Friday, October 31, 2025

US Natural Gas Power Plants 10-31-25

As of mid-2025, there are approximately 1,200 operating natural gas power plants in the U.S.. Another 114,000 megawatts (MW) of natural gas capacity is planned or under construction.  

Existing plants: There are about 1,200 natural gas power plants currently operating in the country.

Future additions: Developers are planning significant increases in natural gas power generation capacity, with over 114,000 MW of new natural gas capacity in the pipeline as of mid-2025.

Types of plants: The primary types include steam turbine (ST) plants and reciprocating internal combustion engine (RICE) plants. 

As of April 2025, there are approximately 1,200 natural gas power plants in the United States. The number of natural gas plants has increased substantially over the past two decades, with gas-fired generation surpassing coal in 2016 as the country's primary source of electricity. 

This growth has been driven by several key factors:

Low natural gas prices and the high efficiency of modern combined-cycle plants have made them economically attractive for power generators.

Retirement of coal-fired plants, which natural gas plants have largely replaced.

Rapid increase in electricity demand, partly due to the rise of data centers supporting artificial intelligence and other high-tech industries.

The need for dispatchable power to support the growth of intermittent renewable sources like wind and solar. 

While recent years saw a slowdown in new gas plant construction, utilities and developers are again planning significant new capacity. Over 200 projects were in development as of early 2025, with much of the new capacity expected to come online between 2026 and 2030. 

https://www.google.com/search?q=how+many+natural+gas+power+plands+are+in+the+us+2025

Norb Leahy, Dunwoody GA Tea Party Leader

 

 

US Weak Electric Grids 10-31-25

For 2025, the U.S. states with the weakest electric grids include Texas, California, Michigan, Louisiana, Maine, and Tennessee. These states are consistently at risk due to a combination of aging infrastructure, severe weather, and high energy demand. The reliability of the U.S. electrical grid is facing increasing pressure from a variety of factors.  

Factors contributing to weak electric grids

Aging infrastructure: Much of the grid was built between the 1950s and 1970s and is nearing the end of its intended lifespan, leading to more frequent outages.

Extreme weather: An increase in severe weather events, such as heat waves, winter storms, hurricanes, and wildfires, is a major cause of grid strain and power outages.

Growing demand: Spikes in electricity demand, fueled by extreme weather and the rapid growth of data centers and industry, place an increasing burden on an already stressed system.

Regional inconsistencies: The U.S. grid is divided into three main networks (Eastern, Western, and Texas), and weak connections between them limit the ability to share power during peak demand. 

States with the most vulnerable electric grids

Texas: The Electric Reliability Council of Texas (ERCOT) operates its own independent power network, making it vulnerable to grid instability. High electricity demand driven by both extreme summer heat and population growth, combined with severe weather events like Winter Storm Uri, has led to a high number of weather-related blackouts.

California: California has seen the most power outages and has been heavily impacted by extreme weather, including wildfires, heat waves, and atmospheric river storms. To prevent fires, utilities sometimes proactively shut off power, further contributing to outages.

Michigan: Frequent ice storms, heavy snow, and strong summer storms damage Michigan's aging power infrastructure, leading to long-lasting outages for millions of residents.

Louisiana: The state's grid is highly susceptible to severe weather, with hurricanes and tornadoes causing frequent outages. Louisiana also experiences some of the longest average outage durations in the nation.

Maine: In 2023, Maine residents experienced the most electricity downtime in the nation, with an average of over 31 hours without power. The state also has one of the highest frequencies of outages.

Tennessee: Like Maine, Tennessee has faced some of the country's longest average outages. Its older infrastructure has struggled with recent record-breaking weather events, such as a cold snap in 2022 that caused widespread blackouts. 

Ongoing grid challenges

A July 2025 report from the Department of Energy warns that grid reliability risks will increase significantly if power generation cannot keep pace with demand from new technologies like artificial intelligence and manufacturing. Regional risks are particularly high in the Midcontinent Independent System Operator (MISO), which includes much of the Midwest, and the Southwest Power Pool (SPP), which covers the middle of the country. 

States with the weakest electric grids in 2025 include Texas, California, Washington, Florida and Louisiana, which are highly vulnerable to weather-related outages. The weakness of a state's grid is often linked to aging infrastructure, extreme weather, and rising energy demands from sources like data centers and manufacturing. 

States with high vulnerability in 2025

Recent reports and analyses highlight several states and regions as most susceptible to power outages and grid instability:

Texas: As its own isolated grid, the Texas Interconnect has historically been vulnerable to extreme weather events, including deep freezes and hurricanes. A July 2025 Department of Energy report noted that the Gulf Coast areas of Texas are at elevated risk.

California and Washington: The West Coast is highly vulnerable to power disruptions. Wildfires and heatwaves strain California's grid, while high winds can impact Washington. Researchers at Texas A&M identified both states as "outage hotspots".

Florida and the Northeast: 

Florida faces frequent hurricanes and thunderstorms that severely test its grid's resilience. The Northeast megalopolis is also flagged for vulnerability due to aging infrastructure and vulnerability to coastal storms.

Louisiana: This state is susceptible to hurricanes and has historically experienced significant outage durations. A 2025 analysis noted Louisiana had 16 outages and 697 hours of outage time in 2022, highlighting ongoing reliability issues.

Michigan and the Great Lakes region: This area is subject to severe winter and summer storms that damage power lines. Reports from 2025 identify the Chicago-Detroit corridor as a vulnerable area, and Michigan has a history of high outage counts.

Indiana: Reports from mid-2024 warned that Indiana could face a power shortage during summer heatwaves due to rising demand and limited supply. 

Factors contributing to grid weakness

A variety of factors are contributing to increased grid vulnerability nationwide in 2025. 

Extreme weather: Climate change is causing more frequent and intense storms, heatwaves, and wildfires, which are now the primary cause of major power outages.

