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The Goodman Institute Health Blog

Category: Affordable Care Act

Wednesday Links

Posted on December 31, 2025December 30, 2025 by John C. Goodman
  • Elephants and bats live a long time in part because they don’t get cancer.
  • Motherhood drives the earning gap between men and women.
  • Is the statistical value of a year of life (which is supposed to drive medical and regulatory decisions) too high?
  • Almost half of the adults receiving health insurance via the (Obamacare) exchanges either own or work for small businesses.
  • Since Medicare’s inception in 1966, its spending has grown about 1.5 times faster than the economy.
  • Why Matt Yglegias rejects the Billionaire Derangement Syndrome.
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What’s Wrong with Obamacare?

Posted on December 30, 2025December 30, 2025 by John C. Goodman

Taxpayers paid more than $114 billion directly to insurers in 2024 … more than six times as much as in 2014.

Our study shows the correlation between premium growth and subsidy growth is nearly perfect.

 In 2024, 90% of subsidy-eligible enrollees had access to plans with net premiums of $10 a month or less.

We found that the market size for unsubsidized Obamacare plans shrank by a quarter, from $23 billion in 2014 to $17 billion in 2024. 

Obamacare is a poor value, a product few Americans would voluntarily purchase without subsidies.

Source: Ge Bai and Elizabeth Plummer, JAMA Health Forum

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Saturday Links

Posted on December 27, 2025December 26, 2025 by John C. Goodman
  • Obamacare light: “this cautious approach will make it difficult to argue Republicans have a plan to lower costs for the majority of American consumers.”
  • Against Republican Food Stamp restrictions. (I don’t agree. In most states you usually must certify your status weekly or bi-weekly to keep receiving Unemployment Compensation.)
  • Senate Republican health plan:  Eligible individuals age 18 to 49 with incomes below 700 percent of the federal poverty line would get $1,000 annually in 2026 and 2027, while those age 60 to 64 would get $1,500. Those amounts are far less than the $7,500 average deductible for bronze coverage in 2026 or the $10,600 required by the ACA’s catastrophic insurance plans.
  • Unique study of the benefits of college admission: cost-benefit calculations show internal rates of return of 26 percent for the students, 16 percent for society (which must pay for the additional education), and 7 percent for the government budget.
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Wednesday Links

Posted on December 24, 2025December 23, 2025 by John C. Goodman
  • Next year, the number of counties with only one company providing Obamacare will jump from 72 to 146.
  • Clinicians make over 100 million specialty referrals annually in the U.S., yet research shows that as many as half are never completed.
  • The United States currently recommends immunizing all children against 17 diseases. In Denmark it’s only 10. (NYT)
  • One in ten participants in Canada and Poland were persuaded to change their candidate preference after interacting with an AI chatbot tasked with converting them.
  • A new trend in Christmas gifts: health tracking devices. (WSJ)
  • “Some 50 million Americans struggle with drug and alcohol addiction… drug overdose is the leading cause of death for Americans between 18 and 45 years old.” (NYT)
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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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