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An Arm and a Leg

@armandalegshow.bsky.social
538 followers 1.5K following 255 posts

A podcast about why health care costs so freaking much, and what we can (maybe) do about it, in partnership with ‪@kffhealthnews.org‬ and ‪@kuow.org‬ Hosted by @danweissmann.bsky.social‬ Our newsletter: armandalegshow.com/first-aid-kit

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An Arm and a Leg @armandalegshow.bsky.social · 9h
The letters are out now, the number are in, and 3.8 million people have Medicare Advantage plans that will go poof at the end of the year. Here's what that looks like and what you need to know if it's happening to you: armandalegshow.com/episode/medi...
armandalegshow.com
Medicare plans keep disappearing • An Arm And a Leg
Privatized Medicare — aka Medicare Advantage— is vanishing on seniors. Here's what it reveals about Medicare as a whole.
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An Arm and a Leg @armandalegshow.bsky.social · 25/09/2026
At least 2 million seniors are about to get dumped by their health plans through Medicare Advantage, the version of Medicare run by insurance companies—a trend that's been growing in recent years. What that looks like for seniors, and what we can maybe do about it: armandalegshow.com/episode/medi...
armandalegshow.com
Medicare is more broken than we thought • An Arm And a Leg
Privatized Medicare — aka Medicare Advantage— is vanishing on seniors. Here's what it reveals about Medicare as a whole.
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An Arm and a Leg @armandalegshow.bsky.social · 14/09/2026
Last year, one of our newsletter subscribers organized a medical-debt clinic at the beautiful Brooklyn Public Library. Now they’re doing it every month. And the next one is this Wednesday, September 16th: www.bklynlibrary.org/calendar/med...
bklynlibrary.org
Medical Bills? We can Help - Monthly Medical Debt Clinic | Brooklyn Public Library
Join us on September 23rd!
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KFF Health News @kffhealthnews.org · 14/09/2026
Small businesses are increasingly giving up on offering health insurance. @danweissmann.bsky.social talks to @bobjherman.bsky.social on @armandalegshow.bsky.social about how this essential benefit is unraveling.
kffhealthnews.org
The Meltdown in Employer-Sponsored Health Insurance - KFF Health News
Stat reporter Bob Herman joins “An Arm and a Leg” to discuss the impact of surging health insurance costs on businesses and their workers.
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An Arm and a Leg @armandalegshow.bsky.social · 04/09/2026
New episode: Only 59% of small businesses offered their employees health insurance last year – a 25-year low. @bobjherman.bsky.social joins us to talk about how that’s just one sign that employer-based health insurance is unraveling. armandalegshow.com/episode/empl...
armandalegshow.com
System meltdown: employer-sponsored health insurance • An Arm And a Leg
It's getting more expensive and in some cases even going away. STAT News reporter Bob Herman joins us to talk about why our system of employer-based health insurance is "unraveling."
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An Arm and a Leg @armandalegshow.bsky.social · 06/08/2026
From @npr.org, How the Trump administration's early cut to insurance subsidies could see Medicare Part D premiums increase:
npr.org
The Trump administration's move to end subsidies for Medicare drug plans could cost consumers
Federal subsidies that have helped defray insurers' Medicare drug costs will disappear at the end of the year. Millions of beneficiaries could face higher premiums in 2027.
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An Arm and a Leg @armandalegshow.bsky.social · 04/08/2026
July's bill of the month from @kffhealthnews.org and @npr.org is instructive for uninsured patients who need elective surgeries:
kffhealthnews.org
Uninsured but Undaunted, a Surgical Patient Searched the Globe for a Deal - KFF Health News
When surgery became unavoidable, a man with no insurance shopped around for the best price for a hernia repair — and saved thousands by traveling out of state.
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An Arm and a Leg @armandalegshow.bsky.social · 03/08/2026
"Patients in the geriatric units had a 39 percent lower likelihood of hospital admission and a 38 percent reduction in mortality over 30 days" (gift link): www.nytimes.com/2026/07/25/w...
nytimes.com
What Geriatric Emergency Departments Do Differently (Gift Article)
These specialized units can help keep older patients out of the hospital, lower their health care costs and more.