Aging infrastructure: Much of the grid's infrastructure was built in the mid-20th century and is nearing the end of its useful life, making it less resilient to stress.

Growing electricity demand: The rapid expansion of data centers, AI technologies, and manufacturing is putting an unprecedented strain on electricity supply.

Shrinking reliable supply: The retirement of aging coal, gas, and nuclear power plants is not being matched by timely replacement with new, firm generating capacity. While renewables are expanding, their intermittent nature can pose a risk during periods of low sun or wind.

Governance and planning issues: A lack of coordinated planning across federal and state levels has created jurisdictional gaps, delaying much-needed upgrades to transmission and generation infrastructure.

https://www.google.com/search?q=what+us+states+have+the+weakest+electric+grids+2025

Norb Leahy, Dunwoody GA Tea Party Leader

US Data Centers Operating 10-31-25

Yes, some AI data centers are operational in the US in 2025, with several large-scale projects actively running or nearing completion, such as the first site in the OpenAI/Oracle Stargate Project in Texas. While many AI data centers are operational, others, like Microsoft's facility in Wisconsin, are still under construction and are expected to be online in early 2026.  

Operational AI data centers

OpenAI/Oracle Stargate Project (Texas): The first site in this massive AI infrastructure project is operational in Abilene, Texas.

Existing hyperscale and AI data centers: Many existing facilities are operational, and new AI data centers are being built in various locations across the country, including Texas, Northern Virginia, and the Pacific Northwest. 

AI data centers under construction or planned 

Microsoft Wisconsin: A major AI data center campus in Wisconsin is under construction and is expected to be operational in early 2026.

OpenAI/SoftBank Stargate Projects: Additional sites are planned and under development in Ohio and Texas, with SoftBank having broken ground on a site in Lordstown, Ohio.

Google: Multiple facilities near Google's operations have become operational.

Meta A 4-million-square-foot Hyperion data center is planned to open by 2030.

Other projects: There are many other AI data center projects underway across the country, with some large investments announced for states like Pennsylvania. 

https://www.google.com/search?q=are+any+ai+data+centers+operational+in+the+us+2025

Comments

US Electronics Companies began experimenting with AI applications in the 1990s immediately after they had adopted “Object-Oriented” Software redesign.

Norb Leahy, Dunwoody GA Tea Party Leader

US Data Center Power 10-31-25

As of late 2025, no U.S. data centers provide their own nuclear power plants, though some are exploring or securing power from existing nuclear facilities. Government initiatives are planning for new data centers to be co-located with advanced nuclear reactors for on-site power, but this infrastructure is still in the proposal and planning stages.  

Current data center power: Data centers currently get their electricity from a mix of sources, with natural gas being the largest provider, followed by renewables, nuclear, and coal.

Power purchase agreements: Some companies are signing power purchase agreements (PPAs) to buy electricity from existing nuclear plants, such as Microsoft's deal to source power from the Three Mile Island plant.

Government plans: The U.S. government is soliciting proposals for private companies to build and operate data centers that could be directly linked to advanced nuclear reactor technology at government sites like the Savannah River Site in South Carolina and Oak Ridge Reservation in Tennessee.

Timeline for new nuclear: The construction of new nuclear reactors, whether for existing grids or new data center projects, is not expected to happen at scale until at least the early 2030s. 

As of late 2025, there are no U.S. data centers powered by their own nuclear power plants, nor is any such facility expected to come online this year. Instead, large tech companies are investing in power purchase agreements (PPAs) to support the nuclear energy industry and meet the future energy demands of their data centers. 

Key developments in 2025 related to data centers and nuclear power:

Power purchase agreements (PPAs): Tech companies are turning to PPAs to secure a dedicated and reliable power source for their data centers. This involves purchasing the output of a nuclear plant, which enables companies to meet their growing energy needs without the immense cost and complexity of building and operating their own reactors.

Restarting dormant plants: Companies are investing in existing nuclear facilities to bring them back online. For example, in October 2025, Google and NextEra Energy announced plans to restart the Duane Arnold Energy Center in Iowa by 2029 to power Google's data centers. Similarly, in 2024, Microsoft signed a 20-year PPA with Constellation Energy to restart part of the Three Mile Island plant in Pennsylvania, with an anticipated restart date of 2027.

Federal land initiatives: In 2025, the U.S. National Nuclear Security Administration (NNSA) issued a Request for Proposals for private companies to build and operate data centers with on-site nuclear energy at federal nuclear sites in South Carolina and Tennessee. This initiative aims to pair next-generation computing with advanced nuclear energy on federal land.

Small Modular Reactors (SMRs): Many tech companies are investing in SMR technology, which is considered better suited for long-term baseload power for data centers. For example, Amazon is funding SMRs in Washington, while Google has an agreement with SMR developer Kairos Power. However, commercial deployment is not expected until the 2030s.

Future projects: Some private developers, such as Fermi America, are undertaking ambitious plans to build their own nuclear reactors alongside data centers. In October 2025, Fermi signed agreements with two Korean firms to begin building four large nuclear reactors to power a data center campus in the Texas Panhandle. 

https://www.google.com/search?q=how+many+us+data+centers+provide+their+own+nuclear+power+plants+2025

The United States introduced its first nuclear-powered submarine, the USS Nautilus, on January 21, 1954, when it was launched. The submarine was commissioned later that year on September 30, 1954, and then ran on nuclear power for the first time on January 17, 1955. 

https://www.google.com/search?q=when+did+the+us+introduce+nuclear+powered+submarines

France adopted nuclear power plants on a large scale in the mid-1970s, following the 1973 oil crisis, which triggered the "Messmer plan" for energy independence. Although the first commercial reactor came online in the 1960s and the country had an early nuclear reactor called "ZoĆ©" in 1948, the 1970s marked the major expansion of its nuclear fleet. 

