Wesley Sanders's Avatar

Wesley Sanders

@wsanders.bsky.social

Current: consultant, VP finance, self-proclaimed health policy wonk. past: health plan CFO, United Methodist clergy

86 Followers  |  54 Following  |  58 Posts  |  Joined: 03.07.2023  |  2.1515

Latest posts by wsanders.bsky.social on Bluesky

This is a crock of shit. The ACA already prohibits federal dollars from being used to pay for abortion.

ACA plans which cover abortion even include a separate $1/mo fee which the insurance carriers have to be kept segregated from the rest of their revenue in a separate bank account.

Iโ€™m serious.

12.11.2025 03:12 โ€” ๐Ÿ‘ 129    ๐Ÿ” 52    ๐Ÿ’ฌ 10    ๐Ÿ“Œ 2

dawg not the steakhouse wedding font

05.11.2025 15:33 โ€” ๐Ÿ‘ 15988    ๐Ÿ” 2540    ๐Ÿ’ฌ 848    ๐Ÿ“Œ 190
29.10.2025 16:57 โ€” ๐Ÿ‘ 437    ๐Ÿ” 158    ๐Ÿ’ฌ 18    ๐Ÿ“Œ 3
Leavitt: At this moment in time, the ballroom is really the president's main priority.
THE WHITE HOUSE
1S1"
THE
HOUSE
22 13 50
LIVE โ€ข 10:51ั
C-SPAN
"I
WHITE HOUSE PRESS SECRETARY TAKES QUESTIONS
0:29
AS GOVT SHUTD Go ahead, TINUES
ISE MINORITY LEADER HAKEร‰M JETTRIES SPEAKS ON GOVT SHUTDOWN LIVE 2pm ET
October 23, 2025 at 2:05 PM ยฎ Everybody can reply
229 reposts
159 quotes
622 likes
19 saves

Leavitt: At this moment in time, the ballroom is really the president's main priority. THE WHITE HOUSE 1S1" THE HOUSE 22 13 50 LIVE โ€ข 10:51ั C-SPAN "I WHITE HOUSE PRESS SECRETARY TAKES QUESTIONS 0:29 AS GOVT SHUTD Go ahead, TINUES ISE MINORITY LEADER HAKEร‰M JETTRIES SPEAKS ON GOVT SHUTDOWN LIVE 2pm ET October 23, 2025 at 2:05 PM ยฎ Everybody can reply 229 reposts 159 quotes 622 likes 19 saves

โ€œThe ballroom is really the presidentโ€™s main priorityโ€ is also what Bill Moyers said when audio of LBJ speaking with his tailor about his special pants request leaked.

24.10.2025 23:25 โ€” ๐Ÿ‘ 391    ๐Ÿ” 71    ๐Ÿ’ฌ 8    ๐Ÿ“Œ 8
A giant stack of papers, about 1/2 the size of an apple, on a counter.

A giant stack of papers, about 1/2 the size of an apple, on a counter.

Are we doing "The ACA Sucks" Discourse again?

I'm going to guess most people hating on it from the left have never received a hospital bill the size of book; I put the apple there for scale.

That's the $1.3 million bill my kid incurred in his first ~94 days. Why does that make me respect the ACA?

20.10.2025 17:31 โ€” ๐Ÿ‘ 1436    ๐Ÿ” 411    ๐Ÿ’ฌ 44    ๐Ÿ“Œ 29
Post image

Anyway, what we're talking about is, this is what you wrote about one of the most important legislative achievements since the 1960s, which is responsible for over 40 million Americans currently having health care.

And yet, NYT is somehow paying you to be an economics reporter. This is not normal.

20.10.2025 15:52 โ€” ๐Ÿ‘ 101    ๐Ÿ” 10    ๐Ÿ’ฌ 4    ๐Ÿ“Œ 0

I support everyone giving vast sums of money to Andrew Cuomo. Itโ€™s the โ€œlighting a million quid on fireโ€ art piece but this time performed by the worst people in the world.

16.10.2025 22:10 โ€” ๐Ÿ‘ 7006    ๐Ÿ” 589    ๐Ÿ’ฌ 77    ๐Ÿ“Œ 62

you think thatโ€™s something? Thereโ€™s an alarming correlation no one is talking about that the longer someone is on Medicare, the more likely they are to die.

07.10.2025 01:18 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Post image

as a christian, one thing i love about trump is that he explicitly rejects the teachings of jesus

28.09.2025 21:55 โ€” ๐Ÿ‘ 4476    ๐Ÿ” 746    ๐Ÿ’ฌ 93    ๐Ÿ“Œ 58
Preview
Georgiaโ€™s Medicaid Work Requirement Program Spent Twice as Much on Administrative Costs as on Health Care, GAO Says Republican lawmakers cite Georgiaโ€™s Pathways to Coverage as a national model for federal Medicaid work requirements that are set to take effect in 2027. A new report shows the program has spent at lea...

NEW: GOP lawmakers cite Georgiaโ€™s Pathways to Coverage as a national model for federal Medicaid work requirements that are set to take effect in 2027.

A new report shows the program has spent twice as much on administrative costs as on health care.

By @savmargaret.bsky.social

24.09.2025 13:15 โ€” ๐Ÿ‘ 632    ๐Ÿ” 308    ๐Ÿ’ฌ 31    ๐Ÿ“Œ 61
Preview
The Political Scene | The New Yorker The Washington Roundtable is joined by the former Secretary of State Hillary Clinton and Keren Yarhi-Milo, the dean of the School of International and Public Affairs at Columbia University, to discuss...

