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Category: Direct Primary Care

Would You Discuss Your Health with an AI Chatbot?

Posted on November 3, 2025 by Devon Herrick

From the Wall Street Journal, Daniel Akst wrote:

Once upon a time, my wife’s uncle, Jim, delivered babies, set broken bones, diagnosed diseases, and helped people reconcile themselves to mortality. That’s what family physicians did in those days.
Things are different now, and the doctor I most often consult is AI. I’d prefer to see Uncle Jim, but if physicians like him still exist somewhere, I doubt I could get an appointment. How I ended up resorting to artificial intelligence—despite excellent health insurance and proximity to great care—says a lot about the state of healthcare in this country.

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KFF: Does it Matter if You Die Alone?

Posted on October 19, 2025October 17, 2025 by Devon Herrick

My father died surrounded by his family, in a hospital critical care unit. We held his hands as a hospital chaplain sang a hymn. His death was peaceful. My wife’s mother was also with a loved one – her oldest daughter – when she passed. Her death was not planned; it just happened while my…

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Friday Links

Posted on October 10, 2025October 9, 2025 by John C. Goodman
  • Six former surgeons general warn that RFK Jr. is “endangering the health of the nation.”
  • The Obamacare exchanges explained.
  • John Cochrane on the 340B program.
  • Repurchasing stock does not reduce firms’ real investment.
  • Six reasons not to extend Obamacare subsidies.
  • Trump: No tariffs on generics.  (WSJ)
  • Obamacare premiums are not about to double.
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Should Nonprofit Hospitals Do More to Earn Their Tax Exemption?

Posted on October 9, 2025 by Devon Herrick

There are nearly 3,000 nonprofit hospitals in the United States. Keep in mind, nonprofit status is a tax election. It does not mean a hospital is not trying to earn a profit. Rather, it means a hospital is trying to either: a) break even by spending its profits on a charitable mission, or b) plowing profits back into expansion. Hospitals tend to do the latter, rather than the former.

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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,

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