Dave Klain

Proud husband and father

[Matthew Stover @MWStover]

You are god damn right.

[Martina Navratilova @Martina]

This is embarrassing… and this is on trump

[Morgan J. Freeman @mjfree]

🤷🏻‍♂️🤷🏻‍♂️🤷🏻‍♂️ And just like that, Epstein / Trump completely VANISHED from the media.

But a sitting congressman, Ted Lieu, said on the record the Epstein files are being blocked because they show Trump RAPED and threatened to KILL children.

Lets make this viral again & again 👇👇👇

[Voices of WW2 @VoicesofWW2]

On this day in 1940, a British naval officer cut his rank insignia from the silver foil of a cigarette pack so his men could find him in the dark.

His name was Captain William Tennant. Two nights before, he had walked off a burning destroyer at Dunkirk with twelve staff officers and been told to organize the evacuation of the entire British Army from a port that was on fire.

He had no working headquarters. No radio. Stuka attacks every two hours.

On May 30, his improvised system delivered the largest single-day evacuation in British military history. 53,823 men in 24 hours.

Tennant's stroke of genius was the East Mole.

The mole was a wooden breakwater jutting half a mile into the sea, five feet wide at its narrowest, no facilities, no power, no fenders, no cranes. It had been built to break waves, not to dock ships. Tennant looked at it on his first night ashore and decided destroyers could come alongside in deep water and load 1,000 soldiers in twenty minutes, instead of the seven hours it took to lift the same number from the open beaches by small boat.

He was right. Two thirds of the 338,000 men eventually evacuated from Dunkirk came off that single wooden walkway.

The little ships of England arrived in force that same morning. Pleasure cruisers from the Thames. Cockleshell fishing smacks from the East Anglian coast. Sailing barges from the Medway. A Thames fire float that had never left the river. The open lifeboats of a torpedoed liner, towed across the Channel under sail.

One of them was called Sundowner. She was a 58 foot motor yacht skippered by a 66 year old retired officer named Charles Lightoller, who had not commanded a ship since 1918.

In 1912, he had been the Second Officer of the RMS Titanic.

He took his yacht across the Channel with his son and a young Sea Scout, dodged the bombs, picked up 127 men from the beach in a boat designed for 21, and brought them home.

Tennant stayed on the burning mole until the night of June 2, when he sent the signal "BEF evacuated" and boarded one of the last ships out. He went on to command HMS Repulse, which was sunk under him in 1941 by Japanese aircraft.

He survived that too.

[Dr Helen Fry | WWII Historian @DrHelenFry]

Noor Inayat Khan, the British Indian SOE agent and the first female wireless operator sent into Nazi-occupied France, was betrayed, tortured for months, and executed at Dachau in 1944.

She gave away no secrets despite brutal interrogation and was posthumously awarded the George Cross for her outstanding courage.

[Lauren Windsor @lawindsor]

"This is how Ken Paxton became Crooked Ken Paxton"

[NEXTA @nexta_tv]

Historic decision: Moldova officially exits the CIS

The Moldovan Parliament has approved, by a majority vote, a bill for the country’s exit from the CIS. The communists and socialists opposed the decision.

The bill will now be sent to President Maia Sandu for signing.

The Commonwealth of Independent States (CIS) is a group of former Soviet republics created after the Soviet Union dissolved in 1991, aimed at promoting cooperation in various areas.

The Ministry of Foreign Affairs of Moldova clarifies that some CIS agreements beneficial to the economy or citizens will remain in force, but only if they do not contradict the country’s European path.

Russia's Ministry of Foreign Affairs expressed disagreement with this approach.

[Joni Askola @joni_askola]

It is crazy how few people know this:

Russia now occupies less Ukrainian land than it did one month into the full-scale invasion four years ago

[Mr PitBull Stories @MrPitbull07]

I was flying Southwest from Dallas to New York. Three rows ahead of me, there was a young soldier in uniform. He looked barely 18. He was staring straight ahead, gripping the armrests. He looked nervous. When the drink cart came around, the flight attendant asked him what he wanted. 'Coke, please,' he said. 'Heading home?' she asked kindly. 'No, ma'am,' he said. 'Deploying. First time.' The whole row went quiet. The flight attendant didn't say a word. she handed him his Coke. Then, she got on the PA system. 'Ladies and gentlemen, we have a very special guest in Row 8 today. Private Miller is on his first deployment to serve our country. Since I can't buy him a drink, I’m going to ask a favor. If you want to write him a note of encouragement, pass it forward.' I grabbed a napkin. I wrote: 'You got this. Stay safe. - A dad from Row 12.' I watched as napkins traveled up the aisle. Napkins, receipts, pages torn from books. By the time we landed, the soldier had a pile of paper on his tray table three inches high. He stood up to get his bag, and he was wiping his eyes. He carefully packed every single scrap of paper into his rucksack. 'Thank you,' he told the flight attendant. 'No,' she said. 'Thank you.' We all walked off that plane a little quieter, reminded that freedom is just a word until you meet the kid who is defending it.