Jimmy Kimmel and other late-night comedians have certainly said things about me that I found offensive, even outrageous.

It never crossed my mind to call up the networks and say, "Hey, get rid of this guy."

Because that's not how America works.
play.prx.org/listen?ge=pr...

21.09.2025 15:46 โ€” ๐Ÿ‘ 28529    ๐Ÿ” 7112    ๐Ÿ’ฌ 1119    ๐Ÿ“Œ 271

This is something that I think needs to be said more for the young people. This shit got worse. Google was more useful in 2006 than it is today. Meemaw and Peepaw regularly post shit on Facebook that would have got you banned from Newgrounds.

12.09.2025 19:20 โ€” ๐Ÿ‘ 1155    ๐Ÿ” 276    ๐Ÿ’ฌ 16    ๐Ÿ“Œ 6
Post image

From the liquidation orderโ€ฆ itโ€™s shocking they didnโ€™t get shut down sooner. The word โ€œmandatoryโ€ in โ€œmandatory control levelโ€ apparently doesnโ€™t mean what I think it means.

20.08.2025 00:22 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

I wonder if CMS or states will ever push back on this nonsense.

10.08.2025 13:51 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Iโ€™ve been driving electric since 2014 when my Nissan Leaf got 75 miles to a full charge. Even then the range wasnโ€™t a problem for the vast majority of my driving needs.

02.08.2025 22:52 โ€” ๐Ÿ‘ 3    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

It has been the honor of my life to serve as Commissioner of BLS alongside the many dedicated civil servants tasked with measuring a vast and dynamic economy. It is vital and important work and I thank them for their service to this nation.

02.08.2025 02:18 โ€” ๐Ÿ‘ 21973    ๐Ÿ” 4384    ๐Ÿ’ฌ 1170    ๐Ÿ“Œ 263

The House has passed the giant GOP tax and budget bill - next stop is the White House.

The final vote was 218-214.
2 GOP lawmakers voted 'No' - Massie KY and Fitzpatrick PA.

No Dems voted for the bill.

03.07.2025 18:34 โ€” ๐Ÿ‘ 559    ๐Ÿ” 110    ๐Ÿ’ฌ 43    ๐Ÿ“Œ 4
Preview
One Big Beautiful Bill Act:ย Winners and Losers in the Medicaid Provisions Federal legislation almost always creates winners and losers.ย  The One Big Beautiful Bill Act, now before the Senate, is no exception.ย  Overall, the OBBBA as passed by the House will rediโ€ฆ

Only "winners" from draconian #Medicaid cuts are firms like Deloitte getting contracts to design complex, burdensome work reporting requirements. Beneficiaries, providers and states are all big losers. My colleagues @joanalker1.bsky.social & Andy Schneider explain: ccf.georgetown.edu/2025/06/26/o...

26.06.2025 17:57 โ€” ๐Ÿ‘ 56    ๐Ÿ” 32    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 1

Can you help me understand why funding violates the Byrd rule? I get why the non-Hyde abortion language was struck but funding CSR seems very germane to the budget.

26.06.2025 13:00 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
Preview
Republicansโ€™ โ€œOne Big, Beautiful Billโ€ Includes Additional Provisions That Violate the Byrd Rule | U.S. Senate Committee On The Budget The Official U.S. Senate Committee On The Budget

www.budget.senate.gov/ranking-memb...

CSR funding dies a victim of the Byrd Bath.

26.06.2025 12:36 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

In Tennessee, Ambetter (also known as centene) is filing some plans under the Bankers Reserve Life Insurance Company of Wyoming subsidiary. Corporate structures are wild.

23.06.2025 21:23 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 1

TN filings are out on their SERFF public access FYI

06.06.2025 00:49 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Assuming the CBOโ€™s interpretation is correct, itโ€™s an interesting policy choice that the GOP would effectively be giving more subsidy money (in the form of APTC) to states if they mandate abortion coverage.

05.06.2025 09:47 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

BHP Programs, state premium subsidy, state CSR, state individual mandatesโ€ฆ I find so often when Iโ€™m doing analysis that these confounds really matter but I always end up just DuckDuckGoing theseโ€ฆ

05.06.2025 09:43 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Iโ€™m thinking of how one would structure a database of state policy decisions affecting the ACA. I.e. Medicaid expansion enactment date, FFM v SBM dates, new EHBs, 1332 reinsurance, silver loading rules, etc. What other kinds of policy data points am I missing?

05.06.2025 09:42 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

The way I read the bill was that it was just codifying that CSRs couldnโ€™t be used for non-Hyde abortion services, not that in those states, CSR isnโ€™t funded at all. But I trust CBO knows how to read a bill better than I do.

05.06.2025 09:39 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
Post image

Reading the CBO estimates on BBB and this part surprised me: it seems to me theyโ€™re saying CSRs wouldnโ€™t be funded in states where non-Hyde abortion is required to be covered, so silver loading would continue.

05.06.2025 09:38 โ€” ๐Ÿ‘ 2    ๐Ÿ” 1    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Since non-Hyde abortion isnโ€™t an EHB I assume it wasnโ€™t covered before either.

22.05.2025 11:20 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Preview
Understanding Marketplace "Silver Loading" Christen Linke Young explains a new proposal regarding cost-sharing reductions and how it could impact families who get coverage through the ACA.

Latest House bill text includes another blow to the ACA, ending โ€œsilver loading.โ€ That would increase premiums by $350 for a hypothetical family. Hereโ€™s why: www.brookings.edu/articles/und...

22.05.2025 01:14 โ€” ๐Ÿ‘ 47    ๐Ÿ” 42    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 5

@wsanders is following 20 prominent accounts