How Medicare should negotiate drug prices

The Inflation Reduction Act, passed last year, gave Medicare the authority to negotiate drug prices for the first time. The government will start with 10 medications, which were announced last month. Now it just needs to figure out how much they should cost.

Vivek Ramaswamy is confused

The theatrically combative presidential candidacy of Vivek Ramaswamy seems to be premised on two messages. One is his disdain for identity politics, which he argues creates a citizenry obsessed with victimhood and a corporate sector in thrall to trendy left-wing obsessions, leaving America trapped in a “cold cultural civil war,” as he put it last month in the first Republican debate. The other is his devotion to Donald Trump, whom Ramaswamy relentlessly defended in the debate, promising to support the former president, if Trump wins the Republican nomination, or to pardon him, if Ramaswamy wins the White House. He called Trump “the best president of the 21st century.”

Mental health and the physician shortage

After graduating from the University of North Carolina in May, we recently spent five weeks travelling between the Hawaiian Islands and speaking with primary care clinicians, public health officials, community organizations and patients to learn about the policies and culture which affect people’s health in Hawaii. Our research took us from the state Department of Health in Honolulu to the Ka‘u district of Hawaii Island, the west side of Kauai, and Kaunakakai on Molokai.

How COVID built a bridge between the worst of past and future

My colleague David Wallace-Wells, in his New York Times newsletter last week, described the COVID era as a time machine — one that unwound years or decades of progress and threw us back into the past. The rise in mortality, the spike in violent crime, the learning loss for children — each of these turned us back toward the conditions of an earlier period: the higher homicide rate of the late 1990s, the higher death rates of the turn of the millennium, the lower National Assessment of Educational Progress test scores of the 2000s.

GOP walks the impeachment tightrope

The evidence implicating President Joe Biden in influence peddling keeps piling up. There’s less evidence that impeachment proceedings will be an electoral boon for the GOP.

America’s safety net isn’t working

The US has a long-acknowledged problem of poverty and inherited economic disadvantage – though not for lack of policy interventions. Its social safety net is expansive, encompassing multiple schemes including Medicaid, the Supplemental Nutrition Assistance Program (SNAP, or “food stamps”), Temporary Assistance to Needy Families (TANF) and numerous other subsidies to help pay for childcare, housing, energy and more. All told, such programs receive more than $1 trillion in federal spending annually.

Biden impeachment inquiry opens a dangerous new door

“I am your retribution,” Donald Trump told his followers earlier this year. And, while the former president technically has no role in the newly launched House impeachment inquiry against his once and probably future election opponent, that action is — make no mistake — all about fulfilling Trump’s malicious vow.

Adderall shortages could get worse. Blame regulators

Millions of children with ADHD are starting a new school year without regular access to their medications, known as prescription stimulants, which have been in shortage for almost a year. While there are reasonable concerns about the overuse of such drugs, the lack of supply poses a risk to those who legitimately need them — and misguided government regulations are making things worse.