xpostfactoid
@xpostfactoid.bsky.social
Blogging mostly healthcare policy at http://xpostfactoid.substack.com. ACA implementation watcher. CSR czar. AKA Andrew Sprung.
n.b. @pkrugman.bsky.social -- the forecast that ACA marketplace insurance will drop by ~ 4 million this year will probably prove to be on target when we have average monthly enrollment totals for 2026.
xpostfactoid.substack.com/p/how-much-w...
xpostfactoid.substack.com/p/how-much-w...
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
xpostfactoid.substack.com
February 15, 2026 at 3:10 PM
n.b. @pkrugman.bsky.social -- the forecast that ACA marketplace insurance will drop by ~ 4 million this year will probably prove to be on target when we have average monthly enrollment totals for 2026.
xpostfactoid.substack.com/p/how-much-w...
xpostfactoid.substack.com/p/how-much-w...
DOGE is doxing Medicaid healthcare providers who provide treatments the administration demonizes, such as gender-affirming care and Mifepristone prescriptions.
Must-read from @matthewcort.land
Must-read from @matthewcort.land
HHS DOGE Released Medicaid Billing Data That Can Be Used to Target Abortion and Gender-Affirming Care Providers by Name | Shouldn't Need to Be a Lawyer by Matthew Cortland
Get more from Shouldn't Need to Be a Lawyer by Matthew Cortland on Patreon
www.patreon.com
February 15, 2026 at 2:25 PM
DOGE is doxing Medicaid healthcare providers who provide treatments the administration demonizes, such as gender-affirming care and Mifepristone prescriptions.
Must-read from @matthewcort.land
Must-read from @matthewcort.land
Let him posture. Minnesota resisters drove ICE out.
Tom Homan on Gov. Walz and Mayor Frey: "They ought to be saying 'thank you.'"
February 15, 2026 at 2:09 PM
Let him posture. Minnesota resisters drove ICE out.
Reposted by xpostfactoid
Today as always, @citizencohn.bsky.social is a must read. Here he is on the massive danger to public health of the latest anti-vax actions by Trump’s and RFK’s FDA.
open.substack.com/pub/thebulwa...
open.substack.com/pub/thebulwa...
This Is What Destroying the Vaccine Market Looks Like
A shocking move by RFK Jr.’s team has the industry spooked—for good reason.
open.substack.com
February 15, 2026 at 1:20 PM
Today as always, @citizencohn.bsky.social is a must read. Here he is on the massive danger to public health of the latest anti-vax actions by Trump’s and RFK’s FDA.
open.substack.com/pub/thebulwa...
open.substack.com/pub/thebulwa...
Reposted by xpostfactoid
Oh is that how it works
Kristi Noem: "When it gets to Election Day, we've been proactive to make sure we have the right people voting, electing the right leaders to lead this country."
February 14, 2026 at 11:58 PM
Oh is that how it works
Reposted by xpostfactoid
Measles is a bellwether. Because it’s the most contagious vaccine-preventable disease, when vaccination rates drop, it’s the first to start spreading.
Now we’ve got mumps rolling up.
Expect more.
This is just the beginning of RFK Jr.’s successful infectious disease reintroduction plan.
Now we’ve got mumps rolling up.
Expect more.
This is just the beginning of RFK Jr.’s successful infectious disease reintroduction plan.
Maryland health officials warn providers about an upsurge in mumps cases
Maryland health officials are warning about an uptick in cases of mumps.
www.thebanner.com
February 14, 2026 at 11:34 PM
Measles is a bellwether. Because it’s the most contagious vaccine-preventable disease, when vaccination rates drop, it’s the first to start spreading.
Now we’ve got mumps rolling up.
Expect more.
This is just the beginning of RFK Jr.’s successful infectious disease reintroduction plan.
Now we’ve got mumps rolling up.
Expect more.
This is just the beginning of RFK Jr.’s successful infectious disease reintroduction plan.
