Pinned
Dan Munro
@dan-munro.com
· Dec 8
Single-Payer Healthcare Isn’t Necessary — But Single-Pricing Is
[First appeared in Forbes July 4, 2017]
hc4.us
It’s the prices stupid.
Our system of tiered coverage only serves one purpose. To support tiered (and uncapped) pricing. Universal *coverage* is the delivery mechanism for monopsony (one-buyer) pricing.
No one really cares how many (or type) of payers there are.
#MedSky
hc4.us/singleprice
Our system of tiered coverage only serves one purpose. To support tiered (and uncapped) pricing. Universal *coverage* is the delivery mechanism for monopsony (one-buyer) pricing.
No one really cares how many (or type) of payers there are.
#MedSky
hc4.us/singleprice
Reposted by Dan Munro
“.. We need to get better at treating this like a business,” ICE acting director Todd M. Lyons said .. as efficiently as Amazon moves packages: “Like Prime, but with human beings.”
@washingtonpost.com
www.washingtonpost.com/business/202...
@washingtonpost.com
www.washingtonpost.com/business/202...
December 24, 2025 at 6:10 PM
“.. We need to get better at treating this like a business,” ICE acting director Todd M. Lyons said .. as efficiently as Amazon moves packages: “Like Prime, but with human beings.”
@washingtonpost.com
www.washingtonpost.com/business/202...
@washingtonpost.com
www.washingtonpost.com/business/202...
Reposted by Dan Munro
The people who profited most from the cancel culture/free speech panic were less interested in actual freedom of speech than establishing their own control over public discourse. You don't even have to take my word for it. www.theatlantic.com/ideas/2025/1...
December 23, 2025 at 6:17 PM
The people who profited most from the cancel culture/free speech panic were less interested in actual freedom of speech than establishing their own control over public discourse. You don't even have to take my word for it. www.theatlantic.com/ideas/2025/1...
Reposted by Dan Munro
It's all "de-regulatory nirvana" until corporate margins start making prices unpopular.
$XLY
$XLY
TRUMP ON TRUTH SOCIAL ACCUSES INSURANCE COS OF 'RIPPING OFF AMERICA'
December 19, 2025 at 3:37 PM
It's all "de-regulatory nirvana" until corporate margins start making prices unpopular.
$XLY
$XLY
Reposted by Dan Munro
The US TikTok sale has been signed. The company will be controlled by a joint venture including Oracle, Silver Lake, Andreessen Horowitz, Abu Dhabi-based MGX. Adding a UAE company really makes it clear that this was never about national security concerns.
www.axios.com/2025/12/18/t...
www.axios.com/2025/12/18/t...
Scoop: TikTok signs deal for sale of U.S. unit after yearslong saga
The deal would end a yearslong saga to force TikTok's Chinese parent ByteDance to sell the company's U.S. operation.
www.axios.com
December 18, 2025 at 11:35 PM
The US TikTok sale has been signed. The company will be controlled by a joint venture including Oracle, Silver Lake, Andreessen Horowitz, Abu Dhabi-based MGX. Adding a UAE company really makes it clear that this was never about national security concerns.
www.axios.com/2025/12/18/t...
www.axios.com/2025/12/18/t...
Reposted by Dan Munro
Donald Trump interrupted national tv today to promise a million people (with guns!) two billion dollars he doesn’t have on a timeline he cannot meet to buy Christmas gifts he has personally fought to make less affordable
he doesn’t and the most likely outcome of this is that it doesn’t happen
How does the president have independent authority to mail out Christmas bonuses?
December 18, 2025 at 5:36 AM
Donald Trump interrupted national tv today to promise a million people (with guns!) two billion dollars he doesn’t have on a timeline he cannot meet to buy Christmas gifts he has personally fought to make less affordable
"Surrounded by Christmas trees and garlands before a fireplace, Donald Trump on Wednesday gave a convincing rendition of Ebenezer Scrooge, the elderly miser who despises Christmas and blames everyone but himself."
www.theguardian.com/us-news/2025...
www.theguardian.com/us-news/2025...
