Lile
@lilelile.bsky.social
4.2K followers 3.2K following 11K posts
Mom, musician, producer, ORT for Sanders progressive policies, Twain/Sci-Fy/Gardening/DS. Owned by children, two cats and a dog. Husband doesn’t mind 😁American born in Dalmatia on the Adriatic sea coast in SFRJ.
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lilelile.bsky.social
Thank You for the news Jon!
Reposted by Lile
thedailyshow.com
We all wanted Trump to be more pro-woman; we just didn't expect that woman to be Ghislaine Maxwell
Reposted by Lile
jasonkander.bsky.social
Really glad none of the people calling American cities “war zones” were with us in Afghanistan. Would’ve become tiresome constantly hosing them down after they soiled themselves.
lilelile.bsky.social
By which measure do you think it’s worse? McCarthy went after celebrities and electeds, even judges first. And more than 1/3 of our population cheered because of the atomic “red scare”.
Reposted by Lile
ddiamond.bsky.social
Huh — BILL CASSIDY, who chairs the Senate's health committee, is demanding answers from the American Medical Association over its coding system.

CASSIDY: "I am actively reviewing the government-backed monopoly around CPT codes and the impact on patient health care costs."
VIA ELECTRONIC TRANSMISSION Bobby Mukkamala, M.D. President American Medical Association 330 N. Wabash Ave., Suite 39300 Chicago, IL 60611-5885 Dear Dr. Mukkamala, As Chairman of the Senate Committee on Health, Education, Labor, and Pensions (HELP), I am writing to seek information regarding the American Medical Association’s (AMA’s) costly monopoly over the Current Procedural Terminology® (CPT) coding system.  The AMA maintains and annually updates the CPT coding system as a standardized set of descriptive terms and identifying codes used primarily to report medical, surgical, and diagnostic services performed by physicians and other health care professionals. CPT codes are essential for accurate medical billing and claims processing by both public and private health insurers. The codes enable communication and efficient processing of information throughout the entire health care system, and they are relied upon by providers, suppliers, government agencies, and ultimately patients.  Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) (42 U.S. Code § 1320d-2), the federal government mandates the use of standard code sets for the purposes of conducting transactions. In the implementing regulations (45 CFR § 162.1002), CPT codes, as trademarked by the AMA, were selected as one of the standard code sets that must be used. As a result, the government has endorsed a coding monopoly for the AMA. I am particularly offended by the AMA abusing its government-endorsed CPT monopoly to charge every stakeholder in the health care system significant amounts of money while advancing an anti-patient agenda. The enormous revenue from offering these required tools while advocating non-evidence-based policies raises questions about the AMA’s commitment to physicians and the patients they serve. The AMA characterizes the CPT coding system as “a shared language facilitating the delivery of quality care.”1 Shared does not translate to free, however. The AMA char… agreement. The AMA also sells subscriptions to “CPT Assistant online,” which provides access to articles and resources related to CPT codes. Last year, the AMA generated over $500 million in revenue.2 More than half of that revenue came from the publication of books and digital content, including the annual publication of CPT codes that are used to code for medical procedures and services.3 CPT codes are required to be used by providers to bill for services, and the AMA has had an exclusive monopoly on publishing these codes for over 40 years.4  Your organization has abused this government-backed monopoly by charging exorbitant fees to anyone using the CPT code set, including doctors, hospitals, health plans, and health IT vendors. These fees inevitably are passed on by CPT users to patients in the form of higher health care costs. This is anti-patient and anti-doctor.   As Chairman of the HELP Committee, which has jurisdiction over HIPAA, I am actively reviewing the government-backed monopoly around CPT codes and the impact on patient health care costs, especially in the wake of the AMA’s anti-patient, anti-science advocacy efforts. To that end, I request answers to the following questions by October 20, 2025: 1. One of the AMA’s primary activities is generating and updating CPT codes used to code for medical procedures and services. The AMA has held the exclusive right to generate these codes since 1983.5 This process involves internal deliberations before a public stakeholder session prior to finalizing codes. While the AMA holds an outsized role in this process, only approximately 26% of physicians in the United States are members of the AMA.6 a. What steps has the AMA leadership taken to ensure that this mandatory process incorporates the feedback and concerns of all providers? 2. Last year, the AMA generated total revenue of $513.2 million.7 $281.4 million of that amount was generated from “books and digital content.”8 However, AMA does not provide transparenc… b. What were the administrative costs associated with generating CPT coding materials? c. How does the AMA calculate the for-sale price of CPT coding materials? d. How has the for-sale price of CPT coding materials changed in the last five years? e. In the last five years, how much revenue has the AMA generated from the sale of CPT coding materials and related products and subscriptions? 3. In 2024, AMA also recorded $434.4 million in “general and administrative expenses.”9  a. What amount of these expenses were used to support work associated with DEI mandates? b. What amount of these expenses were used to support research supporting gender transition care? Sincerely,   ____________________________   Bill Cassidy, M.D.  Chairman  U.S. Senate Committee on Health,   Education, Labor, and Pensions
lilelile.bsky.social
Ye, coding is a shit show they use for everything. They change the rules bi-weekly so that even professional billers can’t keep up. For example, one week you can clean teeth by quarters on Monday, Wednesday and Friday. By the time you try to bill it, it’s halfs on Thursday and they decline payments.
lilelile.bsky.social
She would burn in that sunshine as every other vampire.
Reposted by Lile
unauthorizedbeast.bsky.social
My MAGAt cousin says Portland is a ‘burned out hellscape’ and that she wouldn’t come here for ‘all the tea in China.’ (She loves to bring up China because I’m a Commie.)

I said Portland has gangs of trans & Gay people looking for books, coffee, fancy donuts and a good time & that she’d never last.
lilelile.bsky.social
Stepped in to give a speech? Not to entice the cops to remedy the kidnapping?
lilelile.bsky.social
Form your own Association.
Reposted by Lile
govpritzker.illinois.gov
If the National Governors Association chooses to remain silent, Illinois will have no choice but to withdraw from the organization.

We should be standing as one against the idea that Donald Trump can call up the National Guard against our will.
Reposted by Lile
interfluidity.com
a way to understand Bari Weiss’ ascendance is that capital absolutely does not want to “turn down the temperature” on culture war, au contraire they understand culture war to be their most successful media project and want more more more.
lilelile.bsky.social
I have a few cool friends within smaller frames and none of them are creepy, indeed. Miller made it creepy for himself because he would be an ass in any body.
Reposted by Lile
atrupar.com
Pritzker: "He wants to militarize major cities because he wants us to get used to the idea of troops on the streets. I believe he's gonna post people outside of polling places and if he needs to in order to control those elections, he'll assume control of the ballot boxes & count the votes himself"
Reposted by Lile
cajunblue.bsky.social
🚨 This is protecting the American people. “Full force” is not defined by the military. More of this!
Reposted by Lile
violaplayer26.bsky.social
The citizens of the US are woefully undereducated as world citizens.
What we consider left wing here is pretty mild. Center or even right in some places in the world.
Reposted by Lile
woodrowforco.bsky.social
It’s kinda laughable to claim we’ve been too progressive on climate change, housing, gun violence, and healthcare.
lilelile.bsky.social
Except when they don’t clean after themselves 😁
lilelile.bsky.social
That’s how you resist. Don’t service them.