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An Arm and a Leg @armandalegshow.bsky.social · 31/07/2026
In our newsletter, a reader asks: Can your doc really charge you for a conversation you have during an annual? Plus, an actually positive news update:
armandalegshow.com
Mailbag! Getting nickel-and-dimed at your annual • An Arm And a Leg
Hey there — We’re back with another reader question — this time about why it might look like you got double billed for a routine physical. Plus, two
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An Arm and a Leg @armandalegshow.bsky.social · 30/07/2026
A great explainer on the gains and losses of two giant players in the health care industry by @wsj.com: Insurers and hospitals. www.wsj.com/video/why-he...
wsj.com
Why Health Insurers Are Winning, But Hospitals Are Losing
WSJ’s David Wainer explains why the latest quarterly earnings from insurance giant UnitedHealthcare and hospital chain HCA signal a substantial shift in the healthcare space.
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An Arm and a Leg @armandalegshow.bsky.social · 29/07/2026
An update on TrumpRX from @npr.org. The high level: "deals on TrumpRx represent fewer than 12% of the more than 800 brand-name drugs made by the participating pharmaceutical companies."
npr.org
TrumpRx promised a supermarket for cheaper drugs but delivered a boutique
President Trump said TrumpRx is the biggest thing to happen in healthcare in decades. But an NPR analysis finds drugmakers are only offering deals on a few of their medicines.
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An Arm and a Leg @armandalegshow.bsky.social · 27/07/2026
'Golden Girls' housing is becoming more and more of a thing: kffhealthnews.org/aging/golden...
kffhealthnews.org
To Afford Aging in Place, Older Adults Turn to ‘Golden Girls’ Housing - KFF Health News
A growing network of home-sharing programs is helping people find compatible housemates. And demand is rising, driven by housing shortages, rising rents, and sales prices that affect both the old and ...
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An Arm and a Leg @armandalegshow.bsky.social · 25/07/2026
This episode from @propublica.org's new show Paper Trail taught us about an insurance industry term that we just had to share: external review. Knowing it could one day be the key to reversing an unfair insurance denial: armandalegshow.com/episode/how-to-f…
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An Arm and a Leg @armandalegshow.bsky.social · 24/07/2026
"For example, nothing in the pledge prevents insurance companies from retroactively denying payment, even when care is preapproved..." @kffhealthnews.org 
kffhealthnews.org
Insurers Hedge on Trump-Backed Pledge To Improve Denials Process - KFF Health News
Last year, the Trump administration announced a voluntary pledge by dozens of insurers to improve prior authorization, which often requires patients to seek approval before treatments. But prior authorization remains commonplace, and there's no evidence the government is trying to hold insurers to account.
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An Arm and a Leg @armandalegshow.bsky.social · 23/07/2026
Why has a 40-year veteran of health news started wearing a “living in unprecedented times” T-shirt? @kffhealthnews.org's @julierovner.bsky.social joins us to talk about cuts to public health programs: armandalegshow.com/episode/julie-ro…
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An Arm and a Leg @armandalegshow.bsky.social · 22/07/2026
Over the years, we’ve spoken to so many folks who had the guts to take on our health care system. And now we’ve compiled some of those stories into a new Starter Pack: 
armandalegshow.com
New Starter Pack: People being awesome • An Arm And a Leg
Hey there — We're back with a brand new Arm and a Leg "Starter Pack" — plus some Obamacare news.  Last month, the federal government issued its annual
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Larry Levitt @larrylevitt.bsky.social · 21/07/2026
A story from our news operation about patients getting caught up in errors in Medicaid computer systems, operated by a private contractor. This is a symptom of a health insurance system that has become mind-numbingly complex.
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An Arm and a Leg @armandalegshow.bsky.social · 20/07/2026
@scifri.bsky.socialrecently covered a topic we've been thinking about a LOT this year: drug patents, and their role in the high cost of prescriptions:
sciencefriday.com
How the US patent system keeps drug prices high
Pharmaceutical companies can use overlapping patents to extend their exclusive rights to a drug, delaying production of cheaper generic forms.
