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Joshua Cohen

@joshuapcohen.bsky.social
127 followers 6 following 544 posts

Health economist, writer, political junkie but allergic to extremes, sports fanatic and music enthusiast

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Joshua Cohen @joshuapcohen.bsky.social · 04/09/2026
The newly approved pancreatic cancer drug, Rasonque, offers meaningful clinical benefits. But its $480,000 annual price raises questions about sustainability of the healthcare system. A public discussion is needed on sustainable pricing and the tradeoffs involved. www.forbes.com/sites/joshua...
forbes.com
Pancreatic Cancer Drug Rasonque’s Price Indicates Sustainability Issue
Thinking about the future, it’s inevitable that other cancer drugs like Rasonque will launch at similar or even higher prices. In the long run, how sustainable is this?
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Joshua Cohen @joshuapcohen.bsky.social · 02/09/2026
The US Preventive Services Task Force evaluates prevention technologies. The panel's recommendations inform what insurers must cover at no charge. The panel's work has been severely disrupted by the Trump administration. This may impact insurers' coverage decisions. www.forbes.com/sites/joshua...
forbes.com
Ongoing Disruption At Preventive Health Panel May Mean Less Coverage
Since USPSTF recommendations guide insurer decisions on what types of preventive care to fully cover, the panel's ongoing upheaval may lead to coverage limits.
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Joshua Cohen @joshuapcohen.bsky.social · 02/09/2026
The Agency for Healthcare Research and Quality has done important work for decades on patient safety and health outcomes across a broad range of therapeutic and disease areas. Yet it's largely being dismantled in terms of grant funding and staffing. www.forbes.com/sites/joshua...
forbes.com
Federal Government Cuts Research On Patient Safety And Health Outcomes
The Trump administration has mostly shut down the Agency for Healthcare Research and Quality, which has been key in raising awareness and improving patient safety.
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Joshua Cohen @joshuapcohen.bsky.social · 01/09/2026
Bank of America is bucking the downward trend in employer-sponsored coverage of GLP-1s for weight loss by maintaining its comparatively generous policies. www.forbes.com/sites/joshua...
forbes.com
Bank Of America Bucks Trend In Employer Coverage Of GLP-1s For Obesity
Bank of America is bucking the downward trend in employer-sponsored coverage of GLP-1s for weight loss by maintaining its comparatively generous policies.
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Joshua Cohen @joshuapcohen.bsky.social · 01/09/2026
Trump vowed better access to GLP-1 weight loss drugs for Medicaid recipients. But thus far only Indiana has signed on with the administration’s demo designed to do just that. Separately, an increasing number of states are dropping coverage of GLP-1s for obesity. www.forbes.com/sites/joshua...
forbes.com
Medicaid Model To Expand Weight Loss Drug Access Sees Low Interest
President Trump vowed better access to GLP-1 weight loss drugs for Medicaid recipients. But thus far only Indiana has publicly signed on with the administration’s demo.
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Joshua Cohen @joshuapcohen.bsky.social · 11/08/2026
For Forbes, I recapped a strange event in the Oval Office yesterday, as President Trump signed an executive order to reshape the childhood vaccination schedule. There were plenty of falsehoods uttered. Oddly, the newly confirmed CDC director, Dr Schwartz, wasn't there. www.forbes.com/sites/joshua...
forbes.com
Trump Issues Executive Order On Vaccines, Makes Multiple False Claims
Trump signed an executive order to reshape the childhood vaccine schedule. He made multiple false claims, including repeating the debunked vaccines and autism link.
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Joshua Cohen @joshuapcohen.bsky.social · 08/08/2026
There are bills moving through Congress that could directly lead to lower patient out-of-pocket costs for items like insulin and may indirectly impact expenses by curbing possible patent abuses. www.forbes.com/sites/joshua...
forbes.com
Bill Moves Forward To Cap Insulin Costs And Curb Patent Abuses
Proposed bills could directly lead to lowering patient out-of-pocket costs for items like insulin. Others may indirectly impact costs by curbing possible patent abuses,
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Joshua Cohen @joshuapcohen.bsky.social · 05/08/2026
The abortion pill mifepristone remains embroiled in U.S. legal and political battles as well as regulatory review, despite the Supreme Court temporarily preserving mail access. www.forbes.com/sites/joshua...
forbes.com
As Numbers Of Abortions Rise, Neverending Mifepristone Fight Heats Up
The abortion pill mifepristone remains embroiled in U.S. legal, political and regulatory battles, despite the Supreme Court temporarily restoring mail access.
