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Category: Doctors & Hospitals

Obamacare is Obsolete and Incompatible with Personalized Medicine

Posted on November 13, 2025November 12, 2025 by Devon Herrick

Under Obamacare patient power has only gotten worse. In 2023 I paid nearly $8,000 for a health plan that required I spend a similar amount on medical care before it paid a nickel of my medical bills. The only health care dollars I controlled were the ones I took from my own pocket. Of course, that is how it is supposed to work in other markets. The difference is that government regulates risk. If I want a method to limit my risk of a costly, catastrophic health condition, I must buy Obamacare.

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Thursday Links

Posted on November 13, 2025November 13, 2025 by John C. Goodman
  • Cato: How Joe Biden engineered a 21 percent expansion of food stamp benefits.
  • Economic study: Sales of Tesla’s electric vehicles would have been 67 percent to 83 percent higher but for Elon Musk’s politicking.
  • Could Guam become our 51st state?
  • The United States had 196,000 foreign-born doctors in 2000/01, which was 24.4% of all doctors in the country. By 2020/21, this rose to 291,000, or 29.7% of all doctors in the country. For nurses, the United States had 336,000 foreign-born nurses in 2000/01, or 11.9% of the total, and 736,000 by 2020/21, or 17% of the total nurses in the US.
  • Interview with Sachin Jain.
  • Hospitals are incompetent monopolists.
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Does Your Doctor Need a Boss?

Posted on November 11, 2025 by Devon Herrick

In my early days as a health economist, it became something of a fad for health policy analysts to argue that the U.S. health care system needed more vertical integration. Basically, your doctor needed a boss, who oversaw numerous doctors coordinating your care. I recall reading numerous articles with titles like, “does your doctor need a boss?” The Cato Institute published an article on the topic in 2009, as did many others.

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Tuesday Links

Posted on November 11, 2025November 11, 2025 by John C. Goodman
  • Community Health Centers serve one in ten Americans.
  • Even though 90 percent of US prescription drugs are generic, the number of U.S. facilities producing generic drugs has fallen by 27 percent since 2013. (NYT)
  • The “worst test” in medicine is driving America’s high C-section rate. (NYT)
  • Rising housing costs since 1990 are responsible for 11% fewer children, 51% of the total fertility rate decline between the 2000s and 2010s, and 7 percentage points fewer young families in the 2010s. 
  • CMS: “The average Marketplace premium after tax credits is projected to be $50 per month for the lowest cost plan in 2026 for eligible enrollees.”
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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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