John Rizzo

Stepdad of 3 👨🏻‍💻CTO @ ExitSmarts 🔌 cofounder @VaetasConnect + Video Add to Cart (acquired) 🎥 🛒 📲 @Amazon Alum 📚

[David Sacks @DavidSacks]

Based Bezos is awesome

[John Rizzo @askrizzo]

@boringlocalseo LOCALRANK

[John Rizzo @askrizzo]

@boringlocalseo Localrank

[John Rizzo @askrizzo]

@JJEnglert GTM guide

[Charles Yang @charlesxjyang]

You can now visualize the full dataset here:

https://t.co/PtuqeesUOC

[Department of Government Efficiency @DOGE]

Maximum transparency. The general public can now help us detect the fraud.

[David Lieb @dflieb]

“Well you see, honey, there were some employees at OpenAI who worried about the AI taking over, so they built a thing called Claude. Then another guy made a thing called Clawdbot, and Claude made him rename it to Moltbot. Then someone made a website called Moltbook for the Moltbots to talk to each other, tho it’s more like Moltreddit. And yeah anyway it’s funny or maybe really bad who knows lol”

[Elon Musk @elonmusk]

As I was saying in February this year …

[Chamath Palihapitiya @chamath]

We may be witnessing the Cambrian explosion that creates DOGE 2.0 - completely decentralized gonzo journalism exposing fraud all over the country.

[Stephen Moore @StephenMoore]

A single $250 deposit for a child today could grow to $26K. 

Monthly $50 contributions? Over $500K by retirement. 

Thanks to Michael & Susan Dell, investing for kids just went mainstream.

[Rick Scott @SenRickScott]

One more thing: it’s time to let people shop across state lines. My bill will make sure you can buy what you want, where you want.

[Dutch Rojas @DutchRojas]

BREAKING: Nation Outraged By ‘For-Profit Healthcare’ While 8 of Top 10 Health Giants Are Literally Tax-Exempt Empires

WASHINGTON, D.C. — Americans once again expressed outrage over “for-profit healthcare,” bravely ignoring the mildly inconvenient detail that 8 of the 10 largest health systems in the United States are technically ‘nonprofit’ which, in modern healthcare, is a special religious term meaning “pays no taxes while building luxury towers and buying physician practices like Pokémon cards.”

“Everyone knows greedy corporations like HCA and Tenet are the real problem,” said a health policy expert who coincidentally consults for Kaiser, a $115.8 billion nonprofit with more office towers than Goldman Sachs. “Nonprofits are mission-driven, so they only pay their CEOs $12 million instead of $14 million. Checkmate, capitalism.”

According to IRS filings that no one reads:

Kaiser Permanente ($115.8) is a Nonprofit.
Also owns more real estate than the Jesuits.

CommonSpirit, Advocate, Providence, UPMC, Ascension, Trinity, Mass General Brigham.
All nonprofit.
All operate like private equity funds with chapels.

HCA and Tenet.
For-profit.
Convenient villains for all op-eds.

When asked about their nonprofit mission, a spokesperson for one system replied, “We are deeply committed to community wellness. This is why we acquired a cardiology group 43 miles away, shut down their charity clinic, and added a wine bar to our new outpatient cancer pavilion. You’re welcome.”

Meanwhile, independent physicians, who actually pay taxes, build clinics with personal guarantees at 8% interest, and treat Medicaid patients without subsidy, were last seen standing in the bank lobby asking why their loan requires collateral when the hospital down the street floated $2 billion in tax-exempt bonds to build a marble lobby with a waterfall named after a donor who never went to medical school.

“This system would collapse without nonprofits,” said another expert who has never read an IRS 990 form. “Where else can communities receive care inside a $600 million tower financed like a church but billed like the Ritz-Carlton?”

In unrelated news, Ascension just launched a private equity arm. Providence acquired its 37th dermatology group. UPMC issued a press release stating they are “humbled to serve” while announcing CEO bonus adjustments due to “historic margin performance in the charity care arbitrage vertical.”

COMING SOON: “New Study Finds Charity Care is Mostly a Vibe” — Nonprofit Hospitals Explain That ‘Not Billing’ One Patient in February Was a Sacrificial Act Worthy of Tax Exemption.

[The Doc @real_dr_mudgil]

Absolutely correct. The moment is now if we want to save Americans from the nightmare that is Obamacare!

