
What Does the New US Budget Law Mean for Physicians?
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.
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Audifort Drops: What Medical Experts Aren't Saying About This Hearing Support Supplement (ALERT)
AudifortRye, New York, July 26, 2025 (GLOBE NEWSWIRE) -- Audifort is being dubbed the "silent fix" for ringing in the ears, declining hearing, and even mental fog. But can just a few drops each day truly deliver such results? As more individuals turn to natural remedies for hearing support, 2025 has seen a sharp rise in interest in plant-based tinnitus relief. In this article, we explore Genuine Audifort Reviews, Expert Medical Insights from Official Sources, and what users can expect when they put this antioxidant-rich formula to the test. Why Are Audifort Reviews 2025 Trending? What's Driving Buzz Around This Hearing Supplement In 2025, more adults over 45 are actively searching for natural ways to support their hearing—not just to address the age-related decline, but to ease ringing ears, sharpen sound clarity, and regain balance. One supplement gaining major attention is Audifort, a liquid hearing support formula that's generating real user buzz. Unlike traditional hearing aids or temporary tinnitus pills, Audifort claims to target the root causes of hearing loss and ringing: poor inner ear circulation, oxidative stress, and nerve inflammation. Its plant-based, antioxidant-rich drops aim to restore hearing health from the inside out, offering a gentler, non-invasive solution. >>Still Unsure? Try Audifort Risk-Free with a 90-Day Money-Back Guarantee If You Don't Notice Improved Clarity. What really sets it apart is its liquid delivery system, designed for faster absorption—especially beneficial for older users with slower digestion or compromised nutrient uptake. With no harsh chemicals or stimulants, Audifort appeals to those looking for a natural, long-term solution. Verified reviews highlight sharper sound awareness, reduced nighttime buzzing, and an improved sense of equilibrium. While results can vary, many report a gradual, noticeable improvement in overall auditory health. The excitement surrounding Audifort isn't hype—it's being fueled by a formula that works in sync with the body's natural defenses, making it a standout in the hearing support space. What Are Audifort Drops? Audifort Drops are a natural liquid supplement designed to support and enhance hearing health using a blend of powerful herbs, essential vitamins, and key minerals. Formulated to address the underlying causes of hearing decline, this solution aims to improve inner ear circulation, reduce oxidative stress, and promote overall auditory clarity. Unlike conventional hearing aids or synthetic pills, Audifort works from within by nourishing the auditory system and helping maintain the health of the inner ear. The formula is carefully crafted to be both gentle and effective, with plant-based ingredients known for their antioxidant and anti-inflammatory properties. Easy to use, Audifort Drops can be seamlessly added to any daily routine. Whether you're trying to protect your current hearing ability or seeking to improve issues like ringing or sound distortion, this liquid supplement provides a safe, non-invasive alternative for long-term ear health support. >>Get Safe, GMP-Certified Audifort Drops at 73% Off – Only Available Through the Official Website. The Science Behind Audifort Drops Audifort Drops are formulated based on the latest scientific insights into auditory health. Each component is carefully selected for its proven benefits in supporting hearing function. The core ingredients include: Herbal Extracts: Plants like Ginkgo Biloba are included for their ability to improve circulation within the ears, helping to enhance blood flow to the inner ear and support hearing clarity. Vitamins and Minerals: Nutrients such as Vitamin B12, Vitamin D, and Magnesium are vital for maintaining proper nerve function and preventing hearing issues linked to nutritional deficiencies. Natural Antioxidants: These compounds help shield the delicate structures of the ear from oxidative stress, a major contributor to age-related hearing loss. Anti-Inflammatory Compounds: The formula also features natural ingredients that may reduce inflammation, further promoting overall ear health. Together, these ingredients create a comprehensive approach to hearing support, positioning Audifort Drops as a leading natural option for maintaining and enhancing ear health. Ingredient Deep Dive — What Sets It Apart Audifort isn't just a basic mix of herbal ingredients. It's a thoughtfully designed formula aimed at tackling three primary contributors to hearing decline: oxidative stress, poor circulation, and disrupted nerve signals within the auditory a closer look at the standout ingredients and why they matter: Grape Seed Extract – Rich in antioxidants, grape seed extract is known for supporting microcirculation. 