Imogen Cecil

Research/Policy Analyst. Unique strategist addressing broken government bureaucracy, specializing in Medicare & Medicaid policy with a patient-centered focus.

[Imogen Cecil @Imogen_Cecil]

https://t.co/nvru8gSbNO

[Imogen Cecil @Imogen_Cecil]

@ChrisMurphyCT Why do all you Dem reps forget who you represent? You represent Connecticut. From the CT State website: "Eff. 01/01/26: not less than $16.94/hr." Why must you push for this federally when your own state doesn't even have this in place? Don't worry about us, focus on your own.

[Secretary Marco Rubio @SecRubio]

Laotian national Tou Lue Vang was convicted of sexually abusing a 10-year-old girl in Minnesota. 

He was set to be deported until @GovTimWalz issued him a pardon.

Then, I revoked his legal status. @ICEgov has removed him from the U.S. and he will never endanger another American.

[Anthony DiGiorgio, DO, MHA @DrDiGiorgio]

There's no such thing as an "apolitcal" entity when it comes to healthcare.

If you nationalize healthcare, that's 20% of GDP under one federal department. That will be the most lobbied department on earth.

Nationalized healthcare would be created by politicians, it's administration staffed by politicians, and answerable to politicians.

Every healthcare system must ration care. It does this by setting prices, picking winners and losers. Those decisions are inherently political. Handing them to a committee of “professionals and stakeholders” does not remove politics.

You cannot wave away those problems by invoking the Fed and calling the result simple, fair, and apolitical.

[Elizabeth MacDonald @LizMacDonaldFOX]

150,000 Democrat voters picked Graham Platner in the Maine Democrat primary. Now about 600 Maine Democrat delegates—party insiders—will pick his replacement, not voters. Just as Democrat insiders picked Kamala Harris to replace Biden, not voters. #grahamplatner #GrahamPlatner @grahamformaine @x @eveningedit @FoxBusiness @FoxNews @meta @cbs @abc @nbc @wsj @nytimes

[John Stossel @JohnStossel]

FDR is often praised for “saving” us from the Great Depression.

But economist Don Boudreaux says he actually made things WORSE.

Here’s how:

[Dutch Rojas @DutchRojas]

I Love 340B!

A federal drug discount program cleared more than $80 billion in spread last year.

Name one patient who got a discount.
Take your time!

[Imogen Cecil @Imogen_Cecil]

Much larger. The amount of fraud in Medicaid managed care is crazy. There really is no need for MCOs in Medicaid. Connecticut demonstrates this perfectly.

[Brian Blase @brian_blase]

RESEARCH ?: How many phantom enrollees are in Medicaid managed care?

From data & basic reasoning, ~14 to 19% of exchange enrollees in 2024 were likely phantoms.

The problem may be larger in Medicaid, but claims data is not readily available. Ideas for how to tackle this?

[Imogen Cecil @Imogen_Cecil]

@brian_blase @LighthouseDPC Much larger. The amount of fraud in Medicaid managed care is crazy. There really is no need for MCOs in Medicaid. Connecticut demonstrates this perfectly.

[Jamie Pollock MD @JPollockMD]

https://t.co/DAJX3Raog7

[Brian Blase @brian_blase]

Elevance told investors that the IDR process accounted for 30% of the higher medical trend reflected in its 2026 ACA rates.

More subsidies to insurers would lock in problems.

Congress should fix the deep structural flaws in the ACA and the IDR that are driving costs up.

[Imogen Cecil @Imogen_Cecil]

Exactly 🎯

[Rock Chartrand @RockChartrand]

"The least we can do" stopped being the least a long time ago. Governments already spend trillions on healthcare, housing, welfare, and income support. When those programs fall short, the answer is never to ask whether they work. It's always to demand more sacrifice from the people paying the bill.

[Imogen Cecil @Imogen_Cecil]

@Jimmy80880 It’s so sad because the reason people get this way is they trust the people doing them wrong.

[Imogen Cecil @Imogen_Cecil]

Bingo! And Medicare recipients are worse for it. Over-treatment leads to a greater number of downstream health issues and worse outcomes. Most terrifying words in healthcare (or anywhere for that matter): "Don't worry it's free."

[Rod @rodneytalbot]

@RoKhanna Since I went on Medicare, I have never had so many referrals for additional tests that I never had before. Stub your toe… you need to see a specialist..get a calcium score test… just to be safe…why? Because Medicare pays no matter what…

[Imogen Cecil @Imogen_Cecil]

@nocorporatemed True, always about the money at the expense of our health.

[Imogen Cecil @Imogen_Cecil]

@pgipe What do you mean underfunding?

[Imogen Cecil @Imogen_Cecil]

@JohnMinehan1 Exactly!

[Dutch Rojas @DutchRojas]

The safe path is not safe.
It is just slow failure with good branding.

[Imogen Cecil @Imogen_Cecil]

@BernieSanders Neither. PS: Medicare is currently the most broken part of the severely broken healthcare system. You make zero sense when you say expanding it will fix it or save us money.

[Imogen Cecil @Imogen_Cecil]

Great information! Completely agree nursing facility donations are heavily skewed Republican. That is not the root cause of the issue though. These same nursing homes made bank during the Biden administration, especially because of ARPA and IRA. They grew a little during this time, but used the money to set themselves up for future expansion. Saber recently "partnered" with Omega and is now acting like private equity without the scrutiny that comes with actually being private equity. At the end of the day, neither administration understands how/where the system is completely broken. And no one bothers to talk to patients and advocates to find the answer. So it will continue to happen no matter who is in charge. Dems feed them, Republicans keep it going, and Americans will continue to suffer needlessly.

[Jamie Pollock MD @JPollockMD]

@Imogen_Cecil Recent Notable Activity (2025)In August–September 2025, roughly 40 corporate entities tied to the nursing home industry (including those associated with Saber Healthcare Group) donated a combined ~$4.8 million to MAGA Inc., a pro-Trump super PAC.

https://t.co/C0daZitA8L