Almost Done


As I type, Mrs. Hoge is now beginning her last dose of IV chemotherapy. Based on PET scans and blood work, she should now be transitioning to oral meds to keep her cancer in remission.

She and I are thankful for your prayers and good wishes.

Good News


Mrs. Hoge had a PET scan on Monday. Her oncologist informed her this morning that the scan shows that almost all of the suspicious spots from her previous scans have disappeared. There is still a suspicious area in her back, but it is greatly reduced and may be the incompletely healed wound from her back surgery rather than cancer. She will continue her IV chemotherapy through July. The prognosis is that the cancer will be in remission at that point and that she can then transition to an oral maintenance therapy.

We are both thankful for your prayers and good wishes.

UPDATE—There are a number of redacted comments below that claim to be from “Father Paul Lemmen.” In fact, they came from a commenter identifying himself as “fuckpaullemmen@intheasswithacross.com, 69.46.6.136” and “asshole@friendofhoge.com, 207.7.86.71.” How desperate must someone be to try to insert such vileness into good wishes for happy news?

Thermodynamics and Health Care


Megan McArdle has a post up on Sticker Shock for Some Obamacare Customers. Now that real world cost data is available, insurers are asking for rates that allow them to at least break even on Obamacare coverage. Maryland’s largest insurer is asking for a 30 percent increase.

It’s a basic principle of Thermodynamics that there ain’t no such thing as a free lunch. That applies to health care too.

That All is not Gold that Glitters, and Two and Two make Four
And the Gods of the Copybook Headings limped up to explain it once more.

Running Out of Other Peoples’ Money


At the end of 2016, the unaffordable Affordable Care Act requires that the state-run Obamacare exchanges operate without any federals subsidy. The Hill reports that states are now trying to find ways to keep the schemes solvent.

A number of states are quietly considering merging their healthcare exchanges under ObamaCare amid big questions about their cost and viability.

Many of the 13 state-run ObamaCare exchanges are worried about how they’ll survive once federal dollars supporting them run dry next year.

Read the whole thing.