iiinova — where your digital self keeps evolving

Brian Chiglinsky @chiglinsky.bsky.social · 18/04/2026

featuring great new proposals to make health care more affordable for everyone from @neeratanden.bsky.social and the team at @americanprogress.bsky.social

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Brian Chiglinsky @chiglinsky.bsky.social · 18/04/2026

Virginia’s redistricting amendment could save 10 Virginia hospitals. I wrote about it, and new proposals from the Center for American Progress to bring down costs for everyone. open.substack.com/pub/chiglins...

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Brian Chiglinsky @chiglinsky.bsky.social · 15/03/2026

our 4 year old with the most accurate depiction of parenting:

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Brian Chiglinsky @chiglinsky.bsky.social · 05/02/2026

Credit Karma: hey man, looks like you’ve got a recurring subscription to… something called… “student loans”? want us to cancel that for ya?

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Brian Chiglinsky @chiglinsky.bsky.social · 29/01/2026

“hey Brian, you’re turning 40 this month. how does it feel?” united healthcare:

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Brian Chiglinsky @chiglinsky.bsky.social · 17/01/2026

UVA Class of 2001. Congratulations, Virginia. We now officially made history with our first Dave Matthews Band Governor.

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Brian Chiglinsky @chiglinsky.bsky.social · 26/10/2025

Governor Youngkin has failed to join, but Virginia’s next governor could take a really important step here: richmond.com/opinion/colu...

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Brian Chiglinsky @chiglinsky.bsky.social · 26/10/2025

I wrote a thing about why Virginia’s next Governor should join a new group of governors working to protect public health despite the chaos from HHS and the White House. Read it in today’s @richmond.com

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Brian Chiglinsky @chiglinsky.bsky.social · 19/10/2025

I think about this like a lot - the most contextually, historically appropriate hope I’ve heard in a while, from TNC:

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Brian Chiglinsky @chiglinsky.bsky.social · 10/05/2025

that silly little moment when you're trying to get the kids ready for a birthday party and you realize there's only enough time left for one parent to get showered and dressed:

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Brian Chiglinsky @chiglinsky.bsky.social · 17/03/2025

tfw you just got another fundraising text from the rebel alliance

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Brian Chiglinsky @chiglinsky.bsky.social · 11/03/2025

This is what the American people voted for: more expensive eggs and health insurance that’s marginally less convenient to get

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Brian Chiglinsky @chiglinsky.bsky.social · 02/03/2025

“if the answer isn’t ‘hell yes,’ then it has to be ‘no’”

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Brian Chiglinsky @chiglinsky.bsky.social · 23/02/2025

The Georgia Medicaid program works great if you ignore the cost, participation and whole purpose of it.

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Brian Chiglinsky @chiglinsky.bsky.social · 22/02/2025

on a side note, states should try to use that argument to protect Medicaid richmond.com/opinion/colu...

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Brian Chiglinsky @chiglinsky.bsky.social · 14/02/2025

Maybe those oval office pressers with Elon Musk looming behind Trump aren't quite a masterful stroke of PR genius.

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Brian Chiglinsky @chiglinsky.bsky.social · 13/02/2025

here's the thing - Dems did not lose the health debate RFK Jr. is underwater in approval ratings and the most disliked Trump cabinet official Dems are more trusted on health care Dems lost the inflation debate. And as Congress cedes its independence to the Exec Branch, that's all that matters.

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Brian Chiglinsky @chiglinsky.bsky.social · 13/02/2025

had a great snow day with the kids!

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Brian Chiglinsky @chiglinsky.bsky.social · 13/02/2025

We shouldn’t be timid in describing reality Work requirements for Medicaid will get people killed. from @crampell.bsky.social in the post: www.washingtonpost.com/opinions/ark...

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Brian Chiglinsky @chiglinsky.bsky.social · 09/02/2025

when you hear “I can’t control my powers!”

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Brian Chiglinsky @chiglinsky.bsky.social · 08/02/2025

Apparently writing an op-ed means people can assign you homework. Was not aware of these rules. I’m learning, and growing.