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Joshua Cohen @joshuapcohen.bsky.social · 04/08/2026
Sen. Wyden (D-OR) and other Senate Dems posted a Request for Information outlining proposed reforms to make health insurance more affordable, including adding a Medicare-like public option. The memo seeks stakeholder input to inform a future reform agenda. www.forbes.com/sites/joshua...
forbes.com
Senate Dems Post Memo On Reforms To Make Health Insurance More Affordable
The debate between Medicare for All and Medicare by Choice advocates, both of whom seek better affordability, is shaping up to be an interesting one in the coming years.
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Joshua Cohen @joshuapcohen.bsky.social · 03/08/2026
The extent to which the positive recent trend in U.S. mortality data can be sustained depends on addressing issues such as gun violence leading to homicides/suicides, illicit drug overdoses, alcohol-related deaths and a high population-wide chronic disease burden. www.forbes.com/sites/joshua...
forbes.com
Drop In U.S. Death Rate Narrows Life Expectancy Gap With Peers
The U.S. mortality rate reached a record low in 2025. But it lags behind peers due to persistent issues like chronic disease, gun violence and unequal healthcare access.
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Joshua Cohen @joshuapcohen.bsky.social · 03/08/2026
Hospitals are being impacted by rising numbers of un- and underinsured. From patients to insurers, the consequences can be far-reaching. www.forbes.com/sites/joshua...
forbes.com
With Numbers Of Uninsured for Healthcare Rising, Hospitals Raise Alarm
As more people go without insurance, hospital revenues decline, insurance premiums throughout the system increase and medical debt levels rise.
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Joshua Cohen @joshuapcohen.bsky.social · 02/08/2026
After an FDA advisory panel voted to recommend six out of seven unapproved peptides for compounding, the discussion turns to the divide between the panel, which included sellers of peptide products, and FDA staff scientists. www.forbes.com/sites/joshua...
forbes.com
On Peptides, FDA Staff Scientists At Odds With Advisory Panel
Though FDA would normally follow a panel’s advice to move ahead with compounded peptides, it’s unclear how it will act, because FDA staff are opposed to easing access.
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Joshua Cohen @joshuapcohen.bsky.social · 01/08/2026
The Trump administration's Bridge demonstration project provides some eligible Medicare beneficiaries access to GLP-1s for weight loss. But the program is anything but straightforward. www.forbes.com/sites/joshua...
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Joshua Cohen @joshuapcohen.bsky.social · 01/08/2026
As the Trump administration ends Medicare's Part D premium stabilization program, some have interpreted this as Trump ending Part D (not true) or raising the price of Rx meds (also untrue). Still, Medicare enrollees will be impacted by higher premiums. www.forbes.com/sites/joshua...
forbes.com
Trump Administration Ends Program that Kept Medicare Premiums Down
By ending subsidies to standalone prescription drug plans, it’s expected they will have to raise premiums for at least 11 million Medicare beneficiaries.
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Joshua Cohen @joshuapcohen.bsky.social · 14/07/2026
The projection of increasing premiums in 2027 (14% on average) on the Affordable Care Act exchanges suggests worsening affordability issues for many, but also a possible death spiral for Obamacare. www.forbes.com/sites/joshua...
forbes.com
ACA Premium Hikes Raise Questions On Affordability And `Death Spiral’
Obamacare faces renewed "death spiral" concerns as premiums are projected to jump 14% in 2027, following last year's 20% increase.
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Joshua Cohen @joshuapcohen.bsky.social · 14/07/2026
Possible contributing factors underlying the large cyclosporiasis outbreak include the hot summer and the long-term trend toward warming temperatures. Scientists suggest this is linked to a rising prevalence of diseases more typically found in tropical areas. www.forbes.com/sites/joshua...
forbes.com
Possible Role Of Climate Change In Current Cyclosporiasis Outbreak
It’s possible that the decadeslong trend of rising temperatures globally is leading to the more frequent presence of diseases more typically found in tropical regions.
