logo
What Does the New US Budget Law Mean for Physicians?

What Does the New US Budget Law Mean for Physicians?

Medscape16-07-2025
Physicians are still assessing the impact of the budget and policy package passed by Congressional Republicans and recently signed into law by President Donald Trump.
The legislation makes the largest cuts to Medicaid in its history, eliminating about $1 trillion over 10 years and establishing a work requirement that could force many recipients off the program over bureaucratic hurdles.
Nearly 12 million Americans are expected to lose health coverage over 10 years as a result, according to the Congressional Budget Office. Millions more will be affected by the law's ending of certain health insurance subsidies created under the Affordable Care Act.
Here's what physicians should know:
Medicare Pay Bump
In the near term, physicians will see a 1-year 2026 temporary increase of 2.5% in a rate used in determining Medicare's payments to clinicians.
Despite that bit of good news, the budget package will make it more challenging to practice medicine, Bobby Mukkamala, MD, president of the American Medical Association (AMA), told Medscape Medical News in an interview. Clinicians, hospitals, and medical groups are likely to have to provide more uncompensated care to the uninsured.
'When it comes to healthcare in this country and the training for healthcare in this country, I don't see anything to be happy about,' Mukkamala said.
Medicaid patients made up about 17% of the average physician's caseload in 2016, according to the AMA's Physician Practice Benchmark Survey. But pediatricians, with the largest average Medicaid patient share of any specialty at nearly 35%, could see a bigger reimbursement hit, depending on whether they are on salary or not.
Psychiatrists and emergency medicine physicians also have above average Medicaid patient shares (26% and 22%, respectively). Internists reported the lowest Medicaid patient share at just under 12%.
New Med Student Loan Limits
The new law also limits federal loans for professional programs including medical and dental school to $50,000 a year with a total cap of $200,000. The average medical school debt tops $234,000, according to an Education Data Initiative report, but tuition and living expenses for private schools can top $87,000 per year.
The Association of American Medical Colleges (AAMC) said in a statement that the budget package's elimination of the Grad PLUS loan program 'will affect many prospective medical and other health profession's students and worsen the nation's persistent doctor shortage.'
AAMC leaders said they were 'dismayed' by 'massive cuts to Medicaid and changes to state health insurance marketplace exchanges that will lead to tens of millions of people losing much-needed healthcare coverage.'
Anders Gilberg, senior vice president for government affairs for the Medical Group Management Association, said the newly cleared bill 'paints a grim future for America's physician practices by stripping healthcare coverage from millions of Americans.'
People who lose healthcare coverage 'will still find care in our US healthcare system,' Gilberg said, but 'medical groups and hospitals will be left picking up the enormous tab.'
'With these historic Medicaid cuts, dedicated physicians and medical practices committed to providing care in our country's most underserved areas will face growing financial burdens as they are forced to offer more and more uncompensated care,' he said.
A Boost for Direct Primary Care
The budget package also for the first time allows patients to use their Health Savings Accounts to pay for monthly fees charged by direct primary care providers, which may include office visits but not major procedures, lab tests, or prescription drugs.
Monthly fees of up to $150 ($300 per couple) will be allowed and will be tied to inflation going forward. The provision is seen as a win for the growing direct primary care movement.
Uninsured Concerns
It's not yet clear how many adults will eventually lose health coverage due to the implementation of the new law.
The Congressional Budget Office had estimated that 11.8 million fewer people would have had health insurance in 2034 if an earlier Senate version of the bill were adopted.
Belinda R. Avalos, MD, president of the American Society of Hematology said in a statement that nearly half of people living with sickle cell disease are covered under Medicaid or the Children's Health Insurance Program.
'It is profoundly disappointing that the Senate and House have voted to adopt the devastating cuts to Medicaid outlined in this bill,' Avalos said. 'These cuts recklessly endanger the health of millions of Americans, including those living with complex, life-threatening blood disorders.'
In a statement, the American College of Rheumatology (ACR) said it also was 'disappointed that Congress has advanced legislation that could impact patients' access to Medicaid and limit providers' ability to care for vulnerable patients.'
'We encourage leaders in Washington to support measures that expand access to care and coverage for patients, rather than displacing the estimated 11.8 million Americans whose insurance could be at risk,' ACR said.
Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

