iiinova — where your digital self keeps evolving

Jillian David @jilliandavid.bsky.social · 15h

Also: huge healthcare cuts scheduled to take effect JUST AFTER the elections Almost like the dirtbags knew that the cuts they created would suck + they knew the cuts were a poison pill + they are banking on the general pop. being too stupid to link this to the 119th Congress, not the 120th Congress

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Jillian David @jilliandavid.bsky.social · 18h

Our world is crazy and I want to continue fighting evil things, but today I have a book release that I'm really excited about and so I want to also have just one day to be really happy about that.

Light blue background with text that reads "the wait is over" and a picture of Code Blue Christmas cover in the middl (the cover has a couple in winter gear kissing in the Alaskan wilderness, and nearby is a team of derp-y sled dogs)

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Luca Migo @victinibcn.bsky.social · 20/12/2025

Out of respect to Virginia Giuffre and the other survivors who were once more disrespected by yesterday’s coverup of the Epstein Files, I invite you to post her picture to your social networks. Thank you.

Apparently the White House is freaking out as people are posting this photo of Virginia to all White House posts on all platforms just doing my part feel free to do yours.

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Jillian David @jilliandavid.bsky.social · 04/10/2026

(*not medical advice* disclaimer) Generally, the upper limit cut-off for HPV vaccination is age 45, and that should be a risk/benefit discussion w/ your doctor. I'm very glad that your daughter got her HPV series. So smart!

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Jillian David @jilliandavid.bsky.social · 04/10/2026

I feel like there must have been a similar cheer when the results of phase 1 trials of mRNA vaccine for pancreatic cancer were released. I know I cheered! I'm holding my breath in hope for the expanded trial results.

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Jillian David @jilliandavid.bsky.social · 04/10/2026

HPV vaccine to prevent head/neck cancer is a big deal. I have dx'd two gnarly head/neck cancers in pts both male and in their 40's. HPV cancer. Could have been prevented (actually probably not for them, bc they were too old for vaccine at the time - this was many years ago) HPV cancer: preventable

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Jillian David @jilliandavid.bsky.social · 03/10/2026

☑️ "I'm in this post and I don't like it"

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Jillian David @jilliandavid.bsky.social · 03/10/2026

You have my vote -- I love your books! *hugs*

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Jillian David @jilliandavid.bsky.social · 30/09/2026

If I get an 10-paragraph long email from "a famous book club" gushing about the first 2 chapters (interestingly found as the free sample on Amazon) of my book, and in the letter they verbatim regurgitate lines of my prose back to me with massive effusive praise, that's a big ol' scam, right?

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Jillian David @jilliandavid.bsky.social · 30/09/2026

Adulting achievement unlocked: Flu booster + COVID booster = ✅ 💪 And YOU BETCHA my TDaP and MMR boosters were already on board.

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Jillian David @jilliandavid.bsky.social · 29/09/2026

Schmitt is breathtakingly stupid, and even when confronted with his embarrassing mistake that he thought a *gotcha* he still doubles down on it. Dude, do you not understand which league is in playoffs in FEBRUARY? It's not NBA, you absolute doorknob. I don't watch sports, and even I know that!

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Jillian David @jilliandavid.bsky.social · 29/09/2026

It's such a weird thing on my day off, in the middle of editing a MS, get a call from hospital about an urgent patient issue, log into the EMR to place orders, call specialists to set up consultations, call patient, then just...go back to editing? No wonder why my creative brain gives up at times.

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Caleb Dume @thacalebdume.bsky.social · 27/09/2026

MAKE ART! MAKE BAD ART! BAD ART IS BETTER THAN AI ART! YOUR WORST IS STILL BETTER THAN THE SLOP!