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Joshua Cohen @joshuapcohen.bsky.social · 16/06/2026
MAHA's food agenda is being undermined by certain Trump administration policies. www.forbes.com/sites/joshua...
forbes.com
MAHA’s Food Agenda Undermined By Trump Administration Policies
though MAHA’s food agenda still features prominently, in practice achieving its goals is being made increasingly difficult by a number of Trump administration policies.
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Joshua Cohen @joshuapcohen.bsky.social · 13/06/2026
Millions of Americans are currently injecting unapproved chemicals like peptides promoted by hodgepodge of wellness influencers and celebrity podcasters. This reflects a larger and perhaps insidious problem in the U.S. www.forbes.com/sites/joshua...
forbes.com
Peptide Fad Gripping America Reflects Outsize Role Of Influencers
Millions of Americans are currently injecting unapproved chemicals like peptides promoted by hodgepodge of wellness influencers and celebrity podcasters.
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Joshua Cohen @joshuapcohen.bsky.social · 12/06/2026
Patients affected by one of the deadliest and most difficult to treat cancers now have some hope, thanks to positive data revealed in a daraxonrasib clinical trial. www.forbes.com/sites/joshua...
forbes.com
In Fight Against Pancreatic Cancer, Daraxonrasib Is Rare Sign Of Hope
The death rate in the group treated with daraxonrasib was 60% lower than those on chemotherapy. This is hailed as a major advance against metastatic pancreatic cancer.
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Joshua Cohen @joshuapcohen.bsky.social · 12/06/2026
For @Forbes, I wrote about FIFA mandating water breaks at this year's World Cup. Though ostensibly a move strictly intended for player health, FIFA is also facilitating a change with huge financial implications as airing more ads boosts broadcasting revenue. www.forbes.com/sites/joshua...
forbes.com
What’s Behind Mandatory Hydration Breaks At The World Cup?
By mandating hydration breaks at this year's World Cup, FIFA is facilitating a change with huge financial implications as airing more ads boosts broadcasting revenue.
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Joshua Cohen @joshuapcohen.bsky.social · 02/06/2026
The Trump administration's two-pronged most favored nation approach to lower Rx drug prices - Medicaid model and online portal TrumpRx for cash-pay patients - is bold in its stated goals but limited in impact, and in some instances lacks clarity. www.forbes.com/sites/joshua...
forbes.com
Trump’s Most Favored Nation Drug Pricing Has Bold Aims, But Limited Impact
While the most favored nation initiatives have bold aims to lower the cost of drugs, the impact is limited, and in some instances unclear, a case of style over substance.
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Joshua Cohen @joshuapcohen.bsky.social · 09/05/2026
Should the Trump administration change the default option for newly eligible beneficiaries to Medicare Advantage or an ACO, this could backfire as costs could rise and access restrictions increase. www.forbes.com/sites/joshua...
forbes.com
Policy Of Auto-Enrolling Seniors In Medicare Advantage Could Backfire
Should Medicare change the default option for new beneficiaries to Medicare Advantage or an ACO, this could backfire as costs could rise and access restrictions increase.
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Joshua Cohen @joshuapcohen.bsky.social · 08/05/2026
What's off-putting when I watch Congressional oversight hearings on healthcare is that they devolve into grandstanding, which is almost always ideological or blame-shifting. Compromise is out the door. Here, for @Forbes I write about this ongoing problem. www.forbes.com/sites/joshua...
forbes.com
Grandstanding At Hearings In Congress Doesn’t Solve Healthcare Issues
In Congress, hearings on healthcare tend to function as venues for adversarial political messaging and electoral gain rather than legislative consensus-building.
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Joshua Cohen @joshuapcohen.bsky.social · 07/05/2026
White House model estimates on potential cost savings from most-favored nation drug prices are highly speculative and depend on a set of unrealistic assumptions. www.forbes.com/sites/joshua...
forbes.com
Questionable White House Math Most Favored Nation Drug Price Savings
White House model estimates on cost savings from most-favored nation drug prices are speculative and depend on a set of unrealistic assumptions.