Trump’s ‘Bah! Humbug!’ address suggests he is feeling the chill of opinion polls
Primetime speech – delivered with shouty spirit but no cheer – betrayed a figure dogged by a cost of living crisis and the looming release of the Epstein files
www.theguardian.com
December 18, 2025 at 7:04 AM
"Surrounded by Christmas trees and garlands before a fireplace, Donald Trump on Wednesday gave a convincing rendition of Ebenezer Scrooge, the elderly miser who despises Christmas and blames everyone but himself."
www.theguardian.com/us-news/2025...
www.theguardian.com/us-news/2025...
Reposted by Dan Munro
December 18, 2025 at 4:31 AM
I dunno - I thought Bluesky was *supposed* to be ad-free ... guess not.
🔥 Prices just moved in the right direction… DOWN!
➡️ Download your Team Cuban Card at teamcubancard.com and check your price before you go.
➡️ Download your Team Cuban Card at teamcubancard.com and check your price before you go.
December 18, 2025 at 4:27 AM
I dunno - I thought Bluesky was *supposed* to be ad-free ... guess not.
Reposted by Dan Munro
Reposted by Dan Munro
A vote in January to extend enhanced ACA premium tax credits wouldn't help people get coverage by January 1. But, open enrollment could be extended and the premium assistance would apply for all months an enrollee is covered.
December 17, 2025 at 5:33 PM
A vote in January to extend enhanced ACA premium tax credits wouldn't help people get coverage by January 1. But, open enrollment could be extended and the premium assistance would apply for all months an enrollee is covered.
Reposted by Dan Munro
McGovern: "When billionaire CEOs need something, Republicans move at lightning speed. But when it comes to working people needing affordable health care, suddenly the story changes. There's hand wringing and the money is gone. My friends, if you are ok with that, we do not share the same values."
December 17, 2025 at 3:31 PM
McGovern: "When billionaire CEOs need something, Republicans move at lightning speed. But when it comes to working people needing affordable health care, suddenly the story changes. There's hand wringing and the money is gone. My friends, if you are ok with that, we do not share the same values."
“Donald Trump is the first president in my lifetime who does not try to unite the American people—does not even pretend to try. Instead, he tries to divide us.”
~ James Mattis [SecDef - 06/'20)
~ James Mattis [SecDef - 06/'20)
December 16, 2025 at 3:11 AM
“Donald Trump is the first president in my lifetime who does not try to unite the American people—does not even pretend to try. Instead, he tries to divide us.”
~ James Mattis [SecDef - 06/'20)
~ James Mattis [SecDef - 06/'20)
Reposted by Dan Munro
This. This was the formative event of my generation & our entire politics in 🇺🇸. The structural break after which we were no longer a full democracy, when 5 Wizards In Robes decided they were a super-legislature & counting all the actual votes didn’t matter. The rest has been 25 years of commentary.
25 years ago today, SCOTUS elected George W Bush president of the United States by blocking completion of a voting canvass in Florida. A subsequent canvass by the Associated Press showed that Bush's rival, Al Gore, had won the race in Florida—and thus the contest for the presidency—by 700 votes.
December 12, 2025 at 7:50 AM
This. This was the formative event of my generation & our entire politics in 🇺🇸. The structural break after which we were no longer a full democracy, when 5 Wizards In Robes decided they were a super-legislature & counting all the actual votes didn’t matter. The rest has been 25 years of commentary.
There is NO "perfect" system. Every system has tradeoffs - BUT - there's a core principal that underlies the polarized thinking we're living with today:
UC: HC is a basic human right.
Current system: HC has to be an earned privilege.
We can easily afford the former. The latter is bankrupting us.
UC: HC is a basic human right.
Current system: HC has to be an earned privilege.
We can easily afford the former. The latter is bankrupting us.