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An Arm and a Leg @armandalegshow.bsky.social · 16/07/2026
We're catching up on our bookmarked stories this week, and here's a super important one from @kffhealthnews.org: How to plan ahead for ICE raids if you have children:
kffhealthnews.org
ICE Arrests Are Separating Families. Here’s How To Plan Ahead. - KFF Health News
As immigration authorities carry out President Donald Trump’s promise to conduct what’s billed as the largest mass deportation operation in U.S. history, several states are passing laws to protect the children of detained immigrants. Guardianship can become complicated when no family or friends are available to take temporary custody.
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An Arm and a Leg @armandalegshow.bsky.social · 16/07/2026
Want a refresher on copay accumulator programs? @kffhealthnews.org has a good one:
kffhealthnews.org
Copay Assistance Is Meant To Defray Patient Drug Costs. Some Insurers Keep It Instead. - KFF Health News
Drugmakers provide financial assistance to help patients afford increasingly expensive medications. But some insurers do not count those payments toward a plan’s deductible or out-of-pocket maximum and make patients pay instead.
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An Arm and a Leg @armandalegshow.bsky.social · 15/07/2026
One of the many tabs we got to catch up on this week: Reporting by @19thnews.org on insurance coverage gaps for infant formula and donor milk:
19thnews.org
Many cancer survivors can’t breastfeed. Insurance often doesn’t cover alternatives.
New legislation introduced in Congress would establish a pilot program to cover formula or donor milk for families with difficulties feeding.
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An Arm and a Leg @armandalegshow.bsky.social · 15/07/2026
We have a brand new Starter Pack all about what to do when a debt collector is chasing you down. Check it out here:
armandalegshow.com
Help! I’m in collections for medical debt. • An Arm And a Leg
So, a debt collector is chasing you over a medical bill. It happens to the best of us. And as we've learned, you have rights when it does.
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An Arm and a Leg @armandalegshow.bsky.social · 14/07/2026
One patient's 21-hour wait for a hospital bed is a window into "inpatient psychiatric care so scarce that access often depends on surviving a crisis severe enough to justify it": kffhealthnews.org/health-industry/p…  @kffhealthnews.org
kffhealthnews.org
My Search for a Psychiatric Bed in an Overburdened Health System - KFF Health News
Over the past 70 years, the number of inpatient psychiatric beds has dropped dramatically, leaving many without critical care when they experience mental health crises. I was one of the lucky ones to get a bed — after 21 hours of waiting.
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An Arm and a Leg @armandalegshow.bsky.social · 14/07/2026
You might assume your therapy session is one place where you don’t have to worry about your privacy. But if it’s happening online,  the truth is more complicated. An episode from our friends at Organized Money with more:
armandalegshow.com
The Chatbot Will See You Now: Big Tech In Therapy (from Organized Money) • An Arm And a Leg
The mental health middlemen selling your data, and one state’s solution (From "Organized Money")
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An Arm and a Leg @armandalegshow.bsky.social · 13/07/2026
It’s been a year since we produced our Prescription Drug Playbook after hearing from you about how you handle sticker shock at the pharmacy. In this week’s episode, we’re reviewing what we learned:
armandalegshow.com
The Prescription Drug Playbook (Full Version) • An Arm And a Leg
Last year, we set out on a mission: Collect all the best advice about what to do when your drugs cost more than you can afford. Here's a condensed version of our original two "Prescription Drug Playbook" episodes from 2025.
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KFF Health News @kffhealthnews.org · 08/07/2026
Insurers that sell plans in Obamacare marketplaces across 16 states and the District of Columbia have asked regulators to approve a 14% median premium increase for 2027, according to a new Peterson-@kff.org analysis.
kffhealthnews.org
Affordable Care Act Insurers Want More Premium Increases as Enrollment Sags - KFF Health News
Insurers who sell plans in Obamacare marketplaces across 16 states and the District of Columbia have asked regulators to approve a 14% median premium increase for 2027, according to a new Peterson-KFF analysis.
