- Iowa dentist disciplined for unsanitary practice conditions
- ADA honors 10 new dentists for excellence in field
- Orthodontist pay vs. cost of living by state
- Oral surgeon pay vs. cost of living by state
- Wildfire smoke strafes Midwest, Northeast: 6 things healthcare leaders should know
- 9 pharmacy groups warn revised ACIP charter could delay vaccine access: 6 notes
- Private equity’s legal playbook for physician practices
- The outpatient orthopedic model built around doing less
- Where ASCs can find cost savings after the easy wins are gone
- NYU Langone grows South Florida presence with 2 practices
- The hidden cost of the GLP-1 boom: 5 notes
- ‘Hospitals without an outpatient footprint will struggle’: Health systems race to build ASC networks
- ‘Hospitals without an outpatient footprint will struggle’: Health systems race to build ASC networks
- Montefiore leader joins Northwell hospital as CNO, VP of patient care services
- Bad debt, charity care surge continues to squeeze hospitals
- 3 cardiology societies urge CMS to update TAVR coverage rules: 5 priorities
- UCSF nurses, physicians protest ED ‘boarding crisis’
- Inova’s next clinical chief keeps a fish pillow in her office
- Missouri outlaws insurance time limits on anesthesia: 5 things to know
- Texas hospital temporarily closes due to flooding
- Trump’s CDC Nominee Praises Vaccines, Without Vowing Independence From Kennedy
- Why ASCs should be watching the Medicare Advantage exodus
- LightForce Orthodontics appoints new CEO
- 39 behavioral health executive moves to know
- Good news for anesthesia
- MAX Surgical Specialty Management selects Sensei Cloud as enterprise practice management system
- Why some ASCs ‘are going to be left out’ of healthcare’s next era
- Median pay for anesthesiologists reaches $391K: Breakdown by state
- Is dental school becoming unattainable? 6 dentists weigh in
- Peak Dental Services becomes 1st DSO to deploy clinician well-being framework
- Aspen Dental continues expansion with South Carolina practice
- Texas safety net behavioral health provider projects $15M shortfall
- 4 dental deals totaling $308M
- Huahai poaches quality chief from Hengrui amid FDA manufacturing citations
- 24 new behavioral health study findings to know
- Maryhaven CEO steps down amid financial concerns
- GE HealthCare, Catholic Health strike 10-year, $500M technology partnership
- Thriveworks launches insight dashboard for referring providers
- What’s driving Arizona’s drug death surge? 6 things to know
- FDA Clears First Cholesterol Pill, Lipfendra, To Rival Costly Injections
- Statement on Regulation E-Delivery
- Paper Taper: Statement on Proposed Regulation E-Delivery
- Statement on Proposed Regulation E-Delivery
- One Of The Largest Epidural Studies Ever Delivers Reassuring News For Parents
- Bipartisan Senate bill seeks to build vigilance around foreign companies making drugs in US
- Coalition for Health AI launches implementation initiative for public health agencies
- Vanda shifts Nereus marketing into high gear with Schumacher IndyCar sponsorship
- Could A Vaccine Prevent Pancreatic Cancer In Those At High Risk?
- Heatwaves During Pregnancy Could Affect Baby's Brain Development, Study Suggests
- Brain 'Microstimulation' Works Long-Term To Restore Sense Of Touch After Spinal Cord Injury
- Otters, bears and Pharma Lions: inside Gilead’s bronze-winning Cannes spot
- 'Night Owls' At Risk Of Wider Waistlines, Unhealthy Hearts
- Facing Funding Losses, States Call Out Big Businesses With Employees On Medicaid
- Listen to the Latest ‘KFF Health News Minute’
- Readers Share Personal Insights on Deadly Denials and Pregnancy Centers
- A Sales Tax on Doctor Visits and Medicine? In Missouri, Some Worry
- Merck scores at FDA as Lipfendra becomes world's first oral PCSK9 treatment
- UnitedHealth Group to maintain 'restless' even after topping investor's Q2 expectations, CEO says
- 6 weeks into California’s psychiatric staffing mandate: What hospital leaders should know
- The best opportunities to expand behavioral healthcare access
- PsychPlus acquires Koa Health to scale mental health platform
- Senate HELP committee grills CDC nominee Erica Schwartz on vaccine policy, resistance to political interference
- 2 states join in expanding psychologist prescribing authority
- Ohio behavioral health clinic owners indicted in $9.3M Medicaid fraud case
- Bipartisan House bill tying doc pay to inflation earns resounding applause from providers
- West Tennessee Healthcare expands critical care support through eICU Program in partnership with Philips and hellocare.ai
- Sanofi opens new chapters in Pfizer, Moderna mRNA patent litigation sagas
- Novo gains head start on Lilly with European Commission approval of Wegovy pill
- Merck touts Keytruda front-line win in endometrial cancer subtype, marking a PD-1 first
- Wildfire Smoke Puts Millions At Risk Across Midwest, Northeast
- Lark Health, Samsung team up on AI-powered health coach for U.S. seniors
- 340B drug purchases hit at least $100B in 2025, administrator reports
- Buzzy Veradermics shows its oral minoxidil can tackle female pattern hair loss, too
- No patent protection for Stelara? No problem for J&J as Tremfya fills the void
- Amazon Pharmacy partners with eNavvi to provide real-time medication pricing, delivery info to providers
- Are Microplastics Linked To Higher Heart Attack Risk?
