avery

neurosurgery. housewives. the original hilary duff stan™️.

[avery @verykmalt]

when ppl tell me they were hilary duff fans as a kid i laugh and think about this photo my photographer uncle edited for me as a gift

[avery @verykmalt]

@needynavy @212kive plz plz plz dm 💓💓💓

[Queens of Bravo @queensofbravo]

#RHOSLC Preview: After Bronwyn exposes Britani throwing shade at Lisa and Meredith, Meredith throws water on Britani!!!

[avery @verykmalt]

@chloemiIler @yolandafister i didn’t even intend on watching but i was sat for all 60 min. i laughed i cried i smiled.

[tony @tohneigh]

Mariah is thinner

[2000s @PopCulture2000s]

mariah carey perfoming a medley of her biggest hits ‘fantasy’, ‘honey’, ‘heartbreaker’, ‘obsessed’, ‘it’s like that’ and the classic ‘we belong together’ at the vmas
https://t.co/MZJ91O7LKu

[avery @verykmalt]

@chloemiIler 😭😭😭😭😭😭😭

[avery @verykmalt]

Chloe off private !

[avery @verykmalt]

@chloemiIler always know ur interviewing for jobs when u go private again …

[onii 𓆌 @__Onixivy_]

as someone who has loved Beyoncé since a child, no tour opener will ever come close to what Dangerously In Love & Flaws and All at RWT did for me. it truly was life changing and altered my brain chemistry 😭

[Housewife Hag (farting pumpkin era) @HousewifeHag]

PHONY cancelled, Ramona Singer VINDICATED yet again.

[Charlie ☭ @EseMoyito]

my fave

[drew ☁️ @dailytaylorteaa]

this is when i knew addison rae is going places

[avery @verykmalt]

& he hated you so much he decided to leave this earth!

[Vice President JD Vance @VP]

Today I met with the Holy Father Pope Francis. I am grateful for his invitation to meet, and I pray for his good health.

Happy Easter!

[Redd @ReddCinema]

Let him out only on ONE condition...

[avery @verykmalt]

@chloemiIler 😭😭😭😭😭😭😭😭😭😭😭

[Dutch Rojas @DutchRojas]

Boston Medical Center is what happens when you drape a private empire in nonprofit clothing.

Behind the polished mission statements and tax-exempt shield sits a $2.4 billion machine with an insurance plan, a teaching hospital, a drug pricing margin scheme, and direct access to every subsidy Washington dares to offer.

Let’s walk through it.

BMC brings in $2.38 billion a year.
Operates at a $38 million loss.
Still controls $2.6 billion in assets.
Still pays its top executive over $2.2 million.
Still calls itself a charity.

But the real advantage?

It owns the payer.
WellSense Health Plan covers over 740,000 lives across Massachusetts and New Hampshire—mostly Medicaid and Medicare Advantage.

That’s right:
BMC doesn’t just bill the state, it manages the state’s money.

It gets to set the rates, control access, and run care coordination all while collecting tax-deductible donations and racking up federal waivers.

This is the academic medical complex:
•Disproportionate Share Hospital (DSH) funds
•Upper Payment Limit (UPL) subsidies
•340B drug pricing arbitrage
•Graduate & Indirect Medical Education bonuses
•Tax-exempt bond deals
•Property tax exemptions
•Risk-adjusted capitation through its own health plan

Meanwhile, independent physicians in Boston treat the same patients with none of the perks—and are told they “cherry-pick” when they can’t survive the math.

Let’s be honest:
BMC isn’t a safety net. It’s a strategy.
An elaborate, well-financed, tax-sheltered strategy designed to dominate Medicaid economics while cloaking itself in public service.

The problem isn’t just what BMC takes.
It’s what it displaces: private practice, physician autonomy, fair competition, and any hope of a price-based healthcare market.

This is not a hospital.
It’s a vertically integrated Medicaid machine—running on subsidies, protected by policy, and marketed as benevolence.

And unless we wake up, it will become the blueprint for every major health system in America.

#IndependentPhysicians #MedicaidEconomics

[hunter harris @hunteryharris]

and what about the renaissance world tour film

[jay @kendallhosseini]

me in the courtroom

[avery @verykmalt]

@the_lemon_bitch and i once her daughter is born

[George Civeris @georgeciveris]

Small minds discuss people... average minds discuss events... great minds discuss CELEBS!