𝕀𝕞𝕡𝕠𝕤𝕤𝕚𝕓𝕝𝕪 𝔹𝕠𝕤𝕤𝕪

History without discomfort is propaganda.

[𝕀𝕞𝕡𝕠𝕤𝕤𝕚𝕓𝕝𝕪 𝔹𝕠𝕤𝕤𝕪 @ImpossiblyBossy]

You wanna know why we're so divided, conservatives?

Because we don't respect your politics and ideologies. You don't respect our existence.

We want you to open your minds and show empathy. You want us to die.

We are not different sides of the same coin.

[𝕀𝕞𝕡𝕠𝕤𝕤𝕚𝕓𝕝𝕪 𝔹𝕠𝕤𝕤𝕪 @ImpossiblyBossy]

@anthony7andrews It'd be helpful if you were on Threads. I don't post/reply to anything on Twitter for months; I still check certain accounts. I'd share the link, but no one will click to read. I'd do screenshots, but your threads are very complex. You'd reach more if you had a Threads account

[𝕀𝕞𝕡𝕠𝕤𝕤𝕚𝕓𝕝𝕪 𝔹𝕠𝕤𝕤𝕪 @ImpossiblyBossy]

@jennycohn1 Jenny, do you by chance have a Threads account?

I'm barely active on Twitter now, for a few months, other than checking tweets by journalists I trust. Like you.

[𝕀𝕞𝕡𝕠𝕤𝕤𝕚𝕓𝕝𝕪 𝔹𝕠𝕤𝕤𝕪 @ImpossiblyBossy]

@deronedward 😉

[𝕀𝕞𝕡𝕠𝕤𝕤𝕚𝕓𝕝𝕪 𝔹𝕠𝕤𝕤𝕪 @ImpossiblyBossy]

@KnowingBetterYT I don't have the words to express how heartbreaking it is to really think about this. You're not wrong, but Jesus, this is just....sigh. Yeah, it stinks.

[𝕀𝕞𝕡𝕠𝕤𝕤𝕚𝕓𝕝𝕪 𝔹𝕠𝕤𝕤𝕪 @ImpossiblyBossy]

@Kaylan_TX_ @stevanzetti I'll definitely add @stevanzetti on my next update!

[𝕀𝕞𝕡𝕠𝕤𝕤𝕚𝕓𝕝𝕪 𝔹𝕠𝕤𝕤𝕪 @ImpossiblyBossy]

@Kaylan_TX_ @stevanzetti Thank you so much 🥹 It truly means the world to me that you like the list. It's a new blog (I've successfully blogged previously with someone else, but this is a solo project), and I value your opinion very much. ♥️

[𝕀𝕞𝕡𝕠𝕤𝕤𝕚𝕓𝕝𝕪 𝔹𝕠𝕤𝕤𝕪 @ImpossiblyBossy]

@Kaylan_TX_ @stevanzetti Girl, SAME

[𝕀𝕞𝕡𝕠𝕤𝕤𝕚𝕓𝕝𝕪 𝔹𝕠𝕤𝕤𝕪 @ImpossiblyBossy]

@Kaylan_TX_ @stevanzetti Thank you!

Funny enough, I've been staying away from Twitter (aside from checking in for info from folks who haven't left) for awhile now. I saw the notification of your post, and not paying attention, I thought it was Bluesky 😂😂

[𝕀𝕞𝕡𝕠𝕤𝕤𝕚𝕓𝕝𝕪 𝔹𝕠𝕤𝕤𝕪 @ImpossiblyBossy]

@yashar Mark Cuban has tweeted quite a bit about this exact topic. It's after 3am here, so I'm foggy and may not remember exactly what all he said, but this reply he gave is a short summary https://t.co/gb7lV7E691

[Mark Cuban @mcuban]

Part of the misunderstanding of drug pricing is the impact of pharmacy benefit managers. Prior to @costplusdrugs publishing our price list, there was not a benchmark to compare prices. They made sure that every contract was opaque and under an NDA

For instance, Box, Tesla, Space X , and pretty much any self insured company can’t just come on @x and publish your PBM or insurance contract.

As a result, the market is very inefficient for brand meds.

Generics, which account for 90 pct of scripts on the USA are now efficient because of the price list we publish.

In fact, generics are now cheaper here, than in most countries

On branded meds, it’s a clusterfuck.

I think Box now uses a pass through PBM so you can see your claims, and prices paid for meds. I know Tesla is working to do the same.

Most CEOs have no idea they are getting ripped off.

It goes like this.

The PBMs have a subsidiary called a Rebate Aggregator. They buy their brand meds from the manufacturer at a significant discount. Say 80 pct.

They then sell to their parent company, the PBM, at a lesser discount. Say 50 pct discount.

The PBM then goes to the self insured, big companies and says they will pass on the entire rebate they get for each brand med, the full 50 pct

But they don’t disclose that their subsidiary is keeping the 30 pct difference. That by definition inflates the price of brand meds. Enriching the PBMs

But the bigger issue in terms of comparisons to other countries is that the manufacturers are only keeping 20 pct of the “retail price “. But it’s the full retail price that is usually (not always ) compared to the price other countries get.

