Leroy wrote on Dec 19^th, 2024 at 11:24am:


This is by no means a complete list, but I don't believe your question to be one seeking a legitimate answer by the way you've framed it so I won't waste more time putting a complete list together.  But anyway:

Strengthening the Affordable Care Act via the American Rescue Plan Act.

Executive Order 14070: Signed in April 2022, this order directed federal agencies to expand affordable coverage, improve quality, and strengthen benefits under the ACA.

Reducing Prescription Drug Costs via the Inflation Reduction Act of 2022.

Expanding Medicaid and the Children's Health Insurance Program.

Coverage of Traditional Health Practices: The Biden administration approved amendments allowing Medicaid and CHIP to cover traditional health practices provided by Indian Health Service facilities, Tribal facilities, and urban Indian organisations.

Mental Health Parity Rule: In September 2024, the administration finalized a rule ensuring that mental health care coverage for approximately 175 million Americans is on par with physical health care coverage, aiming to lower costs and improve access to mental health and substance use care.

Rural Health Funding: In September 2024, the administration announced a $75 million investment to support healthcare services in rural America, addressing disparities in access and quality of care.

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Off topic, nothing to do with healthcare.

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If you'd like to talk about healthcare predictions, it was predicted for Trump's first term given his campaign rhetoric that his changes to the healthcare system would cause the loss of coverage for millions, result in higher costs for vulnerable populations, create a destabilisation of insurance markets and increase health disparities.

These predictions all came true.

And now, all we know about his plans for his second term is that he has "concepts of a plan".

Given his track record, the lunatic he's put in a prominent health role and the total lack of a plan, the outlook is grim.

But the whole point was, if RFK Jr does anything to actually improve the system that puts the current status quo at risk, which is a necessity to actually fix it, Trump and the Republicans are the wrong banner to do this under.

They will stop him or even just remove him from the role quick smart.

one of the problems with the american system is that obama made a law under obamacare that health insurers can only make 15 % profit on their business.

if you are limited to a certain % , then the only way to "grow profits" (which is what business will always do)  is to "do more proceedures , more admissions, more overservicing'

this leads to higher premiums and to more profit

as an example, in oz, we do 2nd yearly poo sampling to check for bowel cancer. cost about $30 a screen

american health insurers want 2nd yearly colonoscopies to check for bowel cancer. cost about $1500 a screen


ozempic the new wonder weight loss drug is 6 x the cost in america as in europe
a preventative asthma puffer is 6 x the cost as in canada (hence why americans go to canada to get meds)

but the perverse incentive from obamacare is that by paying out all these "higher prices" under health insurance, the pie of costs grows and grows and the 15 % does not grow but profits grow,

hopefully trump sorts this out, he is a businessman after all

also JFK, dr mark hyman, dr kacey means are all HUGE on primary care, nutrition, preventative health, exercise and stopping the over servicing in proceedures and in medications to fix every problem. so they may be able to revers the trend

even ozempic is going to cost americans a trillion a year if the current system continues into next year. and it looks like it will be a lifelong treatment

far better to get people to hit the gym, eat fruit and cancel the drug

MeisterEckhart wrote on Dec 19^th, 2024 at 12:54pm:



so an open ended system where the only way the big players can make more money is to grow the system is fine by you?

i can see you arent a businessman either 

SadKangaroo wrote on Dec 19^th, 2024 at 11:58am:


Nice, informative post.

Perhaps Leroy could now tell us what improvements were made in the four years under Trump and Pence.

The rather bizarre advice from the "paid off" american paediatric society 
rather expensive too 

Depending on the degree of obesity in the child, the AAP guideline further recommends integrating anti-obesity medications (such as metformin and GLP-1 receptor agonists) and potentially bariatric surgery with IHBLT to treat the condition. These medications have been shown to be safe and effective treatment options for children 12 years and older.
Just this year, the FDA also approved Wegovy (semaglutide) as a weight loss treatment for adolescents above age 12 years, increasing options for teens struggling with unhealthy weight.

Bariatric surgery should also be considered in children ages 13 years and older with severe obesity, according to the new AAP guidance. Although a more drastic approach, bariatric surgery can be particularly successful in maintaining a lower and healthier BMI. Anti-obesity medications and bariatric surgery are approaches that are more often used in adult populations but evidence suggests that they are safe and effective for some children as well.

MeisterEckhart wrote on Dec 19^th, 2024 at 1:43pm:


How many American children is RFK Jr. going to kill?   

“The Samoan establishment handled the whole situation really badly and did not take the support and advice that was provided to them at the time, which is what allowed this to unravel and let RFK get in there,” Petousis-Harris said.

“When you get people who are wealthy and influential going into a fragile setting, it’s like the top of the food chain visiting and meeting up with those who act as the megaphone. The impact was devastating.” The resurgence of disease when vaccine rates go down is predictable, she said.

Kennedy has spread false claims that the MMR vaccines cause autism. According to the Centre for Countering Digital Hate, he is one of the world’s top disinformation super-spreaders. Public health officials in Samoa said anti-vaccination activists had been empowered by Kennedy, which had affected vaccine uptake.

aquascoot wrote on Dec 19^th, 2024 at 2:03pm:


Well, if that's what he said that's good enough for me.

If you can't believe this man, then who can you believe?