- Impulsivity In Third Grade Could Point To Future Struggles
- AI Can Create 'Ghosts' Of Lost Loved Ones, But Would You Want To Meet Them?
- Blood Test May Predict Alzheimer's Risk Up To 10 Years Before Symptoms Begin
- Kelun scores sac-TMT win in first-line NSCLC population missing from Merck’s massive phase 3 program
- OpenAI’s health AI chief: ‘Bet on the models getting better’
- Knee Pain? Ragged Cartilage? Research Suggests Surgery's Not The Best Answer
- THC/CBD Combo Might Ease Agitation In Late-Stage Dementia
- Facing Funding Losses, States Call Out Big Businesses With Employees on Medicaid
- Full-body scan startup Neko Health scores $700M to break into the U.S. market
- Elevance Health leaves D.C. Medicaid market, mulls future exits
- Sanofi teams up with Special Olympics Unified Football World, raises respiratory health awareness
- Insilico signs on with CDMO Bora in $2.5B AI drug discovery deal
- CMS proposes major Medicare reforms to shift physician pay, phase out MIPS and expand ACO participation
- Judi Health rebrands PBM arm as Judi Rx, unveils Judi Care unit
- With FDA approval for its breast cancer blockbuster hopeful, Celcuity could ‘belong in the hands’ of a Big Pharma
- Anthropic bets bigger on healthcare with Optum tie-up, UST integration
- FTC, CVS unveil settlement in ongoing insulin pricing case
- HHS promises its final rule barring pediatric gender care providers from Medicare is still coming
- Director's Note on What to Expect at the 2026 Partnerships with Sites Summit
- AMA interoperability initiative brings structured clinical terminology to CPT codes
- Lettuce Suspected In Growing Multistate Cyclospora Outbreak
- Startup Sonata launches preventive healthcare membership, linking clinical decisions with AI
- Why Are Family Doctors Leaving The Workforce? Retirement, Burnout Creating A U.S. Primary Care 'Brain Drain'
- HCA Healthcare now expects ACA exchange impacts to exceed $1B in 2026
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- Pain Patients Should Taper Opioids At Their Own Pace, Study Suggests
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- AstraZeneca pays up to $1.5B for EGFR lung cancer drug Zegfrovy from its spinoff Dizal
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- Real Chemistry builds body of AI healthcare commercialization tools with Anatomi launch
- Inside agency view: Havas SO on authenticity, connection and pushing back against the ‘sea of sameness’
- Cellares' recent automated cell therapy wins have 'opened the biotech floodgates'
- Insulet, Calm join forces for diabetes care offerings with ‘Mind in Range’ wellness tools
- Remarks before the American-Hellenic Chamber of Commerce
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- Weight-Loss Drugs Help, But Exercise Is Still The Key To A Healthier Heart
- FDA's latest onshoring move homes in on streamlined facility registration, foreign plant scrutiny
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- As GOP Cries Fraud, Newsom Backs Medicaid Spending on Housing and Food
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- Remarks at the Society for Corporate Governance Conference
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- Foundation Fights Medical Errors That Claim 200,000 U.S. Lives A Year
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- Applying Agentic AI to Healthcare Delivery: The Key to True Transformation
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Michigan healthcare freedom community forum
So, you understand the constitutional framework and safeguards for freedom. You're involved in elections, but they have little impact on local healthcare. What's next?
For any citizen trying to do good oversight, government health policy can be daunting. State, federal, and local are massive and intertwined.
Three branches of government are enough for anyone to keep up with, but what about the fourth branch? Also called the Administrative State or Deep State, it has a literal, identifiable meaning.
And for people who miss personal control of healthcare, it explains a lot.
Jun 12, 2023
The federal government has threatened to withhold Medicare, Medicaid and CHIP funds from a Catholic hospital in Oklahoma because the staff keeps one small candle burning in its chapel. It’s tiny, encased in glass, and kept far away from medical equipment, but the feds insist it’s a safety risk.It’s absurd, but not surprising. Absurdities are a feature of administrative rule.
What is administrative rule? It’s a system of government where nearly every aspect of citizens’ lives is regulated by obnoxious laws that nobody voted on enforced by pedantic bureaucrats who nobody voted for.
The candle is just one example. There are many.
Federal water regulators are fighting a 16-year-long battle to prevent the owners of a dry plot of land from building a home, under the theory that the land contains "navigable waters" because it is connected by a road to a marsh, by marsh to a ditch, by ditch to a creek, and by creek to a river.
