No discernible difference exists between the ACA mandate penalty that was overturned by the US Supreme Court and the mandate penalty in the 2025 OBBBA.  More

Despite a mountain of evidence showing its deleterious effects, a Medicaid work requirement is now law. The mandate, considered by its supporters to be a centerpiece of the One Big Beautiful Bill Act (OBBBA), is the product of a desperate search to find ways to help offset over $3 trillion in tax losses, coupled with the enduring desire among Affordable Care Act (ACA) opponents to repeal the Medicaid expansion for working-age adults. To accomplish their goal, Medicaid advocates coupled a claim that removing millions of people from Medicaid somehow makes the program more efficient with grossly misleading “research” characterizing Medicaid beneficiaries as healthy adults living off their benefits, with free time on their hands.    More

The One Big Beautiful Bill Act (OBBBA)’s cuts to Medicaid will heighten the nation’s behavioral health crisis. Nationally, each year an estimated…  More

Joseph, a 45-year-old man with Down syndrome is brought to the emergency department (ED) after he and his mother fell down the stairs. In a phone…  More

The GOP Plan to End Obamacare involves fiscally starving it to death rather than an explicit repeal. Trump’s recent signing of the “Big Beautiful Bill” brings us closer to that harsh reality.    More

Despite recent overall decreases in drug overdose deaths, racial disparities are persisting. This, coming against the backdrop of sweeping national opioid settlements, offers a reminder of the enduring potency of systemic racism in the face of what is otherwise a demonstrable public health success.  More

Americans from across the political spectrum oppose cuts to Medicaid, believe that the program is effective, and are willing to take steps to defend Medicaid.  More

Millions of Americans possess insurance cards yet hesitate to use them. Escalating premiums, deductibles, and out-of-pocket expenses now impact not only low-income families but nearly everyone except the wealthiest. Annual out-of-pocket costs for a family of four now exceed $20,000—enough to buy a new car each year. These substantial expenses compel families to skip preventive services and essential medical care. The notion that “some coverage is better than none” falters when cost-sharing deters care and heightens financial risk.  More

In a radio address on July 24, 1933, Franklin Delano Roosevelt (FDR) coined the first “hundred days” as a measure of presidential effectiveness.…  More

The Trump administration is unsettling universities with aggressive cuts to federal research funding, including a reduction of the National…  More