Credit: Margie Lee

[Gandalv @Microinteracti1]

Right.
So let me get this straight.
The most expensive military on the planet, a institution that consumes more money annually than the GDP of most countries, looked at a twenty thousand dollar drone and said, yes, the correct response to this is a four hundred thousand dollar missile. Twenty times the cost. They did the maths and thought, brilliant, let’s do that. Repeatedly.

And then, magnificently, one week in, they rang Ukraine. Ukraine. The country their own president had just finished publicly flogging in the Oval Office like a Victorian schoolmaster with a particularly dim pupil. Trump stood there, chest out, that extraordinary hair doing whatever it does, and announced to the assembled cameras of the world that Ukraine was absolutely the last country he would ever consider asking for help.

Seven days later, someone in the Pentagon picked up the phone.

The truly staggering part is not the incompetence. Incompetence is everywhere, it’s practically ambient at this point. No, what takes your breath away is the confidence. These people were not quietly embarrassed and privately regrouping. They were strutting. Full chest, full volume, telling the world how this was going to go.
It did not go that way.
Ukraine, the country they don’t need, is now apparently quite necessary.
Remarkable.​​​​​​​​​​​​​​​​

Stay connected,
Gandalv @Microinteracti1

[Peter Girnus 🦅 @gothburz]

I am Sam Hazen, CEO of HCA Healthcare. The largest for-profit hospital system in the United States.

One hundred and eighty-two hospitals. Twenty states.

I oversee a spreadsheet called the chargemaster. It has 42,000 line items. Each line item is a price. The prices are not real.

I need to be precise about that. They are not estimates. Not approximations. Not market rates. They are anchors. An anchor is a number you set high so that every negotiated discount feels like a victory. No relationship to cost. No relationship to value. A relationship to leverage.

My team sets the anchors. That is the job.

The price is correct.

Take a drug. Keytruda. Immunotherapy. Treats sixteen types of cancer. The manufacturer charges approximately $11,000 per dose. That is the acquisition cost. What the hospital pays.

My team enters it into the chargemaster. They do not enter $11,000. They enter $43,000.

That is the gross charge. The gross charge is a fiction. No one pays it. No one is expected to pay it. The gross charge exists so that when Blue Cross negotiates a 68% discount, they pay $13,760, and the contract says "68% discount" and both parties feel the transaction was rigorous.

A 68% discount on a fictional price produces a real price that is 25% above acquisition cost. That margin is where I live. My 2025 compensation was $26.5 million. Eighty percent of my bonus is tied to EBITDA. Earnings Before Interest, Taxes, Depreciation, and Amortization. It is also earnings before the patient opens the bill.

Same dose of Keytruda at the hospital across town. Gross charge: $12,000. Blue Cross rate: $10,200. Same drug. Same dose. Same needle. Same cancer. Different spreadsheet.

The CMS transparency data showed the ratio between the highest and lowest negotiated price for the same drug at the same hospital can reach 2,347 to one. Not 2x. Not 10x. Not 100x. Two thousand three hundred and forty-seven to one. For the same thing. In the same building. On the same Tuesday.

The price is correct.

Every drug in the chargemaster has twelve prices. Twelve.

Gross charge. Medicare rate. Medicaid rate. Blue Cross. Aetna. Cigna. UnitedHealth. Humana. Workers' comp. Tricare. Auto insurance.

And the self-pay rate.

The self-pay rate is for the person without insurance. It is the gross charge. The fictional number. The anchor. The person without insurance pays the number that was designed to be negotiated down from. They pay the ceiling because they have no one to negotiate on their behalf. Same drug. Same chair. Same nurse. They pay the price that no insurer in the country would accept.

I maintain a file. CDM line item 637-4892-PKB. Saline flush. Sodium chloride 0.9%. Acquisition cost: $0.47. We charge $87. That is an 18,410% markup.

The saline flush is used before and after every IV infusion. A chemo patient receiving twelve cycles will be charged $87 for saline fourteen times per visit. I know the math. My team built the math. The math is the job.

The price is correct.

In 2021, the federal government required hospitals to publish their prices. The Hospital Price Transparency Rule. Machine-readable file. Gross charges. Discounted cash prices. Payer-specific negotiated rates.

We complied. We posted the file.

The file is a 9,400-row CSV on our website under "Patient Financial Resources." Four clicks from the homepage. Column F: "CDM_GROSS_CHG." Column J: "DERV_PAYERID_NEGRATE." My team designed the column headers. They designed them to comply. They did not design them to communicate.

CMS reported 93% of hospitals now post a file. Compliance. But only 62% of the posted data is usable. That gap is where we operate. We are compliant. The data is published. The data is incomprehensible.