https://www.google.com/search?q=when+did+france+adopt+nuclear+power+plants

The Chernobyl disaster happened on April 26, 1986, in what was then the Soviet Union. While the power plant was located in Ukraine, the accident had massive environmental and health impacts that spread across the Soviet Union, now including Belarus, Ukraine, and Russia. 

https://www.google.com/search?q=when+did+russia+have+the+chernobyl+disaster&

Japan's major nuclear power plant disaster occurred on March 11, 2011 at the Fukushima Daiichi Nuclear Power Plant. The incident was a result of the massive earthquake and tsunami that hit northeastern Japan that day, leading to meltdowns in three reactors, explosions, and the release of radioactive material. 

https://www.google.com/search?q=when+did+japan+have+its+nuclear+power+plant+disaster

Georgia completed its nuclear power plant expansion at Plant Vogtle in April 2024, when Unit 4 officially entered into commercial operation. This was the last step of the project, which added two new reactors (Units 3 and 4) to the facility near Waynesboro. 

https://www.google.com/search?q=when+did+the+state+of+georgia+in+the+us+complete+its+nuclear+power+plant+expansion

The United States is projected to use approximately 4,191 billion kilowatt-hours of electricity in 2025, which is about 478.5 gigawatt-hours per year.  This represents a record high for electricity consumption in the U.S. 

https://www.google.com/search?q=how+many+gigawatts+does+the+us+use+per+year+2025

Comments

The US will need to double its output of kilowatt-hours to be able to power the Data Centers. We may need to repurpose our abandoned Coal-Fired Plants and reopen our closed Natural Gas Plants as well as adding various sizes of Nuclear Power Plants for Large Data Centers.

The US has had Nuclear Powered Submarines since the 1950s. These “mini-power plants” were successful and sent the US to consider nuclear power generation from small to large. Large Plant disasters in the US delayed the trend for expansion of Nuclear Power. France adopted Nuclear Power Plants in the 1970s and have been successful. Russia suffered a melt-down in 1986. Japan suffered its melt-down in 2011.

We have learned what to avoid as a result of these nuclear disasters in Russia, the US and Japan. We can also learn from France how they have maintained their Nuclear Power Plants. We can learn what it takes to expand a Nuclear Power Plant from Georgia Power.

Norb Leahy, Dunwoody GA Tea Party Leader

Thursday, October 30, 2025

Replacing Obamacare 10-30-25

No, there was no single new health insurance law replacing Obamacare in 2025 that would cover medically necessary care at a lower cost; instead, the ACA (Affordable Care Act) remained in place, but with significant cost changes due to factors like the expiration of enhanced premium tax credits. Beginning in 2026, these enhanced credits were set to expire, potentially leading to a more than 75% average increase in out-of-pocket premiums for many marketplace enrollees.  

Continued ACA structure: The ACA, or Obamacare, was not replaced by a new system in 2025. It remained the framework for the health insurance marketplace.

Premium increases: Due to the expiration of enhanced premium tax credits, many people who buy insurance on the ACA marketplaces faced significantly higher premiums starting in 2026, with some analysis suggesting an average increase of over 75% for out-of-pocket costs.

Factors driving costs: Premium increases are attributed to factors like the rising cost of healthcare services, increased utilization of high-priced drugs, and general inflation.

Potential impact: The increased costs could lead to healthier enrollees dropping coverage, which in turn can drive up underlying premiums for those who remain.

Other changes: Other changes in 2025 included a new rule that prevents people with DACA from enrolling in ACA marketplace coverage in some states and changes to Medicaid eligibility redeterminations, which are expected to cause some people to lose coverage. 

Whether the Affordable Care Act (ACA) could be replaced by a new system in 2025 that covers medically necessary care at a lower cost is a highly debated political and legislative issue. While new federal policies are being pursued in the new administration, any complete replacement of the ACA would require congressional action. 

Legislative actions taken in 2025

Following the 2024 election, the Trump administration has taken a number of steps that will reshape the ACA, particularly for 2026 coverage. These changes have been pursued through regulatory changes and the budget reconciliation process. They include: 

Expiration of Enhanced Premium Tax Credits: The enhanced ACA premium tax credits, which were extended through 2025 by the Inflation Reduction Act, will expire at the end of the year unless Congress acts. This is projected to cause millions to lose coverage and increase costs substantially for many more.

Regulatory Changes: Through a series of regulatory actions, the administration has made it harder for people to access and enroll in

Marketplace plans. This includes eliminating special enrollment periods for low-income individuals and adding more red tape for applicants.

Budget Reconciliation Bill: The passage of the "One Big Beautiful Bill Act" (H.R. 1) in July 2025 made numerous changes to the ACA, including provisions that could lead to significant reductions in Medicaid spending. 

Projected impacts on cost and coverage for 2026

The outcome of these measures is projected to increase costs and reduce coverage for millions of Americans, according to analyses from organizations like the Congressional Budget Office and the Kaiser Family Foundation (KFF). 

Without congressional action to extend subsidies, out-of-pocket premium payments are expected to more than double for many enrollees.

The CBO projects that, when combined, the changes enacted in 2025 could lead to 16 million more uninsured people by 2034. 

Possible alternative coverage options for 2026

In 2025, several health insurance alternatives exist outside of the ACA's framework, though they generally offer less comprehensive and less reliable coverage. With the projected increase in costs and erosion of ACA protections for 2026, experts anticipate more people will turn to these alternatives. 

Short-Term Medical Insurance (STM): These temporary plans offer low premiums but are not regulated by the ACA. They can deny coverage based on pre-existing conditions and impose limits on covered services.

Health Care Sharing Ministries (HCSMs): These are faith-based organizations where members share medical expenses. HCSMs are not insurance, offer no guarantees of payment, and often have religious requirements for membership.

Fixed Indemnity Plans: These plans pay a fixed dollar amount for specific services, regardless of the actual cost. They are not designed for major medical events and can leave patients with large out-of-pocket bills. 

