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March 5, 2025
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David Burda
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Economics Policy System Dynamics
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Saying Goodbye to Things in Healthcare We May Never Know Again

Anyone with even a few brain cells can see the current administration is politicizing and weaponizing federal agencies and turning them into its personal police force. That’s never happened before in the U.S. despite what the current administration says. It’s all about transference.

I thought about what that means for me as a veteran healthcare journalist. The answer is I may never be reporting on certain things again. Those things being credible, objective data released on a regular basis by some of the federal agencies I’ve written about for years.

Here’s an example that inspired this post. Typically, in late February, the U.S. Justice Department releases its latest annual report on civil fraud and false claims settlements and judgments collected by the agency, including those in healthcare. I ignore the press release spin and report on trends in the data as a gauge of whether the Justice Department is getting tougher or weaker on healthcare fraud.

Here’s the story I did last year about it: “Justice Department Sleeping at the Healthcare Fraud Wheel.”

I’ve been checking the last few weeks for the latest annual report. I even had it marked in my monthly (paper) planner. Nothing. Most of the agency’s press releases were little more than propaganda.

Then I thought about all the other things I may never see and report about again. Either because they don’t support the current regime’s lies or because the current regime fired the people who crunch the numbers. Here’s a quick list off the top of my head:

  • National health expenditure data (historic and projected) from CMS
  • Uninsured data (total and percentage of) from the Census Bureau
  • ACA enrollment data from CMS
  • Breaches of protected health information from HHS
  • Medical debt data from the Consumer Bureau of Financial Protection
  • Healthcare-associated infection data from the CDC
  • New drug approvals from the FDA

I know if I took the time, I could come up with dozens more.

One of the hallmarks of authoritarianism is controlling the flow of information to the public. It’s easier to control what people think if you don’t tell them what you don’t want them to know. We may never know a lot about healthcare ever again.

Thanks for reading.

About the Author

David Burda

David Burda began covering healthcare in 1983 and hasn’t stopped since. Dave writes this monthly column “Burda on Healthcare,” contributes weekly blog posts, manages our weekly newsletter 4sight Friday, and hosts our weekly Roundup podcast. Dave believes that healthcare is a business like any other business, and customers — patients — are king. If you do what’s right for patients, good business results will follow.

Dave’s personnel experiences with the healthcare system both as a patient and family caregiver have shaped his point of view. It’s also been shaped by covering the industry for 40 years as a reporter and editor. He worked at Modern Healthcare for 25 years, the last 11 as editor.

Prior to Modern Healthcare, he did stints at the American Medical Record Association (now AHIMA) and the American Hospital Association. After Modern Healthcare, he wrote a monthly column for Twin Cities Business explaining healthcare trends to a business audience, and he developed and executed content marketing plans for leading healthcare corporations as the editorial director for healthcare strategies at MSP Communications.

When he’s not reading and writing about healthcare, Dave spends his time riding the trails of DuPage County, IL, on his bike, tending his vegetable garden and daydreaming about being a lobster fisherman in Maine. He lives in Wheaton, IL, with his lovely wife of 40 years and his three children, none of whom want to be journalists or lobster fishermen.

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