family Foundation (KFF) Health News reports that patients often are aghast at the prices of services and wonder why their insurers agreed to pay that much. Me too! I have told the story a million times about my wife almost scheduling a CT scan at a hospital near our home. The hospital had to seek prior authorization for the ($3,000+) diagnostic procedure. A day later the hospital called to say it was approved and her share of the cost would be $2,700. When would she like to schedule? My wife told me the story and within 10 minutes I found a facility with a BlueCross rate of $403.

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What is the Purpose of Health Insurance?

Posted on February 28, 2026February 27, 2026 by Devon Herrick

This year the cost of Obamacare for someone my age living in my North Texas county is roughly $10,000 for a $10,000 deductible. That means I would pay premiums of just over $800 a month in return for coverage that would cover nothing unless my health needs exceed $800 a month for the entire year. Assuming I spent more than $10,000 during the coverage period, the ACA plan would cover only $0.60 cents of every dollar I spend above my deductible.

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Thursday Links – 19 February 2026

Posted on February 19, 2026February 18, 2026 by John C. Goodman
  • Why does health care spending keep rising? It’s higher utilization, not higher prices.
  • US education failure:  fifteen countries have higher average science scores than the United States.
  • Why Congress can’t fix Obamcare: abortion.
  • “The Food and Drug Administration is full of rules that keep safer drugs prescription-only while allowing more dangerous ones to be sold over the counter.”
  • Does  coffee lower your risk of dementia?
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For many years, our health care blog was the only free enterprise health policy blog on the internet. Then, when the NCPA closed its doors, the health blog stopped as well.

During this five-year hiatus no one else has come forward to claim the space. So, my colleagues and I have decided to restart the blog in connection with the Goodman Institute. We invite you and others to use this forum to share your views.

John C. Goodman,

Visit www.goodmaninstitute.org

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