Eventually You're Going to Have to Stand for Something
On accepting the fascist offer and being better than Ezra.
I wrote about why the regrettable conclusions of Ezra Klein pissed me off so badly in the last couple weeks.
On moral cowardice in an era that calls for clarity, and a popular political instinct to try to solve divisions of abuse by ignoring causes. www.the-reframe.com/eventually-y...
05.10.2025 11:35 — 👍 914 🔁 280 💬 51 📌 75
OP is claiming to have been misunderstood but If what they meant was “it’s not okay to use bigoted language, even when describing objects or algorithms, because you’re normalizing language that hurts people” they could have just…said that?
05.10.2025 11:44 — 👍 19 🔁 0 💬 0 📌 0
Your newest student!
05.10.2025 02:39 — 👍 2 🔁 0 💬 0 📌 0
That's not an issue for me. It's the time, and taking a full day from my job. It's not the transportation.
(I also don't live in a large city; it's 30,000 people. Sadly the people in my city who need transportation for medical purposes do not have enough access to it.)
04.10.2025 20:15 — 👍 0 🔁 0 💬 1 📌 0
And the 1946 fire! We also have some emerging data from the paleorecord that suggests there is more widespread fire during drought, too!
04.10.2025 16:38 — 👍 0 🔁 0 💬 0 📌 0
important for us in the US to note: even a solidly right wing government can't ignore this.
04.10.2025 13:07 — 👍 4523 🔁 1218 💬 61 📌 24
The shortage here is why we have to drive two hours away in the first place. :(
04.10.2025 14:16 — 👍 1 🔁 0 💬 1 📌 0
These replies are unhinged. You're having an argument in your own mind with a straw man. I never said anything that you're accusing me of saying, and you have no idea what I'm doing in my own activism. What you're doing is maladaptive; stop centering your own catharsis over actual organizing.
04.10.2025 14:16 — 👍 0 🔁 0 💬 0 📌 0
Given that I can die from my autoimmune disease if it's untreated, I am very much aware.
04.10.2025 14:13 — 👍 1 🔁 0 💬 1 📌 0
Because insurers follow Medicare as justification for their policies. It IS affecting my insurer as of 10/1. They, and many other insurers, decided to change their policies to reflect what’s going on at Medicare.
04.10.2025 10:39 — 👍 1 🔁 0 💬 0 📌 0
I’ve tried, for years. The wait list is years-long.
bsky.app/profile/jacq...
04.10.2025 10:36 — 👍 0 🔁 0 💬 0 📌 0
Say NO to Trump’s loyalty oaths and extortion of our universities!
We will NOT throw our students, faculty, and staff under the bus to comply with undemocratic and partisan ideological agendas.
03.10.2025 14:34 — 👍 112 🔁 50 💬 1 📌 1
…The last time?!
I learned so much in that class. I still keep the BIF and the ventifact I found on one of your field trips in my office (next to the tillite I brought back from the Falklands).
04.10.2025 02:07 — 👍 7 🔁 1 💬 1 📌 0
There are no substitute teachers in college.
I get you’re trying to help but please understand that I know my job, I know my options, and I am not asking for advice.
04.10.2025 02:04 — 👍 3 🔁 0 💬 0 📌 0
I’m not asking for advice, just to clarify. I’m just sharing something that’s happening right now to people you know.
I appreciate the support. I just don’t need people telling me to go on strike (I’ll lose my job, which means I’ll lose my health insurance) or vote or organize (I do that already).
04.10.2025 00:54 — 👍 82 🔁 2 💬 3 📌 0
The US doesn’t have the labor protections Europe has. We don’t have the social safety nets. It’s not that we’re cowards, it’s that this is a really fucking difficult place to be without work or healthcare, especially if you’re sick.
04.10.2025 00:50 — 👍 6 🔁 0 💬 1 📌 0
State employees aren’t allowed to strike in Maine. If I strike, I get fired, and if I get fired, my family loses health insurance. Without insurance, I’m fucked.
04.10.2025 00:49 — 👍 2 🔁 0 💬 1 📌 0
I’m not on Medicare.
04.10.2025 00:47 — 👍 1 🔁 0 💬 0 📌 0
My provider just told me that “most insurance companies follow Medicare and telehealth is no longer covered your insurance.” I don’t see why they’d lie about that.
04.10.2025 00:47 — 👍 2 🔁 0 💬 1 📌 0
It’s not that easy when you’re a faculty member with students who are paying thousands of dollars to take your class. Canceling isn’t trivial.
04.10.2025 00:45 — 👍 3 🔁 0 💬 1 📌 0
The clinic is based in Portland, and isn’t part of my hospital system, so there’s no local clinic, alas.
04.10.2025 00:43 — 👍 0 🔁 0 💬 0 📌 0
It’s not the provider, it’s the insurance company. I can keep my telehealth appointment, I just have to pay out of pocket for it.
03.10.2025 20:12 — 👍 3 🔁 0 💬 1 📌 0
This isn't about cuts to Medicaid coverage.
It's a decision, made months ago, to not reimburse telehealth appointments for Medicare patients, and many insurance companies are using this as an excuse to stop covering telehealth, too.
03.10.2025 19:53 — 👍 6 🔁 0 💬 2 📌 0
It's not. It's because of changes to Medicare reimbursements.
03.10.2025 19:52 — 👍 3 🔁 0 💬 0 📌 0
The changes are with Medicare (I misspoke, as I noted in the third post in the thread) not Medicaid. Insurers tend to follow *Medicare. *Medicare no longer allows reimbursement for telehealth as of 10/1, and many insureres are following I am employed and have a major insurance provider (Cigna).
03.10.2025 19:24 — 👍 2 🔁 0 💬 1 📌 0
They told me they can still honor the appointment, but they have to send me a waiver to sign saying I acknowledge I will have to pay for it. I said I would not be able to.
03.10.2025 19:17 — 👍 2 🔁 0 💬 0 📌 0
*Medicare, sorry. Despite knowing the difference I still mix these up sometimes.
This change went into effect as of October 1, 2025. I don't know what I'm going to do. I need rheumatology visits so I can keep getting the medication that keeps my body functional and not in debilitating pain.
03.10.2025 19:16 — 👍 91 🔁 8 💬 5 📌 0
I'm not on Medicaid, but insurers tend to follow what Medicaid does.
I drive two hours away because my local provider is not taking patients. I live in the third-largest city with a large hospital system that serves the entire northern half of the state, including a lot of seniors.
03.10.2025 19:08 — 👍 101 🔁 13 💬 7 📌 3
Internist, Writer, Mother | Associate Prof of Medicine | Advocate for patients and health equity #MedicareForAll is the way
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