Under Trump, CMS becomes very creative in finding ways to undermine the ACA marketplace.
See: federal subsidies for non-network health plans
xpostfactoid.substack.com/p/new-cms-sc...
See: federal subsidies for non-network health plans
xpostfactoid.substack.com/p/new-cms-sc...
February 14, 2026 at 4:57 PM
Under Trump, CMS becomes very creative in finding ways to undermine the ACA marketplace.
See: federal subsidies for non-network health plans
xpostfactoid.substack.com/p/new-cms-sc...
See: federal subsidies for non-network health plans
xpostfactoid.substack.com/p/new-cms-sc...
As the country soaks up thousands of videos of ICE rampaging, I'm reminded of a precursor: Iranians filming Basij abuses in 2009
xpostfactoid.blogspot.com/2011/11/i-re...
xpostfactoid.blogspot.com/2011/11/i-re...
I record, therefore we are
A blog focused on the Affordable Care Act and health care policy
xpostfactoid.blogspot.com
February 13, 2026 at 4:23 PM
As the country soaks up thousands of videos of ICE rampaging, I'm reminded of a precursor: Iranians filming Basij abuses in 2009
xpostfactoid.blogspot.com/2011/11/i-re...
xpostfactoid.blogspot.com/2011/11/i-re...
Reposted by xpostfactoid
So smart. The opportunity is there, we need to take it and run with it.
The extraordinary public backlash to Trump's ICE raids and mass deportations suggests it's time to rethink how information warfare and political persuasion work in the Trump era. Dems have an opening to reset the immigration debate if they act now.
New piece from me:
newrepublic.com/article/2059...
New piece from me:
newrepublic.com/article/2059...
How the Democrats Can Play Offense on Immigration
Typically, Democrats run for the hills when immigration comes up. But as two blue-state governors are showing, the winning play is actually to confront ICE and MAGA xenophobia head on.
newrepublic.com
February 13, 2026 at 3:00 PM
So smart. The opportunity is there, we need to take it and run with it.
or clueless sycophants
Good God. Trump's Council of Economic Advisors are either clueless or sycophants.
acasignups.net/26/02/13/goo...
acasignups.net/26/02/13/goo...
Good God. Trump's Council of Economic Advisors are either clueless or sycophants.
From a post of mine last September: Via the HHS Dept. website this morning: WASHINGTON — The U.S. Department of Health and Human Services (HHS) announced today it is implementing important measures to...
acasignups.net
February 13, 2026 at 2:11 PM
or clueless sycophants
Go WSJ
February 13, 2026 at 3:06 AM
Go WSJ
just forget this ever happened
FORTUITOUS TIMING: In bid to block Minnesota from obtaining records about immigration enforcement in state, Trump admin lawyers cite Homan announcement this morning that Operation Metro Surge is ending. Doc: www.documentcloud.org/documents/26... Earlier: www.politico.com/news/2026/02...
MNvUSDiscOpp021226
www.documentcloud.org
February 12, 2026 at 11:07 PM
just forget this ever happened
and now I'm flushing U.S. public health down the toilet
RFK Jr: I'm not scared of a germ. I used to snort cocaine off of toilet seats.
February 12, 2026 at 9:19 PM
and now I'm flushing U.S. public health down the toilet
Is this real?
Top public health official in the country
RFK Jr: I'm not scared of a germ. I used to snort cocaine off of toilet seats.
February 12, 2026 at 8:41 PM
Is this real?
How can I get gmail to stop offering to write my emails for me?
February 12, 2026 at 8:26 PM
How can I get gmail to stop offering to write my emails for me?
What, fire myself, what?
Q: “Have you fired or disciplined that staffer who posted the video from your account that included the Obamas?”
Trump: “No, I haven't.”
Trump: “No, I haven't.”
February 12, 2026 at 7:20 PM
What, fire myself, what?
Homan can have his fig leaves, but the fact is the people of Minnesota drove ICE out.
