

SNAP, Obesity and Delaware’s Health
As several states move to restrict certain SNAP purchases, Delaware has chosen not to limit items such as sugar-sweetened beverages. Medical research links obesity to higher rates of diabetes, heart disease, and rising health care costs—conditions already widespread in the state. With SNAP shaping dietary choices and Medicaid covering obesity treatment, this article explores whether aligning nutrition assistance and health policy could improve health outcomes and reduce long-
C. D. Casscells
Dec 23, 2025


Will This Government Shutdown Change Your Health Insurance Rates?
As the federal shutdown continues, most Delawareans won’t see changes in their health insurance premiums. The current debate in Washington only affects temporary ACA marketplace subsidies that help a small share of insured residents. Medicare, Medicaid, and employer-based coverage remain stable. Even if enhanced subsidies expire, higher rates would impact only some ACA enrollees. For most Americans, coverage and costs will stay the same. Learn more at CaesarRodney.org.
C. D. Casscells
Oct 23, 2025


No Need for a ‘Hospital Review Board’ in Delaware
We commend Representative Valerie Longhurst's efforts to rein in hospital costs in Delaware. However, the creation of a "Hospital Review Board" in Substitute 1 for House Bill 350 will not succeed. The fundamental problem of high hospital costs in Delaware is due to a lack of competition. NOTE: Hospital costs are clearly the largest component of healthcare costs in Delaware, and they have been currently and historically excessive in comparison to those nationally and in nearby


Tragic Incentives and Transgender Medical Care
Tragic Incentives and Transgender Medical Care By Stacie Beck, Ph.D. , Associate Professor of Economics and C.D. Casscells, M.D. Center for Health Policy at the Caesar Rodney Institute October 20, 2023 The 2011 burst in transgender medical treatments came shortly after the passage of the Affordable Care Act. This accelerated after passage of a non-discrimination federal Health and Human Services regulation on private insurance in 2016. The US experienced a dramatic in
Is ‘Gender Ablation’ Indicated or Ethical as Policy?
The United States is experiencing an endemic health crisis. There is a regional outbreak (on both the East and West coasts) of young girls self-identifying as “trans.” Previously, in 2018 , according to the U.S. National Health Interview Survey on sexual orientation, 97.3% of men and 96.8% of women identify as “straight,” 1.9% of men identify as “gay,” 1.4% of women identify as “lesbian,” and 0.8% of men and 1.8% of women identify as “bisexual.” Also, recently, the Cent
C. D. Casscells
Aug 28, 2023





