Should health care spending make up 35% of GDP?

Perhaps at least according to Tyler Cowen. Here is an excerpt from his Conversation with Dan Wang: WANG: …health care is what, 20% of the American GDP?COWEN: 17 point something. That’s a lot, right?WANG: That’s a lot. That feels too high to me. I feel like we should be ringing better efficiencies out here.COWEN: It seems not high enough,…

Chronic myeloid leukemia treatment intolerance imposes additional resource and economic burden on oncology practices in the United States

That is the title of a new paper out last week in Future Oncology with co-authors Kejal Jadhav, Cheryl Warren, Sabiha Quddus, Nadine Zawadzki, Daisy Yang, Andrea Damon, Kathryn Spurrier, Katharine Batt and David Wei. The abstract is below. ObjectiveTyrosine kinase inhibitors (TKIs) have transformed the prognosis of chronic myeloid leukemia (CML) into a manageable…

Quantifying treatment value under IRA

That is the title of my new publication out today with the subtitle “A case study of rifaximin for the treatment of overt hepatic encephalopathy using QALY and non-QALY measures“. This was work with co-authors Shanshan Wang, Leonardo Passos Chaves, Olamide Olujohungbe, Sanjana Muthukrishnan, and Aditi Chaudhary. The abstract is below. BackgroundTraditional cost effectiveness analyses…

Medicare Drug Price Negotiation Results: 2027

Today, the Centers for Medicare and Medicaid Services (CMS) released the results from the Medicare Drug Price Negotiation Program for Initial Price Applicability Year (IPAY) 2027 (press release). What was the average reduction in drug prices? Across the 15 drugs included in the 2027 negotiation, on average, drug prices fell by 62% (median: 63%); accounting…

Friday Links

Impact of scope of practice laws in anesthesia. Reforming PBMs. UK COVID response: “Too little, too late” Enforcement of network adequacy requirements in Medicare Advantage. Access to orphan drugs in Central and Eastern Europe.

How will new H-1B fees impact rural hospitals?

On September 19, 2025, an executive order increased the fee for new H-1B petitions from approximately $3500 to $100 000 per applicant. How is this policy likely to impact the healthcare workforce in the U.S.? A paper by Liu et al. (2025) uses Department of Labor data on certified Labor Condition Applications (LCAs) supporting H-1B visas…