December 11, 2025 at 12:15 AM
There is NO "perfect" system. Every system has tradeoffs - BUT - there's a core principal that underlies the polarized thinking we're living with today:
UC: HC is a basic human right.
Current system: HC has to be an earned privilege.
We can easily afford the former. The latter is bankrupting us.
UC: HC is a basic human right.
Current system: HC has to be an earned privilege.
We can easily afford the former. The latter is bankrupting us.
The anti-payer sentiment is strong in this one.
Which - FWIW - is a political POV - not an economic one b/c the alternative is the GOP fantasy of "free markets" to control healthcare costs.
Healthcare isn't a rational market and can't be wished into being one.
#Medsky
Which - FWIW - is a political POV - not an economic one b/c the alternative is the GOP fantasy of "free markets" to control healthcare costs.
Healthcare isn't a rational market and can't be wished into being one.
#Medsky
I hope the Dems realize that if they extend the ACA subsidies, and take no other steps, they are giving carte blanche to the biggest insurance companies and major hospital systems to find new ways to game the system and increase costs.
December 10, 2025 at 3:06 PM
The anti-payer sentiment is strong in this one.
Which - FWIW - is a political POV - not an economic one b/c the alternative is the GOP fantasy of "free markets" to control healthcare costs.
Healthcare isn't a rational market and can't be wished into being one.
#Medsky
Which - FWIW - is a political POV - not an economic one b/c the alternative is the GOP fantasy of "free markets" to control healthcare costs.
Healthcare isn't a rational market and can't be wished into being one.
#Medsky
This is like comparing apples to bulldozers b/c it's comparing the cash price of few generics to Medicare's heavily regulated and rebate-driven reimubursement system - designed to support ALL the RX needs for 65M Americans - not just those paying cash for a few generics.
#Medsky
#Medsky
4. The Marc Cuban Cost Plus Drug Company Effect on Urogynecologic Drugs
Bluesky elder @mcuban.bsky.social's work on generics was analysed by researchers. They concluded the program would have saved $1.29 billion in 2020 Medicare costs.
Extremely positively shared.
www.altmetric.com/de...
8/14
Bluesky elder @mcuban.bsky.social's work on generics was analysed by researchers. They concluded the program would have saved $1.29 billion in 2020 Medicare costs.
Extremely positively shared.
www.altmetric.com/de...
8/14
December 9, 2025 at 5:04 AM
This is like comparing apples to bulldozers b/c it's comparing the cash price of few generics to Medicare's heavily regulated and rebate-driven reimubursement system - designed to support ALL the RX needs for 65M Americans - not just those paying cash for a few generics.
#Medsky
#Medsky
Reposted by Dan Munro
2/2 The drug is also known by the commercial names Leqembi & Eisai.
Reporters must ask:
- why his hand is regularly bandaged (it's not hand shaking).
- for the MRI imaging/readings;
- for original physician result reports/for a presser;
- whether Trump is on this med, given family history?
Reporters must ask:
- why his hand is regularly bandaged (it's not hand shaking).
- for the MRI imaging/readings;
- for original physician result reports/for a presser;
- whether Trump is on this med, given family history?
December 5, 2025 at 8:12 PM
2/2 The drug is also known by the commercial names Leqembi & Eisai.
Reporters must ask:
- why his hand is regularly bandaged (it's not hand shaking).
- for the MRI imaging/readings;
- for original physician result reports/for a presser;
- whether Trump is on this med, given family history?
Reporters must ask:
- why his hand is regularly bandaged (it's not hand shaking).
- for the MRI imaging/readings;
- for original physician result reports/for a presser;
- whether Trump is on this med, given family history?
FWIW - I'm not the only one to see the congitive dissonance of @mcuban.bsky.social wanting to somehow eliminate insurance - but then announcing a partnership this week w/ Humana.
I guess the big healthcare disruption happens *after* you scale profits?
#Medsky
I guess the big healthcare disruption happens *after* you scale profits?
