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The Goodman Institute Health Blog

Category: Cost of Healthcare

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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Tuesday Links

Posted on December 30, 2025December 29, 2025 by John C. Goodman
  • Berwick, et. al. on how to fix American health care: more socialism.
  • How one medical intervention can cascade into more interventions.
  • Senate Democrats oppose prior authorization in traditional Medicare.
  • The problem for doctors and patients is that the vast majority of cardiac arrest cases occur in lower-risk individuals without heart failure or known heart disease.
  • Why do we continue to fund Head Start when studies show it doesn’t work? Because it’s a jobs program.
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Drugmakers Bypass PBMs to Sell Directly to the Public

Posted on December 29, 2025 by Devon Herrick

Prescription drug spending is about $806 billion a year, while the cost net of manufacturers’ prices is about $487 billion. That suggests $319 billion of drug expenditures are going somewhere else besides drugmaker’s pockets. 

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More Good News About 2025

Posted on December 29, 2025 by John C. Goodman

88% of the world’s adults are now literate.

Fewer than half as many children died in 2025 as in 2000.

Incomplete statistics suggest that roughly 30 percent fewer Americans will have died of overdoses in 2025 than in 2023.

A new drug that can be taken by injection once every six months virtually eliminates the risk of getting H.I.V.

The gene editing tool CRISPR is revolutionizing care for sickle cell anemia and other diseases.

Scientists might eventually be able to grow you a new arm.

Source: Nichola Kristof, New York Times

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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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