hollydungan

[hollydungan @hollydungan]

@shawngorham This is so depressing…am hearing a few stories of owners doing nice things for employees that end up biting them in CA. Thanks for sharing.

[hollydungan @hollydungan]

@crowdhealth @pink68867645 Interesting that it excludes employer sponsored plans. Are the denial rates for those better/wprse/same?

[Jeffrey A Tucker @jeffreytucker]

A husband and wife with four kids will spend $3-4,000 and more per month on medical insurance now, and it buys nothing but the right to pay more when you actually use it. This is an outrage. More outrageous, there is hardly any political talk about this fixing this problem even though the fix is readily at hand. Unsustainable.

[hollydungan @hollydungan]

@annbauerwriter I was in a time bind and got lucky with this dress from Amazon! Wear it often -

https://t.co/G4bvl5Pb15

[Porter Stansberry @porterstansb]

Just finished my tax return for 2025. I paid over $6m in federal taxes last year, which dwarfs the amounts I spend on my family. Taxes shouldn't be anyone's largest expense... and certainly not by a order of magnitude (10x).

But, until I'm willing to pick up a rifle, I'm certain there's no way to prevent the criminals in D.C. from continuing to rob me.

What I find far more troubling is that the document that I'm required to submit along with these funds is over 600 pages long and costs me a fortune to prepare each year.

And ... don't forget... if my accountants make a mistake... this document can be used in a criminal trial against both me and my wife.

Please explain how anyone could possibly be responsible for knowing, as a matter of law, whether or not every number in a 600 page document is accurate?

And the best part? If you send this document to ten different accounting teams, you'll get ten different final amounts.

This is all nuts.

[hollydungan @hollydungan]

@ClintFiore Curious if you have a view on typical multiples for those <$1.5m rev’s, small owner operator shops?

[hollydungan @hollydungan]

@LoveCodeTrade 💯!! Living the SF dream in 481 sq ft for $3500 in this ‘neighborhood’ where I wouldn’t feel comfortable coming home from work past 6p. Nope.

[Damien Echols @damienechols]

I’ve had a lot of people asking me about the botched execution of Christa Pike in Tennessee, as well as the upcoming execution by firing squad that’s supposed to be livestreamed. Having spent nearly 20 years on death row, my thoughts and feelings about these things are so vast that I sometimes struggle to find a place to begin. I became close friends with a man who had committed murder. He was like a brother to me. I once watched him break down crying, trembling as he told me he wished he was as evil as the world believed him to be, because then he wouldn’t have to care about what he’d done. Fifteen years later, he was still having nightmares about it. I know in my soul that he would never hurt another person again. But I’ve also watched a man being stabbed to death in prison. I cried for days afterward, and something inside me was changed forever. I learned that some people are capable of extraordinary transformation, while others remain capable of terrible violence even behind prison walls. There are no simple answers here. No slogans or political arguments that can adequately address the complexity of human beings, guilt, punishment, and suffering.

But there is one thing I want to say about the upcoming execution by firing squad. Don’t watch it. Whatever you believe about the death penalty, even if you think the person being executed deserves to die, don’t watch it. You cannot witness a human being being killed and simply walk away unchanged. What you see becomes part of you. It follows you into places you never expected it to reach. There are things I witnessed in prison that I would give anything to forget, things that still cast a shadow over my life decades later. There’s a difference between understanding that terrible things happen in the world and deliberately making yourself a spectator to them. I don’t have all the answers about justice, punishment, or forgiveness. But I do know that killing another human being should never become so ordinary that we turn it into something to watch from the comfort of our living rooms.

[hollydungan @hollydungan]

@SBA_Matthias @ClintFiore Are they offering PG insurance in CA?

[ThisGirl @Sooner_Bred13]

My sister and I are both alumni. She graduated with a video production degree 5yrs ago

She’s currently a legal assistant bc she can’t find a FT video production position in the OKC area 🫠

[Chris Brunet @chrisbrunet]

The University of Denver (@UofDenver) has just filed a notice of intent to hire two H-1B Web and Digital Interface Designers

Salary: $55,931

No American citizens were qualified for these jobs.

