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The Quiet Pay Cut: Rising Health Insurance Costs Are Eroding Worker Compensation
Rising employer premiums averaging 9.5% erode wages, forcing workers to delay care.

Travis Roppolo
Mar 157 min read


ADAPs Work. Federal Policy Is Defunding Them on Accident.
ADAPs achieve 87% viral suppression but face funding crisis as multiple policies erode 340B rebates.

Travis Roppolo
Mar 16 min read


Warren and Hawley Want to Break Up Big Medicine
Break Up Big Medicine Act would force structural separation of insurers, PBMs, and pharmacies.

Travis Roppolo
Feb 228 min read


Third Wave of Medicare Drug Price Negotiation Adds More Potential Peril
Medicare drug negotiation's third wave includes Biktarvy, raising HIV treatment access concerns.

Ranier Simons
Feb 155 min read


Congress Rejects HIV Cuts, But Flat Funding Won't End the Epidemic
FY2026 preserves HIV funding but level funding can't support long-acting therapeutics or growing needs.

Travis Roppolo
Feb 17 min read


Equipping Patients with Tools to Reclaim the Promise of 340B
340B program drifted from patient benefit; federal reform needed for transparency and accountability.

Kalvin Pugh
Jan 184 min read


ACA Subsidies in Limbo: What the Senate Framework Means for Patients
Enhanced ACA subsidies expired Jan 1; Senate framework proposes two-year extension with restrictions.

Travis Roppolo
Jan 116 min read
Policy Failures, Not Fate: Inside 2025's Health-Care Unraveling
2025 healthcare crises result from policy choices as ACA subsidies expire, HIV care deteriorates, and state pricing experiments proliferate.

Travis Roppolo
Dec 7, 20259 min read
World AIDS Day - The Resistance of Resilience
World AIDS Day honors resilience of HIV advocates and communities resisting policy failures and system barriers to care.

Travis Roppolo
Nov 30, 20254 min read
340B - Are Patients at the Table or on the Menu? Reflections on the HELP Committee Hearing on 340B
Senate HELP Committee hearing reveals how 340B drug program expansion reflects hospital business strategy rather than patient benefit.

Travis Roppolo
Nov 2, 20254 min read
The Great European Drug Drought: What MFN Means for America
European price controls demonstrate MFN policy risks: delayed access, treatment rationing, and pharmaceutical innovation collapse.

Travis Roppolo
Sep 28, 20257 min read
September Shutdown Could Cripple Open Enrollment as HIV Patients Face Coverage Crisis
September government shutdown threatens healthcare systems during November open enrollment, risking coverage loss for 22 million Americans.

Travis Roppolo
Sep 21, 20255 min read
CBO Data Proves Hospital Systems Exploit 340B Drug Program for Billions
Congressional Budget Office confirms 340B program expansion driven by hospital exploitation rather than pharmaceutical price inflation.

Travis Roppolo
Sep 14, 20256 min read
Federal Antitrust Retreat Threatens Patient Access
Trump administration's revocation of competition executive order accelerates healthcare consolidation and threatens patient access.

Travis Roppolo
Aug 31, 20255 min read
Most Favored Nation, Least Favored Patients
Most Favored Nation pricing threatens to import restrictive QALY-based frameworks that discriminate against expensive treatments.

Travis Roppolo
Aug 24, 20257 min read
HRSA Tightens STI Clinic 340B Rules Amid Industry Lawsuit
HRSA clarifies 340B eligibility for STI clinics while manufacturers challenge Ryan White program participation.

Travis Roppolo
Aug 17, 20255 min read
HRSA's 340B Pilot Tests What Already Works While Ignoring What Doesn't
HRSA's 340B pilot program replicates existing successful models rather than addressing structural program exploitation.

Travis Roppolo
Aug 10, 20255 min read
The Plan to Kill the World's Most Successful AIDS Program
Proposed PEPFAR defunding would eliminate the world's most successful global HIV program and damage international health capacity.

Travis Roppolo
Aug 3, 20255 min read
Enhanced Premium Tax Credits Face Political Crossroads as Coverage Crisis Looms
Expiration of enhanced ACA subsidies threatens to increase premiums 75% and reduce marketplace enrollment by millions.

Travis Roppolo
Jul 27, 20256 min read
Medicaid loses billions as 340B program expansion collides with state budgets
340B program expansion drains billions from state Medicaid budgets while failing to deliver promised drug cost savings.

Travis Roppolo
Jul 20, 20256 min read
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