A note on congressional hurdles

Historically, efforts to fully repeal and replace the ACA have faced significant obstacles in Congress. Even with a unified government, passing comprehensive, lower-cost legislation to replace the ACA is extremely difficult due to the complexities of the U.S. healthcare system and deep political divisions. As seen in 2017, a complete replacement plan can fail to gain enough support even within the same party. 

https://www.google.com/search?q=could+obamacare+be+replaced+by+a+new+health+insurance+covering+what+is+medically+necessary+at+lower+cost+in+2025

Norb Leahy, Dunwoody GA Tea Party Leader

US Obamacare Customers 10-30-25

As of early 2025, a record 24.3 million people were enrolled in Affordable Care Act (ACA) marketplace plans. While exact numbers for families are not reported, this figure represents the total number of individuals covered by these plans. 

Key facts about this enrollment record: 

The enrollment figure for 2025 is double the number of enrollees who signed up in 2021.

Over 90% of those enrolled in marketplace plans qualified for financial assistance, which helped increase affordability.

The Centers for Medicare & Medicaid Services (CMS) released a report on January 17, 2025, that noted 24.2 million consumers had signed up for coverage during the 2025 open enrollment period. The total was later updated to 24.3 million. 

As of the end of the 2025 Open Enrollment Period, a record 24.3 million people were enrolled in Affordable Care Act (ACA) Marketplace plans. However, the number of families is not specified in the enrollment data, as the official statistics count individuals who have selected a plan. 

ACA enrollment data for 2025

Total enrollment: 24.3 million people selected or were automatically re-enrolled in a health plan through the ACA Marketplace.

New consumers: Roughly 3.9 million of these were new enrollees for 2025.

Returning consumers: About 20.4 million were returning customers. 

Family enrollment estimates

While official data is released per individual, the Kaiser Family Foundation (KFF) provides analysis on the overall Marketplace enrollment, which includes families. 

Using the available individual data, it is possible to make a rough estimate of the number of families.

Ratio approach: In 2024, approximately two people were enrolled for every subsidized tax credit filed by a family in the ACA Marketplace, according to the Center for American Progress. However, this is not a perfect indicator, as some families may have multiple policies, and the family size varies.

Household income data: Some data indicates the number of plans selected by household income, but not the average size of the enrolled families.

Alternative interpretation: "Families" can be difficult to define in a way that aligns with ACA enrollment data, which focuses on individuals. Some households may have more than one family member enrolled under different plans or subsidies. 

https://www.google.com/search?q=how+many+us+families+are+currently+enrolled+in+obamacare+2025

Comments

During the Biden Administration, Democrats passed a Bill to extend the Obamacare COVID supplement to end in 2025. Democrats now want to extend the supplement.  Democrats need to end pass the CR to end the Shutdown in order to negotiate an extension. 

Norb Leahy, Dunwoody GA Tea Party Leader

US Families Uninsured 10-30-25

In 2024, an estimated 27.2 million people (8.2% of the population) were uninsured in the United States. Based on this data, it is likely that a similar number of families were without health insurance in 2025, as there is no indication of a significant change in the national uninsured rate. While 2025 data is not yet fully available, projections for some groups, such as young adults, suggest that nearly 3.6 million in this age group could be uninsured.  

Overall Uninsured Rate: In 2024, about 8.2% of the U.S. population, or 27.2 million people, were uninsured.

Trend: The percentage of uninsured Americans remained relatively stable between 2023 and 2024.

2025 Projections: Official data for the full year 2025 is still being collected. However, given the stable trend in recent years, it is likely that the number of uninsured individuals and families is similar to 2024.

Specific Demographics:

Young Adults: A projection for 2025 indicates that around 3.6 million young adults may be uninsured, with the highest rates in states that did not expand Medicaid.

Children: The percentage of uninsured children increased in 2024, with an estimated 6% of children lacking health insurance. 

As of late 2024, approximately 8% of U.S. families, or about 27.1 million people, did not have health insurance. Projections for 2025 indicate this number could increase due to the expiration of enhanced federal subsidies and a drop in Medicaid enrollment. 

2024 uninsured rate 

Recent data from the U.S. Census Bureau and the Centers for Disease Control and Prevention provides the most accurate information available, detailing the situation just before 2025: 

The overall uninsured rate in 2024 was 8.2%, an increase from 7.9% in 2023.

An estimated 27.1 million people were uninsured in 2024.

Data from the American Community Survey indicates that a decrease in public health coverage, especially Medicaid, was a key factor behind the increase in the uninsured rate between 2023 and 2024.

Nearly three-quarters of uninsured people under 65 in 2023 lived in families with at least one full-time worker. 

Projections for 2025 and beyond

Expiration of subsidies: The enhanced premium tax credits that helped subsidize Affordable Care Act (ACA) Marketplace plans are set to expire at the end of 2025. Without a permanent extension by Congress, the Congressional Budget Office estimates that the number of uninsured people could increase by an average of 3.8 million each year from 2026 to 2034.

Loss of Medicaid: With pandemic-era provisions ending, states are restarting eligibility checks for Medicaid. This "unwinding" process is leading to drops in coverage, which is a major driver behind the recent increase in uninsured rates.

Higher costs: Average annual premiums for employer-sponsored family health coverage rose by 6% in 2025 to almost $27,000, which can make coverage less affordable for many families. 

Data limitations

The precise number of uninsured families for the entire year of 2025 will not be known until federal agencies, such as the U.S. Census Bureau, release their official annual report on health insurance coverage in late 2026. 

https://www.google.com/search?q=how+many+us+families+have+no+health+insurance+2025

Norb Leahy, Dunwoody GA Tea Party Leader

Health Insurance Inflation 10-30-25

The causes of 2025 health insurance inflation include rising costs for prescription drugs, especially new specialty and weight-loss medications like GLP-1s, and higher healthcare utilization due to an aging population and chronic diseases. Other factors include general inflation, labor shortages in healthcare driving up salaries, and technological advancements leading to more expensive procedures.  