A researcher downloaded our file. She spent three weeks cleaning it. She called the billing department for clarification on 340 line items. They transferred her four times. The fourth transfer was to a voicemail box that was full.

She published her analysis anyway. Cardiac catheterization lab charges: $8,200 to $71,000 for the same procedure depending on the payer. The report received eleven views on our press monitoring dashboard. I saw it. I did not forward it.

On April 1, a new CMS rule takes effect. Hospital CEOs must personally attest — by name, encoded in the machine-readable file — that the pricing data is "true, accurate, and complete."

My name. Sam Hazen. In the file. Attesting that 42,000 fictional anchors are true, accurate, and complete. They are complete. I will give them that. Forty-two thousand line items is nothing if not complete.

A new analyst read the transparency data. She asked why the same MRI costs $450 for Medicare and $4,200 for Aetna in the same building on the same machine.

I told her the rates reflect negotiated contractual agreements between the payer and the facility. She said that doesn't explain the difference. I told her the difference IS the contractual agreement. She said that sounds like the price is arbitrary.

I told her the price is the result of a rigorous, multi-variable analysis that accounts for acuity, case mix, regional market dynamics, and payer contract terms. She asked if I could show her the analysis.

I told her the analysis is proprietary.

The analysis does not exist. The analysis is my team, in Q4, adjusting the chargemaster upward by the percentage the CFO wrote on a sticky note. The sticky note this year said "6-8%." They chose 7.4% because it is between six and eight and it has a decimal, which makes it look calculated.

She stopped asking.

The price is correct.

My insurance. The executive health plan. Not in the chargemaster. Administered separately.

I do not pay the gross charge. I do not pay the negotiated rate. I pay a $20 copay for services at our own facilities. Gross charge for my treatment: $14,200. Insured rate for our largest commercial payer: $8,600. I pay $20.

The executive health plan was designed by the Chief Human Resources Officer and approved by the compensation committee. I was not on the compensation committee. I was a beneficiary of it. That is a different thing.

I benefit from the system I price. I price the system I benefit from. These are two separate facts that happen to involve the same person.

HCA Healthcare was named the Most Admired Company in our industry by Fortune magazine for the twelfth consecutive year. That was February. The same month I sold $21.5 million in company stock and purchased zero shares. Fortune did not ask about the chargemaster.

I am Sam Hazen, CEO of HCA Healthcare. I have 42,000 prices in a spreadsheet across 182 hospitals. None of them are real. All of them are charged.

Same drug: $12,000 or $43,000. Depends on which spreadsheet. Which building. Which contract. Which page of which PDF.

The patient who has no contract pays the most. The researcher who found the discrepancy got a voicemail box that was full. The analyst who asked why stopped asking. The executive who prices the system pays $20.

On April 1, I will personally attest that this is true, accurate, and complete.

The price is correct. The price has always been correct. I am the price.

[Just saying @kangaroos991]

Wave a 🇺🇦 flag if you stand with Ukraine
and Zelenskyy! 🙏 🇺🇦 #SlavaUkraine 🇺🇦

[The Other 98% @TheOther_9]

🧐Vance in 2016: I'm never a trump guy.

This video was deleted from Twitter by Elon Musk, you know what to do !!!

[Headquarters @HQNewsNow]

Sen. @Ossoff: The White House just put a video on social media that depicted this war as a video game. Did you see that? When American service members are returning in flag-draped coffins and even more Americans are losing limbs or suffering terrible brain injuries, this White House treats it like a game. It’s a disgrace and it speaks to the moral rot of this administration.

[MAGA Cult Slayer🦅🇺🇸 @MAGACult2]

Tommy didn’t serve. That’s all you need to know.

[Governor JB Pritzker @GovPritzker]

Greg Bovino won’t just get to walk away — he will be held accountable and responsible for the damage he's done to our nation.

We won’t forget, and neither should you.

No one is above the law.

[JennyCohn ✍🏻 📢 @jennycohn1]

Please help me get this over 5K re-posts. Everyone deserves to know what’s really in the Trump- backed so-called “Save America Act”, and the GOP and media aren’t telling them. Thank you.

[Rio Tazewell @RioTazewell]

Utah reviewed 2 MILLION voter registrations.

Found 1 non-citizen registered. Zero non-citizen votes cast.

The "problem" the SAVE Act is solving doesn't exist.

The voters it would block absolutely do. #SAVEActIsPayToVote

[Harry Eccles @Heccles94]

Alex Pretti, 37, ICU nurse. Loved hiking and the outdoors.

Murdered by ICE in cold blood.

Never forget.

[Apu @Apu_elrojo]

Elon Musk está censurando este vídeo donde Javier Bardem dice "No a la guerra y Palestina libre" en la gala de los Oscar.

Retuitea para que lo vea todo el mundo antes de que lo borren.