China, US to extend tariff pause at Sweden talks by another 90 days, SCMP reports
China, US to extend tariff pause at Sweden talks by another 90 days, SCMP reports

Yahoo

time26 minutes ago

  • Yahoo

China, US to extend tariff pause at Sweden talks by another 90 days, SCMP reports

(Reuters) -Beijing and Washington are expected to extend their tariff truce by another three months at trade talks in Stockholm beginning on Monday, the South China Morning Post (SCMP) reported on Sunday, citing people familiar with the matter. During the expected 90-day extension, the U.S. and China will agree not to introduce new tariffs or take other actions that could further escalate the trade war, the report said. While the earlier discussions in Geneva and London focused on "de-escalation", the latest meeting the Chinese delegation will also press Trump's trade team on fentanyl-related tariffs, the report further said, citing three sources familiar with the matter. Reuters could not immediately verify the report. The White House did not immediately respond to requests for comment. The third round of U.S.-China talks is set to be held in Stockholm on Monday to tackle longstanding economic disputes at the centre of the countries' trade war.

Can a county fire a sheriff behind closed doors? Advocacy group threatens to sue for access
Can a county fire a sheriff behind closed doors? Advocacy group threatens to sue for access

Yahoo

time26 minutes ago

  • Yahoo

Can a county fire a sheriff behind closed doors? Advocacy group threatens to sue for access

An open government advocacy group is threatening to sue a California county that is preparing to discuss firing its elected sheriff behind closed doors. San Mateo County Sheriff Christina Corpus, who serves one of the wealthiest communities in the country, has faced calls for her removal since an explosive November report from a retired judge found that she likely violated the county's policy on nepotism and conflicting relationships. The report alleged that, by 2024, Corpus had 'relinquished control' of the department to a subordinate. That led to a ballot measure last year that voters passed to empower the county Board of Supervisors to remove her from office, which they voted to do in June. Corpus appealed, leading to the scheduled August evidentiary hearing. As part of the removal proceedings, Corpus' legal team asked that the removal hearing take place behind closed doors. 'The county should decline,' wrote First Amendment Coalition attorney Aaron Field in a letter to the county Board of Supervisors. 'Barring the press and public from the removal hearing as Sheriff Corpus has requested would violate the First Amendment right of access to public proceedings, undermine a panoply of compelling public interests in administering the removal hearing transparently and needlessly shut San Mateo citizens out of a key phase of a process.' The hearing is scheduled to begin Aug. 18 and is expected to last about 10 days. CalMatters originally filed a request to open the June removal hearing to the public, a request that was denied. The First Amendment Coalition is making the same request for the August removal hearing. Corpus' removal — and her fight against it, including unsuccessfully filing for a restraining order to stop the proceedings — has roiled her department and the community for nearly a year. Several cities in her county have given her administration no-confidence votes, and the unions representing both her deputies and her sergeants have called for her removal. A San Mateo County spokesperson said the county had received the First Amendment Coalition's letter and would announce a decision soon. 'The county has consistently expressed its view that this should be a fully transparent process, including having the August appeal hearing for her removal from office be open,' said San Mateo County spokesperson Effie Milionis Verducci. 'However, the sheriff has blocked it.' The sheriff's department is still in turmoil, most recently when Corpus put a San Mateo County sheriff's sergeant on leave. That sergeant had testified extensively in a second county investigation into Corpus. The union representing San Mateo County Sheriff's sergeants objected, alleging the sergeant was put on leave as retaliation for his testimony. Corpus denied that her actions had anything to do with the report in a statement posted to the sheriff's office website. 'His temporary administrative leave is entirely unrelated to any comments or cooperation he may have provided in the Keker report,' Corpus said in the statement. Duara writes for CalMatters, where the article first appeared. Sign up for Essential California for news, features and recommendations from the L.A. Times and beyond in your inbox six days a week. This story originally appeared in Los Angeles Times.