The true comparison should be the net price paid to the pharma manufacturers

In most cases other countries will still pay less than the net price. But it’s not as dramatic as presented.

As to what should we do?

Transparency

Every contract signed with anyone in the healthcare supply chain should be required to publish the entire contract.

That will get us to an efficient market and IMO cut drug prices by at least 30 pct lower than today’s NET pricing because that will allow Box to compare their costs to Tesla, etc.

The only reason you can’t is because the contracts both of you signed with your PBMs prevents it

Go back to your PBMs and your Insurers ask them if you can publish your contracts.

That’s how you change the game.

[𝕀𝕞𝕡𝕠𝕤𝕤𝕚𝕓𝕝𝕪 𝔹𝕠𝕤𝕤𝕪 @ImpossiblyBossy]

@HackingButLegal Let's see if this helps. 🤞🏻

[𝕀𝕞𝕡𝕠𝕤𝕤𝕚𝕓𝕝𝕪 𝔹𝕠𝕤𝕤𝕪 @ImpossiblyBossy]

@JasonKelce It's beautiful to watch, but I can imagine it's a pain to play in.

[𝕀𝕞𝕡𝕠𝕤𝕤𝕚𝕓𝕝𝕪 𝔹𝕠𝕤𝕤𝕪 @ImpossiblyBossy]

@kirkacevedo @KierstenWarren Beautiful. ♥️ We can see the love in both your faces. Plus, let's be real, @KierstenWarren is freaking gorgeous!

[𝕀𝕞𝕡𝕠𝕤𝕤𝕚𝕓𝕝𝕪 𝔹𝕠𝕤𝕤𝕪 @ImpossiblyBossy]

I said this about Josh Allen and Alexander Mattison.
https://t.co/illPVwVapL

[Redd @ReddCinema]

A thread of celebrities that share the same face 🧵

1. Jeremy Allen White & Gene Wilder

[𝕀𝕞𝕡𝕠𝕤𝕤𝕚𝕓𝕝𝕪 𝔹𝕠𝕤𝕤𝕪 @ImpossiblyBossy]

@BlackKnight10k Link to the car battery charger pictured above. BTW, it's 30% right now!

https://t.co/lkGRanwgg4

[𝕀𝕞𝕡𝕠𝕤𝕤𝕚𝕓𝕝𝕪 𝔹𝕠𝕤𝕤𝕪 @ImpossiblyBossy]

@BlackKnight10k I'm seeing a lot of contradiction in the replies. There's a happy medium: gift things like portable air compressors or battery chargers (see below) for their car. Or gift cards to stores that'll come in handy soon.
This car battery charger can also charge devices in an emergency.

[𝕀𝕞𝕡𝕠𝕤𝕤𝕚𝕓𝕝𝕪 𝔹𝕠𝕤𝕤𝕪 @ImpossiblyBossy]

@Kaylan_TX_ Ope. I already am.

[𝕀𝕞𝕡𝕠𝕤𝕤𝕚𝕓𝕝𝕪 𝔹𝕠𝕤𝕤𝕪 @ImpossiblyBossy]

@Kaylan_TX_ Oh I need to follow you there!

[𝕀𝕞𝕡𝕠𝕤𝕤𝕚𝕓𝕝𝕪 𝔹𝕠𝕤𝕤𝕪 @ImpossiblyBossy]

I'm bout to deactivate soon, and I've barely been on here, but I had to address this.

1) The herpes lawsuit? It was fake. It wasn't even the real Chris. (https://t.co/HiMttyybUq)
2) He's had multiple assault instances since he assaulted
Rihanna. (https://t.co/bprIBmtURh)

[bre 🍒 @breeejoi]

she gave him herpes, lied on him, hit him first & did the most the night this all happen let’s not forget that

[𝕀𝕞𝕡𝕠𝕤𝕤𝕚𝕓𝕝𝕪 𝔹𝕠𝕤𝕤𝕪 @ImpossiblyBossy]

@sasscarpone @TSSteinbacher Hey, unrelated, but I'm about to deactivate here. Are you on 🦋 or 🧵?

[𝕀𝕞𝕡𝕠𝕤𝕤𝕚𝕓𝕝𝕪 𝔹𝕠𝕤𝕤𝕪 @ImpossiblyBossy]

@MeliR143 @iJasOberoi @iamharaldur Meli, I've really been trying to have a good-faith conversation with you. I really have. But you have moved the goalposts several times.
I'm talking statistics (aka verifiable facts) & you're talking anecdotal "evidence."
We aren't on the same plane.

[𝕀𝕞𝕡𝕠𝕤𝕤𝕚𝕓𝕝𝕪 𝔹𝕠𝕤𝕤𝕪 @ImpossiblyBossy]

@MeliR143 @iJasOberoi @iamharaldur You're the only one concerned with the genitals of others, that's why I asked.