I didn’t expect this to be a series of posts, but there is news since I wrote post number III. There is a partial change of subject, because the news concerns the Oxford/AstraZeneca adenovirus based vaccine and not the mRNA based vaccines which I discussed before. In the UK they decided to delay the second dose for 3 months in order to get a first dose in as many people as possible as quickly as possible. This is roughly what I proposed in...
Read More »ACA Medicaid expansion growth is 25% in 2020
The Good Part of Medicaid Originally, Medicaid filled the gap if Americans could not afford healthcare insurance. Today, Medicaid is filling the gap if people lost income and/or healthcare insurance during the pandemic. If below FPL or 138% FPL, people qualify for Medicaid. Others who were already in the ACA healthcare exchanges qualify for larger subsidies. Those not qualified for either were left stranded by president trump. in 2020...
Read More »ACA Medicaid expansion growth is 25% in 2020
The Good Part of Medicaid Originally, Medicaid filled the gap if Americans could not afford healthcare insurance. Today, Medicaid is filling the gap if people lost income and/or healthcare insurance during the pandemic. If below FPL or 138% FPL, people qualify for Medicaid. Others who were already in the ACA healthcare exchanges qualify for larger subsidies. Those not qualified for either were left stranded by president trump. in 2020...
Read More »Covid Vaccination one dose or 2 III
First, I want to discuss the evidence on effectiveness of the first dose of the BioNTech Pfizer Covid 19 vaccine. The data from few person – weeks of the phase III trial suggested that one dose was highly effective after 10 days. This is based on 4 of roughly 40 cases in vaccinated participants. Much larger samples from the not randomized controlled just by the general population experience in Israel suggest lower effectiveness. I think the...
Read More »Covid Vaccination one dose or 2 III
First, I want to discuss the evidence on effectiveness of the first dose of the BioNTech Pfizer Covid 19 vaccine. The data from few person – weeks of the phase III trial suggested that one dose was highly effective after 10 days. This is based on 4 of roughly 40 cases in vaccinated participants. Much larger samples from the not randomized controlled just by the general population experience in Israel suggest lower effectiveness. I think the...
Read More »Coronavirus dashboard for January 25: a vaccination race against time vs. the new mutations
Coronavirus dashboard for January 25: a vaccination race against time vs. the new mutations All of the significant economic data is backloaded this week, onto Thursday and Friday. So don’t be surprised if I take a day off between now and then.In the meantime, here is a Coronavirus update. First things first: the most ominous thing I’ve read about the new coronavirus mutations comes from Dr. Eric Fiegl-Ding, who says, quite bluntly, “We need to...
Read More »Coronavirus dashboard for January 25: a vaccination race against time vs. the new mutations
Coronavirus dashboard for January 25: a vaccination race against time vs. the new mutations All of the significant economic data is backloaded this week, onto Thursday and Friday. So don’t be surprised if I take a day off between now and then.In the meantime, here is a Coronavirus update. First things first: the most ominous thing I’ve read about the new coronavirus mutations comes from Dr. Eric Fiegl-Ding, who says, quite bluntly, “We need to...
Read More »Covid Vaccination one dose or 2 II
There is evidence from Israel that one dose of the Pfizer vaccine is less effective than was suggested by the few person-days of evidence in the phase III trials. In Israel “over 12,400 have people tested positive for coronavirus after receiving vaccine shots” Israeli health officials estimate that one shot is about 50% effective after 14 days . The control group is not matched, it’s not a randomized trial, but it is evidence that the second dose...
Read More »Tennessee’s Block Grant Is Approved by H.H.S.
“Restoring Medicaid,” What happens when states switch to Block Grants? I came across a NYT article citing Seema Verma’s approval of the Tennessee’s Block Grant recently. The Tennessee Block Grant is mentioned in section ” Revoke The Block Grant Initiative” of my post Restoring Medicaid. What Are Block Grants? Government funded normal Medicaid has established rules for coverage and benefits. In an exchange for greater freedom offered to...
Read More »Covid Vaccine Dosing Trials ?
I asked if, given the data collected in Phase III trials, it might be wise to delay second doses of the Pfizer and Moderna Covid 19 vaccines until supplies are ample. Since then the UK government has decided to give second doses three months after the first dose. The reason is explicitly to get first doses in more people quickly. This is highly controversial. I’m just going to name drop (actually link drop) to show I am not the only person...
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