Andrew Murphy is an allergy-immunology physician.

Why ACA subsidies aren’t the main issue

Health Policy
November 10, 2025

As a physician with decades of experience, I have watched health care in this country change from a patient-centered calling into a profit-driven corporate enterprise. Much of the current political rhetoric surrounding the Affordable Care Act (ACA) conveniently ignores the real structural issues that drive up premiums and reduce access for ordinary Americans.

The recent claim that, if Republicans “get their way” and ACA tax credits expire, insurance costs will skyrocket …

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Why ACA subsidies aren’t the main issue

Why patients get unnecessary referrals to consultants

Physician
November 3, 2011

Recently, a physician colleague asked me a question about a patient. The patient, who had already been seen by another allergist, was referred to another physician (“the consultant”) for evaluation. The consultant was in the same healthcare system as my colleague, but the allergist was not. In evaluating the patient, a specific allergy question came up.

The consultant asks my colleague about this question. What was interesting was that the consultant …

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Why patients get unnecessary referrals to consultants