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Megan Howard

@meganhoward.bsky.social

DC by way of California. Not really a poster. Health policy, politics, baseball and Bravo.

183 Followers  |  550 Following  |  1 Posts  |  Joined: 03.07.2023  |  1.77

Latest posts by meganhoward.bsky.social on Bluesky

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Sick fourth-grader among 4 Columbia Heights students held by ICE Columbia Heights Public Schools says four students remain detained by ICE after Liam’s return, including 10-year-old Elizabeth, who has fallen ill.

Elizabeth is a Columbia Heights fourth-grader who loves volleyball, learning English and giggling in the halls with her friends. She's been held in the Dilley Immigration Processing Center for nearly a month, and she and her mom have both fallen ill. sahanjournal.com/education/co...

03.02.2026 23:54 β€” πŸ‘ 3014    πŸ” 1852    πŸ’¬ 46    πŸ“Œ 150

β€œGet it all on record now β€” get the films β€” get the witnesses β€” because somewhere down the road of history some bastard will get up and say that this never happened.”

Dwight D. Eisenhower, after visiting liberated concentration camps in April 1945

24.01.2026 21:24 β€” πŸ‘ 12888    πŸ” 4742    πŸ’¬ 123    πŸ“Œ 98
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Tomorrow’s front page of the Minnesota Star Tribune: Jan. 23, 2026

22.01.2026 23:19 β€” πŸ‘ 14708    πŸ” 7022    πŸ’¬ 395    πŸ“Œ 532
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Donate to Help Bring 5-Year-Old Liam Home, organized by sarai Orquiz Liam Adrian Cornejo Ramos is just 5 years old and currently in pre-K. Yesterday, he and h… sarai Orquiz needs your support for Help Bring 5-Year-Old Liam Home

Please help us bring Liam Adrian Cornejo Ramos (he’s only 5 years of age and is currently in pre-K. Yesterday, he and his father were kidnapped by ICE. This will help the family with legal services to help reunite Liam and his dad with their family.

gofund.me/be8a1b2ab

22.01.2026 02:44 β€” πŸ‘ 4471    πŸ” 3164    πŸ’¬ 76    πŸ“Œ 174
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A reminder - before Trump, MAGA, Musk and Fox rewrote history - that this is what the entire country agreed had happened five years ago today:

06.01.2026 12:40 β€” πŸ‘ 7154    πŸ” 3452    πŸ’¬ 113    πŸ“Œ 135
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Here's why we rate this statement from Health and Human Services Secretary Robert F. Kennedy Jr., β€œIt’s going to be the biggest infusion of federal dollars into rural health care in American history,” Mostly False.

@ajzionts.bsky.social explains ‡️

16.10.2025 18:32 β€” πŸ‘ 10    πŸ” 11    πŸ’¬ 1    πŸ“Œ 0
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I'm an ER doctor. JD Vance's claims about immigrants and wait times are utterly wrong. Emergency medicine has a moral and legal commitment: treat anyone, anywhere, anytime.

"Human worth does not depend on a wallet or a passport. It bears repeating that EMTALA came from a conservative White House. Across parties, Americans once agreed that you do not check a dying neighbor’s paperwork. We should preserve that great legal and moral commitment."

08.10.2025 19:04 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Since it needs to be said: states' #Medicaid reimbursement rates to hospitals don't vary by eligibility group, the applicable federal matching rate or if it's for emergency Medicaid. Like within Medicare & private insurance, Medicaid rates will only vary based on patients' diagnosis/severity.

08.10.2025 16:49 β€” πŸ‘ 20    πŸ” 8    πŸ’¬ 0    πŸ“Œ 0
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"Bluesky is like a refuge for me"

03.10.2025 02:52 β€” πŸ‘ 137    πŸ” 15    πŸ’¬ 9    πŸ“Œ 6

.@wyden.senate.gov blasts the new program as a "slush fund": "It’s clear to anyone watching this unfold that this fund is going to be focused toward states whose governors support the ideological agenda of the Trump administration and used to dole out political favors to Trump’s cronies."

15.09.2025 18:15 β€” πŸ‘ 12    πŸ” 10    πŸ’¬ 0    πŸ“Œ 0
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Opinion | They Don’t Want to Live in Lincoln’s America

wrote about the β€œnational conservative” vision for america

10.09.2025 09:45 β€” πŸ‘ 3769    πŸ” 912    πŸ’¬ 95    πŸ“Œ 128
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When you break things down, the one group with higher lengths of stay are patients enrolled in Medicare Advantage plans - in particular, those going to a nursing home for rehab.

