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Category: Cost of Healthcare, Health Insurance

Single-Payer Healthcare and Three-Way Balance … Lessons Learned on a Train

Recently, I had the distinct pleasure of embarking on the Grand Canyon Railway from Williams, Arizona to the Grand Canyon Village on the South Rim. Spectacular train ride there and back — I highly recommend! — and incredible views once you got there. Read more

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Category: Cost of Healthcare, Government Programs

Is Medicare Covering Weight-Loss Drugs?

I’m currently being bombarded with questions about an announcement by the folks in Washington, D.C. who run Medicare that seniors will soon be able to purchase GLP-1 weight-loss drugs for $50 a month! Read more

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Category: Cost of Healthcare, Health Insurance

How Much Longer Can You Pay? What’s Changed with Negotiations and Cost Shifting for 2026

It’s recently come to my attention that about 43% of us here in Louisiana are enrolled in some sort of private health insurance coverage. That’s based on my sum of all Louisianians who have insurance through a job, through a family member who has a job or through an individual policy like HealthCare.gov.

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Category: Cost of Healthcare, Health Insurance

How Much Longer Can You Pay? APPENDIX DATA

This appendix data goes with the June 2, 2026, post, How Much Longer Can You Pay? What’s Changed With Negotiations and Cost Shifting for 2026.

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Category: Cost of Healthcare, Uncategorized

Transparency and Discipline: How Louisiana Blue Spent YOUR Money in 2025

This year marks the 21st year that I’ve been deeply involved in how healthcare is financed in Louisiana, seeing how money moves through that system. I’m surprised at how many moving parts and different players are involved in delivering and paying for healthcare. Read more

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Category: Health Insurance

Is Anybody Listening? Louisiana Blue Is …

My Dad, the founder of Straight Talk, despite having a mild form of dyslexia and struggling to spell words, was an inveterate letter writer. When he saw something going sideways that he thought someone should be working to fix, either because of their job or their appointed position, he let them know. Forcefully! Read more

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