Welcome to the D.C. Rap Up, a weekly rundown of the most important health policy stories. Cleavon Gilman, MD, an emergency physician in New York City, remixes the news and drops the beat to catch you up with what’s up.
This week started off with the State of the Union
Trump addressed all with no change in his hubris
Plans to end AIDS in the future
by 2030, surely or maybe sooner
Millions across the country are suffering with debt
Drugs cost money especially if unchecked
so Trump said abruptly, to American families
We’ll deliver fairness and price transparency
Then candidly stood his ground against abortion
Referenced a bill in Virginia that was thwarted
Republicans applauded, but those outside the caucus
Thought it’s, too divisive, to be brought up by the office
On other topics it’s easier to agree with him
like solving childhood cancer like leukemia
Half a billion to the neediest
Will lift the hopes of children like helium
and last week the Trump admin moved forward
with a rule to eliminate rebates to insurers
but will it translate to lower drug prices?
or add pain to the prescription crisis?
The dice is rolled, will it be costly?
$200 billion or so to Medicare Part D
Those enrolled in ACA dropped sharply
Due to lack of public funding largely
So quiet you could hear a heart beat
Till someone said I’ll speak
Why is your admin against the data
decreasing funding for navigators?
There were other changes, out there that made papers
Telemedicine is falling more in favor as the days come
And new payment models based on age
concierge in a way, which is monthly paid
and before the curtain comes, I’ll leave a certain drug
Cablivi for acquired thrombocytopenic purpura (aTTP)