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Rachel Grant/R.S. Grant @rachelgrant.bsky.social · 22/09/2026

Evidence: Under Fire series sale! Pricing is weird at B&N but the other vendors are showing the right price. Buy now: geni.us/E-UnderFire

Into the Storm cover with $2.99 price and tagline: they must set aside distrust and betrayal to defeat a deadly enemy in the wild.
Trust Me cover with $0.99 price and tagline: Abducted then rescued, she returns home to find the danger has only just begun.
Don't Look Back cover with $2.99 price and tagline: Travel to Malta with an art historian seeking the truth her father has been hiding for decades.
False Flag cover with preorder price $5.99 and tagline: An archaeologist risks everything to stop a disinformation podcaster from using his influence to incite violence.

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Jillian David @jilliandavid.bsky.social · 22/09/2026

naw, dude, you chose to travel on a shitty, malfunctioning plane

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Jillian David @jilliandavid.bsky.social · 21/09/2026

Here is my bank account routing details: 3521421. Please now remit your information sir/ma'am.

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Jillian David @jilliandavid.bsky.social · 21/09/2026

Definitely, Mr. JESSIE, you should forward your BANK INFO so that we can wire you a GENEROUS advance with this special PUBLISHING DEAL.

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Jillian David @jilliandavid.bsky.social · 21/09/2026

Oh look, even more corruption from the narcissistic briber-in-chief

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Karl Bode @karlbode.com · 18/09/2026

honestly some of the most apocalyptic impacts of "AI" will be shit like this, and most of the doomsday dipshits predicting SkyNet can't be bothered to notice or care

arstechnica.com

UnitedHealth uses AI model with 90% error rate to deny care, lawsuit alleges

For the largest health insurer in the US, AI's error rate is like a feature, not a bug.

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Jillian David @jilliandavid.bsky.social · 15/09/2026

And yet I would very much like to pet the murder floof

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Jillian David @jilliandavid.bsky.social · 14/09/2026

I think what is particularly stunning is how literally everything he touches turns to complete shite. Everything. Yet he somehow makes money doing it. He is the very definition of a mediocre dude "failing up" because he has a big mouth attached to his empty head and some swagger without substance.

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Jillian David @jilliandavid.bsky.social · 14/09/2026

I'd go out and buy this book just based on this review, but like any intelligent reader who loves well-written romantic suspense books and who scared to objectively examine the ramifications of colonialism ... I've already read this absolute banger of a book! Smart readers read Rachel Grant!!

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Jillian David @jilliandavid.bsky.social · 14/09/2026

100% true. It is beyond confusing to switch from Medicare Advantage to regular Medicare + supplement. Nearly impossible. It's like you're trapped in a prison.

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Jillian David @jilliandavid.bsky.social · 14/09/2026

Thanks much. I shout this to my patients all year long and then pop a thread into social media every fall. Most folks don't understand the Medicare Advantage scam. If I can reach a few extra folks here and there, it feels like I'm doing something worthwhile to make people's health a little better.

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Jillian David @jilliandavid.bsky.social · 14/09/2026

Nothing like paying out the nose for insurance to withhold lifesaving treatment. It's actual insanity.

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Jillian David @jilliandavid.bsky.social · 14/09/2026

There's a saying, I can't remember where I saw it, so apologies if it's inadvertently lifted from someplace: 'If you're not part of the solution, there's good money to be made in prolonging the problem.' /fin (*unless I get agitated and think of some other things I didn't mention)

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Jillian David @jilliandavid.bsky.social · 14/09/2026

I also know that denying a 66 y/o cancer patient who can't get the oncologist-recommended cancer treatment because the less-effective drug is cheaper, all while the CEO of your company makes $50 million per year ... ought to send your company straight to hell for killing people out of greed. 16

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Jillian David @jilliandavid.bsky.social · 14/09/2026

What I know is that if you have to pay $1000/month for insurance and you have a $15,000 deductible, then you've paid out of pocket $27,000 to the company BEFORE THEY GIVE YOU ANYTHING. per year. January 1st? Rinse and repeat. Every. Flipping. Year. 15

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Jillian David @jilliandavid.bsky.social · 14/09/2026

Listen, entire hospital depts exist because of the stupidity of coding, billing, prior auths, claim denials, resubmissions of same exact stuff, claims adjustments. Some depts are like 20 employees deep including managers. All bc insurance companies exist to make things cheap, but not healthy. 14