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An Arm and a Leg @armandalegshow.bsky.social · 13/07/2026
"Medicare drug plans can drop customers who don't pay their premiums, no matter how small the amount. Some members who lost their coverage... owed as little as $8.10 for 3 months" www.npr.org/2026/07/06/nx-s1-587941… @npr.org@kffhealthnews.org
npr.org
These Medicare beneficiaries thought their drug plan was free. Then they lost it
Thousands of people lost coverage over as little as $8 in delinquent payments. They didn't know their zero-dollar premiums had gone up and they owed money. Most now can't get coverage until 2027.  
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An Arm and a Leg @armandalegshow.bsky.social · 12/07/2026
On @kffhealthnews.org's Health Q, @cara-anthony.bsky.social on the stages of caregiving and why embracing the title of "caregiver" can be important:
kffhealthnews.org
Worried About Your Aging Parents? Welcome to the Caregiving Club - KFF Health News
Being a caregiver can start long before you go to a doctor appointment with a loved one or move your parents into your house. The HealthQ team explores how embracing the role matters — and how the recognition and support that come next can ease a difficult season of life.
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KFF Health News @kffhealthnews.org · 10/07/2026
Washington state has launched the first program to help cover home care and other supports. Several other states are paying attention. kffhealthnews.org/syndicate/long-te…
kffhealthnews.org
A New Option for Long-Term Care Costs - KFF Health News
Washington state has launched the first program to help cover home care and other supports. Several other states are paying attention.
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KFF Health News @kffhealthnews.org · 10/07/2026
They harvest our red peppers, tomatoes, and oranges ... but their Medicaid coverage could be in jeopardy. @andalo.bsky.social reports ⤵️ kffhealthnews.org/insurance/ag...
kffhealthnews.org
They Harvest the Nation’s Food, but a New Rule May Strip Them of Health Insurance - KFF Health News
New Medicaid work requirements could make a complex system even harder for farmworkers to navigate.
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An Arm and a Leg @armandalegshow.bsky.social · 10/07/2026
"The University of Washington’s medical system alone had nearly 100 patients waiting earlier this year for epidural injections due to WISeR-related delays..." @kffhealthnews.org @dariustahir.bsky.social kffhealthnews.org/medicare/med...
kffhealthnews.org
Medicare’s AI Push Snarls Patients and Doctors in Errors and Delays - KFF Health News
Medicare is testing the use of artificial intelligence to preapprove several healthcare services. Federal health officials say prior authorization can help reduce fraud and contain costs. But doctors ...
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Larry Levitt @larrylevitt.bsky.social · 29/06/2026
Reading this story from our news program, @kffhealthnews.org, it's no wonder that @kff.org polling shows prior authorization as the public's number one burden in getting health care beyond affordability. kffhealthnews.org/health-care-...
kffhealthnews.org
She Struggled To Get a Lifesaving Drug Even After Insurers Vowed To Help - KFF Health News
Margaret Hvatum ended up in the hospital after her insurer denied coverage of a medicine she relies on to boost her immune system. Hvatum got entangled in the preapproval process, which the insurance ...
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KFF Health News @kffhealthnews.org · 22/06/2026
Insurance doesn’t guarantee the lowest price for your medication. Check comparison tools like GoodRx before you buy. Get more tips on paying for your prescriptions on the latest episode of "An Arm and a Leg." @armandalegshow.bsky.social @danweissmann.bsky.social kffhealthnews.org/podcast/arm-...
kffhealthnews.org
Try These Tips When You Can’t Afford Your Rx - KFF Health News
What if you can’t afford your prescription? “An Arm and a Leg” listeners share some of their favorite tips and hacks.
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KFF Health News @kffhealthnews.org · 18/06/2026
You might already be a caregiver and not realize it. If you’re worried about an aging parent, welcome to the club. Cara Anthony speaks with WAMU about embracing your identity as a caregiver. kffhealthnews.org/mental-health/san…
kffhealthnews.org
Sandwiched Between Caring for Kids and Aging Parents? Reach Out for Resources - KFF Health News
Squeezed between their young children and aging parents, the sandwich generation is juggling a lot. KFF Health News Midwest correspondent Cara Anthony discusses embracing her identity as a caregiver a...