[Chris Brunet @chrisbrunet]

The University of Oklahoma (@UofOklahoma) has just filed a notice of intent to hire an H-1B Sport Video Production Manager

Salary: $55,931

No American citizen was qualified for this job.

[hollydungan @hollydungan]

@DeeDee84276236 I’m so sorry you are going through this! Maybe check out The Koerner Office podcast. He interviews tons of people starting simple businesses with very little cash. Recently, a guy who started a woodworking party/class for kids. Tons of ideas - regular people.

[hollydungan @hollydungan]

@AdGuard @GamersNexus My dad couldn’t get past these ridiculous consent agreements for nearly an hour. Intentionally unclear which were required/optional just to be able to use their damn LG TV. This isn’t right…where can we find a normal tv that doesn’t require tech support??

[hollydungan @hollydungan]

@Codie_Sanchez Annoying trending towards creepy /psychopathic. (Silence of the Lambs flashbacks)

[Houman David Hemmati, MD, PhD @houmanhemmati]

This is what “preventive care” looks like in America in 2026.

A patient goes in for the annual physical her insurance promised would be covered. She mentions anxiety and bloating. The clinic later bills her $216 because, and I quote the billing office: “Insurances pay once a year for a physical—which is just that. A physical, no problems can be discussed.”

Read that again.

No problems can be discussed.

What, exactly, is the point of a “preventative physical” if the patient is not allowed to mention the conditions she is trying to prevent?

There is no healthy adult walking around with zero medical concerns. Anxiety. Bloating. Fatigue. Sleep. Weight. Blood pressure that is starting to creep. A family history that suddenly feels relevant. These are not “problem visits.” These are the exact conversations that turn a checkbox exam into actual prevention.

The current coding and payment rules punish that conversation. The moment a physician documents a concern and uses clinical judgment, the visit can be reclassified from a no-cost preventive service into an evaluation-and-management visit subject to deductible and copay. Clinics know this. Insurers know this. Hospital systems that own those clinics know this. The patient is the last person told.

The result is predictable:
• Patients learn to stay silent so they do not get a surprise bill.
• Early, cheap problems become late, expensive ones.
• Physicians are trained by RVUs and modifier-25 rules to treat humans as either “well” or “sick,” never as people who need both screening and counsel in the same 20 minutes.
• Insurers keep the premium and deny the claim. Hospital systems bill the higher code. The patient pays twice—once in premiums, again at the window.

This is a billing product dressed up as wellness, and it has nothing to do with medicine.

@SecKennedy @RobertKennedyJr @DrOz @DrOzCMS @CMSGov @POTUS — you have the authority to end this farce.
Require that a covered annual preventive visit include the discussion of common symptoms and risk factors without automatically converting the encounter into a separately billed problem visit.

Mandate clear, written notice before the visit if any conversation may trigger cost-sharing. Stop letting the CPT codebook decide whether a doctor is allowed to listen.

Prevention that forbids the patient from speaking is not remotely close to prevention. It is a trap that makes Americans sicker and the people who run the billing departments richer.

Fix the rule. Do it now.

Every adult who has ever sat in that exam room already knows this is broken. They are waiting for someone in Washington to admit it.

[Dutch Rojas @DutchRojas]

The number one reason healthcare is so expensive is not tax-exempt hospitals.

It is not insurance companies.

It is the incentives created by government.

At an independent physician’s office, Medicare makes one payment.

For services delivered through a hospital outpatient department (HOPD), Medicare makes two payments.

Here is an example:

Lumbar epidural in a physician’s office: $256.

The same procedure through a hospital outpatient department: $741.

Nearly three times the payment! It’s utterly ridiculous to be $40 trillion in the hole and then pay 3x as much for the same thing.

Same physician.
Same patient.
Same procedure.
Different owner.
Higher bill.

Changing ownership triples the payment.

That payment gap gives hospitals a government-funded reason to acquire physician practices.

The more practices a hospital acquires, the more care it moves through the higher-paying system.

This arithmetic is not difficult. Congress simply finds it inconvenient. Government rewards hospitals for acquiring physician practices.