Testosterone Booster for Muscle Gain: Men Opt for OTC Supplement Form Natural Testosterone Replacement Therapy (TRT) Treatment in 2025
Testosterone Booster for Muscle Gain: Men Opt for OTC Supplement Form Natural Testosterone Replacement Therapy (TRT) Treatment in 2025

Yahoo

time26 minutes ago

  • Yahoo

Testosterone Booster for Muscle Gain: Men Opt for OTC Supplement Form Natural Testosterone Replacement Therapy (TRT) Treatment in 2025

TestoPrime New York City, NY, July 27, 2025 (GLOBE NEWSWIRE) -- A recent survey shows that TestoPrime is widely regarded by men as the and the top choice for muscle-building results in the United States. In 2025, the pursuit of muscle mass and optimal health continues to drive innovation in the supplement world. For decades, men wanting to boost muscle growth, energy, and performance have turned to testosterone replacement therapy (TRT) as a solution for declining male hormone levels. Traditionally, TRT meant doctor-prescribed injections, gels, or patches—methods that, while effective, come with drawbacks like cost, inconvenience, and potential side effects. Enter the new era: pill form testosterone booster supplements for TRT. Over-the-counter, non-prescription supplements offer safe, natural alternatives for men looking to enhance their testosterone and, with it, muscle gains, recovery, and vitality. At the forefront of this revolution is TestoPrime, a brand rapidly becoming synonymous with natural testosterone therapy and transformative article will explore the science behind testosterone and muscle mass, the shift toward oral supplements. Read why TestoPrime is emerging as the number one choice for natural TRT for men in 2025. The Role of Testosterone in Muscle Growth and Men's Health Why Testosterone Matters Testosterone is the primary male hormone, responsible not only for hormonal male health but also for a host of bodily functions vital to muscle mass, strength, mood, and energy. As men age—or due to lifestyle factors—testosterone levels can decline, leading to: Reduced muscle mass and strength Increased body fat Lower energy and motivation Decreased libido and performance Mood changes such as irritability or depression Slower recovery from workouts Testosterone and Muscle Mass: The Science Muscle tissue is highly responsive to testosterone. The hormone's anabolic effects promote: Protein synthesis: Boosting the rate at which muscle fibers repair and grow after exercise. Nitrogen retention: A key factor in muscle recovery and growth. Red blood cell production: Enhancing oxygen delivery to muscles during training. Fat distribution: Helping to maintain a leaner physique. Low testosterone levels make it harder to gain or even maintain muscle, no matter how hard you train. Introducing TestoPrime: The Leader in Pill Form TRT Testosterone treatmentRead why doctors and clinicians recommend TestoPrime for low testosterone levels About TestoPrime Testosterone Supplements TestoPrime is a breakthrough supplement specifically formulated to naturally elevate and optimize testosterone levels in men. Backed by clinical research, TestoPrime is designed for: Men experiencing age-related testosterone decline Athletes and bodybuilders wanting to build lean muscle mass and recovery Anyone looking to reclaim energy, focus, and vitality Since its launch, TestoPrime has garnered a loyal following and impressive results - making it the go-to testosterone supplement in 2025. TestoPrime's Formula: What's Inside and How It Works Powerful, Natural Ingredients TestoPrime's formula is built on 12 evidence-based ingredients, all chosen for their synergistic effects: D-Aspartic Acid (DAA) A natural amino acid that stimulates LH production, signaling the body to boost testosterone levels. Panax Ginseng A legendary adaptogen, ginseng helps combat stress and supports libido, stamina, and energy. Ashwagandha Extract Reduces cortisol, the stress hormone that can suppress testosterone; also supports muscle growth and fat loss. Fenugreek extract Shown in studies to naturally increase testosterone and support strength and libido. Green Tea Extract (with EGCG) Antioxidant-rich, it supports fat burning and overall health. Pomegranate Extract Boosts blood flow and supports cardiovascular health, benefiting workout performance. Vitamin D Essential for testosterone production; most men are deficient. Zinc A mineral crucial for hormone health and immune function. Vitamin B6, B5, Garlic Extract, Black Pepper Extract Support energy