Dr. Anish Koka's Newsletter
Anish Koka MD (Cardiology)Medicine, Cardiology and health policy
| Platform |  | Pricing | Only free issues | Publishes | Weekly |
|---|---|---|---|---|---|
| Issues | 82 | Founded | 4 years ago | Last Issue | 7 days ago |
| Active | |||||
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anishkokamd.substack.comLatest Issues
The Zero-Sum Trap: Why Medicare Will Never Pay Physicians Fairly
The Physician Fee Schedule (PFS) was established by legislation passed in 1989 and went into effect in 1992. Prior to that, Medicare paid physicians based on “customary, prevailing and reasonable” (CPR) charges — essentially a cost-plus app...
Little League Nation
That’s my son batting in the picture. Watching young Koka are a young Cabot, Desai, and Rosenberg. It’s a scene from a recent little league gameg that played out in a leafy Philadelphia suburb (names on jerseys changed for privacy). It’s al...
"We Cannot Afford to Miss a Superiority Outcome"
On the morning of June 29th, 2026 a blurb appeared on my phone about a retraction in the vaunted New England Journal of Medicine. The link led to a short notice on the NEJM webpage:
The two academic authors of the article by Jayne et al....
Fire the Regulator. Approve the Drug.
The FDA fired its acting drug chief after she blocked approval of an immune-suppressing drug for children. Her replacement approved it four weeks later — without the independent expert review she had ordered. Here is what the record shows....
They Were Fixing the FDA. Then They Were Pushed Out.
On January 12, 2026, the FDA approved Zycubo — copper histidinate — for Menkes disease. Menkes disease is a genetic disorder of copper metabolism that kills most children who have it before their third birthday. There is no other treatment....
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| Subscribers | Engagement | 79 | Monthly Web Visits | ||
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Cardiologist writing on medicine and health policy (mostly)
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