Congress banned physician-owned hospitals and froze most existing ones at their 2010 capacity.

Apparently, physicians are trustworthy enough to perform the surgery. Owning the hospital is where Congress draws the line. Congress approves lawyers, MBAs, and Felons. Not physicians.

Tax-exempt hospital systems pay no federal income tax, no state income tax and no property tax.

Your grandmother pays property tax.

She made the rookie mistake of not calling her house a hospital campus.

Government also created 340B.

In 2025, 340B covered entities purchased $100 billion in discounted outpatient drugs.

That is what they purchased.

It does not tell us what they billed.

It does not tell us how much they made.

The hospital buys the drug at the 340B price.

The hospital bills the employer the full contracted allowable amount.

The patient pays a deductible or coinsurance calculated from that amount.

The patient’s name unlocks the discount.

The hospital keeps it.

Acquire an oncology practice.
Extend the discount.
Keep the spread.

In 34 states and Washington, D.C., hospitals, ambulatory surgery centers and radiology centers must ask government for permission to open or expand.

The incumbent hospital gets to object.

Naturally.

Who should decide whether a community needs competition if not the company facing it?

Then politicians pretend to be surprised when independent physicians disappear, hospital markets consolidate and employer premiums rise.

Hospitals and insurance companies are not innocent.

Hospitals lobby to preserve these advantages. Insurers pass the resulting expense into next year’s premiums.

Everyone follows incentives.

Government chose these incentives.

The people you elected wrote them into law, protected them for years and now hold hearings to discover who could possibly have done this.

Want lower healthcare costs?

Pay the same amount for the same service.

Let physicians own and expand hospitals.

End Certificate of Need laws.

Make 340B discounts follow the patient.

Americans must demand that government stop subsidizing consolidation and picking winners and losers.

Washington pays hospitals more to consolidate, blocks physicians from competing, exempts the winners from taxes and then lectures America about greed.

[American Rancher Alliance/Hufeisen Ranch @WyoWagyu]

🚨 THIS IS HUGE NEWS FOR AMERICAN RANCHERS, WORKERS, AND FAMILIES! 🇺🇸

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Daisy River is working to hire many of the skilled workers displaced by the Joslin closure, including people who dedicated 20, 30, and even 40 years of their lives to the beef industry.

Now, the American Rancher Alliance is in the early stages of aligning with https://t.co/puzimsDxsf, launched through the partnership of Jason Birt, legendary Super Bowl–winning coach Jon Gruden, and Tom Zenner.

Together, we are working to build something America desperately needs: an independent, American beef supply chain that supports American ranchers, independent packers, American workers, and American consumers.

And right now, you can help support this movement while filling your freezer with American beef!

🥩 One-eighth, one-quarter, half, and whole beef shares
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🥩 At least 64 pounds with a one-eighth share
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🥩 Born, raised, and finished in the USA

Go to https://t.co/puzimsDxsf and use code ARA at checkout!

Every purchase helps support American ranchers, restart an independent Iowa packing plant, restore American jobs, and break the Big Four’s control over America’s beef supply chain.

BUY AMERICAN BEEF. SUPPORT AMERICAN JOBS. HELP US TAKE BACK OUR BEEF SUPPLY CHAIN! 🇺🇸🥩

Learn more about the American Rancher Alliance at https://t.co/b5tzholomj.

@GridironPosts @BarstoolGruden @tomzenner @WyoWagyu

#AmericanRancherAlliance #AmericanBeef #BuyAmerican #AmericanRanchers #GridironBeef #JonGruden #IowaBeef #SupportAmericanJobs #BeefShares #BigFour #FoodSecurity #MadeInAmerica

[hollydungan @hollydungan]

@jasonlewris Will be interesting to watch MT R/E market with the 2nd home property tax bump now in place 👀.

[Andrew ₿entley 🇺🇸 @AndrewBentley]

When I joined Ernst & Young they made me sell my shares in Apple (an audit client I never interacted with in any way). The compliance team made a special call to me because I decided to report my stock portfolio manually rather than login with my Fidelity credentials.

Meanwhile…