Homan: "I want to thank Governor Walz ... I also want to thank Mayor Frey ... I want to thank Police Chief O'Hara. We've seen a big change here in the last couple weeks. It's all good change."
February 12, 2026 at 3:50 PM
Homan can have his fig leaves, but the fact is the people of Minnesota drove ICE out.
This tracks with my longtime intuition as I watch luxury apartments go up in my inner-ring suburb. My perpetual "yes but" to YIMBY tenets.
www.nytimes.com/2026/02/05/r...
www.nytimes.com/2026/02/05/r...
February 12, 2026 at 1:42 PM
This tracks with my longtime intuition as I watch luxury apartments go up in my inner-ring suburb. My perpetual "yes but" to YIMBY tenets.
www.nytimes.com/2026/02/05/r...
www.nytimes.com/2026/02/05/r...
My mother told my 6-year old sister that to get lamb chops, only "old lambs' were killed .
Think about what people are doing in our name. Think about history will judge them - and us.
“While the FBI field office in Boise initially said in a statement that claims of children being zip-tied were ‘completely false,’ officials there later amended that assertion, telling reporters that no ‘young’ children were zip-tied.”
www.cbsnews.com/news/feds-zi...
www.cbsnews.com/news/feds-zi...
February 11, 2026 at 1:32 PM
My mother told my 6-year old sister that to get lamb chops, only "old lambs' were killed .
Yup, that's his party
February 11, 2026 at 1:30 PM
Yup, that's his party
"In the backrooms of MAGA-land, passing around under-age girls is a lot like passing around insider crypto deals."
Krugman
Krugman
The Banality of MAGA Evil
Instead of criminal masterminds we got amoral, stupid grifters like Howard Lutnick
open.substack.com
February 11, 2026 at 12:28 PM
"In the backrooms of MAGA-land, passing around under-age girls is a lot like passing around insider crypto deals."
Krugman
Krugman
Reposted by xpostfactoid
We now have confirmation that the Social Circle warehouse cost ICE $130 million, bringing the total spent on warehouses to $714 million. ICE is also reportedly planning on buying a second warehouse in Oakwood, GA and is finalizing the sale now.
Billions more will be spent on retrofitting/staffing.
Billions more will be spent on retrofitting/staffing.
February 10, 2026 at 10:15 PM
We now have confirmation that the Social Circle warehouse cost ICE $130 million, bringing the total spent on warehouses to $714 million. ICE is also reportedly planning on buying a second warehouse in Oakwood, GA and is finalizing the sale now.
Billions more will be spent on retrofitting/staffing.
Billions more will be spent on retrofitting/staffing.
I opened my eyes—and all the sea was ice-nine. The moist green earth was a blue-white pearl. The sky darkened. Borasisi, the sun, became a sickly yellow ball, tiny and cruel.
The sky was filled with worms. The worms were tornadoes.
www.wired.com/story/ice-ex...
The sky was filled with worms. The worms were tornadoes.
www.wired.com/story/ice-ex...
ICE Is Expanding Across the US at Breakneck Speed. Here’s Where It’s Going Next
ICE plans to lease offices throughout the US as part of a secret, monthslong expansion campaign. WIRED is publishing dozens of these locations.
www.wired.com
February 10, 2026 at 10:23 PM
I opened my eyes—and all the sea was ice-nine. The moist green earth was a blue-white pearl. The sky darkened. Borasisi, the sun, became a sickly yellow ball, tiny and cruel.
The sky was filled with worms. The worms were tornadoes.
www.wired.com/story/ice-ex...
The sky was filled with worms. The worms were tornadoes.
www.wired.com/story/ice-ex...
Trump:
Till Birnam wood remove to Dunsinane,
I cannot taint with fear.
Till Birnam wood remove to Dunsinane,
I cannot taint with fear.
February 9, 2026 at 2:57 PM
Trump:
Till Birnam wood remove to Dunsinane,
I cannot taint with fear.
Till Birnam wood remove to Dunsinane,
I cannot taint with fear.