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Pete's US Health Care Substack

This series explores the real drivers of health care costs, the systems that profit from them, and why reform has become so hard.

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How Would We Pay for U.S. Health Care Reform?

We can afford better health care - the answer is in plain sight.

Scientific Misconduct, Stanford, and Why Oversight Still Matters

Peer review, replication, investigative journalism, independent regulators, and public accountability are not obstacles to progress. They are the conditions that make progress trustworthy

Reforming U.S. Hospitals in a Single-Payer System

If we had a single payer system here's what hospital reform might look like.

The Trial of Dr. Anthony Fauci

“A lot of what you’re seeing as attacks on me, quite frankly, are attacks on science.” —Dr. Anthony Fauci, 2021

Reforming U.S. Hospitals in a Multi-Payer System

America has a multi-payer health care system - here's what we can do now to reduce costs with better outcomes.

Our New Health Policy: FAFO

What happens when public health is treated like a political experiment?

How to Strengthen U.S. Primary Care

Improving access to and support for primary care will help improve our health system and control costs.

Physician Specialization in the United States

Next Monday 7/27/26 I'll be sharing ideas for strengthening US primary care. I am reposting an earlier article on physician specialization in the US.

Medical Education in the United States

Next Monday 7/27/26 I'll be discussing how to strengthen US primary care. Today I'm reposting an article on the impact of our expensive medical training programs.

Controlling U.S. Drug and Technology Costs

America can lower health care costs by cracking down on overpriced drugs and technology.