The likelihood that these patients stay in the hospital for β‰₯14 days increased by ~30% from 2018 to 2023.

08.09.2025 20:58 β€” πŸ‘ 9    πŸ” 2    πŸ’¬ 1    πŸ“Œ 0
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β€˜Going to be a bloodbath’: The GOP megalaw threatens a flooded hospital’s future The company that owns the hospital in Erwin, Tennessee, vowed to rebuild after Hurricane Helene. Federal cuts may make that impossible.

β€˜Going to be a bloodbath’: The GOP megalaw threatens a flooded hospital’s future www.politico.com/news/2025/08...

05.09.2025 01:44 β€” πŸ‘ 4    πŸ” 4    πŸ’¬ 0    πŸ“Œ 0
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At 25, β€˜Bring It On’ deserves all the spirit fingers The classic cheerleading film, starring Kirsten Dunst, still has what it takes to get a crowd going.

β€œBring It On” might have been the first movie β€” and, 25 years later, one of the only movies β€” to view cheerleading as a sport and cheerleaders as something more than just eye candy at a football game. https://wapo.st/4mvTm2E

22.08.2025 18:00 β€” πŸ‘ 43    πŸ” 9    πŸ’¬ 3    πŸ“Œ 3
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Went ahead and updated my map of cities with higher crime than D.C. to accommodate the two new states from the Deep South who are sending troops to the capital. In the five states there are 64 cities, home to 1.7 million people, that had more crime in 2024 than D.C.
www.pbump.net/o/more-peopl...

19.08.2025 01:23 β€” πŸ‘ 3556    πŸ” 1691    πŸ’¬ 100    πŸ“Œ 98

64% of Medicaid recipients under age 65 work, per KFF. As for the rest, see below. There are not 34m potential agricultural workers on Medicaid just raring to go pick vegetables.

08.07.2025 14:28 β€” πŸ‘ 2638    πŸ” 995    πŸ’¬ 197    πŸ“Œ 66
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Nationals fire manager Dave Martinez and GM Mike Rizzo Washington’s lengthy rebuild has cost its manager and its general manager their jobs.

The Nationals fired manager Dave Martinez and GM Mike Rizzo, ending one of the longest partnerships in baseball that included a World Series title in 2019 and the second-worst record in baseball in the six years that followed.

Read more via @andrewgolden.bsky.social and @spencernusbaum.bsky.social:

06.07.2025 23:06 β€” πŸ‘ 8    πŸ” 4    πŸ’¬ 0    πŸ“Œ 3

The bill's staggering Medicaid cuts put 55 independent rural hospitals at serious risk of closure, per an analysis by Families USA.

Those cuts also put 579 nursing homes at a high risk of closure, per an analysis from Brown University’s School of Public Health.

01.07.2025 20:57 β€” πŸ‘ 33    πŸ” 16    πŸ’¬ 1    πŸ“Œ 1
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Also rural hospitals and clinics are screwed.

28.06.2025 18:13 β€” πŸ‘ 1292    πŸ” 405    πŸ’¬ 53    πŸ“Œ 60
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Wyden Statement on New CBO Numbers Showing More than $930 Billion in Medicaid Cuts In New Senate Draft | The United States Senate Committee on Finance Wyden Statement on New CBO Numbers Showing More than $930 Billion in Medicaid Cuts In New Senate Draft

NEWS: Wyden Statement on New CBO Numbers Showing More than $930 Billion in Medicaid Cuts In New Senate Draft

28.06.2025 18:27 β€” πŸ‘ 320    πŸ” 185    πŸ’¬ 18    πŸ“Œ 29
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So on Big Bill, H.R.1, a provision added was a $25 billion fund to help rural hospitals.

Problem: Medicaid cuts are roughly $1 trillion over 10 years.

Since roughly 24% of rural population is on Medicaid, that's roughly a $240 billion cut

A $25B rural fund offsets only about 1/10th of the cuts.

