Essays Without the Noise

These essays are written with one goal in mind: more signal, less noise. Here you will find historical perspective, medical and policy analysis, and measured commentary on the presidency, healthcare, medicine, and public life—written to illuminate rather than inflame.

No Kings, But Plenty Of Thrones: Protest, Power, And The Problem Of Entrenched Rule

No Kings, But Plenty Of Thrones: Protest, Power, And The Problem Of Entrenched Rule

Americans have always protested presidents. But the deeper question is whether protest clarifies where power actually sits. The United States has no king, yet power can still become entrenched through career politicians, safe seats, party machinery, courts, agencies, donors, and bureaucracies that outlast elections.

“No Kings” is a powerful slogan. But if we take it seriously, the question should not be limited to the presidency. A republic can reject monarchy and still build thrones.

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Returning to Healthcare: Cost, Complexity, and the Culture of Care

Returning to Healthcare: Cost, Complexity, and the Culture of Care

In this post, I return to healthcare from a broader vantage point. The central question is no longer simply who has insurance, but why the system remains so expensive, so administratively burdensome, and so often frustrating for both patients and clinicians. Coverage matters, but coverage alone does not explain rising hospital spending, drug-pricing strain, payment complexity, and the growing gap between the science of care and the experience of care.

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Credibility in an Age of Noise
Media and Public Discourse, Civic Leadership Paul G. Schmitz, M.D. Media and Public Discourse, Civic Leadership Paul G. Schmitz, M.D.

Credibility in an Age of Noise

Trust in the media has fallen while the volume of information has exploded. Yet the challenge facing citizens today is larger than deciding which news sources to trust. We now navigate an information ecosystem shaped by algorithms, artificial intelligence, audience incentives, commentary, and declining institutional credibility. This essay examines why evaluating news has become more difficult, what research tells us about modern media incentives, and how readers can develop a disciplined approach to separating reporting, opinion, and persuasion.

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The Electoral College and the Federal Bargain

The Electoral College and the Federal Bargain

The Electoral College remains one of the most debated features of the American constitutional system because it sits at the intersection of democracy, federalism, and history. Created as part of the founding compromise between national popular rule and state-based political power, it was designed to preserve a meaningful role for the states—especially smaller states—in choosing the president. That same logic helps explain both its strengths and its frustrations today.

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