Opinion

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Health

Free Preventive Care Is the Cheapest Health Policy We Have

More than 50 health clinics closed last year after a Medicaid funding rule cut reimbursements for preventive care. The rule was framed as anti-abortion policy. What it actually eliminated was mammograms, STI tests, and birth control for people with no other options. This is what happens when prevention becomes a political football.

By Maya Okafor · 3 min read

Health

The ACA Subsidy Math Is Not Ambiguous

A 60-year-old couple at $85,000 income now pays $22,600 a year for ACA coverage. The enhanced subsidies are gone, the repayment caps are next, and the risk pool is already deteriorating. The math on this is not complicated.

By Dr. Alex Chen · 3 min read

Health

Prior Authorization Needs Surgery, Not a Funeral

Prior authorization costs $62.5 billion a year and delays care that patients need. But the bipartisan bills with supermajority support in Congress don't abolish it. They reform it. There's a reason for that.

By Dr. Alex Chen · 3 min read

Health

23 Million People Paying More for Less Is Not a Fraud Problem

ACA enrollment fell 1.2 million in 2026 after enhanced subsidies expired. One in 10 previous enrollees went completely uninsured. This is not a complicated mystery about fraud or inflated numbers. It is what happens when you raise the price.

By Maya Okafor · 3 min read