Key factors driving inflation

Prescription drug costs: Increased demand for expensive weight-loss drugs (GLP-1s) and other specialty medications significantly drives up costs.

Aging population and chronic diseases: An older population and a higher prevalence of chronic conditions lead to increased demand for healthcare services.

General inflation: Broad economic inflation increases the cost of healthcare services, labor, and medical supplies.

Healthcare labor shortages: A lack of healthcare workers, due to burnout and an aging workforce, drives up wages, and these costs are passed on to consumers and insurers.

Technological advancements: New, innovative, and often more expensive medical technologies, procedures, and treatments contribute to rising costs.

Consolidation: The consolidation of hospitals, doctor's offices, and insurance companies can lead to less competition and higher prices for services. 

Causes of U.S. health insurance inflation in 2025 include high-cost specialty drugs, rising medical service prices, labor shortages, general economic inflation, and the expiration of enhanced federal subsidies for plans purchased through the Affordable Care Act (ACA) marketplace. Industry reports project health care costs to rise between 8% and 9% in 2025. 

Costly prescription drugs

GLP-1s and specialty drugs: The high cost and increasing use of GLP-1 drugs for weight loss, such as Ozempic and Wegovy, are driving up pharmacy costs for insurers. Specialty medications, including biologics and gene therapies, also contribute significantly to rising costs.

Price increases for existing drugs: Common medications for conditions such as cancer, diabetes, and osteoporosis have experienced price increases, further fueling inflation. 

Increased prices for medical services

Hospital and provider negotiations: Health care providers have been successful in negotiating higher reimbursement rates from insurers, citing rising labor and operational expenses.

Provider consolidation: Mergers and acquisitions of hospitals and health systems reduce competition, giving larger providers greater power to increase prices.

Administrative costs: The complex administrative structure of the U.S. healthcare system contributes to waste and increases overall costs. 

General economic and market factors

Economic inflation: Broad-based economic inflation, especially higher wages for the health care workforce, is passed on to insurers and subsequently reflected in higher premiums.

Health care labor shortages: A shortage of health care workers, including doctors and nurses, is increasing labor costs for hospitals and other providers. This expense is then passed to insurers and, ultimately, to consumers through higher premiums.

Pandemic-era demand and utilization: After years of delayed or skipped care during the COVID-19 pandemic, a surge in demand for medical services has driven up prices and utilization rates.

Market concentration: A trend toward fewer health insurance companies in many states can lead to less competition and higher premiums. 

Federal policy changes and market uncertainty

ACA enhanced subsidies expiring: Insurers have raised rates in anticipation of the expiration of enhanced premium tax credits at the end of 2025. They expect that with higher out-of-pocket costs, healthier individuals will drop coverage from the ACA marketplace, leaving a sicker, and more expensive, risk pool.

Increased out-of-pocket costs: There has been a long-term trend of shifting more costs to consumers through higher deductibles and other out-of-pocket spending requirements. For 2025, workers in employer-based plans and those in ACA marketplace plans are facing significantly higher deductibles.

Medicaid redeterminations: The end of pandemic-era protections led states to re-evaluate Medicaid eligibility in 2024. While the effects on 2025 premiums are likely to be minor, some individuals moving from Medicaid to the individual marketplace could slightly alter risk pools. 

https://www.google.com/search?q=what+are+the+causes+of+us+health+insurance+inflation+2025

Norb Leahy, Dunwoody GA Tea Party Leader

Patient Knowledge of Nutrition 10-30-25

Yes, patient knowledge of nutrition helps reduce healthcare costs in the U.S. by decreasing the prevalence of diet-related chronic diseases. Health literacy improvements, which include nutrition education, are a major focus of initiatives like the "Food is Medicine" movement to address these costs.  

How nutrition knowledge reduces healthcare costs

Reduced chronic disease management: Poor nutrition is a key risk factor for chronic diseases like type 2 diabetes, heart disease, stroke, and obesity. A significant portion of U.S. healthcare spending, including an estimated $1.1 trillion annually in healthcare spending and lost productivity, is spent managing these conditions. By improving their diet, patients can better manage or even prevent these expensive conditions.

Fewer hospitalizations and readmissions: Patients with better nutritional habits are less likely to need hospital care.

A 2025 study in Health Affairs projected that medically tailored meals (a form of nutritional intervention) could save approximately $23 billion in the first year alone by preventing over 2.6 million hospitalizations annually.

Research has shown that malnourished hospitalized patients have a 50% higher rate of 30-day readmission than well-nourished patients.

Enhanced health literacy: Broad health literacy, including nutrition knowledge, is directly linked to lower healthcare spending.

The CDC reports that low health literacy costs the U.S. healthcare system hundreds of billions of dollars annually due to issues like more emergency room visits, higher hospital readmission rates, and lower medication adherence.

Studies show that individuals with low health literacy have greater overall healthcare utilization and expenditures.

Lower costs through prevention: Education-focused programs, such as SNAP-Ed, have a high return on investment. Some studies on these programs show that for every $1 spent, up to $10.64 is saved in healthcare costs. 

Government and industry initiatives

In 2025, efforts to integrate nutrition into the healthcare system are ongoing through several initiatives: 

Food is Medicine (FIM) programs: These programs, which include medically tailored meals and produce prescriptions, are a direct response to the economic burden of poor diets. As of January 2025, 16 states have either approved or proposed Medicaid waivers to cover FIM interventions.

Physician and clinician training: Efforts are underway to increase nutrition education for medical professionals. This enables them to provide better dietary counseling and more effective FIM interventions, which can reduce healthcare expenditures.

National strategy: The U.S. government's National Strategy on Hunger, Nutrition, and Health recognizes the need to harness the potential of nutrition interventions to reduce healthcare costs. 

