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xpostfactoid

@xpostfactoid.bsky.social
3.7K followers 763 following 3.2K posts

Blogging mostly healthcare policy at xpostfactoid.substack.com. ACA implementation watcher. CSR czar. AKA Andrew Sprung.

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xpostfactoid @xpostfactoid.bsky.social · 1h
And political parties that countenance such rhetoric are even more dangerous than the sick evil individual who spews it
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xpostfactoid @xpostfactoid.bsky.social · 4h
Stray thought: the mass product rating norms in place today may have come in part from the legal industry, in that the Zagats, who pioneered customer ratings for restaurants, borrowed the format from Chambers, the lawyer rating service.
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Citizen Cohn / Jonathan Cohn @citizencohn.bsky.social · 5h
Charles' track record on these sorts of estimates and projections is superb, so take this seriously...
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xpostfactoid @xpostfactoid.bsky.social · 6h
and if you've posted videos of yourself dumping shit on such cities.
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xpostfactoid @xpostfactoid.bsky.social · 6h
It's very mathematical of Trump to introduce a hypothetical with "let them." All that math he did at Wharton must have shaped his speech patterns.
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xpostfactoid @xpostfactoid.bsky.social · 6h
A subtle difference. Great minds are hard to parse.
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Status Coup News @statuscoupnews.bsky.social · 07/10/2026
EXCLUSIVE: Delaney Hall Hunger Strike Leader Martin Soto RELEASED, First Interview with Status Coup He and other detainees inside Delaney Hall were served expired/rotting food. He lost 40 pounds over his nine month detainment. substack.com/home/post/p-...
substack.com
EXCLUSIVE: Delaney Hall Hunger Strike Leader Martin Soto RELEASED, First Interview with Status Coup
Watch now (1 min) | Soto reveals he was ILLEGALLY thrown in solitary confinement for 4 months as retaliation for helping launch hunger strike at Delaney Hall ICE prison; he also lost 40 pounds over 9 ...
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xpostfactoid @xpostfactoid.bsky.social · 7h
What a true-blue Nazi -- turning an economic question into an opportunity to hit two groups targeted for demonization.
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xpostfactoid @xpostfactoid.bsky.social · 7h
“It’s so important to expand our sense of community responsibility and stand up for those who are under siege” -- Cynthia Galeota (my wife), co-founder, SOMA Community Cares.
villagegreennj.com
'Shuck ICE': Perla Seafood & Raw Bar Raises Funds for Immigrants in Detention - The Village Green
Funds go to SOMA Community Cares, which has become the nexus of immigrant detention support and response in the community.
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xpostfactoid @xpostfactoid.bsky.social · 10h
I don't suppose blowing my nose into this check and sending it to the White House would be quite the thing...
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xpostfactoid @xpostfactoid.bsky.social · 06/10/2026
Wait. This is maybe a bit deep in, but... (Wegmann)
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xpostfactoid @xpostfactoid.bsky.social · 05/10/2026
Thought bubble: Calling the developments in 18th Century knowledge and philosophy "The Enlightenment" may have some claim to accuracy -- but it was also maybe the greatest branding campaign in European history.
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xpostfactoid @xpostfactoid.bsky.social · 04/10/2026
"It needs no ghost, m'lord, to tell us that." But good to have a verdict from sources many will respect.
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xpostfactoid @xpostfactoid.bsky.social · 04/10/2026
QED. RFK is a vicious lying fraud.
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xpostfactoid @xpostfactoid.bsky.social · 02/10/2026
"He often looked to Yossarian like one of those people hanging around modern museums with both eyes together on one side of a face. It was an illusion, of course, generated by Clevinger’s predilection for staring fixedly at one side of a question and never seeing the other side at all."
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xpostfactoid @xpostfactoid.bsky.social · 02/10/2026
MAGA in a nutshell
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xpostfactoid @xpostfactoid.bsky.social · 02/10/2026
Some time not too distant, countries will compete for immigrants.
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xpostfactoid @xpostfactoid.bsky.social · 02/10/2026
BTW, domestic wars are also bad.
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Lis Power @lispower.bsky.social · 01/10/2026
Fox News is honing in on the enemy ... and it's ... Ms. Rachel?
Graphic showing "Ms. Rachel's controversial stances" 

