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xpostfactoid.bsky.social
Blogging mostly healthcare policy at http://xpostfactoid.substack.com. ACA implementation watcher. CSR czar. AKA Andrew Sprung.
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Or scared?

True now (2:35 ET).

So video of this 2012 interview is popping up on other sites. Feels super relevant at the moment. Wait for the moment Rubio gets pinned to the wall about his grandfather’s deportation order… (h/t @reuben_reyñoso)

Do people always say, "Gee, Elliott Morris, what you say is really compelling!"?

Should we say Trump found the worst people in the country to empower, or the worst people in the country found Trump?

Accountability time: In @nj.com, I call out lies from NJ House Republicans Kean, Smith and Van Drew about the huge cuts to Medicaid and Obamacare they've green-lighted.

"Gestapo Barbie" is good. But there's a whole passel of them.

If the proposed Congressional budget were to become law, five rural hospitals in NC could be in danger of closing: UNC Rockingham Hospital in Eden Person Memorial Hospital in Roxboro Chatham Hospital in Siler City MH Angel Medical Center in Franklin Blue Ridge Region Hospital in Spruce Pine

Sen. Bill Cassidy, the corrupt coward who sicced RFK Jr. on the nation, is trying to cripple the ACA marketplace in states that mandate abortion coverage in marketplace plans (as well as making coverage less affordable in all states by directly funding CSR).

Recalling that he called Putin's invasion of Ukraine genius.

“We can’t do anything,” Caroline Dias Goncalves' relative said. “We’re scared. We’re not in jail with her, but we feel like it.” Her mom hasn’t stopped crying since she learned her daughter was being held and her dad is pacing constantly.

I hate to say it, but 35-40% approval ain't "no one." We are where we are because a large, apparently irreducible minority approves fascism, no matter how egregious. We fluctuate in a narrow range, always near a tipping point.

Krugman: Everything is on the line right now. open.substack.com/pub/paulkrug...

Cannot express enough how much what happened at that meeting three weeks ago has changed things on the ground. Courthouse arrests started within days, then check-in arrests. Worksite raids, once rare, began happening daily. Detention has skyrocketed over capacity. People are going missing.

Coincidentally, we've also passed the idiocy event horizon

The process for ACIP membership usually takes years of vetting, particularly for conflicts of interest. Have these people undergone the same level of scrutiny? I'm pretty sure Malone has made money from saying falsely that mRNA vaccines are unsafe.

RFK is going to be responsible for a lot of death and suffering

Get him

Re those ubiquitous 2-factor warnings not to share the code: are people or bots really standing by to solicit such a code in the few minutes you have to use it?

Today RFK Jr took the single biggest step towards destroying childhood vaccines When @nytimes asked me in December whether RFK could kill the vaccine program - I said he’d have to remove CDCs ACIP And… that’s exactly what he just did today Not good-just like that we cannot trust CDC on vaccines

Couple things I'd like Democratic governors and mayors to weigh in on, including via questions from press. - What are their directives for local and state police forces that ultimately answer to them? - Reminding soldiers of their rights and their ability to refuse illegal orders.

RFK Jr.’s attack on vaccine experts endangers every American www.statnews.com/2025/06/10/a... via @statnews.com "Kennedy is not fit for the office he holds." "Congress must act. The medical and public health community must speak out. And the public should demand better."

Democrats should introduce articles of impeachment for RFK jr Even if it doesn’t work, which it probably won’t, democrats need to make clear that he’s not gonna get away with it

🚨BREAKING: Georgia Supreme Court STRIKES DOWN four State Election Board rules concerning certification and hand counting ballots last year. A big victory for GA voters and a stinging defeat for the RNC and election deniers. www.democracydocket.com/cases/georgi...

Go get him

New Jersey Dem primary for governor: It's a kind of bittersweet throwback to have a competitive election among multiple qualified, competitive candidates who can discuss policy coherently and without lying.

“If you saw all this in any other country — soldiers sent to crush dissent, union leaders arrested, opposition politicians threatened — it would be clear that autocracy had arrived. The question, now, is whether Americans who hate tyranny can be roused to respond.” www.nytimes.com/2025/06/09/o...

Maybe they're thinking of the 20-21 million low-income adults covered by the ACA Medicaid expansion, whom they smear as "able-bodied" (read: lazy, undeserving, not white) -- the human "waste" they're targeting under the "waste, fraud and abuse" rubric.

New proposed name for the legislative monstrosity now pending in the Senate: The Radical Reactionary Redemption bill xpostfactoid.substack.com/p/republican...

<Thread> I figure I need to explain how extreme and irresponsible is the June 7 Memorandum federalizing the National Guard and authorizing regular armed forces. Those saying anything in support of this action may not realize what they’ve gotten into. (It will also escalate from here.) Preview⤵️

Reminder: The pending tax and budget bill would *vastly* expand the enforcement and detention capacity of the federal government. What's happening sporadically in cities like Los Angeles would be carried out on an unprecedented scale.

I found the Republicans' current Contract with America

If we get through this authoritarian grab and the time comes to hand out Who Helped Hitler awards, Bill Cassidy is a top candidate for coward-in-chief. Pressed on whether Kennedy broke his promise, Cassidy told reporters the promise was about keeping the ACIP "process," not the committee members.