Silence in Sikeston: Hush, Fix Your Face

SIKESTON, Mo. — For residents of Sikeston, as for Black Americans around the country, speaking openly about experiences with racial violence can be taboo and, in some cases, forbidden. As a child, Larry McClellon’s mother told him not to ask too many questions about the 1942 lynching of Cleo Wright in their hometown of Sikeston….

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How do drug prices change before loss of exclusivity?

Typically, cost effectiveness analyses assume a constant price between drug approvals and loss of exclusivity. It is not clear, however, to what extent that assumption is valid, particularly after taking into account drug price discounts and rebates. A paper by Lin et al. (2024) uses 2007-2023 data on drug prices from SSR Health to answer…

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Which types of health insurers make the most money?

It turns out the answer is Medicare Advantage plans according to a KFF analysis released today. However the reason why Medicare Advantage is more profitable may not be obvious: At the end of 2024, gross margins per enrollee ranged from $608 in the Medicaid managed care market to $1,655 in the Medicare Advantage market. Gross…

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When the Doctor Needs a Checkup

He was a surgical oncologist at a hospital in a Southern city, a 78-year-old whose colleagues had begun noticing troubling behavior in the operating room. During procedures, he seemed “hesitant, not sure of how to go on to the next step without being prompted” by assistants, said Mark Katlic, director of the Aging Surgeon Program…

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