xpostfactoid
@xpostfactoid.bsky.social
Blogging mostly healthcare policy at http://xpostfactoid.substack.com. ACA implementation watcher. CSR czar. AKA Andrew Sprung.
Republican willingness to cross Trump could be double-edged. His nascent proposal was already poison-pilled. It will get worse, unless he just says 'fuck it' and pushes for more or less clean subsidy extension.
November 24, 2025 at 10:01 PM
Republican willingness to cross Trump could be double-edged. His nascent proposal was already poison-pilled. It will get worse, unless he just says 'fuck it' and pushes for more or less clean subsidy extension.
Time for the annual pre-winter mystery: what is triggering these afternoon internal rainbows?
November 24, 2025 at 8:52 PM
Time for the annual pre-winter mystery: what is triggering these afternoon internal rainbows?
Quite the deep dive here
A Single Warehouse in Jersey City Moved Over A Thousand Tons of Military Cargo to Israel Every Week
Three New Jersey-based logistics companies have worked for decades with Israel's Ministry of Defense, U.S. contractors, and weapons manufacturers to ship military equipment from the U.S to Israel.
open.substack.com
November 24, 2025 at 4:49 PM
Quite the deep dive here
Preach, Sarge. Tell the elite it's safe to come out now.
"While elite journos and businessmen kiss the ring of Trump, people in jammies and slippers confront ICE in the street. The courage of ordinary people has been stunning compared to the elite."
On the pod @amandamarcotte.bsky.social is good on Trump's downward spiral:
newrepublic.com/article/2035...
On the pod @amandamarcotte.bsky.social is good on Trump's downward spiral:
newrepublic.com/article/2035...
Trump Is a Weak, Failing President, and the Media Is Finally Saying So
As Trump’s downward spiral starts producing harsher media coverage, a writer who regularly dissects MAGA and political media explains why he’s entering a tailspin that will be very hard to reverse.
newrepublic.com
November 24, 2025 at 4:35 PM
Preach, Sarge. Tell the elite it's safe to come out now.
Aggressive Accounting would be a good band name
This is as close as the lawyers at the Journal allow reporters to get to "fraudulent fraudsters sighted wearing fraud pants and doing a fraud." www.wsj.com/tech/meta-ai...
AI Meets Aggressive Accounting at Meta’s Gigantic New Data Center
Favorable treatment off the balance sheet hinges on some convenient assumptions.
www.wsj.com
November 24, 2025 at 4:08 PM
Aggressive Accounting would be a good band name
If we can get past some poison pills (minimum premiums, funding CSR, wrecking the ACA's delicate abortion compromise), it may turn out that Trump's main price for extending the enhanced ACA premium subsidies was letting him throw a few shit fits first.
November 24, 2025 at 4:05 PM
If we can get past some poison pills (minimum premiums, funding CSR, wrecking the ACA's delicate abortion compromise), it may turn out that Trump's main price for extending the enhanced ACA premium subsidies was letting him throw a few shit fits first.
The bill would also end silver loading (making gold plans cheaper than silver) -- which Texas has done to the max via unanimously passed bill.
In TX 35% of enrollees are in gold plans as are 56% of enrollees with income over 200% FPL (where CSR fades out).
Will Texas reps let this bounty go poof?
In TX 35% of enrollees are in gold plans as are 56% of enrollees with income over 200% FPL (where CSR fades out).
Will Texas reps let this bounty go poof?
November 24, 2025 at 3:30 PM
The bill would also end silver loading (making gold plans cheaper than silver) -- which Texas has done to the max via unanimously passed bill.
In TX 35% of enrollees are in gold plans as are 56% of enrollees with income over 200% FPL (where CSR fades out).
Will Texas reps let this bounty go poof?
In TX 35% of enrollees are in gold plans as are 56% of enrollees with income over 200% FPL (where CSR fades out).
Will Texas reps let this bounty go poof?
Charging minimum premiums would in itself like cut enrollment by about a million 1/
www.brookings.edu/articles/how...
www.brookings.edu/articles/how...
November 24, 2025 at 2:36 PM
Charging minimum premiums would in itself like cut enrollment by about a million 1/
www.brookings.edu/articles/how...
www.brookings.edu/articles/how...
A map of healthcare dysfunction: Katelyn Jetelina has one for the ages
5 ways our health care system has become utterly insane
A deep dive into the U.S. health care system: rising costs, corporate takeover, and why reform keeps failing.
yourlocalepidemiologist.substack.com
November 24, 2025 at 12:08 AM
A map of healthcare dysfunction: Katelyn Jetelina has one for the ages
Republican concerns about fraud and profit are...selective.