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Niacin (Vitamin B3) – Known for its ability to widen blood vessels, niacin supports improved blood flow to the auditory nerve. This is especially valuable in promoting repair and regeneration associated with age-related hearing challenges. What truly sets Audifort apart is its sublingual liquid format. This delivery method allows ingredients to be absorbed directly under the tongue, entering the bloodstream more quickly and efficiently than pills that must pass through the digestive system. In addition, the formula contains no artificial preservatives, gluten, or GMOs. Its clean design avoids unnecessary fillers, allowing each component to contribute directly to its purpose. The outcome is a focused, gentle solution that works quietly in the background—rebuilding internal ear support and helping ease the intrusive noise associated with tinnitus. >>Experience It Yourself – Order from the Official Audifort Site with 73% Off and a 90-Day Money-Back Guarantee! Key Benefits of Audifort Drops Audifort Drops are gaining attention as a natural alternative for maintaining and improving hearing health. Backed by well-researched ingredients, this formula offers a range of benefits for those seeking non-invasive support for their ears. Natural Hearing Support: The ingredients in Audifort Drops are chosen to address the root causes of hearing decline, helping to maintain long-term auditory wellness. Improves Sound Clarity: Supports better sound perception, making it easier for individuals with mild hearing challenges to hear more clearly. Protects Ear Health: Delivers powerful antioxidant support to help shield the ears and auditory nerves from damage caused by oxidative stress, environmental toxins, and noise exposure. Promotes Nerve Function: Helps maintain the health of auditory nerves, which play a vital role in delivering sound signals from the ears to the brain. Safe and Non-Invasive: Offers a natural and gentle approach without the risks or discomfort associated with hearing aids or surgical options. Simple to Use: The easy-to-administer liquid format makes Audifort Drops a practical addition to any daily health routine. Why Choose Audifort Drops? Audifort Drops stand apart from other hearing health supplements due to their use of 100% natural ingredients, offering real and lasting benefits without the risk of harmful side effects. Hearing loss can result from a variety of causes including aging, noise exposure, and everyday habits. Rather than relying on hearing aids or invasive procedures, Audifort Drops take a proactive approach by supporting and protecting auditory function naturally. Their gentle, non-invasive formulation allows users to care for their hearing in a safe and cost-effective way. In addition, the liquid format makes this supplement incredibly easy to use. With no pills or complex instructions, incorporating Audifort Drops into a daily wellness routine is both simple and hassle-free. Is Audifort Drops Safe? When it comes to ear health, safety is essential. With countless hearing supplements on the market, only a few meet the quality standards that older adults should rely on. Audifort stands out by being manufactured in the United States within a GMP-certified facility and under FDA-inspected conditions. Each batch is produced in a sterile, controlled environment, ensuring consistent ingredient quality. Audifort contains no synthetic fillers, harmful binders, or hidden stimulants. This minimizes the risk of side effects—provided it's purchased directly from the official website. Many reported issues come from fake or unauthorized versions sold on third-party platforms, often missing key ingredients or containing unknown additives. Medical professionals have reviewed Audifort's formula and generally agree it's safe for most older adults, including those with mild health conditions like high blood pressure or diabetes. Still, individual medical advice is recommended. The liquid, under-the-tongue delivery also supports faster absorption and avoids digestive issues common with pills, especially in aging users. Audifort has a strong safety record when purchased from the official source. Straying from it increases the risk of counterfeit products and health concerns. >>Thinking About Audifort? Avoid Risks—Order Only from the Official Site for Guaranteed Freshness, Refunds, and Authentic Results! Who Should (and Shouldn't) Use Audifort? Audifort was developed with specific auditory and neurological stressors in mind, making it most effective for certain individuals. Adults over 40 experiencing ringing in the ears, difficulty hearing in noisy settings, sound sensitivity, or post-noise fatigue are ideal candidates. 