metabolism, absorption, and overall hormonal balance. How TestoPrime Works Stimulates natural testosterone production DAA and fenugreek help the body make more of its own testosterone. Reduces stress and cortisol Ashwagandha keeps stress in check, protecting testosterone levels. Enhances energy, focus, and stamina Ginseng, green tea, and B vitamins keep you sharp and motivated. Improves muscle recovery and fat loss By supporting hormonal balance, TestoPrime optimizes your body's ability to build muscle and burn fat. TestoPrime vs. Prescription TRT: A Side-by-Side Comparison Feature TestoPrime (Pill) Prescription TRT (Injections/Gels) Prescription required No Yes Accessibility Worldwide, online Limited to clinics, prescription only Method Daily oral supplement Injections, gels, patches Ingredients Natural plant extracts, vitamins, minerals Synthetic testosterone Risk of side effects Low Moderate to high Hormonal shutdown No Yes (suppresses natural production) Muscle gain/fat loss support Yes Yes Libido & mood Yes Yes Cost Affordable, no doctor fees High, recurring medical costs Suitable for all men Yes (adults, not for those with medical conditions) Only for those diagnosed with low T The Muscle-Building Benefits of TestoPrime 1. Accelerated Muscle Growth By naturally increasing testosterone, TestoPrime amplifies protein synthesis and nitrogen retention—critical processes for building and repairing muscle fibers after intense workouts. Users report faster gains in size and strength, especially when combined with resistance training. 2. Improved Strength and Performance Higher testosterone enhances red blood cell production, resulting in better oxygen delivery and endurance. TestoPrime users often notice more power and stamina in the gym, enabling progressive overload and continual improvement. 3. Faster Recovery TestoPrime's anti-inflammatory and adaptogenic ingredients (like ashwagandha and ginseng) help the body recover from strenuous exercise, reducing muscle soreness and downtime. 4. Fat Loss and Leaner Physique Increased testosterone shifts the body's metabolism toward burning fat for fuel, particularly visceral (belly) fat. Combined with the thermogenic properties of green tea and pomegranate, TestoPrime helps users shed unwanted fat while preserving hard-earned muscle. 5. Enhanced Motivation and Mental Clarity Many men experience 'brain fog' or lack of motivation when testosterone is low. TestoPrime's blend of vitamins, adaptogens, and antioxidants supports mental focus, drive, and mood. Real User Results: Transformations with TestoPrime Case Study 1: Mark, 37 – From Plateau to Progress 'After turning 35, I noticed my workouts weren't getting the same results. I felt sluggish and wasn't adding muscle like before. After 8 weeks on TestoPrime, my energy shot up, my bench press increased by 30 lbs, and I lost 10 pounds of fat. This is the boost I needed!' Case Study 2: David, 42 – Reclaiming Youthful Vitality 'I'd been on prescription TRT for a year but hated the injections and side effects. Switching to TestoPrime was a game changer. I sleep better, have more energy, and my wife noticed the difference too.' Case Study 3: Mike, 29 – Natural Gains for Bodybuilding 'I wanted to stay natural but maximize my muscle growth. TestoPrime fits perfectly with my training. More strength, better recovery, and I feel unstoppable in the gym.' The Science Behind TestoPrime: Evidence for Each Ingredient D-Aspartic Acid (DAA) Clinical studies have shown that DAA can increase luteinizing hormone (LH) and, consequently, testosterone production in healthy men. One notable study found a 42% increase in testosterone after just 12 days of supplementation. Ashwagandha Research demonstrates that ashwagandha supplementation can significantly reduce cortisol levels and boost testosterone, especially in stressed or active men. In one trial, men taking ashwagandha experienced greater muscle gains and fat loss compared to placebo. Fenugreek Fenugreek has been shown to improve both total and free testosterone levels while supporting strength and body composition in resistance-trained men. Panax Ginseng Ginseng is an adaptogen that not only combats stress but also supports libido, energy, and overall hormonal balance. Zinc and Vitamin D Both are essential nutrients for healthy testosterone production. Studies repeatedly show that deficiency in either leads to reduced hormone levels and impaired muscle growth. KW;, Om AS;Chung. 