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Off Label Ideas

US Healthcare Explained through Essays & Graphic Novels

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Substack
PricingFreemiumPublishesTwice weekly
Issues48Foundeda year agoLast Issue2 days ago
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Latest Issues

Policy Roundup: Week of May 16-22

Incentives & Administration

This week’s stories revolve around a recurring pattern in American healthcare policy: every institution wants more flexibility, more funding streams, and more control over patient flow, while policymakers simult...

2 days ago
1
Paid

Friedman, Primary Care, Insurance & Math

Milton Friedman described four ways people spend money. The most careful way is spending your own money on yourself. You care about quality, but you also care about price. The least disciplined version is spending someone else’s money on yo...

5 days ago
6

Healthcare is Broken Windows

I don’t think anyone actually knows if the economy is doing well or not. People show charts proving job creation. Others counter with charts showing stagnation, declining real wages, unaffordable housing, or collapsing small business format...

7 days ago
12
3

Policy Roundup: Week of May 9-15, 2026

Healthcare Policy Is Becoming an Administrative Arms Race

Unfortunately, healthcare regulation increasingly prescribes more administrative negotiation rather than allowing direct prices. Whether the subject was No Surprises Act arbitration...

10 days ago
2
Paid

The U.S. Government Is a Health Insurance Company With a Small Standing Army

A truly dimwit take on the left is to claim we don’t have universal health care because we spend too much money on warfare, or Trump’s White House ballroom, or some other political project they don’t like. Of course, the military is the big...

12 days ago
12
4

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