Posts by Luke
The Medicare Hospice Fraud Crackdown Tests the Health System Trust Problem
A six-month freeze on new hospice and home-health Medicare enrollments shows the uncomfortable tradeoff between fighting fraud and preserving access in a fragile health system.
Read MoreThe New Ebola Emergency Is a Public-Health Trust Test
WHO’s Ebola emergency declaration in Congo and Uganda is a reminder that public-health credibility is built before a crisis, not improvised after one begins.
Read MoreConflicting Mammogram Rules Show How Public Health Loses Trust
Conflicting mammogram recommendations are not just a medical-information problem. They expose a public-health system that asks citizens to trust institutions while those institutions struggle to speak clearly.
Read MoreThe FDA Drug Office Is Starting to Look Like the Story
Reuters reports another leadership change at the FDA drug center. The problem is bigger than one official: medical trust breaks when the referee starts looking unstable.
Read MoreThe Tavneos Case Shows Why Drug Safety Cannot Be a Public-Relations Exercise
Reuters reports that Amgen’s rare-disease drug Tavneos has been linked to serious liver injuries and about 20 deaths in Japan while the FDA begins withdrawal proceedings in the United States.
Read MoreThe FDA’s Aardvark Hold Is a Reminder That Drug Speed Still Needs Trust
The FDA placed a full clinical hold on Aardvark Therapeutics’ ARD-101 trials, a small but telling example of the tension between biotech speed and public trust.
Read MoreThe Abortion Pill Fight Is Now a Trust Fight Over the FDA
The Supreme Court let mail delivery of mifepristone continue, keeping the abortion-pill fight focused on FDA authority, state power and institutional trust.
Read MoreThe Pancreatic Cancer Drug Rush Is Also a Healthcare Capacity Test
A promising experimental pancreatic cancer drug is exposing the gap between FDA access headlines and the real institutional capacity patients need to use them.
Read MoreVance’s Medicaid Threat Turns Anti-Fraud Into a Health-Care Power Play
A serious anti-fraud effort should protect Medicaid and Medicare. Threatening whole-state funding turns a compliance problem into a structural trust problem.
Read MoreMedicare’s Fraud Crackdown Will Test Whether Oversight Can Avoid Becoming a Bottleneck
The Trump administration is pausing new Medicare enrollments for home health and hospice providers, citing fraud concerns and the need for a full accounting.
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