28.06.2025 10:16 β€” πŸ‘ 166    πŸ” 89    πŸ’¬ 14    πŸ“Œ 9
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🚨 The Senate parliamentarian just disqualified a bunch of provisions from the GOP bill β€” including Medicaid provider tax language, funding restrictions based on immigration status, spread pricing and one prohibition on gender-affirming care. List via a Democratic budget aide:

26.06.2025 12:37 β€” πŸ‘ 633    πŸ” 204    πŸ’¬ 17    πŸ“Œ 45
Rural Health Transformation Program - Punchbowl News

Thread on highly inadequate and flawed "rural health transformation" fund intended to prevent rural hospitals from closing or cutting services/staff in face of draconian #Medicaid cuts in Senate reconciliation bill. Details from @punchbowlnews.bsky.social here (1/x): punchbowl.news/rural-health...

25.06.2025 17:07 β€” πŸ‘ 36    πŸ” 26    πŸ’¬ 2    πŸ“Œ 5
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Roundup: State Budgets Increasingly Strained as House, Senate Republican Plans Would Impose Major Costs | Center on Budget and Policy Priorities Senate and House Republican leaders are advancing a massive tax and budget package β€” a process technically known as reconciliation β€” that features extreme cuts to food assistance and health care...

Senate & House Rs are rushing a massive reconciliation plan that promises widespread harm to people & communities in *every state*, partly thru shifting major costs states simply can't afford. Fresh out from us today is more state-by-state context on the potential pinch. www.cbpp.org/research/sta...

25.06.2025 00:28 β€” πŸ‘ 6    πŸ” 6    πŸ’¬ 0    πŸ“Œ 1
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New: 16 House Republicans write a letter rebelling against the Senate bill’s Medicaid spending cuts, which are more aggressive than the House bill. Concerns include provider taxes, state payments, harm to hospitals and β€œcuts to emergency Medicaid funding.” Led by Rep. David Valadao:

24.06.2025 16:50 β€” πŸ‘ 145    πŸ” 44    πŸ’¬ 12    πŸ“Œ 26
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Republicans Threaten a Hospital Apocalypse Experts warn of potentially hundreds of hospital closures, which would degrade the entire medical system.

From me: It hasn't been stressed enough just how disastrous the Republican Medicaid cuts would be for the hospital systemβ€”rural hospitals, yes, but ALL hospitals will be more crowded, more burdened, & at more risk of collapse if hundreds of closures occur, as is likely.
prospect.org/health/2025-...

19.06.2025 12:38 β€” πŸ‘ 365    πŸ” 154    πŸ’¬ 11    πŸ“Œ 24

This will also:

-bankrupt most pediatric hospitals
-bankrupt most academic and safety net hospitals
-there will be nowhere for Veterans to get the community care they’re promised

17.06.2025 00:01 β€” πŸ‘ 53    πŸ” 27    πŸ’¬ 1    πŸ“Œ 0
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Hospitals would be hit hardest by Medicaid cuts in GOP tax bill, report finds To finance tax cuts, a GOP bill would reduce Medicaid payments to hospitals by $321 billion, hitting both blue and red states hard, a new report calculates.

Hospitals would be hit hardest by Medicaid cuts in GOP tax bill, report finds www.statnews.com/2025/06/14/g...

14.06.2025 17:19 β€” πŸ‘ 2    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
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How A Man Not Named Dan Came to Own Dan’s Cafe for Six Decades Clinnie β€œDickie” Dickens owned the iconic dive Dan’s Cafe since he was 31. He died in February, just shy of 91, but his sons will keep the party going.

Nearly 6 years since I started down a rabbit hole to find out who was Dan of Dan’s Cafe, my magnum opus (abridged) has now been published:

washingtoncitypaper.com/article/7659...

11.06.2025 16:56 β€” πŸ‘ 55    πŸ” 17    πŸ’¬ 9    πŸ“Œ 8
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Using AI to Reform Government is Much Harder Than it Looks | TechPolicy.Press Policymakers need to rethink the values that justify government AI adoption in the first place, writes Ben Green.

In @techpolicypress.bsky.social, I explain why using AI to reform government is much harder than policymakers and technologists assume. It's most directly about DOGE, but also raises warnings about the bipartisan push to adopt AI at all levels of government.
www.techpolicy.press/using-ai-to-...

03.06.2025 14:13 β€” πŸ‘ 78    πŸ” 29    πŸ’¬ 6    πŸ“Œ 7

@meganhoward is following 19 prominent accounts