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Healthcare Access & Affordability


The Great European Drug Drought: What MFN Means for America
European price controls demonstrate MFN policy risks: delayed access, treatment rationing, and pharmaceutical innovation collapse.

Travis Roppolo
Sep 28, 20257 min read


September Shutdown Could Cripple Open Enrollment as HIV Patients Face Coverage Crisis
September government shutdown threatens healthcare systems during November open enrollment, risking coverage loss for 22 million Americans.

Travis Roppolo
Sep 21, 20255 min read


CBO Data Proves Hospital Systems Exploit 340B Drug Program for Billions
Congressional Budget Office confirms 340B program expansion driven by hospital exploitation rather than pharmaceutical price inflation.

Travis Roppolo
Sep 14, 20256 min read


The CDC's Ideological Takeover
RFK Jr's dismantling of CDC scientific leadership replaces expertise with anti-vaccine ideology and predetermined policy conclusions.

Travis Roppolo
Sep 7, 20256 min read


Federal Antitrust Retreat Threatens Patient Access
Trump administration's revocation of competition executive order accelerates healthcare consolidation and threatens patient access.

Travis Roppolo
Aug 31, 20255 min read


Most Favored Nation, Least Favored Patients
Most Favored Nation pricing threatens to import restrictive QALY-based frameworks that discriminate against expensive treatments.

Travis Roppolo
Aug 24, 20257 min read


HRSA Tightens STI Clinic 340B Rules Amid Industry Lawsuit
HRSA clarifies 340B eligibility for STI clinics while manufacturers challenge Ryan White program participation.

Travis Roppolo
Aug 17, 20255 min read


HRSA's 340B Pilot Tests What Already Works While Ignoring What Doesn't
HRSA's 340B pilot program replicates existing successful models rather than addressing structural program exploitation.

Travis Roppolo
Aug 10, 20255 min read


HIV/HCV Co-Infection Watch Q3: July 2025
Q3 2025 Watch: critical analysis including Cure Hepatitis C Act proposing subscription treatment models.

Travis Roppolo
Jul 29, 202532 min read


Enhanced Premium Tax Credits Face Political Crossroads as Coverage Crisis Looms
Expiration of enhanced ACA subsidies threatens to increase premiums 75% and reduce marketplace enrollment by millions.

Travis Roppolo
Jul 27, 20256 min read


Medicaid loses billions as 340B program expansion collides with state budgets
340B program expansion drains billions from state Medicaid budgets while failing to deliver promised drug cost savings.

Travis Roppolo
Jul 20, 20256 min read


RFK Jr.'s Administration for a Healthy America is Not Healthy
RFK Jr's Administration for a Healthy America proposes to dismantle infectious disease capacity while emphasizing unproven chronic disease theories.

Ranier Simons
Jun 22, 20254 min read


Strengthening Caregiving Infrastructure is Fundamental to a Healthy American Society
Caregiving infrastructure supports health equity and healthcare outcomes, requiring policy investment in caregiving infrastructure.

Ranier Simons
Jun 8, 20256 min read


CMS Draft Guidance Creates Regulatory Vacuum in 340B Drug Pricing
CMS draft guidance on 340B claims modifiers creates ambiguity and enforcement gaps threatening program integrity and beneficiary access.

Travis Roppolo
Jun 1, 20257 min read


Antibiotic Crisis - Hope Amid Institutional Decline
Antibiotic-resistant bacteria threaten basic medical procedures while drug development incentives prove inadequate for innovation.

Travis Roppolo
May 18, 20256 min read


The High Cost of Middlemen Medicine
Pharmacy benefit managers extract billions while adding no value, increasing costs without improving patient access or health outcomes.

Travis Roppolo
May 11, 20256 min read


Mixed Signals - Trump's Drug Policy Undermines Its Own Goals
Trump administration's contradictory drug pricing policies undermine goals of affordability and innovation incentives.

Travis Roppolo
Apr 13, 20255 min read


Are Federal Spending Cuts Endangering America's Most Vulnerable?
Federal spending cuts disproportionately impact vulnerable populations relying on safety-net programs and community health services.

Travis Roppolo
Apr 6, 20258 min read


PDAB Chicanery - How Drug Affordability Boards Are Undermining Public Engagement
State Prescription Drug Affordability Boards limit public input while basing pricing decisions on flawed methodologies.

Travis Roppolo
Mar 30, 20256 min read


A Public Health Crisis in the Making
Deteriorating public health surveillance capacity creates blind spots for emerging disease threats and health disparities.

Kalvin Pugh
Mar 23, 20255 min read
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