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If you're experiencing early signs of hearing decline, tinnitus, or sound fatigue, Audifort offers a smart, non-invasive option backed by science and trusted by users in 2025. >>Not sure if Audifort is right for you? Start with a 90-day supply and experience the difference. The information provided in this article is for educational and informational purposes only and is not intended as medical advice. Audifort is a dietary supplement, not a cure or treatment for any medical condition. Individual results may vary depending on age, health status, lifestyle, and usage consistency. Always consult with a qualified healthcare professional before starting any new supplement, especially if you are pregnant, nursing, have a medical condition, or are taking medication. Statements made about Audifort have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Audifort 382 NE 191st St PMP 82029 Miami, FL, 33179, USA 33179 support@ Attachment Audifort CONTACT: Brand Website: Project Name: Audifort Address: 382 NE 191st St PMP 82029 Miami, FL, 33179, USA Postal Code: 33179 Media Contact Email: support@ in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data
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Why does the White House want to redesign gas cans? Explaining the situation
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ICE Is Overplaying Its Hand. We've Seen It Happen Before.
Out of this breach emerged the Compromise of 1850, a grand bargain designed to preserve the Union. Under its provisions, California entered the Union as a free state, but the citizens of other former Mexican territories were left to make their own determinations about slavery. Congress abolished the slave trade, but not slavery, in Washington, D.C. And, in return for these concessions, Southern politicians secured what would prove to be the most incendiary component of the deal: the Fugitive Slave Act (FSA) of 1850. The new act inspired widespread disgust throughout the North. The law stripped accused runaways of their right to trial by jury and allowed individual cases to be bumped up from state courts to special federal courts. As an extra incentive to federal commissioners adjudicating such cases, it provided a $10 fee when a defendant was remanded to slavery but only $5 for a finding rendered against the slave owner. Most obnoxious to many Northerners, the law stipulated harsh fines and prison sentences for any citizen who refused to cooperate with or aid federal authorities in the capture of accused fugitives — much in the same way the Trump administration has threatened to jail persons who impede its immigration raids. Before the FSA, formerly enslaved people were able to build lives for themselves in many northern communities. They found homes, took jobs, made friends, started families, formed churches. But after the FSA, they were permanent fugitives — and anyone who employed them, associated with them or provided them housing were accomplices. Early enforcement made immediate martyrs of ordinary people and pierced the illusion that slavery was just a Southern problem. In 1851 federal agents in Boston arrested Thomas Sims, who had escaped enslavement in Georgia, and marched him to a federal courthouse under guard by more than 300 armed soldiers to prevent a rescue. For Boston, a city whose history was steeped in the struggle against King George's standing army, it was an ominous display. Sims' hearing was, just as the law intended, shambolic, and he was ultimately returned to Georgia. (He would later escape a second time during the Civil War.) Want to read more stories like this? POLITICO Weekend delivers gripping reads, smart analysis and a bit of high-minded fun every Friday. Sign up for the newsletter. That same year, Shadrach Minkins, a waiter who had also fled enslavement to Boston, was seized in broad daylight. This time, word traveled fast, and a local 'vigilance committee' — interracial groups formed to monitor and, when necessary, resist enforcement of the fugitive slave law — assembled, with an eye toward liberating the accused man. Awaiting a hearing in federal custody, Minkins was suddenly rescued in a dramatic confrontation witnessed by attorney Richard H. Dana, Jr. 'We heard a shout from across the courthouse,' Dana recalled, 'continued into a yell of triumph, and in an instant after down the steps came two negroes bearing the prisoner between them with his clothes half torn off, and so stupefied by his sudden rescue and the violence of the dragging off that he sat almost dumb, and I thought had fainted. ... It was all done in an instant, too quick to be believed.' Minkins made it to Montreal, where he lived the rest of his life in freedom.