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Medicaid Policy

Why People Who Still Qualify Keep Losing Their Medicaid

New Medicaid work requirements and twice-yearly eligibility checks take effect in 2027. The central danger isn't that ineligible people will be removed, it's that eligible people will lose coverage simply because they can't get through the paperwork, and research shows that's cheap to prevent.

By James T.·9 min read
Clinical Trials

The Trouble With "Targeted" Radiation: It Still Hits the Kidneys on the Way to the Tumor

Radiopharmaceuticals were pitched as precision radiation that spares healthy tissue. As more of them reach clinical trials, developers are finding the isotopes damage kidneys, livers, and bone marrow on the way to the tumor, a structural tradeoff rather than a fixable glitch.

By James T.·8 min read
Science Policy

Why China Is Reining In the Very Clinical-Trial System the U.S. Wants to Copy

American researchers want to copy the fast, lightly reviewed investigator-initiated trials that helped China pull ahead in biotech. China is now tightening that same system after safety and transparency problems, including a patient death. The timing is the whole story.

By James T.·9 min read
Pharma Supply Chain

When a Life-Sustaining Drug Depends on a Single Factory

Sanofi is running short of two enzyme-replacement drugs that Pompe disease patients depend on to stay stable, tracing to a quality bottleneck at a single Irish plant. The shortage exposes a structural fragility built into how rare-disease medicines are made, not a failing unique to one company.

By James T.·9 min read
Retirement

Retiring Because the Market Is High Is a Bet, Not a Plan

With stocks strong, the advice arrives on cue, this is a great time to retire. But retirement is close to a one-way door, and anchoring an irreversible decision to a fleeting market condition is backwards. The real question is whether your plan is robust enough that the market's level stops mattering.

By Vasil V.·8 min read
Real Estate

Why Your Condo Dues Are Rising, and Why the Cost Was Always There

The median condo fee is up 29% since 2019, and special assessments are hitting some owners for over $100,000. The rising dues are not a new cost. They're a decades-old cost, deferred through underfunded reserves, finally coming due after the Surfside collapse forced a reckoning.

By Vasil V.·9 min read
Aerospace & Defense

Why the FAA Is Inspecting Hundreds of Boeing Jets That Have No Cracks

The FAA ordered inspections of roughly 471 U.S. 737 MAX jets for a structural crack that has not been found on a single one of them. Read closely, the order is not evidence of another Boeing failure, it's damage-tolerance engineering doing exactly what it's designed to do.

By Vasil V.·8 min read
Compliance

Why Small Businesses Can't Find the Federal Cybersecurity Help That Already Exists

A new bipartisan Senate bill doesn't create any new cybersecurity tools for small businesses. It just orders a report on the federal help that already exists. The remedy it chose reveals that the real failure is awareness, not resources, a problem that recurs across nearly everything government tries to do.

By Vasil V.·7 min read
Biotech Workforce

Boston Mastered Biotech's First Era. One Founder's Move to California Is a Question About Its Second

A Harvard-and-MIT-trained founder who fits Boston's exact entrepreneurial profile built his biotech company in California instead. One anecdote isn't a migration, but it points at a real risk, the source of biotech's regional advantage may be shifting from wet-lab biology to computation.

By James T.·8 min read
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