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An Arm and a Leg @armandalegshow.bsky.social · 17/06/2026
Have you heard of the Family Medical Leave Act? @kffhealthnews.org breaks down the protections and benefits it offers you, when you might want to use them, and how to broach the subject with your manager if you do:
kffhealthnews.org
Focused on Work, Needed at Home: A Federal Caregiving Policy Might Help - KFF Health News
The Family and Medical Leave Act gives eligible employees up to 12 weeks of job-protected leave for caregiving. But the federal policy has noteworthy limitations. The HealthQ team explains.
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An Arm and a Leg @armandalegshow.bsky.social · 16/06/2026
We often mention the federal poverty line. Because it determines what health programs we qualify for, like ACA subsidies, or hospital assistance. But how is the line actually set? Control F by @kuow.org gets into it:
kuow.org
What is the poverty line? And why does it matter?
The Poverty Line decides who qualifies for benefits like Medicaid, food stamps and many other government programs. But the way we calculate poverty in the United States hasn't changed in 60 years.
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KFF Health News @kffhealthnews.org · 15/06/2026
Obamacare insurance isn’t worth it anymore for some families. After Congress allowed pandemic-era subsidies to expire, many are going without insurance, some for the first time. From @arjonesreports.bsky.social ⤵️ kffhealthnews.org/insurance/un...
kffhealthnews.org
They’re Uninsured After Obamacare Became Too Costly. And They’re Far From Alone. - KFF Health News
After congressional Republicans let expanded subsidies for Affordable Care Act plans expire at the end of last year, some families have decided the price is too great of a financial burden and cancele...
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An Arm and a Leg @armandalegshow.bsky.social · 15/06/2026
Some folks have exceptions to the upcoming Medicaid work requirements, like pregnant folks and some caregivers. But a new Trump administration rule narrows that category: @npr.org 
npr.org
People with cancer or HIV could lose Medicaid under new work rules, advocates say
Adults on Medicaid will be required to work 80 hours per month. The Trump administration says people who are sick will have to prove they are too sick to work to be exempt from the new work rules.
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An Arm and a Leg @armandalegshow.bsky.social · 13/06/2026
A LOT of Americans are moving abroad. Can you guess one of the top reasons? A fun weekend listen by @wsj.com 
wsj.com
Americans Are Leaving the U.S. in Record Numbers - The Journal. - WSJ Podcasts
For the first time since the 1930s, more people are moving out of the U.S. than moving in. It's a trend driven largely by the Trump Administration’s deportation agenda, but WSJ’s Drew Hinshaw and Joe Parkinson also report that U.S. citizens are moving away in numbers not previously seen. The hig...
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An Arm and a Leg @armandalegshow.bsky.social · 12/06/2026
An interesting deep dive by @scifri.bsky.social on who qualifies for clinical trials, how clinical trials are regulated, and how this all impacts which drugs are brought to market and when.
sciencefriday.com
How do clinical trials work, and who can participate?
A bioethicist walks us through the complexity of clinical trials, from their core scientific questions to patient selection to FDA approval.
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An Arm and a Leg @armandalegshow.bsky.social · 10/06/2026
A great read by Sarah Kliff and @sangerkatz.bsky.social in @nytimes.com about a new multibillion-dollar industry: surprise billing arbitration (gift link)
nytimes.com
A $440,000 Breast Reduction: How Doctors Cashed In on a Consumer Protection Law (Gift Article)
A law meant to end surprise medical billing accidentally created a multibillion-dollar industry that is making doctors richer.
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An Arm and a Leg @armandalegshow.bsky.social · 09/06/2026
"Blood sugars rose. Infections festered... Detainees collapsed and had seizures." A disturbing report on the lack of medical care in ICE detention centers: kffhealthnews.org/courts/ice-immigr… @kffhealthnews.org  @apnews.com
kffhealthnews.org
Festering Infections to Untreated Cancer: ICE Detainees Describe Medical Neglect Across US - KFF Health News
Immigrant detainees have told courts across the nation that detention officials have failed to treat or stabilize their conditions, from pregnancy to prostate cancer, suggesting that systemic lapses in care extend well beyond record deaths in Immigration and Customs Enforcement custody.
