By MICHAEL MILLENSON
January
In a blistering commentary, the American Medical Affiliation’s flagship journal, JAMA, condemns the corrosive impact on affected person care of the profit-seeking practices of well being insurers. Individually, the group declares that it’s promoting the 13 journals in its JAMA Community to a non-public fairness agency for $375 million “so as to improve our mission of selling the betterment of public well being.”
February
Shortly following up on a marketing campaign pledge to slash the federal price range, the Trump administration declares a radical consolidation of assorted entities on the Division of Well being and Human Providers. The brand new group shall be referred to as the Company and Bureau for Youngsters, Medication, Explosives, Firearms, Households and Meals (ABCDEFFF). Reflecting the brand new president’s sturdy private preferences, “alcohol” will now not be permitted in any company identify.
March
Bipartisan laws demanding transparency from Pharmacy Profit Managers dies in committee after trade executives clarify that secret rebates to PBMs are like secret political motion committee contributions to politicians: they help you loudly proclaim you’re an “advocate” for these supposedly paying you whereas truly serving the pursuits of those that are actually paying you.
April
Pfizer declares that its once-a-day capsule model of the wildly GLP-1 agonist weight reduction medication will shortly be submitted for presidency approval, and in addition that the corporate is shifting its headquarters from New York to Louisiana, a state with a 40 p.c weight problems fee. Coincidentally, Louisiana can be the house state of Republican senators Cassidy and Kennedy, senior members of the Senate committees overseeing well being care and all federal appropriations.
Could
The brand new non-public fairness homeowners of the JAMA Community say that each one employees besides one editor at every journal shall be changed by ChatGPT. A supply on the non-public fairness agency tells the Wall Avenue Journal that OpenAI gained out over Gemini “as a result of our CEO is a Leo” and over Claude “as a result of no one likes the French.”
June
Controversial right-wing firebrand Rep. Marjorie Taylor Greene, lengthy the topic of rumors that she’s had beauty surgical procedure, is identified with a critical an infection after an unspecified process. The Home rapidly schedules its first listening to on medical error in over twenty years, however then cancels when the American Hospital Affiliation factors out the official time period for what the Georgia Republican contracted was a “healthcare-related an infection,” so it’s solely potential she by accident introduced the an infection along with her to the pristine hospital. In the meantime, with Home management telling Members they have been free to vote their conscience, a decision to ship Greene a “Get Nicely” card passes unanimously after deletion of the phrase, “Quickly.”
July
Following by on years of guarantees to disclose a “actually nice” substitute for the Reasonably priced Care Act, President Trump on July 4 declares the “100-100-100” Make America Wholesome Once more plan. In step with the GOP’s advocacy for “skinny” plans with low premiums that encourage “customers” to “comparability store,” the plan will cowl 100% of any medical invoice for as much as $100 a day for a premium of simply $100 a month. Individually, Elon Musk tells a gathering of medical health insurance executives the plan also can change each Medicare and Medicaid, enabling the federal authorities to chop spending by virtually as a lot because the market capitalization of Tesla.
August
Earlier than Congress recesses, a coalition of progressive organizations points a press launch declaring that each one fundamental well being providers, whether or not offered by authorities businesses or the non-public sector, needs to be “obtainable to the whole inhabitants in response to its wants.” Shortly afterwards, the coalition is compelled to make an embarrassing retraction after ChatGPT alerts the lone editor of JAMA that the coalition by accident re-released a piece of the report of the Committee on the Prices of Medical Care, fashioned in 1927.
September
The Enterprise Roundtable says its members are dedicated to enhancing the standard of well being look after all staff as a result of “high quality well being care is nice enterprise.” An 85-year-old freelancer for The New York Instances notes that this was the precise title of a September, 1997 coverage paper by a Roundtable process power wherein an government for Sears, which on the time operated over 3,500 shops, declares, “We consider that high quality well being care is lower-cost well being care.” Sears presently has a few dozen shops.
October
Medicare Benefit plans step up their promoting expenditures after public opinion polls present that no one anymore believes the portrayal of glad and wholesome seniors taking part in pickleball as a substitute of writing tear-soaked letters pleading for approval of hip surgical procedure. The commerce associations for hospitals, drug and gadget corporations and PBMs name on Congress to offer larger oversight of grasping insurers. The editor of JAMA resigns after ChatGPT writes an editorial extolling the deserves of MA plans run by for-profit corporations.
November
The Nationwide Rural Well being Affiliation says that within the spirit of the Thanksgiving vacation, its members will settle for reside turkeys in partial cost of the medical money owed that now have an effect on 99.99 p.c of all Individuals after passage of the administration’s “100-100-100” Make America Wholesome Once more plan. A KFF survey explains that the quantity shouldn’t be 100% as a result of Congress retained typical medical health insurance for itself and prime federal officers and since America’s billionaires had opted for self-pay.
December
A Washington Submit editorial declares, “The underside line is that if we need to include spending, we should make essential selections about how care is delivered, to whom, and underneath what circumstances.” Completely different chatbots differ on the place that quote initially got here from, however agree that if any people consider the American public is able to make essential selections, they’re hallucinating.
Michael L. Millenson is president of Well being High quality Advisors & an everyday THCB Contributor