Challenges and public perception

Despite strong evidence and growing support, challenges remain:

A March 2025 Health Affairs survey found that fewer than half of Americans received clear nutrition advice from their doctors. However, the survey also revealed that most people are interested in participating in FIM interventions if they were available.

A June 2025 Rockefeller Foundation poll found that while 84% of Americans support FIM programs, only 13% were aware of them. The poll also highlighted that nearly half of the public sees the high cost of nutritious food as the biggest obstacle to healthy eating. 

Yes, patient knowledge of nutrition helps reduce healthcare costs in the US by reducing the incidence and severity of chronic diseases like diabetes and heart disease. Studies and policy initiatives from 2025 emphasize that integrating nutrition education and services into the healthcare system is a cost-effective strategy for prevention. 

Evidence for nutrition knowledge reducing costs

Reduced chronic disease spending: Chronic conditions are major drivers of the $4.1 trillion in annual US healthcare costs. Research shows that poor dietary habits account for a significant portion of healthcare spending, particularly for cardiometabolic diseases like heart disease, stroke, and type 2 diabetes.

Cost-effective prevention: Studies show a strong return on investment for nutritional interventions.

A 2008 report by Trust for America's Health found that a strategic investment of just $10 per person per year in proven prevention programs, including nutrition, could save the country over $16 billion annually within five years.

One government study found that for every $1 spent on SNAP-Ed education programs, up to $10.64 is saved in healthcare costs.

Fewer hospitalizations and readmissions: Nutrition education, particularly when delivered as part of "Food is Medicine" programs, can lead to fewer emergency department visits and hospital readmissions.

A 2025 study estimated that nationwide implementation of medically tailored meal programs could save approximately $23 billion in the first year alone and prevent over 2.6 million hospitalizations annually. 

Initiatives and trends in 2025

Rise of "Food is Medicine" (FIM) programs: Integrating food-based services like medically tailored meals and produce prescriptions into the healthcare system is a major focus for reducing costs.

A June 2025 Rockefeller Foundation poll found 84% of Americans support FIM programs once they understand them.

As of early 2025, 16 states have approved or proposed Medicaid waivers to cover FIM treatments.

Increased focus by federal agencies: Agencies like the U.S. Department of Health and Human Services (HHS) are promoting nutrition education to reduce chronic disease.

In August 2025, HHS announced an initiative urging medical education organizations to implement comprehensive nutrition training.

The Centers for Medicare & Medicaid Services (CMS) is also seeking feedback on supporting preventive care and lifestyle interventions for chronic conditions.

Role of Registered Dietitian Nutritionists (RDNs): RDNs provide medical nutrition therapy (MNT) and counseling that helps prevent and manage chronic diseases like diabetes and obesity.

Employers are increasingly recognizing the value of RDNs in corporate wellness programs to lower benefit costs.

Advocacy groups are promoting legislation to expand access to MNT for Medicare recipients with prediabetes.

Ongoing health literacy challenges: Despite growing initiatives, low health literacy remains a costly problem. In 2024, limited health literacy was estimated to cost the US billions annually due to hospitalizations, medication errors, and worse health outcomes. Improving health literacy is crucial for maximizing the cost-saving potential of nutrition knowledge. 

How patient knowledge reduces costs

Better patient knowledge and health literacy about nutrition translates to reduced healthcare costs in several ways:

More effective self-management: Informed patients are better equipped to manage their diet-sensitive conditions, leading to better adherence to treatment plans and fewer complications.

Improved preventative care: Patients with better nutrition knowledge can make better dietary choices, reducing their overall risk of developing chronic diseases in the first place.

Enhanced provider communication: More engaged and knowledgeable patients can have more productive conversations with their healthcare providers, leading to more personalized and effective care.

Reduced medication and procedure costs: By controlling chronic conditions through diet, patients may reduce their need for expensive medications, surgeries, and other medical procedures. 

https://www.google.com/search?q=does+patient+knowledge+of+nutrution+help+reduce+healthcare+costs+in+us+2025

Comments

Nutrition, Biochemistry and Weight Control need to be added to the School Curriculum. It is part of the knowledge needed to function well as an adult.

Norb Leahy, Dunwoody GA Tea Party Leader

Understanding Blood Test Results 10-30-25

Based on evidence from 2025 and earlier studies, patient knowledge of biochemistry improves comprehension of blood test results by helping them understand complex medical terminology and numerical data. However, this knowledge is just one component of overall health literacy, and many other factors determine a patient's ability to interpret results.  

How biochemistry knowledge assists patients

A patient's understanding of biochemistry directly relates to their ability to interpret lab results in several key areas:

Deciphering medical terminology: Lab reports often contain highly technical terms (e.g., hemoglobin, creatinine, or blood urea nitrogen) that are based on biochemical principles. Knowing that hemoglobin is a protein that carries oxygen, for instance, gives context to a result that might otherwise be a meaningless acronym.

Understanding reference ranges: Many patients struggle to understand that "normal" reference ranges are based on statistical averages and that being slightly outside the range isn't always a cause for alarm. A deeper understanding of the biological factors that influence these values can help prevent unnecessary anxiety.

Connecting results to the body: Basic biochemical knowledge allows a patient to connect specific lab values to their underlying biological processes. For example, knowing that the kidneys filter urea can help a patient understand why high blood urea nitrogen (BUN) is a marker for kidney function.

Interpreting biomarker significance: Biochemistry is fundamental to understanding how biomarkers signal the state of one's health. Knowledge of these mechanisms helps a patient appreciate the clinical relevance of a test result beyond simply knowing if it is "high" or "low". 

Obstacles for US patients interpreting lab results

Despite the benefits of biochemical knowledge, most Americans face significant challenges in interpreting their own blood tests due to low health literacy. Other major barriers include: 

Plain language and jargon: Many medical reports are written by and for clinicians, not patients, using complex medical terminology. A 2025 study highlighted that people with low health literacy struggled to find, view, and understand results on patient portals.