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KFF Health News @kffhealthnews.org · 05/06/2026
Many Americans got sticker shock from pricier ACA premiums this year. Next year could be just as painful. @julierovner.bsky.social spoke with @wamu.org’s Health Hub about the ways the GOP’s healthcare cuts are driving up the cost of insurance. kffhealthnews.org/insurance/he...
kffhealthnews.org
Millions of Kids Could Lose Insurance as GOP Healthcare Cuts Start To Bite - KFF Health News
Big cuts to healthcare programs in the 2025 GOP budget law are creating an affordability crunch for many Americans: Higher health insurance premiums. Confusion about who Medicaid will cover under the ...
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An Arm and a Leg @armandalegshow.bsky.social · 02/06/2026
In the past year, the Trump administration has been removing public health datasets, including on hazardous chemicals and maternal health. More in this series, "Deleted Data" by @theguardian.com 
theguardian.com
The Trump administration is deleting government data. From infant deaths to hunger, here are five ways it’s hurting Americans
This information was used to understand the problems Americans face. The consequences of its erasure, experts warn, could affect generations to come
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KFF Health News @kffhealthnews.org · 01/06/2026
The number of telehealth companies offering GLP-1s has exploded. But experts are concerned that some providers are writing prescriptions for weight loss drugs without adequately screening or monitoring patients.
kffhealthnews.org
Telehealth Booms as Demand for GLP-1s Surges and Questions Mount About Safety, Oversight - KFF Health News
Many telehealth companies have emerged in recent years offering easy access to GLP-1 weight loss drugs as demand has exploded. Meanwhile, researchers and doctors are concerned that some of these online companies aren't properly screening or monitoring p...
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An Arm and a Leg @armandalegshow.bsky.social · 01/06/2026
"Mantiera said she spent months trying to explain to the hospital and then a collection agency that her insurance statements indicated she owed just $260. She was sued anyway."
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KFF Health News @kffhealthnews.org · 29/05/2026
A patient who experienced temporary amnesia has spent the past year trying to resolve tens of thousands of dollars worth of unpaid hospital charges that her insurer wouldn’t cover. “It’s almost $60,000 hanging over my head,” she said.
kffhealthnews.org
After Her Bout of Amnesia, a $59,000 Billing Dispute Wouldn’t Go Away - KFF Health News
Last spring, a woman started exhibiting unusual memory problems after a hike in Arizona. It turns out she was experiencing a disorder called transient global amnesia. She has fully recovered, but a di...
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KFF Health News @kffhealthnews.org · 26/05/2026
“I don’t gamble. But I may as well,” said a retired teacher in Michigan who looked outside the Affordable Care Act marketplace for health insurance this year because her premium payment was set to nearly triple. “This is gambling.”
kffhealthnews.org
Cheaper, Alternative Health Plans Are Having a Moment, but Critics Urge Caution - KFF Health News
Congress' decision not to extend enhanced marketplace tax credits has boosted the appeal of alternative health coverage with lower monthly premiums. Consumer advocates dismiss the plans as "junk insur...
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An Arm and a Leg @armandalegshow.bsky.social · 21/05/2026
Story to follow: www.nytimes.com/2026/05/20/w...
nytimes.com
Kennedy Fires Leaders of Key Health Task Force
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KFF Health News @kffhealthnews.org · 21/05/2026
ICE arrests are separating families. Some states are taking steps to help them reunite. @jazmin1orozco.bsky.social explains to @wamu.org’s “Health Hub” how guardians can keep kids out of the foster care system. kffhealthnews.org/news/wamu-he...
kffhealthnews.org
ICE Arrests Are Separating Families. Here’s How To Plan Ahead. - KFF Health News
As immigration authorities carry out President Donald Trump’s promise to conduct what’s billed as the largest mass deportation operation in U.S. history, several states are passing laws to protect the...
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