#Medsky
December 7, 2025 at 5:14 PM
FWIW - I'm not the only one to see the congitive dissonance of @mcuban.bsky.social wanting to somehow eliminate insurance - but then announcing a partnership this week w/ Humana.
I guess the big healthcare disruption happens *after* you scale profits?
#Medsky
I guess the big healthcare disruption happens *after* you scale profits?
#Medsky
Reposted by Dan Munro
Reposted by Dan Munro
Conway: This is a criminal government. Unless you are willing to say that, you’re basically fighting on their terms. They get to lie, and they win that battle because people say, “We shouldn’t use that kind of language.”
But you get to use that language when it’s fucking true.
But you get to use that language when it’s fucking true.
December 4, 2025 at 1:00 AM
Conway: This is a criminal government. Unless you are willing to say that, you’re basically fighting on their terms. They get to lie, and they win that battle because people say, “We shouldn’t use that kind of language.”
But you get to use that language when it’s fucking true.
But you get to use that language when it’s fucking true.
Reposted by Dan Munro
Just to be clear, Jared Kushner is NOT negotiating with Putin on behalf of the U.S. government.
He's negotiation on behalf of the Trump Crime Syndicate . . .
which controls the U.S. government -
at the moment.
He's negotiation on behalf of the Trump Crime Syndicate . . .
which controls the U.S. government -
at the moment.
December 2, 2025 at 4:40 PM
Just to be clear, Jared Kushner is NOT negotiating with Putin on behalf of the U.S. government.
He's negotiation on behalf of the Trump Crime Syndicate . . .
which controls the U.S. government -
at the moment.
He's negotiation on behalf of the Trump Crime Syndicate . . .
which controls the U.S. government -
at the moment.
Lessons from 2008 fiscal crisis:
“In the short term a lot, in the medium term a little, in the long term, nothing at all.” Jeremy Grantham
Stablecoins, which bristle w/ all the dangers of subprime-mortgage securities, remind us how much time has passed ...
www.theatlantic.com/ideas/2025/1...
“In the short term a lot, in the medium term a little, in the long term, nothing at all.” Jeremy Grantham
Stablecoins, which bristle w/ all the dangers of subprime-mortgage securities, remind us how much time has passed ...
www.theatlantic.com/ideas/2025/1...
How Crypto Could Trigger the Next Financial Crisis
The danger of stablecoins lies in the ways they are meant to be safe.
www.theatlantic.com
December 2, 2025 at 4:45 PM
Lessons from 2008 fiscal crisis:
“In the short term a lot, in the medium term a little, in the long term, nothing at all.” Jeremy Grantham
Stablecoins, which bristle w/ all the dangers of subprime-mortgage securities, remind us how much time has passed ...
www.theatlantic.com/ideas/2025/1...
“In the short term a lot, in the medium term a little, in the long term, nothing at all.” Jeremy Grantham
Stablecoins, which bristle w/ all the dangers of subprime-mortgage securities, remind us how much time has passed ...
www.theatlantic.com/ideas/2025/1...
“I don’t think there is any way to regain that trust [in science] other than have the viruses do the education, and the bacteria do the education, and then people will realize they paid way too high a cost."
~ Dr. Paul Offit
www.theatlantic.com/magazine/202...
#Medsky
~ Dr. Paul Offit
www.theatlantic.com/magazine/202...
#Medsky
Why Is Robert F. Kennedy Jr. So Convinced He’s Right?
How an outsider, once ignored by the public-health establishment, became the most powerful man in science
www.theatlantic.com
November 30, 2025 at 2:49 PM
“I don’t think there is any way to regain that trust [in science] other than have the viruses do the education, and the bacteria do the education, and then people will realize they paid way too high a cost."
~ Dr. Paul Offit
www.theatlantic.com/magazine/202...
#Medsky
~ Dr. Paul Offit
www.theatlantic.com/magazine/202...
#Medsky
Hope. On the horizon.
November 27, 2025 at 3:31 AM
Hope. On the horizon.