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Joshua Cohen @joshuapcohen.bsky.social · 05/05/2026
Secrecy in healthcare pricing is par for the course for for-profit stakeholders. More transparency could undermine a profit-generating business model. www.forbes.com/sites/joshua...
forbes.com
Keeping Prices Secret In Healthcare Is Apparently Good For Business
Those with a vested interest in the status quo, are resisting transparency regulations. After all, maintaining opaque pricing in healthcare has been profitable to them.
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Joshua Cohen @joshuapcohen.bsky.social · 05/05/2026
Despite more than two decades of safe and effective use, the abortion pill is once more in the crosshairs of American politics and the judicial system. www.forbes.com/sites/joshua...
forbes.com
Courts Are Once Again Litigating Abortion Pill’s Distribution By Mail
Despite more than two decades of safe and effective use, the abortion pill is once more in the crosshairs of American politics and the judicial system.
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Joshua Cohen @joshuapcohen.bsky.social · 04/05/2026
In New York state, large numbers of insurance denials were overturned when independent clinicians got involved in reviewing cases. Policy experts envision prior authorization reform as requiring coverage decisions be supported solely by evidence-based medical criteria. www.forbes.com/sites/joshua...
forbes.com
Independent Evidence Reviews Overturn Denials Of Healthcare Coverage
Policy experts suggest reform of prior authorization that would require coverage decisions be supported solely by evidence being reviewed by independent clinicians.
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Joshua Cohen @joshuapcohen.bsky.social · 01/05/2026
Direct-to-consumer platforms for prescription drugs are a solution to a problem that wouldn’t exist if insurance coverage were better. These portals also serve to reinforce a heavily tiered system. www.forbes.com/sites/joshua...
forbes.com
Direct-To-Consumer Drug Portals Offer Lower Prices But Retain Inequity
DTC portals for drugs are a solution to a problem that wouldn’t exist if insurer coverage were better. The most acute issue for patients is lack of comprehensive coverage
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Joshua Cohen @joshuapcohen.bsky.social · 01/05/2026
In economics we learn that more transparency is a good thing in the marketplace. This could apply to healthcare, too, but there are reasons to be skeptical. Though it may help, more transparency isn’t the answer to meaningfully reducing patients' out-of-pocket costs. www.forbes.com/sites/joshua...
forbes.com
Transparent Healthcare Prices Won’t Lower Patients' Out-Of-Pocket Costs
If increased transparency isn’t the answer, what could meaningfully lower patients’ out-of-pocket costs? Reduced prices of care throughout all of healthcare would help.
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Joshua Cohen @joshuapcohen.bsky.social · 01/05/2026
For Undark (MIT-based publication), I describe the importance of caps on Medicare beneficiaries' out-of-pocket spending in terms of their adherence to prescription medications. undark.org/2026/04/29/d...
undark.org
A 2022 Law May Be Quietly Helping People Stay on Their Meds
With a new yearly cap on drug costs, Medicare patients are experiencing lower bills and fewer disruptions.
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Joshua Cohen @joshuapcohen.bsky.social · 28/04/2026
For Forbes, I write about Americans' changing choices with respect to food and pharmaceuticals. RFK Jr. appears to be one of the drivers. The observed behavioral changes are noteworthy, especially when juxtaposed with their contradicting clinical evidence. www.forbes.com/sites/joshua...
forbes.com
RFK Jr.’s Messaging Could Be Impacting Food And Pharmaceutical Choices
Examples of behavioral changes suggest the power of messaging when disseminated from a bully pulpit. Kennedy’s conspicuous visibility reinforces his reach.
