This is the first long-form piece I've written in a year:
Why this topic? Because, for starters, 250,000 girls were raped. Unimaginable and appalling though that is—the reality is much worse:
🚨Ilhan Omar's SISTER incorporated her $20M USAID company using the same home address as major Feeding Our Future convicts, @realDailyWire found. The finding links Sahra Noor to the largest fraud in state history as Ilhan Omar refuses to cooperate with investigators
I love 340B.
As a nonprofit hospital administrator, I consider it one of the great miracles of American healthcare.
It started as a program to help poor patients get access to medicine.
Beautiful.
Then we found the spread.
I buy the drug at the 340B discount.
I bill the commercial plan at the regular rate.
I keep the difference.
The patient gets the deductible.
The employer gets the renewal increase.
The manufacturer gets blamed.
I get a new tower.
That is called mission.
And the best part?
I don’t have to pass the savings to the patient.
I don’t have to pass the savings to the employer.
I don’t have to lower premiums.
I don’t have to prove the vulnerable patient ever saw a dime.
I just say “access” three times, put “community benefit” in the annual report, and everyone nods like I’m running a soup kitchen with oncology margins.
Then came dual classification.
Urban hospital?
No problem.
I’m rural now.
Yes, my hospital is in Manhattan.
Yes, my campus sits on billions of real estate.
Yes, my lobby looks like a Four Seasons.
But on paper?
Country doctor.
Dusty road.
Single stoplight.
Maybe a cow.
That’s the business model.
Rural when I want the subsidy.
Urban when I want the commercial rates.
Nonprofit when I want the tax exemption.
Monopoly when I negotiate with employers.
Charity when Congress asks questions.
Private equity when I buy physician practices.
Wall Street when BlackRock underwrites my bonds.
Mission when the reporter calls.
This is why I love 340B.
Manufacturer must provide the discount.
Employers pays full freight.
Patients pays out of pocket.
I keeps the arbitrage. Then I build a cancer tower and call it hope. Do I pass the 340B discount to the self-funded employer?
No.
Do I pass it to the fully insured commercial plan?
Absolutely not.
Do I use it to make healthcare cheaper?
Please.
I’m a nonprofit hospital administrator.
Not a threat to my own margin.
In 2024, 340B purchases hit $81.4 billion.
That’s scale.
I call it stewardship.
And I serve vulnerable populations.
Use the correct language.
Now excuse me.
I have to explain why my nonprofit hospital needs another tax exemption, another rate increase, another physician acquisition, another rural designation, and another debt issuance.
The poor are counting on me.
I love the US taxpayer…
The Star Tribune is part of the reason why fraud got so bad in Minnesota. For 4 years, we wrote to various Star Tribune journalists about fraud without any luck in getting a story out. We even provided spreadsheets and extensive supporting documents yet their reporters gave us the cold shoulder. Same with the MPR, Pioneer Press, and WCCO...
We believe that the Star Tribune is a highly biased newspaper and no longer a source of truth. And biased newspapers are dangerous.
Biased journalism can present information in a way that favors one viewpoint while minimizing or ignoring other relevant facts. This may happen through selective reporting, emotionally charged language, or emphasizing certain stories while giving little attention to others.
One major consequence of biased journalism is increased political and social polarization. When people regularly consume news that reinforces only their existing beliefs, they may become less willing to consider different perspectives. This can reduce constructive dialogue and make compromise more difficult.
Bias can also weaken public trust in the media. If audiences believe that news organizations are prioritizing opinions or agendas over accurate reporting, they may become skeptical of the information they receive. This distrust can extend even to responsible news outlets that strive to follow strong journalistic standards.
In addition, biased reporting can influence public opinion and decision-making. People often rely on the news to understand complex issues, elections, and public policies. When reporting consistently favors one perspective without fairly representing the available evidence or competing viewpoints, readers and viewers may struggle to make well-informed decisions.
Responsible journalism aims to minimize bias by verifying facts, distinguishing news from opinion, seeking multiple sources, and correcting mistakes when they occur. Although complete objectivity may be difficult to achieve, transparency, fairness, and accuracy help maintain credibility and public confidence.
In conclusion, biased journalism can contribute to misunderstanding, deepen divisions, and reduce trust in the media. Encouraging fair, accurate, and evidence-based reporting helps citizens make informed decisions and supports a healthier public conversation. And the Star Tribune certainly is NOT a newspaper that we trust.
Here's a cool map you won't find anywhere else.
U.S. statewide JULY high temperature records.
40 (80% of) U.S. states set their “all-time” statewide July high temperature records before 1955; 11 of those were set in 1936 alone. Five states set theirs in 1930.
California's record of 134°F in Death Valley remains the official statewide, U.S. national, and worldwide “all-time” record high temperature for all months, although its authenticity has been challenged.
Minnesota’s largest paper actually figured out a way to shove January 6th into this as a way to excuse an illegal immigrant who sexually assaulted a child.
One of the most insane things I’ve ever seen.
Hi there.
The world is not burning up—quite the opposite in fact. Global wildfire burn area is lowest on record year-to-date.
I can also assure you that the oceans are not boiling.
Pure water boils at 100°C.
Ocean (salt) water boils at ~102°C.
The warmest ocean waters on the planet get a little over 32°C at the surface in the tropics. Boiling is therefore not an accurate adjective to describe the current or future situation.
Thanks for coming to my science lesson.
In 1971 the leftwing terrorist organization Weather Underground bombed the Senate Chambers of our Capitol.
Bill Ayers, who took credit for it went on to launch Obamas political career in the state legislature and funded his campaign.
All of its members received pardons and went on to work at universities. On the day Cuomo resigned from office, he pardoned one of these terrorists.
Dear fellow meteorologists, stop calling it a “heat dome.”
It’s an upper tropospheric ridge / warm-core high-pressure area.
That’s what it is by textbook definition.
Stick to that and quit using sensationalistic garbage.
Thanks.