NEW at @thebulwark.com
I wrote about the *real* Obamacare fraud story
It’s not the one Republicans are telling www.thebulwark.com/p/obamacare-...
I wrote about the *real* Obamacare fraud story
It’s not the one Republicans are telling www.thebulwark.com/p/obamacare-...
How Florida—Yes, Florida—Complicates Trump’s Obamacare Attacks
Republicans claim fraud is inherent in the Affordable Care Act. The Sunshine State shows the problem isn’t about the law.
www.thebulwark.com
November 23, 2025 at 11:00 PM
Republican concerns about fraud and profit are...selective.
I asked Gemini 3x to make this AI-generated image more racially diverse. The program could not do it. Kept saying "I'll try" and failing.
November 23, 2025 at 10:56 PM
I asked Gemini 3x to make this AI-generated image more racially diverse. The program could not do it. Kept saying "I'll try" and failing.
Clippy is back!
Eff off, Copilot.
Eff off, Copilot.
November 23, 2025 at 9:34 PM
Clippy is back!
Eff off, Copilot.
Eff off, Copilot.
"what you have is an ecosystem on Twitter where Republican politicians in the United States, including the President of the United States, are unknowingly sharing foreign propaganda."
Although the scale of this is still to be assessed, this is the inevitable outcome of the monetization of the algorithm. Rage-bait becomes a personal revenue model. Nothing about this should be a surprise.
NEWS: I spent the past 24 hours going through major MAGA accounts on Twitter, and a bombshell development has become clear: most of the right-wing ecosphere is being fed propaganda from foreign actors.
This impacts elections. This impacts discourse. This is major. Subscribe to support my work:
This impacts elections. This impacts discourse. This is major. Subscribe to support my work:
November 23, 2025 at 8:14 PM
"what you have is an ecosystem on Twitter where Republican politicians in the United States, including the President of the United States, are unknowingly sharing foreign propaganda."
Reposted by xpostfactoid
Saying "vaccines are safe" is an irrelevant detail when you voted to hand all of the US government's health organizations over to someone who adamantly insists they are not.
TAPPER: Dr Cassidy, RFK Jr lied to you
CASSIDY: First let me say what's most important -- vaccines are safe.
CASSIDY: First let me say what's most important -- vaccines are safe.
November 23, 2025 at 2:41 PM
Saying "vaccines are safe" is an irrelevant detail when you voted to hand all of the US government's health organizations over to someone who adamantly insists they are not.
Republicans say they don't want more federal dollars going to health insurers to cover the 22 million peeps currently subsidized in the ACA marketplace.
Just thinking: Of the 300-odd million people with health insurance coverage in the U.S., private insurers must cover 90%... 1/
Just thinking: Of the 300-odd million people with health insurance coverage in the U.S., private insurers must cover 90%... 1/
November 23, 2025 at 1:52 PM
Republicans say they don't want more federal dollars going to health insurers to cover the 22 million peeps currently subsidized in the ACA marketplace.
Just thinking: Of the 300-odd million people with health insurance coverage in the U.S., private insurers must cover 90%... 1/
Just thinking: Of the 300-odd million people with health insurance coverage in the U.S., private insurers must cover 90%... 1/
Reposted by xpostfactoid
E.G., the most corrupt Nazi slimeball of them all, Marco Rubio
Goofy ass country run by goofasses
"Countries with state subsidies for abortion, transgender-friendly policies for children, hate speech laws and affirmative action policies will now be considered to be violating human rights under rules imposed at the [US] State Department..."
www.forbes.com/sites/maryro...
www.forbes.com/sites/maryro...
November 22, 2025 at 6:58 PM
E.G., the most corrupt Nazi slimeball of them all, Marco Rubio
Keep it simple, Dems, like @ryanlcooper.com :
Republicans don’t have a “health care plan” per se because this is their plan: to take your health care funding and give it to Elon Musk, Donald Trump, and the rest of the fascist billionaire class.
Republicans don’t have a “health care plan” per se because this is their plan: to take your health care funding and give it to Elon Musk, Donald Trump, and the rest of the fascist billionaire class.
Republicans Will Never Find a Health Care Replacement - The American Prospect
The GOP is too wedded to free markets and scornful of the welfare state to ever make anything in health care work.
prospect.org
November 22, 2025 at 12:09 PM
Keep it simple, Dems, like @ryanlcooper.com :
Republicans don’t have a “health care plan” per se because this is their plan: to take your health care funding and give it to Elon Musk, Donald Trump, and the rest of the fascist billionaire class.
