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Feb 22 2025

Debunking Climate Hysteria, February 22, 2025

By Kevin Roche Commentary No Comments
Despite some increase in fire acres burned in recent years, we are still below historical norms and have an overall fire "deficit".
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Feb 21 2025

The Trade Deficit, the Dollar, and Tariffs

By Kevin Roche Commentary One Comment
A WSJ Op-ed explains why focusing on trade deficits is the wrong economic approach, since trade deficits have nothing to do with economic growth.
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Feb 21 2025

Debunking Climate Hysteria, February 21, 2025

By Kevin Roche Commentary One Comment
It is an extremely cold winter in the US, but don't worry it is just "weather", and probably caused by CO2, just like warmth.
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Feb 20 2025

National Health Spending in 2023, Part 2

By Kevin Roche Commentary No Comments
A continuance of the breakdown of 2023 health spending.
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Feb 19 2025

A Mediocre 20-year Bond Sale

By Kevin Roche Commentary No Comments
The bond market isn't cooperating with Trump's desire to see lower rates. Who can blame it with our deficit and debt.
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Feb 18 2025

National Health Spending in 2023, Part 1

By Kevin Roche Commentary No Comments
Some basic statistics about health spending in 2023.
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Feb 16 2025

Variation in Health Spending

By Kevin Roche Commentary 2 Comments
Another interesting analysis of geographic variation in health spending.
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Feb 15 2025

All Quiet on the Western Front

By Kevin Roche Commentary 9 Comments
The pre-eminent description of war's impact on those who must fight it was written after the First World War. We have learned nothing since.
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Feb 14 2025

Yesterday’s 30-year US Bond Auction Did Not Go Well

By Kevin Roche Commentary No Comments
Warning signs aplenty if Congress does not get its act together on deficit reduction.
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Feb 13 2025

Reciprocal Trade Barriers

By Kevin Roche Commentary One Comment
Trump's imposition of reciprocal tariffs is briliant, exposing the hypocrisy of other countries that have far higher trade barriers than does the US.
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Feb 12 2025

We Are Truly F**ked

By Kevin Roche Commentary 4 Comments
A bad inflation report, a bad deficit report, a bad ten-year US note auction; Trump got handed a complete bag of shit by Bidementia.
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Feb 12 2025

Private Equity Ownership and Health Care Prices

By Kevin Roche Commentary 2 Comments
Financial investor ownership of health care providers results in higher prices.
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Feb 11 2025

A Good Three-year Auction

By Kevin Roche Commentary No Comments
A very strong three-year US debt auction today.
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Feb 11 2025

More on Medicare Advantage Risk Adjustment and Coding

By Kevin Roche Commentary No Comments
The risk formula for payments to Medicare Advantage plans clearly has issues but any changes need to be carefully considered to avoid further bad behavior incentives.
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Feb 10 2025

Karl Marx

By Kevin Roche Commentary 9 Comments
Karl Marx was essentially an idiot whose ideas have been adopted by totalitarians to justify their seizure of total power.
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About this Blog

Kevin RocheThe Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at khroche@healthy-skeptic.com.

Healthy Skeptic Podcast

Research

This is an outstanding report on total global drug spending and trends, with projections out to 2025.  It helps you understand this important area of health care, which does much...
June 1, 2021
The Office of the Actuary annual report on national health spending, covering 2018.
December 7, 2019
2019 Kaiser Family Foundation Employer Health Benefits Report
October 1, 2019
MedPAC 2019 Report to Congress
June 18, 2019

Headlines

Press Ganey, which provides market research for health plans and providers , is being purchased by health care survey firm Qualtrics for $6.75 billion.  Both companies claim this is all...
October 6, 2025
Another weirdly named company, Thyme Care, spices things up by raising a fresh $97 million in capital to support its cancer care managment business.
September 25, 2025
Sometimes companies change their name, I have no idea why and it often seems goofy.  CapitalRx, which is a pharmacy benefit manager, with aspirations to be a broader technology provider...
September 25, 2025
Innovacer, a health care technology company that claims extensive use of artificial intelligence, is acquiring Story Health, which helps manage patients with chronic care conditions and who need specialty care.
September 18, 2025

Tags

Access (89) ACO (165) Care Management (268) Chronic Disease (216) Comparative Effectiveness (81) Consumer Directed Health (71) Consumers (514) Devices (168) Disease Management (149) Drugs (605) EHRs (145) Elder Care (149) End-of-Life Care (97) FDA (85) Financings (1841) Genomics (80) Government (357) Health Care Costs (1428) Health Care Quality (616) Health Care Reform (1227) Health Insurance (1116) Health Insurance Exchange (162) HIT (478) HomeCare (76) Hospital (490) Hospital Readmissions (79) Legislation (78) M&A (1723) Malpractice (84) Meaningful Use (105) Medicaid (334) Medical Care (346) Medicare (607) Medicare Advantage (80) Mobile (89) Pay For Performance (92) Pharmaceutical (211) Physicians (569) Providers (252) Regulation (72) Repealing Reform (133) Telehealth (79) Telemedicine (325) Wellness and Prevention (316) Workplace (117)

About This Blog

The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry through Roche Consulting, LLC. Mr. Roche is available to assist health care companies through consulting arrangements and may be reached at khroche@healthy-skeptic.com. © Roche Consulting, LLC. Terms of Use.

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