Conspiracy theorists in the GOP have always been a problem, but they are now a consequential problem and the indispensable voting bloc in the GOP primarily because unprincipled GOP politicians decided to exploit, embrace and finally exalt the unhinged masses.
Imagine living in a country where you go straight to jail for a tweet, but get bail after being arrested for ‘allegedly’ throwing a 3 year old baby into a crocodile enclosure! The world is watching is disbelief!
Let’s rephrase this. You want M4A. That legislates that you are paid Medicare rates for everything.
You say that you can’t charge the same rates as M4A because of ER care you don’t get directly (as opposed to indirectly via DSH, etc) paid for.
As an entrepreneur, the way I see this is for your hospital to move their charge master to all Medicare pricing.
Then you transparently document AT MEDICARE RATES, not inflated charge master numbers, how much uncompensated care you provide. Then we can work on seeing how that number compares to the funding you get, and have a conversation about any surplus or deficit.
While this is happening , every other patient that pays for care at your hospital, saves a boatload of money and has cost certainty.
You can even require all payments to be cash. From insurance carriers, employers, everyone. They would save so much money they would do it
If your hospital comes back and says they can’t afford to change their charge master to Medicare rates because they would lose money or go out of business , that tells you exactly how Medicare for All would work for your hospital and all that are similarly situated
YOU can have the hospital YOU are a director of be the template for M4A !!!
And you don’t need any legislation to do it !
I just read through @Alison_Galvani papers and testimonies, including her new one where she compares US drug pricing to a group of western countries. But unlike the @FTC did, she uses estimates for pricing, rather than using @costplusdrugs actual costs where they match. But that’s a topic for another day ✌️
Back to M4A and her paper.. Nothing wrong with it at all. She uses population data, and estimates of costs, tax revenue, etc to come to her conclusions. It’s well written.
She even does a great job having a tool where you can change values and see the impact on the model.
It’s very similar to a project I did with Rand. The numbers were great. The implementation was going to be hard.
It’s the same issue for her. It’s a model. As a model, she does not deal with any of the issues I raised.
She didn’t interview hospitals, doctors, employers, care navigators, benefits officers at companies, etc. She did no behavioral analysis or analytics at all. (If I missed them @Alison_Galvani , please let me know where I can find them)
Her model , like the legislation, pretty much assumes that everyone will do what the legislation tells them to do. Insurance companies, PBMs, TPAs, RCM, Hubs, Switches, etc, etc will just fire everyone and go out of business. The model accounts for retraining and job costs like it’s a given and they will do nothing.
All hospitals are assumed to be the exact same. The model doesn’t account for any differences in operating costs, personnel, investment, at all. Which makes it a fun place to speculate from, but it doesn’t get from here to there. I
I’m not for or against Universal Care, Single Payer, M4A. The goal is to be in a position where we can actually determine what it would take to provide everyone, with the best possible healthcare, at a cost to the individual, employer, city , state, country, that creates as little stress as possible for all stakeholders.
You can’t do that by plugging numbers. You can’t just write legislation and tell people they will follow it. In this country ? Are you kidding me. lol
You need to account for all of those stakeholders, how they will respond, what might or might not change. It will be incredibly difficult.
So no. It’s a great political slogan to say “Medicare For All”. But it is currently nothing more than that.
Newly obtained footage shows the moment an armed murder suspect was shot and killed by DC Police on a Metro bus.
The shooting occurred on the 4000 block of Wisconsin Ave NW at around 7:30am yesterday. A handgun with an extended magazine was recovered from the gunman. #DCCrime
Ah, remembering how much shit I got for writing this huge feature, which we did over literally years, dozens of interviews. Many emails from defense industry traditionalists about how this was all vaporware and I got bamboozled, which was laughable to begin with.
Crickets now.
https://t.co/rdgczm6dFy
A white man became a "trans woman," got verified in California's gay-certification program, and secured special utility contracts for "LGBT-owned" businesses.
"If I was a straight, white male, I might be concerned I don’t have the same opportunity. It worked out great for me."
School Board: Prior Lake (@isd719)
When: June 2026
Topic: Community Member
A really great and quite comprehensive 6 minutes from a community member, key highlights:
- Revenue: +12% overall, +15% per student
- Spending: +17% overall, +20% per student
- Fund balance: -$7.8M (-36%)
- Reading proficiency: ~60%
- Math proficiency (2025): ~58% (below 2021–22 levels)
- Levy proposal: $3.8M/year, $38M over 10 years
- Key concern: Levy tied to 3.4% tax-capacity factor, so collections could exceed $38M if tax capacity grows
- Requested projections: 10-year cost scenarios assuming 0%, 3%, 5%, 7%, and 7.8% tax-capacity growth.
"The district has spent money and energy on political and ideological priorities that have not improved reading, math, science, discipline, or classroom performance."
@mcuban Have you ever done this with any of your businesses? I assume you haven't. A strong argument could and should be made that if you have good ideas for how to run other people's businesses (and lives) you should try them in your own business (and life) first.
@NebraskaMegan Tens of thousands of Nebraskans use Starlink. It cost the government nothing, and provides citizens with a valuable service at an attractive price point.
@CA_Dem If you've spent tens of billions of taxpayer dollars on HSR and have nothing to show for it, you aren't allowed to criticize SpaceX for putting thousands of satellites in space using reusable rockets without any taxpayer funding.
The data: "At UC San Diego, the number of freshmen failing to meet high-school math standards grew nearly 30-fold between 2020 and 2025. By fall 2025, 1 of 12 entering students was placed into remedial math to learn material taught in elementary and middle school.”
@MikeNellis Inflation adjusted per pupil spending in Michigan has risen 10% over the last decade. Happy to provide all students "free lunch" as long as it comes out of previous funding increases.
@GenHeres123@d_knight73@avidseries Religious identity is based on a set of beliefs which is neither supported nor disproved by scientific evidence. In contrast, the claims of a confused man who thinks he is a woman are disproved by scientific evidence. No comparison between the two situations.
@GenHeres123@AlibiOfTyrants@avidseries Perhaps God exists and Jesus Christ is the savior of the world; perhaps not. There is no empirical evidence either way. In contrast, empirical evidence disproves the premise of transgenderism. A transgender female is just a male pretending to be a female.
@Bunnyduckmag A trip down memory lane - I visited Malta in JAN 1996 while I was stationed onboard USS America (CV-66). What a great port call that was - fascinating history, architecture, museums, great food, friendly locals.
https://t.co/7Sc1l1DI9P