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dan-munro.com
Author of Casino Healthcare
308 posts 614 followers 403 following
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Ah - but that strategy demands a disciplined leadership - which is sorely lacking from any political party - but especially the Democrats. www.theatlantic.com/newsletters/...
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"How do people ...?" ... it's the "cult of ignorance" [Isaac Asimov - 1980] with additional insight/elaboration from Carl Sagan [Candle in the Dark -1995].
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There's a shit-ton of FWA ... many directions ... but again ... payers aren't responsible for system design - and NET COST of health insurance pretty small % of NHE @ $5T/yr. We can change it. We should change it - but it will require a functioning democracy. "Free market" capitalism won't work.
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Truly "fixing" healthcare is 100% political - and it's the GOP that has fought universal coverage for decades. No one cares how many payers there are - but eveyone has a stake in single pricing - and the delivery mechanism for that is universal coverage. #Medsky hc4.us/oneprice
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Where's the evidence Mark? Payers (incl PBMs) aren't responsible for our system design. Sure - they profit from it - but if we want a different/better system design - it won't happen by just blaming payers. Even if we eliminated them - the juice ain't worth the squeeze.
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"Campaign finance reform isn't the biggest problem facing the country ... but it's the first." @lessig.bsky.social
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... and exactly where is Trump's big leverage? "China produces 90% of the world’s nearly 200K tons/yr of high-performance rare earth magnets. Japanese companies produce most of the rest in Japan and Vietnam, mainly for Japanese manufacturers." www.nytimes.com/2025/06/02/b...
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GOP Healthcare Plan: 1. Don't get sick 2. If you do get sick ... 3. Die quickly
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We "need" lots of things: * Term/age limits * Electoral College reform * Tax reform * Universal Health Coverage * Expanded SCOTUS etc... But we're not going to get ANY of these until we get campaign finance reform. It's not the biggest problem facing the country - but it's the first.
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... it's chilling how gun violence has permeated our culture - and how effective the gun lobby is at keeping serious legislation at bay. We survived a school lockdown intact (2019), but the trauma is still seared into our collective/local memory.
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We avoid days altogether ... sweet spot is 7-8pm (just before closing). Parking a breeze - no checkout line at all ;-) Just no samples ;-(
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Yes - because pleading with a bully always works so well ...
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... just wish it broke out commercial better- between ACA and ESI ... ;-) I know the bulk is ESI - but would help visually - no?
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... and triggers automotic cuts to Medicare - to the tune of ~$45B/yr (starting in 2026).