I would bring in @DutchRojas and @GeBaiDC if you’re serious. No one knows the ins and outs better than them when it comes to building an off ramp.

Let’s get it! 👊🏽

[Dutch Rojas @DutchRojas]

I wish we had capitalism and free markets in healthcare!

Then we’d have 10,000+ insurance companies competing for every type of coverage imaginable.

We would have 1,000 apps like Expedia where we could pay cash for the 17.95 Billion commodity healthcare treatments and services.

We would likely have a healthcare commodities exchange and all prices would revert to the mean.

We would have outcomes data on everything!

[John Rizzo @askrizzo]

GAMMA

[Samruddhi Mokal @samruddhi_mokal]

Gamma + Claude + n8n is absolutely WILD

This combo is absolutely insane for turning meetings into professional decks automatically.

No manual notes. No "I'll send that over later." No remembering who needs what.

Just AI tools working together like a professional operations team.

Here's how it works:
→ Meeting ends, n8n trigger fires and pulls Fireflies transcript
→ Claude analyzes everything and creates professional presentation structure
→ Gamma API generates designer-quality deck with interactive link + PDF
→ Slack sends you preview with Approve/Reject buttons
→ Hit Approve, system emails deck to ALL participants with action items
→ They get PDF attachment + Gamma link before you even close Zoom

Perfect for founders and sales teams who want to look impossibly organized.

The power is in the combo:
n8n = zero-click automation that runs itself
Claude = extracts what matters, structures it professionally
Gamma = designer-quality decks that look like you hired a team

While others are scrambling to remember action items, your deck is already in their inbox.

Close deals faster.
Look impossibly organized.
Never miss follow-up again.

Like, RT + reply with "GAMMA" and I'll DM the complete system
(Must be following so I can DM)

Skip this and keep manually building slide decks at 11pm.

[Dutch Rojas @DutchRojas]

We want healthcare not insurance.

[Dutch Rojas @DutchRojas]

Meta. Google. TikTok. Amazon. Shopify, and X:

You can solve healthcare tomorrow.

You’ve built the infrastructure to make any product shoppable.

Prices visible.
Comparisons instant.
Checkout frictionless.

So here’s the question: why not healthcare?

18 billion CPT-coded medical services are rendered every year in the U.S. Each has a price, a description, and a licensed physician or healthcare professional.

That’s a product listing waiting to exist.

Lab tests: 15 billion
Physician consults: 1.2B
Physical Therapy: 400B
Radiology: 300M
All shoppable.

The technology already works.
The only difference is category.

When prices are hidden, they drift.
They detach from reality.

Hospital systems charge 3x what independent providers do for identical services.

No one can compare.
No one can choose.
Prices float untethered to the actual cost of delivery.

Price discovery collapses that gap.

The moment you can see what an MRI actually costs, at Hospital A versus independent radiology center B the market corrects itself.

Prices converge toward their true value. Mean reversion happens automatically.

You know how this works.
You’ve already built it everywhere else.

The question isn’t whether it’s possible. It’s whether you will.

I’ll help you, I have prices and locations.

@finkd
@JeffBezos
@elonmusk
@tobi
@mcuban
@bgurley
@Jason
@chamath
@DavidSacks

[Dutch Rojas @DutchRojas]

Healthcare coverage is not complicated.

Enforce price transparency.
Let prices behave like prices.

Allow a free market and competition will do the rest.

The United States processes 18 billion individual medical services every year.
That’s not a system.
That’s a market, waiting to be unlocked.

Want to unleash investment and innovation?

Publish the prices and hand Silicon Valley a clean data feed for every CPT code.

Within 90 days, we’d see:

Real-time price feeds and healthcare commodities exchanges

10,000 new coverage models built around actual prices, not mystery bills

A wave of apps, bundles, subscriptions, and new insurance products

Employers and families finally able to shop, compare, and choose.

That is how you get affordable and accessible care for everyone.

Not through more regulation.

But through transparency,
competition, and freedom to choose.

Unlock the prices.
The market will build the rest.

@POTUS @VP
@BasedMikeLee
@SenRickScott
@RogerMarshallMD
@repkevinhern
@RepGregMurphy
@SenJohnKennedy
@SecKennedy
@RepMcCormick
@GOPDoctors

[John Rizzo @askrizzo]

@ankurnagpal Guide