And state governments have ticketed and fined children for running lemonade stands without the proper food and beverage licenses.
Administrative rule is America’s system of government. We were a republic once, but our representatives didn’t like the pressure of governing, so they foisted the responsibility onto a massive bureaucracy.
How massive? Nobody knows exactly how many agencies there are. And nobody has a clue how many rules and regulations they administer.
We know that there are hundreds of thousands of pages of laws and regulations. We know that our administrative agencies publish thousands more every year. But nobody knows how many rules they contain. Neither the smartest lawyer, nor the most learned judge has the slightest clue what the law, in total, is.
And that’s just the federal law. State legislatures have followed Congress’ bad example and foisted their jobs onto state agencies.
This is a problem. None of us voted for or has any ability to vote against any of these laws. And nobody, short of our buck-passing congressmen, can fire the bureaucrats who make them. Self-government is more faded memory than reality.
What’s more, nobody can possibly comply with the law because nobody can know it. And where, as in America, the law regulates nearly everything a citizen does, a citizen’s life is full of invisible legal traps. Losing federal funding is the risk posed by some of these traps. But others will strip a citizen of his business, his job or his freedom.
Even the most lawful and conscientious citizen can fall into jail by tripping over some arcane regulation about recycling bottles or packaging lobsters.
It’s bad enough that bureaucrats fuss over the little details of our lives. But where things go from bad to worse is when bias creeps in.
Some bureaucrats are doubtless well-intentioned, albeit in the overbearing way that nannies supervising unruly children are. But some are not. Some of them are power-trippers. Others are discriminators. Some are both and enjoy using their power to harm people they don’t like.
In the case of the candle in the hospital chapel, it could be that the hospital’s regulator just loves rules for rules’ sake. The finger-wagging type: "Well, technically the law does say all flames must be supervised at all times."
Or perhaps the regulator hates religious organizations and people.
It would be easy to rummage through the hundreds of thousands of laws to find one or two to throw at religious people or any other group of people a regulator dislikes.
There are too many rules for people to know, so they cannot conform their behavior to them. And there are too many rules for bureaucrats to enforce equally, so bureaucrats are free to pick and choose their targets.
This is the greatest problem of a system of administrative laws: it tends to become a system of no laws at all. It replaces the rule of laws—general, equal and knowable – with the rule of men who enforce unknowable decrees unequally and with absolute discretion. And so 10,000 little rules become 10,000 little tyrannies.
If there is to be any hope for self-government and for the rule of law, America must abolish administrative rule.
GianCarlo is a Senior Legal Fellow in The Heritage Foundation’s Edwin Meese III Center for Legal and Judicial Studies.
Knowing the cost/benefit of current regulations is important to understanding real-world healthcare problems. This work gives hard numbers, history, and a framework for reforms.
Health Care Regulation: A $169 Billion Hidden Tax - Cato Institute Policy Analysis No. 527 October 4, 2004by Christopher J. Conover
Students of regulation have known for decades that the burden of regulation on the U.S.economy is sizable, with the latest figures suggesting this cost may approach $1 trillion in 2004. Surprisingly, given that the health industry is often viewed as among the most heavily regulated sectors of the U.S. economy, previous estimates generally have ignored the cost of regulating health care services.
Using a “top-down” approach, one can arrive at a “back-of-the-envelope” estimate that health services regulation imposes an annual cost of $256 billion per year (with a range of $28 billion to $657 billion), suggesting that health services regulations could increase estimates of overall regulatory costs by more than 25 percent.
A far more accurate “bottom-up” approach suggests that the total cost of health services regulation exceeds $339.2 billion. This figure takes into account regulation of health facilities, health professionals, health insurance, drugs and medical devices, and the medical tort system, including the costs of defensive medicine. Moreover, this approach allows for a calculation of some important tangible benefits of regulation.
Yet even after subtracting $170.1 billion in benefits, the net burden of health services regulation is considerable, amounting to $169.1 billion annually. In other words, the costs of health services regulation outweigh benefits by two-to-one and cost the average household over $1,500 per year. The high cost of health services regulation is responsible for more than seven million Americans lacking health insurance, or one in six of the average daily uninsured. Moreover, 4,000 more Americans die every year from costs associated with health services regulation (22,000) than from lack of health insurance (18,000). The annual net cost of health services regulation dwarfs other costs imposed by government intervention in the health care sector.
Finding ways to reduce or eliminate this excess cost should be an urgent priority for policymakers. It would appear from this preliminary assessment that medical tort reform offers the most promising target for regulatory cost savings, followed by FDA reform, selected access-oriented health insurance regulations (e.g., mandated health benefits), and quality-oriented health facilities regulations (e.g., accreditation and licensure).
Christopher J. Conover is an assistant research professor with the Center for Health Policy, Law and Management in the Terry Sanford Institute of Public Policy at Duke University.
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