xpostfactoid's Avatar

xpostfactoid

@xpostfactoid.bsky.social

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

3,635 Followers  |  742 Following  |  2,582 Posts  |  Joined: 22.06.2023  |  2.2623

Latest posts by xpostfactoid.bsky.social on Bluesky

So Ordered: The Founding Fathers Were Fascists, Because I Said So

03.02.2026 15:20 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Preview
Homeland Security is targeting Americans with this secretive legal weapon Under Trump, the Department of Homeland Security has weaponized administrative subpoenasΒ to attack free speech, according to privacy and civil rights groups.

They're well on their way to criminalizing protest

03.02.2026 14:28 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 1

Book bans by pedophiles

03.02.2026 13:56 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Preview
How much will average monthly enrollment drop in the 2026 ACA marketplace? While there are lots of reasons to expect millions to drop coverage, mitigating factors are also at play

How many people will drop their ACA coverage when the first bill comes due, or later in the year? More than in any past year, or not so much?

03.02.2026 13:27 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Go get him tigers

03.02.2026 12:07 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

How many of the trans bashers are pedophile protectors?

03.02.2026 03:31 β€” πŸ‘ 4    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Preview
How much will average monthly enrollment drop in the 2026 ACA marketplace? While there are lots of reasons to expect millions to drop coverage, mitigating factors are also at play

Will attrition in the ACA marketplace be worse in 2026 than in any previous year, as people drop coverage and Special Enrollment Periods are limited?

Maybe, maybe not.

xpostfactoid.substack.com/p/how-much-w...

03.02.2026 00:24 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Preview
Tahesha Way's unconditional support for Bibi Netanyahu By promising in advance that she'll never add conditions to American aid, she's writing a blank check for the most right-wing government in Israel's history.

Hey NJ-11, Tahesha Way is running to represent... AIPAC

02.02.2026 20:26 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

If only we could get this grifter to stop working.

02.02.2026 19:17 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Miller wrote the condensed Nazi Project 2025

02.02.2026 17:36 β€” πŸ‘ 2    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
Preview
Woodbury man with rare skin condition β€˜scared to go out’ after ICE detention Hani Duglof said he stayed in a detention cell for four days with no access to care for his condition and little food before being released.

Against our Nazis-in-training...an eloquent brother and an effective lawyer

02.02.2026 15:37 β€” πŸ‘ 0    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
Post image

I have thought often recently about how static my view of Naziism was for most of my life, not noting its evolution from say 1933-1941. This response to Beinart's post is on point:

02.02.2026 15:05 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Post image

Today in "the ADL is an ally of world fascism"
open.substack.com/pub/peterbei...

02.02.2026 15:01 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
Preview
A measure for ACA marketplace degradation: Total AV Multiplying total marketplace enrollment by average weighted actuarial value would show the increase in underinsurance as well as loss of coverage if the enhanced subsidies are not renewed

...and once again, don't forget to factor in likely drop in average actuarial value obtained by marketplace enrollees
xpostfactoid.substack.com/p/a-measure-...

end

02.02.2026 14:24 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

especially in Texas, where ~ 2.5 million enrollees with income under 150% FPL have access to $0 premium gold plans. 4/

02.02.2026 14:23 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Factors that may mitigate drop:
1) Market is more broker-dominated than pre-ARPA; brokers will try to retain clients, encouraging downshifts if premiums for last year's plan unaffordable.
2) Silver loading has increased in many states and provides more downshift options... 3/

02.02.2026 14:23 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Will the gap between OEP signups and average monthly enrollment exceed the gap in 2016, a 21% diff? Maybe, maybe not.

Factors suggesting larger drop:
1. Unprecedented cost increase for subsidized re-enrollees.
2. Much higher auto-re-enrollment levels than in pre-ARPA era

2/

02.02.2026 14:22 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Update: today Gaba has likely 2026 enrollment losses fully gamed out: 1/
open.substack.com/pub/charlesg...

02.02.2026 14:21 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0
Post image

P.S. Estimates of coverage losses should also take into account coverage downgrades, as low-income enrollees in particular switch from CSR-enhanced silver to bronze.

xpostfactoid.substack.com/p/a-measure-...

02.02.2026 13:21 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Post image

Congratulations to @charlesgaba.com, @kff.org, and other ACA marketplace watchers who got this baked into the enhanced-subsidy-expiration narrative.

www.npr.org/2026/02/02/n...

02.02.2026 13:16 β€” πŸ‘ 4    πŸ” 1    πŸ’¬ 1    πŸ“Œ 1

The Nazis had their doctors too

01.02.2026 16:47 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

Tearing it down for world fascism.

01.02.2026 16:44 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Isn't "dystopia" kind of a big word for Fox? How about 'invading Gestapo' or 'fascist invasion' or something?

01.02.2026 16:37 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

β€œ[It’s not a] brilliant attack on Western democracy. The story, it appears, is that the Russian Mafia state is cultivating profit-yielding relationships with the aspiring Mafia boss of the U.S. and his band of crooks, subverting democratic institutions in the process.” @mashagessen.bsky.social 2019:

01.06.2025 18:11 β€” πŸ‘ 209    πŸ” 71    πŸ’¬ 8    πŸ“Œ 0

1/ Ian Austin has since been re-arrested along with Don Lemon, which he believes is bc the video we made of him (below) criticizing the Trump regime and encouraging fellow vets to wake up had gotten millions of views.

It's not just journalists. It's ANYONE. www.motherjones.com/politics/202...

31.01.2026 20:28 β€” πŸ‘ 1510    πŸ” 753    πŸ’¬ 24    πŸ“Œ 23

Act like a Nazi

31.01.2026 18:33 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

An over-empathizing element!

31.01.2026 18:29 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Quite a kicker from a child at end

31.01.2026 18:21 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Watching Springstein at First Avenue in Minneapolis, it just dawned on me that Bob Dylan is from Minnesota. Next up?

31.01.2026 16:55 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Preview
Health Action 2026: Defense, and a glimmer of new vision The mood was grim but determined at Families USA’s Health Action 2026 conference in D.C.

Great conference.
Here's my spotlight on selected sessions

31.01.2026 16:45 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

@xpostfactoid is following 20 prominent accounts