'Dietary Zinc Deficiency Alters 5 Alpha-Reduction and Aromatization of Testosterone and Androgen and Estrogen Receptors in Rat Liver.' The Journal of Nutrition, U.S. National Library of Medicine, TestoPrime in Muscle Building and Cutting Cycles Bulking: Building Mass with Elevated Testosterone During a bulking phase, the goal is to maximize muscle growth with a caloric surplus and heavy resistance training. Higher testosterone levels facilitate: Greater muscle protein synthesis Faster recovery between sessions Increased strength and power output Less fat gain relative to muscle mass TestoPrime's formula supports all these processes, making it ideal for natural bodybuilders and athletes seeking maximum gains without synthetic hormones. Cutting: Preserving Muscle While Burning Fat Cutting cycles focus on shedding fat while maintaining muscle. Testosterone is key here, as low levels can lead to muscle loss during calorie restriction. TestoPrime: Preserves lean mass by supporting testosterone and reducing cortisol Accelerates fat loss via metabolic and thermogenic ingredients Maintains energy and motivation during tough dieting phases How to Use TestoPrime for TRT Maximum Results Dosage and Timing Recommended dose: 4 capsules once daily, ideally in the morning before breakfast. Consistency: Take TestoPrime every day, even on rest days, for best results. Cycle length: TestoPrime can be used continuously, but many users follow cycles of 8–12 weeks on, followed by a short break. Stacking with Other Supplements TestoPrime pairs well with: Protein powders (for muscle repair) Creatine (for strength and power) BCAAs/EAA supplements (for recovery) Fat burners (during cutting, if needed) Diet and Training Bulking: Combine TestoPrime with a calorie surplus and heavy, compound lifts. Cutting: Use alongside a slight calorie deficit, with an emphasis on protein and resistance training to spare muscle. Is TestoPrime Safe? Side Effects and Precautions Safety Profile TestoPrime is formulated with natural, clinically tested ingredients and is generally very well tolerated. Most users report no side effects. Who Should Avoid TestoPrime? Women and minors: Not recommended. Men with medical conditions: Consult a doctor before use, especially those with hormone-sensitive conditions or on medication. Allergies: Check the ingredient list for potential allergens. No Hormonal Suppression Unlike prescription TRT, TestoPrime does not shut down your body's own testosterone production. In fact, it works by supporting your natural hormonal pathways. Frequently Asked Questions 1. Is TestoPrime a steroid? No. TestoPrime is a natural supplement, not a steroid or synthetic hormone. It works by supporting your body's own testosterone production. 2. How quickly will I see results? Most users begin to notice increased energy and motivation within 2–3 weeks. Muscle and strength gains typically become noticeable after 4–6 weeks. 3. Can TestoPrime replace prescription TRT? For men with clinical testosterone deficiency, medical TRT may still be necessary. However, for most men seeking to optimize natural levels, TestoPrime offers a safe, effective alternative. 4. Is it legal and safe for sports? Yes, TestoPrime contains no banned substances and is safe for competitive athletes. 5. Do I need to cycle TestoPrime? While it can be taken continuously, many users prefer to follow 8–12 week cycles with breaks. 6. Can older men use TestoPrime? Absolutely. In fact, older men with age-related testosterone decline stand to benefit the most. TestoPrime Reviews and Community Buzz: Why TestoPrime is #1 in 2025Growing Popularity With thousands of positive reviews worldwide, TestoPrime has become a staple testosterone supplement for men looking to reclaim their strength, energy, and physique. Social Proof Fitness forums: Users report dramatic improvements in muscle mass, recovery, and motivation. YouTube/Instagram: Influencers and trainers increasingly recommend TestoPrime for natural muscle building. Wellness blogs: Health experts highlight its science-backed formula and transparent labeling. Satisfaction Guarantee TestoPrime offers a lifetime money-back guarantee—a testament to its effectiveness and customer trust. Where to Buy TestoPrime: Ensuring Authenticity and Results To guarantee you're getting the genuine product, always buy directly from the official TestoPrime website. Benefits include: Fresh, authentic product direct from the manufacturer Bulk order discounts and free shipping Lifetime money-back guarantee 24/7 