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xpostfactoid

@xpostfactoid.bsky.social

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

3,396 Followers  |  728 Following  |  2,341 Posts  |  Joined: 22.06.2023  |  2.2913

Latest posts by xpostfactoid.bsky.social on Bluesky

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Some interesting slippage here: the StudySync "disclaimer" recommends that *students* seek out and buy whole books, not that teachers mix a reasonable amount of them into the curriculum.

12.12.2025 23:14 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

A tweet I saw here or on Twitter has stuck with me and become a kind of internal mantra:

The day is coming when countries will compete for immigrants.

Let it be.

12.12.2025 14:30 β€” πŸ‘ 5    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

encrusted? festooned? smeared? enshittified?

12.12.2025 14:05 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

I'd choose a verb other than bedazzled, but yeah.

12.12.2025 14:05 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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Trump losses are really piling up this morning

12.12.2025 13:39 β€” πŸ‘ 270    πŸ” 58    πŸ’¬ 8    πŸ“Œ 2

May he not get CNN.

People bitch about CNN, but...don't know what you've got till it's gone

12.12.2025 14:02 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

If my thought-dreams could be seen
they'd probably put my head in a guillotine...

oops, they can be seen now.

12.12.2025 14:00 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

That's well put.

Then again, those who are putting the terror campaign in motion are doing it because they're Nazis and they want to.

12.12.2025 13:52 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

TBH, it's a "problem" Dems didn't solve, thanks to Manchin and maybe another skittish handful.
How much can you do with 50 senators? They did a lot.

11.12.2025 15:06 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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The Attack on Somalis is Hate Politics Right-Wing Terror Descends on Minnesota

John Ganz's subhead gets it right:

Right-Wing Terror Descends on Minnesota

11.12.2025 13:35 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

WOW. So this is obviously a huge violation of this man's rights, and it illustrates a few things we're seeing broadly:

- DHS officers are ignoring peoples' IDs and instead requiring screening through their own systems
- Confirms @404media.co's reports of use of DHS's facial recognition app.

11.12.2025 00:35 β€” πŸ‘ 4016    πŸ” 1963    πŸ’¬ 92    πŸ“Œ 56
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CMS has failed to shut down broker fraud in the ACA marketplace. But...

Great reporting by KFF's Julie Appleby

kffhealthnews.org/news/article...

11.12.2025 01:29 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Someone has to

10.12.2025 23:49 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Take me back to an era where this subject line would obviously be metaphorical

10.12.2025 20:31 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

The same Randy Fine who just called for genocide against Palestinians?

10.12.2025 20:30 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

as neologisms go, prebunking is not bad! But since the "de" is key to meaning, may I float predebunking...

10.12.2025 14:27 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Brad Lander is challenging Dan Goldman in NY-10. Good.

Here's Lander in Central Park this past August.

10.12.2025 14:12 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

More on Cassidy catering to Trump:
Bill Cassidy and the Sundown Kid

10.12.2025 14:01 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

Freedom's just another word for paying till it hurts

10.12.2025 13:58 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Jeffrey Young Presents: JUST IN TIME!! (a continuing series) (updated) UPDATE 10/30/25: Over ten years later, Jeffrey Young's "Just in Time!" series is still going strong. While some people spend their lives in search of the Holy Grail or the Lost City of Atlantis, Huffi...

Which reminds me…

acasignups.net/15/06/19/jef...

10.12.2025 03:57 β€” πŸ‘ 10    πŸ” 3    πŸ’¬ 1    πŸ“Œ 0

"Better" in Republican parlance always means "less coverage for more money." They have a hard time putting that over, even on themselves.

10.12.2025 13:57 β€” πŸ‘ 38    πŸ” 7    πŸ’¬ 2    πŸ“Œ 0

"New Roman" as in Mussolini's Italy?

10.12.2025 01:32 β€” πŸ‘ 6    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
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In which Bill Cassidy aims to do to health coverage what he did to public health In a word, undermine it

Re the Cassidy Crap bill:

It faithfully codifies *both* Trump's babbling *and* Brian Blase's "60% AV for those who who remain in ACA coverage" formula -- indicating that Trump's babbling is just a senile transcription of Blase's hard-right policy.

xpostfactoid.substack.com/p/in-which-b...

10.12.2025 01:28 β€” πŸ‘ 0    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

Murkowski OBBBA vote comes to mind

09.12.2025 21:11 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Thanks, Gaba, for reading all the shit-stains on the wall. Someone had to.

Republican policy proposals are just self-parody at this point.

09.12.2025 16:49 β€” πŸ‘ 18    πŸ” 6    πŸ’¬ 0    πŸ“Œ 0

It keeps working

09.12.2025 13:03 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Democrats will reject this garbage bill in every particular.

09.12.2025 00:15 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

No one ever signed up to be a Bill Cassidy prophet, but I am one.
Me, three weeks ago, when Cassidy introduced a less ridiculous plan:
xpostfactoid.substack.com/p/republican...
"If...

08.12.2025 23:14 β€” πŸ‘ 15    πŸ” 5    πŸ’¬ 0    πŸ“Œ 1
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Balloon Juice - Cassidy and Crapo - great for healthy over 400% FPLers Senators Cassidy (R-LA) and Crapo (R-ID) released their health plan proposal for the ACA. It does not extend premium subsidies but it does provide limited cost-sharing subsidies that are likely to be ...

Cassidy and Crapo's proposal would be great if you are single, healthy and making over six figures ---- otherwise.... YEESH
#ACA
#PolicyAnalysis
@xpostfactoid.bsky.social @charlesgaba.com @louisenorris.bsky.social @colemandrake.bsky.social @adrianna.bsky.social
balloon-juice.com/2025/12/08/c...

08.12.2025 21:45 β€” πŸ‘ 18    πŸ” 10    πŸ’¬ 4    πŸ“Œ 1

And behind this fascist administration, a fascist tech industry:

the broligarchs hate Europe because the Europeans are trying to impose sensible limits to protect their societies from the well-documented psychological and economic harms that are inflicted by an unrestrained Silicon Valley agenda.

08.12.2025 14:01 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

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