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Jillian David @jilliandavid.bsky.social · 14/09/2026

Imagine if you will, all the money for healthcare resources that could exist if private equity insurance weren't siphoning off people's money to not provide healthcare and knotting up healthcare with endless forms that cost $$ to fill out and fight. Medicare For All = better than this shit. 13

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Jillian David @jilliandavid.bsky.social · 14/09/2026

It drives home the point that there is NO NEED for insurance companies to exist. Insurance attempts to justify their own succubus existence by allocating nursing staff to do "wellness assessments" where they call patients each year. To be clear: your primary care doc does this already 12

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Jillian David @jilliandavid.bsky.social · 14/09/2026

The creep of Medicare Advantage becoming a parasitic infection in the Medicare market is pretty awful from a patient care perspective. It's hard to watch as a doctor. I just keep trying my best to educate patients and keep up with the stupid Medicare and MA changes, but ... 11

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Jillian David @jilliandavid.bsky.social · 14/09/2026

A Medicare supplement covers that $10,000 gap. Yes, you pay for the coverage per month. Caveat: sometimes folks can have that supplemental or "gap" covered under state Medicaid if they are low-income or disabled. (depends partly on the state and how poor and how disabled as to who gets it) 10

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Jillian David @jilliandavid.bsky.social · 14/09/2026

You get a lab test to recheck your thyroid level, and the lab test costs $200. If you don't have a supplemental, then you will owe $40. Cool, cool, cool. If you are in the hospital with pneumonia for a week and rack up a $50,000 bill without supplemental coverage, you owe: $10,000... Oh. 9

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Jillian David @jilliandavid.bsky.social · 14/09/2026

You DO know that basic Medicare (or MA for that matter) DOESN'T COVER EVERYTHING, right? Depending on a lot of factors. With Medicare, for example, if a test is screening vs diagnostic, it changes the coverage %. Screening = 100% covered. Diagnostic = 80% covered Let's do some math, shall we? 8

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Jillian David @jilliandavid.bsky.social · 14/09/2026

Instead, get: Medicare part A (hospital coverage) Medicare part B (doctors visits and home health care and equipment like walkers and wheelchairs) Part D (drug plan) Part G/K or "Medicare supplement" (what the above doesn't cover) WHICH REMINDS ME TO MENTION... 7

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Jillian David @jilliandavid.bsky.social · 14/09/2026

What to do? (again, do not construe as expert advice) If you are on a Medicare Advantage plan, try to switch. Good luck. They make it stupidly hard to do so, but it's possible. Reminder, they care only about your money, not your wellbeing. They will do anything for the former but not the latter 6

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Jillian David @jilliandavid.bsky.social · 14/09/2026

But what about the cool dental and vision and Silver Sneakers benefits "all rolled into it"? That's smoke and mirrors meant to distract from the fact that they take your money and give you no substantive health care. Want to choose your doctor? Tough. Want a 2nd opinion in another state? Nope. 5

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Jillian David @jilliandavid.bsky.social · 14/09/2026

*This should not be construed as expert advice, but I am an expert who has observed her patients suffering due to this deceptive insurance plan.* It's a pretty short list, the things I hate as much or more than Medicare Advantage. (People that run such plans would be right up there on the list.) 4

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Jillian David @jilliandavid.bsky.social · 14/09/2026

Some of the most awful human sacrifices I've seen by insurance companies have come from MA advantage plans withholding lifesaving treatments for patients. Heck, if they delay long enough, the patient dies and they get to keep the Medicare money they refused to spend on the patient. Yay! 3

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Jillian David @jilliandavid.bsky.social · 14/09/2026

MA plans are BASICALLY SHITTY PRIVATE INSURANCE. Here's how it works. You get XX amount of money from Medicare each year for care. MA plans take your Medicare money and then turns around and tries not to spend it. That's right, they make money by not spending *checks notes* YOUR MEDICARE MONEY 2

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