customer support and guidance Avoid third-party resellers to steer clear of counterfeits and ensure eligibility for the guarantee. Traditional TRT: The Challenges of Injections and Gels Prescription TRT: The Standard Approach For years, men diagnosed with low testosterone have relied on medical testosterone replacement therapy (TRT). This typically involves: Injections: The most common method, often administered weekly or bi-weekly. Topical gels or patches: Applied to the skin daily. Implants or pellets: Inserted under the skin for slow hormone release. Limitations and Drawbacks While prescription TRT can be life-changing for men with clinical deficiency, it's not without downsides: Invasive and inconvenient: Injections require regular doctor visits; gels and patches can be messy or cause skin irritation. Side effects: Risk of acne, hair loss, sleep apnea, increased red blood cell count, high blood pressure and testicular shrinkage. Cost: Ongoing medical appointments and prescription fees add up. Not accessible to all: Only available with a clinical diagnosis and prescription. The Shift in 2025: Why Men Are Turning to Pill Form Testosterone Replacement Therapy The Demand for Natural TRT Treatments In 2025, more men are looking for ways to safely and effectively boost testosterone without needles, doctors, or prescriptions. The new generation of pill form testosterone boosting supplements answers this demand, offering: Convenience: Easy, daily oral dosing. Natural ingredients: Plant extracts, vitamins, and minerals shown to support healthy testosterone levels naturally. No prescription required: Accessible to all adult men, worldwide. Safer profile: Lower risk of side effects compared to synthetic hormone replacement. Comprehensive benefits: Improved muscle mass, energy, mood, and overall wellness. The Science Behind Natural Testosterone Boosters Pill-based supplements work by supporting the body's own testosterone production, rather than replacing it with synthetic hormones. Ingredients are chosen for their ability to: Stimulate luteinizing hormone (LH), signaling the testes to produce more testosterone Reduce stress hormones like cortisol, which can suppress testosterone Improve blood flow and nutrient delivery to muscles Support overall hormonal balance Treat erectile dysfunction Natural testosterone boosters also play a crucial role in regulating weight gain and supporting the production of steroid hormones, which are essential for muscle growth, energy, and sexual function. Many of these ingredients help modulate the activity of the adrenal glands—important organs that influence both cortisol and testosterone levels. In addition, a healthy intake of dietary fat is vital for optimal hormone synthesis, as extremely low fat diets can negatively impact testosterone and other steroid hormones. By promoting the body's natural ability to maintain healthy fat levels and supporting key processes related to sexual function, muscle repair, and hormonal balance, these supplements offer a comprehensive approach to men's health and performance. Final Thoughts: The Future of Natural Testosterone Therapy The landscape of men's health and muscle building is changing rapidly. In 2025, more men than ever are seeking safe, effective, and convenient testosterone therapy—without the needles, risks, or doctor's visits of traditional TRT. TestoPrime stands at the forefront of this movement, offering a powerful, natural testosterone treatment for men who want to maximize muscle mass, performance, and vitality. Its evidence-based formula, stellar safety profile, and growing community of success stories make it the leading choice for anyone ready to take their training and life to the next level. Ready to experience the benefits of natural testosterone boosters? Discover TestoPrime and join the new era of muscle building and men's health today. Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a healthcare professional before starting any supplement. Individual results may vary. Media Contact:Steve Niddich, Head of Product InnovationWolfson Brands UK12 Payne Street, Glasgow, G4 0LF, United Kingdomsupport@ TestoPrime CONTACT: Media Contact: Steve Niddich, Head of Product Innovation Wolfson Brands UK 12 Payne Street, Glasgow, G4 0LF, United Kingdom support@

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into a world of global content with local flavor? Download Daily8 app today from your preferred app store and start exploring.
app-storeplay-store