Republicans don’t have a “health care plan” per se because this is their plan: to take your health care funding and give it to Elon Musk, Donald Trump, and the rest of the fascist billionaire class.
Maybe if Mamdani praises this bill Trump will get on board
...and here's me
Pandora, don't ignore her...the Problem Solvers' HOPE Act is good.
xpostfactoid.substack.com/p/on-earth-2...
Pandora, don't ignore her...the Problem Solvers' HOPE Act is good.
xpostfactoid.substack.com/p/on-earth-2...
November 21, 2025 at 11:33 PM
Maybe if Mamdani praises this bill Trump will get on board
Here's @charlesgaba.com on the Problem Solver's ACA subsidy extension bill
Hope Floats? Bipartisan House team introduces ACA enhanced tax credit extension bill which...isn't terrible!
Back in September, before the federal government shutdown, I said: At a bare, bare minimum, do not settle for a one- or two-year extension of the eAPTCs. Kicking this particular can down the road for ...
acasignups.net
November 21, 2025 at 11:10 PM
Here's @charlesgaba.com on the Problem Solver's ACA subsidy extension bill
I've swapped in a prettier picture of Pandora
xpostfactoid.substack.com/p/on-earth-2...
xpostfactoid.substack.com/p/on-earth-2...
Hey, the bipartisan Problem Solvers are really trying to...solve a problem!
They have a bill to restore and slightly trim the enhanced ACA subsidies, and it's good.
xpostfactoid.substack.com/p/on-earth-2...
They have a bill to restore and slightly trim the enhanced ACA subsidies, and it's good.
xpostfactoid.substack.com/p/on-earth-2...
On Earth 2, a rational compromise for Obamacare
Surprise! The Problem Solvers come up with a...problem solver
xpostfactoid.substack.com
November 21, 2025 at 11:09 PM
I've swapped in a prettier picture of Pandora
xpostfactoid.substack.com/p/on-earth-2...
xpostfactoid.substack.com/p/on-earth-2...
Hey, the bipartisan Problem Solvers are really trying to...solve a problem!
They have a bill to restore and slightly trim the enhanced ACA subsidies, and it's good.
xpostfactoid.substack.com/p/on-earth-2...
They have a bill to restore and slightly trim the enhanced ACA subsidies, and it's good.
xpostfactoid.substack.com/p/on-earth-2...
On Earth 2, a rational compromise for Obamacare
Surprise! The Problem Solvers come up with a...problem solver
xpostfactoid.substack.com
November 21, 2025 at 11:05 PM
Hey, the bipartisan Problem Solvers are really trying to...solve a problem!
They have a bill to restore and slightly trim the enhanced ACA subsidies, and it's good.
xpostfactoid.substack.com/p/on-earth-2...
They have a bill to restore and slightly trim the enhanced ACA subsidies, and it's good.
xpostfactoid.substack.com/p/on-earth-2...
As David Pepper says about (many) other elected Republicans: they are not public servants.
Ellison: Today, you should never get a Republican AG, because they’re not your AG. They’re Leonard Leo’s AG. They’re Donald Trump’s AG. But they are not your AG. They’re not Louisiana’s AG. They’re not Mississippi’s AG. They’re beholden to others.
November 21, 2025 at 7:11 PM
As David Pepper says about (many) other elected Republicans: they are not public servants.
Pitch-perfect response to Republicans' ACA "reform" plans:
punchbowl.news/article/heal...
punchbowl.news/article/heal...
November 21, 2025 at 12:34 PM
Pitch-perfect response to Republicans' ACA "reform" plans:
punchbowl.news/article/heal...
punchbowl.news/article/heal...
I'm a member of a refugee support group that since early 2024 has helped 5 adults find their feet in the U.S. - e.g. with Medicaid, SNAP and refugee cash assistance.
All 5 are now working 35-60 hrs/wk (Fedex, Uber, hospital, dental, retail).
Trump and his policymakers are the scum of the earth.
All 5 are now working 35-60 hrs/wk (Fedex, Uber, hospital, dental, retail).
Trump and his policymakers are the scum of the earth.
The health impact of Trump's new "public charge" rule
It's another case of the administration putting public health on a collision course with immigration policy.
www.axios.com
November 20, 2025 at 1:04 PM
I'm a member of a refugee support group that since early 2024 has helped 5 adults find their feet in the U.S. - e.g. with Medicaid, SNAP and refugee cash assistance.
All 5 are now working 35-60 hrs/wk (Fedex, Uber, hospital, dental, retail).
Trump and his policymakers are the scum of the earth.
All 5 are now working 35-60 hrs/wk (Fedex, Uber, hospital, dental, retail).
Trump and his policymakers are the scum of the earth.