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Joshua Cohen @joshuapcohen.bsky.social · 27/04/2026
While Trump's executive orders on psychedelics and cannabis raise some questions, they address important issues concerning the products' potential medical (use) status. www.forbes.com/sites/joshua...
forbes.com
Trump’s Orders Elevate The Medical Status Of Psychedelics And Cannabis
Trump’s orders move the U.S. a few steps closer to more widespread research on and use of two sets of controversial yet promising drugs, psychedelic and cannabis products
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Joshua Cohen @joshuapcohen.bsky.social · 13/04/2026
Based on recent regulatory moves, it's evident that the Trump administration is favoring Medicare Advantage over traditional Medicare for the elderly and individuals with disabilities who are eligible for the federal government program. www.forbes.com/sites/joshua...
forbes.com
Trump Administration Is Favoring Medicare Advantage Plans For Seniors
Trump administration is considering auto-enrollment for Medicare enrollees in Medicare Advantage. This suggests a preference for the program over traditional Medicare.
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Joshua Cohen @joshuapcohen.bsky.social · 13/04/2026
The Center for American Progress's plan for healthcare reform focuses on addressing behaviors exhibited by insurers and healthcare providers that can drive up healthcare costs. The goal is to reduce out-of-pocket expenses and premiums for patients. www.forbes.com/sites/joshua...
forbes.com
Democrat-Leaning Plan Takes Aim At Health Plans With New Regulations
Healthcare initiatives being proposed like Patients' Bill of Rights offer a roadmap for Democrats’ priorities, with midterms looming and a presidential election in 2028.
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Joshua Cohen @joshuapcohen.bsky.social · 05/04/2026
In the U.S., inability to afford costs of medical care contributes to > 530,000 personal bankruptcy filings annually. Among U.S. peers, medical debt is relatively rare and the number of people who go bankrupt owing to medical debt is practically zero. www.forbes.com/sites/joshua...
forbes.com
Increasing Burdens Medical Debt And Bankruptcy Are Uniquely American
On top of the current financial burdens for those trying to pay healthcare bills, medical debt can lead to undertreatment in future across a spectrum of health needs.
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Joshua Cohen @joshuapcohen.bsky.social · 04/04/2026
Most favored nation policies to bring down prescription drug prices will likely have only marginal impact on consumers. For the vast majority of patients in the U.S., their out-of-pocket pharmaceutical costs aren’t likely to change. www.forbes.com/sites/joshua...
forbes.com
Thus Far, Most Favored Nation Drug Prices Have Had Little Impact
Despite a flurry of executive actions and rhetoric about their supposed impact, thus far most favored nation policies have had little effect on prices that consumers pay.
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Joshua Cohen @joshuapcohen.bsky.social · 03/04/2026
In some ways, this piece of mine on why single payer is not the only alternative for healthcare reform is an accompanying article to the one I just posted on Medicare by Choice. www.forbes.com/sites/joshua...
forbes.com
Single Payer Isn’t The Only Alternative Healthcare System For The U.S.
Repealing the HMO Act is not on any politician’s agenda. But perhaps a better regulated, less heavily profit-oriented system of multiple payers could work in the U.S.
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Joshua Cohen @joshuapcohen.bsky.social · 03/04/2026
My take in Forbes on the Democrats' Medicare by Choice alternative to Medicare for All. www.forbes.com/sites/joshua...
forbes.com
`Medicare By Choice’ Concept Could Work, But More Details Needed
Medicare by Choice would make available Medicare-like health plans to everyone who wants such coverage. These would then compete against private plans.
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Joshua Cohen @joshuapcohen.bsky.social · 01/04/2026
I've always had an interest in K-12 education. My curiosity led me to explore back-to-basics reform in the Swedish educational system. undark.org/2026/04/01/s...
undark.org
Why Swedish Schools Are Bringing Back Books
Amid declining test scores, the country has pivoted away from screens and invested in back-to-basics school materials.
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Joshua Cohen @joshuapcohen.bsky.social · 01/04/2026
Not only is hospital care responsible for a much greater share of the overall healthcare pie than prescription drugs, lack of transparency in hospital billing practices is a feature, not a bug. www.forbes.com/sites/joshua...
forbes.com
Hospitals' Share Of Healthcare Costs Is Much Greater Than Rx Drugs
Rising hospital costs translate to increasing premiums, as insurers pass on increased spending. Patients may be impacted by this as much, if not more, than drug costs.
