Ripon Forum


Vol. 59, No. 4

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In this edition

At a time when spending in just about every area of the federal government is coming under intense scrutiny and review, the latest edition of The Ripon Forum examines the importance of investing in health research and why is it critical that the United States remain a global leader in that regard.

Is There Room in American Politics for the Don Bacons of the World?

Bacon’s success is thanks to strong relationships in his district and his brand as a centrist, opposing his party line just often enough to win over voters who otherwise prefer Democrats.

Today’s Trade War: Hype vs. Reality

In 2018, President Trump proclaimed trade wars “are good and easy to win.” Now, six months into the President’s latest trade war, the results have proven to be anything but.

Saving Can-Do: How to Revive the Spirit of America

Howard’s concern these days – and the focus for much of his latest book – has less to do with the DOGE wrecking ball that has been tearing through Washington than the question of what comes next.

Kelly Ayotte’s Six Month Report Card

It has been roughly six months since Governor Kelly Ayotte was sworn into the corner office in New Hampshire. While it is still obviously early in her term, she remains popular and enjoys a double digit favorability rating as a Republican in a purple state that was also won by Kamala Harris. Her achievements in […]

America First in Health Research

The U.S. should commit itself to making the most of that next generation of healthcare and maintain our position as the world’s premier leader in medical breakthroughs.

America’s Pharmaceutical Supply Chain is in Crisis

The United States should never be dependent on the Chinese Communist Party for antibiotics and essential medicines. But that’s exactly the dangerous position we are in today.

Vaccines Lead to Better Health and Greater Productivity

The creation, development, and deployment of vaccines – a U.S. federal priority since the 1960s – has been one of the greatest health care achievements in history.

The Cost of Chronic Disease

As of 2023, roughly 194 million American adults had at least one chronic condition, which cost our nation’s economy billions of dollars each year.

America the Overprescribed

The best way to prevent the downstream effects of overprescribing is to prevent it in the first place. That also means a concerted effort to prevent overdiagnosis.

The Future of AI in Health Care: Moving at the Speed of Trust

For modernization to truly take hold, and for the adoption of artificial intelligence to be systematic and widespread, we need greater confidence in its safety and effectiveness.

Should the Government Control Drug Prices? No…

Most favored nation would further devastate drug research.

Should the Government Control Drug Prices? Yes…

The key to effectively constraining spending on drugs without stifling innovation is regulating drug prices wisely, with the goal of having reductions in funding concentrated in innovations that have the most limited prospects of increasing value to patients.

Remembering Mike Castle

The Honorable Mike Castle, who was the sole representative of Delaware in the U.S. House of Representatives, passed away at the age of 86 on August 14, 2025.

Ripon Profile of Greg Murphy

Greg Murphy reflects on how his career as a doctor shapes his service as a Member of Congress.

Ripon Profile of Greg Murphy

Greg Murphy

Name & occupation: Greg Murphy, M.D. – Representative for North Carolina’s 3rd Congressional District

Previous Positions held: Former President of Eastern Urological Associates in Greenville and Affiliate Professor of Surgery and Chief of the Division of Urology at the ECU School of Medicine; Chief of Staff of Vidant Medical Center; Member of the North Carolina House of Representatives.

In your work as a medical missionary, what was the one medical case that had the biggest impact on you personally? I have probably traveled over 30 times overseas to provide medical relief work. However, the experience in Haiti in 2010 was by far the most influential. Tragically and indiscriminately, hundreds of thousands of lives were lost in an instant because of the earthquake. To add to the suffering of an already devastated nation, months later relief workers introduced cholera which ended up claiming tens of thousands more lives. As was the custom every morning at 7am, the priest of the mission hospital where I was working offered Mass. During the ceremony, he would honor and pray for deceased individuals who died the night before whose bodies laid in the chapel covered by a mere sheet. I will never forget the anguish of a mother, who had already lost three of her children to the earthquake, now devastated by the loss of her daughter the night before to cholera. Within hours, a healthy and joyful child was infected and died in her mother’s arms. I will never forget the cries of unparalleled anguish from that poor mother. I could express a lot more happier stories, but I think this one teaches us a lesson. The joy we all experience should never be taken for granted. At some point, we will all become patients. It is an honor to help those, especially when they are so desperate in need.

You’re Co-Chair of the GOP Doctors Caucus. What’s your top priority that you’re hoping the group can accomplish this congress? The GOP Doctors Caucus built great influence in the Republican Conference and in DC during the COVID-19 pandemic. Our goal is to continue working with our colleagues to effectuate meaningful change that will improve access to affordable, high-quality care and lower drugs costs for patients across the country. We are composed of 14 members with real-world experience, eager to deliver solutions to the challenges facing American health care.

How does your background as a doctor shape the way you approach your job on Capitol Hill? As a surgeon, I have little patience for time wasted and the silliness that is sometimes politics. I am wired to act judiciously and decisively when faced with a problem. Washington needs leaders who are swift to take on challenges, averse to delay and dawdling, and driven by the satisfaction of a job well-done to benefit someone else.

Finally, what one bill or initiative would you like to see Congress pass that would make a positive difference in the lives of every Tar Heel? Reimbursements for physicians who see Medicare patients have fallen an inflation-adjusted 33% since 2001. I had to resign from my practice coming to Congress and I saw my younger partners be absorbed by the hospital because we could no longer stay alive financially. Private practice doctors are being forced to close their doors or sell out to large hospitals as a result of these devastating cuts, even though the care they provide is more personal, higher quality, and cheaper than the alternative. Rural and underserved communities in the United States are hurt most by this issue, which has been ignored with impunity for far too long. Congress must deliver a permanent fix to the Physician Fee Schedule.