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The HIV Care System Is Breaking Before Congress Even Cuts It
HIV care system deterioration from administrative obstruction and funding delays presages catastrophic effects of potential budget cuts.

Travis Roppolo
Nov 16, 20257 min read


Federal Policy Changes Threaten to Overwhelm ADAPs
Federal policy changes including Medicaid work requirements and ADAP eligibility restrictions threaten access to HIV medications.

Travis Roppolo
Nov 9, 20256 min read


340B - Are Patients at the Table or on the Menu? Reflections on the HELP Committee Hearing on 340B
Senate HELP Committee hearing reveals how 340B drug program expansion reflects hospital business strategy rather than patient benefit.

Kalvin Pugh
Nov 2, 20254 min read


HIV/HCV Co-Infection Watch Q4: October 2025
Q4 2025 Watch monitoring HCV treatment access and federal initiatives including Cure Hepatitis C Act.

Ranier Simons
Oct 29, 202530 min read


Clade I Mpox Emerges as Public Health Capacity Collapses
Clade I mpox emergence reveals structural collapse in U.S. disease surveillance and public health response infrastructure.

Travis Roppolo
Oct 26, 20256 min read


The Debt We Owe - How Miss Major Griffin-Gracy Showed Us What Solidarity Means
Miss Major Griffin-Gracy's legacy demonstrates solidarity's power in building healthcare justice and community leadership.

Travis Roppolo
Oct 19, 20256 min read


Collateral Damage - How Shutdown Politics Abandons Survivors at the Margins
Government shutdown disrupts grant payments to community health centers and crisis service providers, threatening vulnerable population access.

Travis Roppolo
Oct 12, 20256 min read


Healthcare Infrastructure Crisis Compounds America's STI Epidemic
Deteriorating healthcare infrastructure and provider shortages exacerbate rising rates of sexually transmitted infections.

Travis Roppolo
Oct 5, 20255 min read


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


The Plan to Kill the World's Most Successful AIDS Program
Proposed PEPFAR defunding would eliminate the world's most successful global HIV program and damage international health capacity.

Travis Roppolo
Aug 3, 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
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