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Brian Chiglinsky @chiglinsky.bsky.social · 08/02/2025

I don’t know man, I think completely giving up on fellow human beings is a choice that we don’t have to make.

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Brian Chiglinsky @chiglinsky.bsky.social · 07/02/2025

I wrote a thing to and about the place I grew up - southwest Virginia. This region has the most at risk in this new Republican government But also the best chance to defend the kids and families who need these programs.

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Brian Chiglinsky @chiglinsky.bsky.social · 04/02/2025

teaching my 3 year old about the latest tech

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Brian Chiglinsky @chiglinsky.bsky.social · 29/01/2025

looks like they’re singing a duet

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Brian Chiglinsky @chiglinsky.bsky.social · 28/01/2025

this meme isn’t as comforting as the Facebook boomers intended

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Brian Chiglinsky @chiglinsky.bsky.social · 27/01/2025

I imagine this will come up in some hearings this week:

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Brian Chiglinsky @chiglinsky.bsky.social · 18/01/2025

Fascinating stuff from JPM in FierceHealthcare’s round-up. Welcome to the bold new future of American health care - where robots deny claims at superhuman speeds and other robots appeal those denials at superhuman speeds. www.fiercehealthcare.com/finance/jpm2...

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Brian Chiglinsky @chiglinsky.bsky.social · 13/01/2025

That last one would be fun because in 2012’s NFIB v Sebelius case, John Roberts was BIG MAD about the feds suddenly cutting Medicaid funding to states My cynicism of the Court knows no bottom now, but it’d be interesting to see how far this argument could go.

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Brian Chiglinsky @chiglinsky.bsky.social · 13/01/2025

What can Virginia lawmakers do? Not much. If Congressional Rs want to gut Medicaid, they basically can. But VA can slow the process down, explore using its budget surplus and state-run Marketplace, and (my favorite and mostly for fun) sue the jerks

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Brian Chiglinsky @chiglinsky.bsky.social · 13/01/2025

Not only would it be terrible for those patients, but it would likely drive a number of rural hospitals in the state into financial ruin and closure. Even fully insured people would lose access to doctors and hospitals they need.

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Brian Chiglinsky @chiglinsky.bsky.social · 13/01/2025

The problem is that: Republicans in Congress have said they’re taking direct aim at this funding AND Virginia’s law requires kicking *everyone* who got coverage under Medicaid expansion off their coverage *immediately* if the feds pay less That’s around 700,000 people.

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Brian Chiglinsky @chiglinsky.bsky.social · 13/01/2025

But because of political and budget concerns, a few states expanded Medicaid under the *specific condition* that this formula never change. Virginia was one of those. (h/t to @kffhealthnews.bsky.social’s Phil Galewitz)

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Brian Chiglinsky @chiglinsky.bsky.social · 13/01/2025

It starts with how expansion is funded. Right now, the feds pay 90% of the costs for everyone who gets coverage under the expansion. Pretty great deal!

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Brian Chiglinsky @chiglinsky.bsky.social · 12/01/2025

the tech giants will be sure to optimize our experience of the apocalypse

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Brian Chiglinsky @chiglinsky.bsky.social · 05/01/2025

This is an important, unsparing and level-headed 2024 post-mortem from @danpfeiffer.bsky.social And these are some pretty stark realities - you know, just fundamentally rethinking our nation’s basic progressive values and the effectiveness of the ground game. www.messageboxnews.com/p/how-the-20...

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Brian Chiglinsky @chiglinsky.bsky.social · 01/01/2025

targeting this ad to a new parent is a federal crime, I’m sad to report

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Brian Chiglinsky @chiglinsky.bsky.social · 29/12/2024

you are watching football tonight. I’ve cracked a cold one and am watching frozen 2 for the 5th or 6th time with the kid. we are not the same.

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Brian Chiglinsky @chiglinsky.bsky.social · 28/12/2024

This was a good reminder that “social media” is a bit too broad a label. We should distinguish more between media that promotes good social values and media that doesn’t.