Numeracy skills: Many adults have difficulty interpreting numerical and statistical information, which is a core part of lab results. This is a significant barrier for patients trying to interpret graphs, tables, and reference ranges.

Patient portal design: The format in which results are presented on electronic patient portals can be confusing. Studies have found that even patients with high literacy can be confused by poorly designed interfaces.

Information gaps: Patients frequently report that they lack sufficient information and context to understand the purpose of a test, what the results mean for their health, and what their next steps should be.

Asynchronous results: The 21st Century Cures Act has mandated that patients receive electronic test results immediately. This means patients often see results before their doctor has reviewed them, leading to increased anxiety and misinterpretation. 

Conclusion: Medical literacy over biochemical knowledge

In 2025, a working knowledge of biochemistry remains helpful, but general health literacy and effective clinician communication are far more critical for patients to understand their blood test results. Because most people lack advanced biochemical training, medical experts are focused on improving patient understanding through: 

Revising patient portals to include clearer explanations and educational resources.

Encouraging clinicians to have proactive, detailed discussions with patients about the purpose and meaning of lab tests.

Using plain, non-technical language to explain results. 

https://www.google.com/search?q=does+patient+knowledge+of+biochemistry+help+patients+understand+their+blood+test+results+in+us+2025

Norb Leahy, Dunwoody GA Tea Party Leader

Wednesday, October 29, 2025

Escape from New York Update 10-29-25

While an exact total for 2025 is not yet available, data from early 2025 indicates a continued trend of households leaving New York, with one study showing 59% of moves were outbound in 2024 and another noting New York is one of the most abandoned states. A 2024 United Van Lines National Movers Study found that 59% of New York's movers were moving out of state, a trend that is continuing in 2025.  

2024 Outbound Moves: A United Van Lines study reported that 59% of moves from New York were outbound, placing it among the top states for outbound migration. 

Continued Trend: This 2024 data is a continuation of a trend seen in previous years, where a significant portion of movers left the state. 

High Outbound Percentage: While 2025 data is incomplete, the high percentage of outbound moves in 2024 suggests a continued high number of household departures into 2025. 

Reasons for Moving: Common reasons for leaving include the high cost of living and seeking more affordable markets. 

Impact: 

The outflow of residents, particularly high earners, has significant economic implications for the state. 

Specific statistics on how many households left New York in 2025 are not yet available. Data on migration is typically released by the US Census Bureau with a time lag and is not based on the "household" metric. However, multiple 2025 reports indicate that New York continues to experience a net loss of residents, largely driven by domestic out-migration. 

Available 2025 data and trends

NYC population growth (net): New York City's population grew by 87,000 residents between July 2023 and July 2024, but this was primarily due to international migration, which offset domestic out-migration. This shows that while more people left the city for other parts of the U.S., the overall population still increased from outside the country.

State population change (net): A September 2025 projection estimated a 1.4% population decrease for New York State from 2020 to 2025, indicating a continued net outflow.

Outbound vs. inbound moves: A January 2025 report based on data from national moving company Atlas Van Lines confirmed that New York was one of the states with the highest percentage of outbound moves in 2024.

Drivers of migration: The primary reasons for leaving include high housing costs and the cost of raising a family. Families with young children and lower- to middle-income families are most likely to leave, with 90% of the state's population loss coming from New York City.

Destinations: Florida remains a top destination for former New Yorkers, particularly retirees. Many residents leaving New York City also moved to neighboring suburbs or states like New Jersey. 

https://www.google.com/search?q=how+many+households+have+left+new+york+in+2025

New York City first became a sanctuary city in 1989 through an executive order signed by Mayor Ed Koch. This policy was later reissued and expanded upon by subsequent mayors, with additional city laws in 2014 further limiting the city's cooperation with federal immigration enforcement. 

https://www.google.com/search?q=when+did+new+york+become+a+sanctuary+state

The population of NYC from 1960 to 2024 has increased by 696,016 or 8.9%.

1960 7,781,984

1970 7,894,862

1980 7,074,689

1990 7,322,564

2000 8,008,278

2010 8.175,133

2020 8,804,190

2024 8,478,000

https://www.google.com/search?q=list+the+population+of+nyc+from+1950+to+present&

Comments

The population decline in 1980 was the result of poor city leadership. The rise in population in 1990 was due to effective policies to clean up NYC. The further rise in population from 2000 to 2024 was due to excessive immigration of low earners from other countries. The massive increase in the supply of unskilled labor created a decrease in wages.

Norb Leahy, Dunwoody GA Tea Party Leader

Foreign Born Voters in NYC 10-29-25

As of 2025, U.S. law requires all voters in federal and state elections to be citizens, whether they are native-born or foreign-born. Therefore, any foreign-born voters who supported Zohran Mamdani in his elections must be U.S. citizens. Non-citizens, including legal permanent residents ("green card" holders), are not permitted to vote in these elections.  

It is a federal crime for non-citizens to vote in U.S. federal and state elections, with severe penalties. A non-citizen cannot register to vote without falsely claiming citizenship. Studies have consistently shown that incidents of non-citizens voting in federal or state elections are extremely rare. 

Voting eligibility for foreign-born residents

Naturalized citizens: Foreign-born individuals who have completed the naturalization process are U.S. citizens and are eligible to vote, provided they also meet state residency and age requirements.

Non-citizens: Non-citizens, including green card holders, are not eligible to vote in federal or state elections. The one exception is that a small number of cities and towns in states like California, Maryland, and Vermont allow non-citizens to vote in some local elections, such as for school boards. However, this is not applicable to federal or state races. 

Political context

Zohran Mamdani, a Ugandan-Indian American state assemblyman, represents a district in New York City.

His support includes a significant number of foreign-born naturalized citizens, as noted by a 2025 Politico article highlighting how voters from South Asian immigrant communities organized to support him. These supporters are able to vote because they have become U.S. citizens.