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Joshua Cohen @joshuapcohen.bsky.social · 21/03/2026
Worth reading. www.nybooks.com/articles/202...
nybooks.com
A Bitter Education | Pankaj Mishra
In its quiescence to the West’s war on Iran, India is squandering a precious legacy.
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Joshua Cohen @joshuapcohen.bsky.social · 05/03/2026
Do you want a $31,000 deductible? Well, junk health insurance plans may be in the offing. www.forbes.com/sites/joshua...
forbes.com
Oz Pushes Catastrophic Health Plans, Which Critics Call Junk Insurance
The main criticism of high-deductible health plans has been that people with such coverage typically must pay thousands of dollars out-of-pocket when they do get sick.
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Joshua Cohen @joshuapcohen.bsky.social · 05/03/2026
Forced disenrollment of Medicare beneficiaries from their Medicare Advantage plans is a growing problem. www.forbes.com/sites/joshua...
forbes.com
Medicare Advantage Disenrollment Is A Growing Threat To Beneficiaries
It’s unknown at this time whether additional forced disenrollment of beneficiaries will occur later this year. But it seems likely that more plans will exit the market.
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Joshua Cohen @joshuapcohen.bsky.social · 05/03/2026
Beware of what the Consumer Price Index - America's inflation gauge - doesn't account for in healthcare. www.forbes.com/sites/joshua...
forbes.com
Consumer Price Index Isn’t Properly Accounting For Healthcare Costs
On top of continued elevated inflation, it’s what the Consumer Price Index doesn’t measure — certain patient healthcare costs — that's enhancing the affordability crisis.
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Joshua Cohen @joshuapcohen.bsky.social · 05/03/2026
While a promising technology, multi-cancer detection blood tests have a host of issues. www.forbes.com/sites/joshua...
forbes.com
Promises And Pitfalls Of Multi-Cancer Diagnostic Tests
For asymptomatic people without known risks, the downsides and uncertainties of multi-cancer early detection testing could outweigh potential benefits.
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Joshua Cohen @joshuapcohen.bsky.social · 05/03/2026
Prostate-specific antigen tests aren't for everybody. It's important to follow the clinical practice guidelines. www.forbes.com/sites/joshua...
forbes.com
Weighing Pros And Cons Of Prostate Cancer Blood Tests
It’s important to follow guidance on prostate-specific antigen screening that maximizes benefits and minimizes potential harms such as overdiagnosis and overtreatment.
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Joshua Cohen @joshuapcohen.bsky.social · 05/03/2026
HIV/AIDS advocacy was one of Jesse Jackson's most important legacies. www.forbes.com/sites/joshua...
forbes.com
Jesse Jackson’s Early HIV/AIDS Advocacy Changed U.S. Public Health Policy
Jackson’s vocal advocacy caused a shift in both behavior and attitudes toward HIV/AIDS. He helped chart a course of action that led to improved prevention and treatments.
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Joshua Cohen @joshuapcohen.bsky.social · 05/03/2026
I'm trying once again on Bluesky to engage. Will post articles I've been writing for Forbes this month, starting with this one on how RFK Jr. and Mehmet Oz say they're addressing the "addiction epidemic." www.forbes.com/sites/joshua...
forbes.com
Kennedy And Oz Tackle Addiction Epidemic, But Policy Details Are Murky
The Trump administration says it wants to tackle the "addiction epidemic." But it's eliminating addiction treatment resources and access to mental healthcare.
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Joshua Cohen @joshuapcohen.bsky.social · 04/02/2026
There's just little if any engagement for me on this site. I hardly ever add followers. There isn't much engagement on Twitter either anymore (and I don't like X), but at least there's some. I bid farewell to my very few followers here on Bluesky. I just can't waste my time posting into the void.
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Joshua Cohen @joshuapcohen.bsky.social · 04/02/2026
Health savings accounts are in vogue, at least in Republican circles. Though a useful addition to insurance for some, the financial risks for patients with HSAs (coupled with high-deductible or limited benefit plans) are large should they become ill. www.forbes.com/sites/joshua...
forbes.com
GOP Reform Of Obamacare Doubles Down on Health Savings Accounts
Critics warn that health savings accounts aren’t the fix some suggest they may be. The financial risks for patients are particularly large should they become ill.
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