Francesco del Giocondo.

“there is all the difference in the world between treating people equally and attempting to make them equal”

[SaltyGoat @SaltyGoat17]

Here's an exhaustive list of countries that you can sneak in illegally, dismiss all requirements for a valid visa, but still get free housing, free food, a phone and spending money

AND... have a baby and it becomes a citizen automatically.

.
.
.
America

Anyone else PISSED?

[Vivek Sen @Vivek4real_]

JAVIER MILEI: “I THOUGHT BEING ON THE LEFT WAS A MENTAL PROBLEM. THE EMPIRICAL EVIDENCE IS SO OVERWHELMING THAT IT NEVER WORKED ANYWHERE, AND THEY REFUSED TO ACCEPT IT.”

“BUT WHAT I DISCOVERED IS THAT BEING ON THE LEFT IS A DISEASE OF THE SOUL. THE LEFT IS BUILT ON ENVY, HATRED, RESENTMENT, AND UNEQUAL TREATMENT UNDER THE LAW. THEY ARE VERY VIOLENT, AND SINCE THEY HAVE NO WAY OR ARGUMENTS TO ANSWER, THEY GO FOR PHYSICAL VIOLENCE.”

[Forest Park Pharmacy @ForestParkPharm]

My wife and I own a pharmacy. Last month we spent days trying to pry one prescription loose from a company that did everything it could to hold onto it.

The drug was everolimus. A generic. It treats cancer and protects transplant patients from rejecting their new organ. Not exotic. Not rare. A pill.

The patient wanted it filled with us because we're cash-pay and cost-plus. No insurance. No PBM. No secret markups, no games. Our price was $318. That's not cheap by our standards — most of what we fill runs under $20 — but it was honest.

Here's what that same prescription looked like on the other side of the counter.

In 2023, Medicare was paying about $6,645 for it. That's roughly 21 times our price for the identical medication. Medicare spent around $240 million on everolimus alone that year. If they'd paid our price, they'd have saved roughly $230 million. On one generic drug.

So how does an insurance company profit off a drug that expensive? Don't they pay for it?

No. You pay for it. In your premiums. Their job isn't to spend less — it's to keep your healthcare dollars circulating inside their own companies. And the tool they use is called spread pricing.

Spread pricing works like this: the middleman bills the health plan one price, pays the pharmacy a lower one, and keeps the difference. You never see it. On TRICARE, they pay an independent pharmacy like mine about $311 to fill everolimus. That barely covers our cost of the drug. Meanwhile the plan gets billed thousands. That gap — north of $6,000 on a single fill — is pure margin the middleman pockets.

Now here's the part they'd rather you not think about.

The pharmacy we were fighting was Accredo. Accredo is owned by Express Scripts. Express Scripts is the pharmacy benefit manager owned by Cigna. Same company, three masks. That nesting-doll structure isn't an accident — it's the whole design. When the pharmacy, the PBM, and the insurer are all one entity, they can shuffle money between their own pockets and call it whatever they want. The confusion is the product.

And this isn't a story about one weird drug. It's the business model.

The FTC has been digging into exactly this. In its January 2025 report on the three biggest PBMs — CVS Caremark, Express Scripts, and OptumRx — staff found those companies marked up specialty generic drugs by hundreds and thousands of percent when dispensing through their own affiliated pharmacies. Just those markups generated more than $7.3 billion above what the drugs actually cost to acquire, from 2017 to 2022. One in five of the specialty generics they studied was marked up over 1,000%. Some cancer generics: over 3,000%. On top of that, the FTC pegged spread pricing on those same drugs at another $1.4 billion.

One example straight from the FTC's files: dimethyl fumarate, a multiple sclerosis drug. Costs about $177 to acquire. The PBMs paid their own pharmacies close to $4,000 for a 30-day supply. Same trick. Different drug.

And they steer the profitable ones to themselves on purpose. Pharmacies affiliated with the big three took in 68% of specialty dispensing revenue in 2023 — up from 54% in 2016. The prescriptions marked up more than $1,000 disproportionately end up at their own pharmacies, not independents like mine.

So when we called to transfer this patient's everolimus to be filled without insurance, it landed like we were asking them to set $6,000 on fire. Of course they stonewalled us.

That's why we fired them.

No insurance means no invisible $6,000 charge buried in a premium you can't itemize. It means the price you see is the price. Ours was $318. Theirs was thousands. Same pill.

[David J Harris Jr @DavidJHarrisJr]

Rep. Wesley Hunt: "What's funny about it to me is you're [Democrats] mad at the guy who found the fraud, but not mad at the people that wasted your money."

Thoughts?

[Libs of TikTok @libsoftiktok]

MAJOR UPDATE: The muslim nurse in Texas who posted a video saying how she wouldn't treat patients if they watched Fox News has been TERMINATED following our report.

Thank you, @utmbhealth, for your swift action.

No nurse should be denying care to patients based on political beliefs.

[Juanita Broaddrick @atensnut]

CORRECT!!!

[Andy Ngo @MrAndyNgo]

"Teha Delaruelle," a trans activist who worked on the campaign for trans Wisconsin Democrat congressional candidate Katrina deVille, a DSA member, posted manifesto videos on social media calling for fellow trans people to commit mass killings of MAGA.

[Kim "Katie" USA @KimKatieUSA]

Breaking: After 6 people were shot dead in Germany on June 29, 2026, it's finally being reported that the gunman, Fatih Gazioglu, is a PEDOPHILE prison escapee and a Muslim.

[Francesco del Giocondo. @gopuckgo]

Mayor Mamdani Orders NYC to Sweat at 78 Degrees — While His Own City Hall Was HOW Cold? https://t.co/bEa018BAKE

[Stephen Miller @StephenM]

If you believe a foreign government can sail a hospital ship to the edge of US territorial waters, deliver a hundred babies to foreign moms, then promptly sail back to a foreign port, and that every one of those babies is American for life, you don’t believe in nationhood at all.

[ALX 🇺🇸 @alx]

All my life, I’ve been waiting for a Muslim from Uganda to tell me what it means to be an American.

[Sam E. Antar @SamAntar]

My son was abused as a little boy in a playgroup. The trauma lived with him every day. It fueled the addiction that took his life at 26. There was no pardon for him. Yet a board chaired by Gov. Walz just erased the conviction of a man who assaulted a 10-year-old. Enough.

[Francesco del Giocondo. @gopuckgo]

@ClownWorld Chicken chimping

[Francesco del Giocondo. @gopuckgo]

@LeadingReport GOOD

[Caт 🐝 @CatShoshanna]

This is what New York would look like without muslims

[Francesco del Giocondo. @gopuckgo]

@texasrunnerDFW The thing about dreams is you have to work and strive to make them come true.

[Francesco del Giocondo. @gopuckgo]

@realMaalouf Why invest in braces then?

[Dr. Maalouf ‏ @realMaalouf]

In Lebanon, a Shia Muslim mother states: “I only had children because I want them to die and become martyrs.”

Her son responds: "I will give you what you want, a life of mourning.” He was later killed fighting for Hezbollah.

It’s a literal death cult.

[Johnny Midnight ⚡️ @its_The_Dr]

He did it to himself!