Like other political figures, Mamdani's campaigns focus on issues like affordability and community safety that appeal to a diverse range of working-class voters, including naturalized citizens. 

By law, only U.S. citizens can vote in federal, state, and most local elections. Therefore, any foreign-born voters who cast a ballot in these elections must be naturalized U.S. citizens. Non-citizens, including legal permanent residents, are not eligible to vote in these races and would face severe penalties, including potential deportation, for doing so. 

This means that foreign-born supporters of any candidate, including New York politician Zohran Mamdani, must be U.S. citizens to be eligible to vote for them in federal or state elections. 

Non-citizen voting is limited and rare

While non-citizens are generally barred from voting, some municipalities, such as certain cities in Maryland and Vermont, allow non-citizens to vote in specific local-only elections, such as for school board or city council. 

However, even in areas that permit some form of non-citizen voting, strict legal and procedural separations are maintained to ensure non-citizens cannot vote in state or federal races. 

Claims of widespread non-citizen voting are false

There is no evidence of widespread voting by non-citizens in U.S. elections. Studies and audits have consistently found that such instances are extremely rare and do not affect election outcomes. Claims to the contrary have been widely debunked. 

https://www.google.com/search?sca_esv=88bbe5a9134b5362&q=are+all+the+the+foreign+born+voters+who+support+mamdami+us+citizens+2025

Comments

To guard against Voter Fraud, the Republicans closely monitored the 2024 Presidential Election. There is no evidence that this is happening.  If Mamdami wins, NYC will lose their Tax Base.

There is a very large Foreign Born Voting Base in NYC. They came to the US for the Welfare Benefits.

I witnessed the rise and fall of NYC. I entered elementary school in Queens at the age of 6 and saw NYC in 1949 to 1951 and NYC was great. I turned down a promotion to return to NYC in 1971 and it was a mess. I visited NYC in 1995 and saw NYC rise again.

Norb Leahy, Dunwoody GA Tea Party Leader

US Deal with Malaysia 10-29-25

In October 2025, the United States and Malaysia signed a comprehensive trade and critical minerals agreement to boost economic ties and diversify supply chains. The deal provides preferential market access for U.S. industrial and agricultural goods, addresses non-tariff barriers, and establishes cooperation on critical minerals, a move that addresses China's tightening grip on exports. Key aspects include Malaysia streamlining import processes, recognizing U.S. food safety systems, and committing to critical minerals cooperation, while the U.S. may consider the agreement's positive impact on national security.  

Trade agreement

Market access: Malaysia has committed to provide significant preferential market access for U.S. industrial goods like chemicals, machinery, and vehicles, as well as agricultural products.

Non-tariff barriers: Malaysia agreed to address non-tariff barriers, including accepting U.S. motor vehicle standards, recognizing U.S. food safety certifications, and streamlining import procedures for products like steel and medical devices.

Investment: Malaysia will facilitate U.S. investment in sectors like critical minerals, energy, and telecommunications.

Digital trade: The agreement also addresses barriers impacting digital trade and services. 

Critical minerals agreement

Cooperation: The U.S. and Malaysia signed a separate agreement to cooperate on diversifying global critical minerals supply chains.

Supply chains: Malaysia agreed not to ban or impose quotas on exports of critical minerals to the U.S..

Development: Malaysia will partner with U.S. companies to develop its critical minerals and rare earths sectors, including granting extended operating licenses to U.S. firms. 

Context

Strategic importance: The deals were signed as part of a broader U.S. strategy to strengthen ties in Southeast Asia amid trade tensions with China.

Trade imbalances: The agreements are also intended to address trade imbalances and build more resilient supply chains for critical resources. 

In October 2025, the U.S. and Malaysia signed a new Agreement on Reciprocal Trade and a Memorandum of Understanding (MOU) on critical minerals. These agreements, signed during President Donald Trump's visit to Malaysia, aim to strengthen economic ties and counter China's influence in the region. 

Agreement on Reciprocal Trade

Announced on October 26, 2025, this legally binding agreement builds on the 2004 Trade and Investment Framework Agreement.

Key provisions include: 

Market access for U.S. goods: Malaysia will provide preferential access for U.S. agricultural and industrial exports, including vehicles, chemicals, and electrical equipment.

Addressing non-tariff barriers: Malaysia has committed to accepting U.S. safety standards for vehicles, streamlining import licenses for steel, and updating halal requirements for certain products.

Digital trade and services: The deal addresses digital trade, services, and investment, with Malaysia agreeing to refrain from discriminatory digital services taxes targeting U.S. companies.

Continued tariffs: The U.S. will maintain a 19% reciprocal tariff on most Malaysian imports, with some products receiving a 0% rate. 

Memorandum of Understanding on Critical Minerals

Also signed on October 26, this MOU focuses on diversifying critical mineral supply chains. 

Export restrictions lifted: Malaysia pledged not to ban or impose quotas on critical mineral exports to the U.S..

U.S. partnership: Malaysia committed to developing its critical minerals and rare earth sectors in partnership with U.S. companies. This offers an alternative to Chinese supply chains and supports growing demand for technologies like electric vehicles and semiconductors. 

Comprehensive Strategic Partnership

During the visit, President Trump and Prime Minister Anwar Ibrahim elevated the U.S.-Malaysia relationship to a Comprehensive Strategic Partnership (CSP). 

This marks a significant upgrade in bilateral ties across multiple strategic areas, including trade, investment, technology, and security.

Malaysia, which holds ASEAN's chair in 2025, will now assume an even more vital role for the U.S. in the Asia-Pacific region. 

Context of the deals

These agreements are part of a broader diplomatic tour and trade push in Southeast Asia by the Trump administration. Similar deals were announced with Cambodia, with framework agreements established with Thailand and Vietnam. This initiative is seen as a move to counter China's regional influence and address trade imbalances. 

https://www.google.com/search?q=us+deal+with+malaysia+october+2025

Norb Leahy, Dunwoody GA Tea Party Leader