which includes supporting Dem candidates, supporting Palestine, opposing ICE, and stating no one needs a billion dollars.
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xpostfactoid @xpostfactoid.bsky.social · 01/10/2026
For Grassley, longevity has meant the opportunity to dig himself a fresh circle of hell every year. Shameful old fascist fraud.
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xpostfactoid @xpostfactoid.bsky.social · 30/09/2026
Today in profiteering healthcare providers hawking unnecessary care
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xpostfactoid @xpostfactoid.bsky.social · 30/09/2026
One extra cruel twist here: DHS froze green applications for 75 countries. Refugees and others who should have green cards by now but don't are among those who are losing eligibility.
kffhealthnews.org
US Poised To Boot Legal Immigrants From Medicaid, Including Refugees and Sex-Trafficking Victims - KFF Health News
The Congressional Budget Office estimated 100,000 more immigrants will be uninsured by 2034 because of Medicaid eligibility changes under President Trump’s One Big Beautiful Bill Act that take effect ...
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xpostfactoid @xpostfactoid.bsky.social · 29/09/2026
Nice healthcare system we've cultivated here in the U.S.,inn't. georgetown.app.box.com/s/h549l7vie6...
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xpostfactoid @xpostfactoid.bsky.social · 29/09/2026
The Fun They Had! www.johnspence.org.uk/wp-content/u...
johnspence.org.uk
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xpostfactoid @xpostfactoid.bsky.social · 29/09/2026
www.johnspence.org.uk/wp-content/u...
johnspence.org.uk
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Aaron Rupar @atrupar.com · 29/09/2026
Jack Smith: "Our investigation developed proof beyond a reasonable doubt that President Trump engaged in serious crimes against our nation ... rather than accept his defeat in the 2020 election, he engaged in a criminal scheme to overturn the results and prevent the lawful transfer of power"
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xpostfactoid @xpostfactoid.bsky.social · 29/09/2026
“Naming agents is not a verdict,” Donatti said. “It is a precondition for an independent investigation. It lets witnesses come forward, lets the public see whether there’s a history, and ensures that facts are tested before any account hardens into the only story.”
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xpostfactoid @xpostfactoid.bsky.social · 27/09/2026
Some really good questions at the end of this, for grandparent-aged adults without grandchildren, and for adults aware that their parents may want them rcobooth.substack.com/p/on-prospec...
rcobooth.substack.com
On prospective grandparents
(a tiresome thing from the internet this weekend, and some new stories)
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xpostfactoid @xpostfactoid.bsky.social · 25/09/2026
If only that smiling duo had been Richard (Nixon) and Ted
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xpostfactoid @xpostfactoid.bsky.social · 25/09/2026
Chinga la [Office of Re-]Migra[tion] Also, Chinga la Miller
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xpostfactoid @xpostfactoid.bsky.social · 25/09/2026
One product accoutrement I don't really understand: umbrella covers.
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🌬Breeze @cool-summer-breeze.bsky.social · 24/09/2026
This is the Stolen Neighbors Quilt. Each of the 11,000 squares represents a person taken by ICE in Minnesota.
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Charles Gaba ✡️ @charlesgaba.com · 23/09/2026
While I'm at it, the CONGRESSIONAL DISTRICT with the highest ACA enrollment in the country is #FL27, represented by Maria Elvira Salazar. She's the one who posted an ad begging Trump to rein in ICE after voting to give them $70 billion. acasignups.net/cd-pie-chart... (chart is from last year)
Pie chart breaking out healthcare enrollment of total population in FL-27
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xpostfactoid @xpostfactoid.bsky.social · 23/09/2026
How far off is the day when countries compete for immigrants?
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xpostfactoid @xpostfactoid.bsky.social · 23/09/2026
Are fraudulent brokers (there are/have been plenty of them) especially good at finding relatively large households to enroll?
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xpostfactoid @xpostfactoid.bsky.social · 23/09/2026
These fraudsters don't even try to make their lies credible. They deliver caricatured versions even of the bogus research their claims are based on. They are all mini-Trumps.
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xpostfactoid @xpostfactoid.bsky.social · 23/09/2026
However accurate/inaccurate CMS's i.d. of unauthorized ACA enrollment is, here's an oddity: "On August 31, 2026, CMS canceled approximately 315,000 enrollments covering over 760,000 individuals" ACA enrollments' average household size is ~ 1.5. Avg disenrolled household size is 2.4. Why?
cms.gov
Federal Marketplace (FFE and SBE-FP) Anti-Fraud Actions
Federal Marketplace (FFE and SBE-FP) Anti-Fraud ActionsIntroduction
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xpostfactoid @xpostfactoid.bsky.social · 22/09/2026
People prefer democratic socialists to fascists?
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xpostfactoid @xpostfactoid.bsky.social · 22/09/2026
yeah, your coverage might disappear like an immigrant in detention
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xpostfactoid @xpostfactoid.bsky.social · 22/09/2026
Beware of fraudsters fighting fraud.
charlesgaba.substack.com
Breaking: Vance/Oz to kick ~760,000 off of ACA coverage and/or subsidies based in part on "fraud" claims "predicted" by an AI model
Nothing to worry about, if they make a mistake you can appeal from your hospital bed!
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xpostfactoid @xpostfactoid.bsky.social · 22/09/2026
The Republican party, with one voice, denigrates immigrants as dangerous criminals. Tens of millions believe them.
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xpostfactoid @xpostfactoid.bsky.social · 22/09/2026
He drinks every cup of shame to the bottom, but does he taste it?
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xpostfactoid @xpostfactoid.bsky.social · 22/09/2026
Thanks to Republican hatred, almost all immigrants need a green card to qualify for Medicaid (as of Oct. 1) or Obamacare (as of Jan. 1). But the Trump admin has frozen green card applications for 75 countries. Get it?
newjerseymonitor.com
Federal change threatens Medicaid coverage for 25K legal immigrants in NJ • New Jersey Monitor
A Medicaid eligibility change could end healthcare coverage for 25K legal immigrants in NJ starting Oct. 1.
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xpostfactoid @xpostfactoid.bsky.social · 21/09/2026
AI doomer headlines brought this from Vonnegut to mind:
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xpostfactoid @xpostfactoid.bsky.social · 20/09/2026
Hey, maybe turn the Kennedy Center into an immigrant detention center.
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xpostfactoid @xpostfactoid.bsky.social · 20/09/2026
What a war crime collar we're building
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xpostfactoid @xpostfactoid.bsky.social · 20/09/2026
While there's a clear through line, my memory is that here in the U.S. in this era, the term "fake news" was first used on Fox and more extreme right-wing outlets, then expropriated by Trump and allies against mainstream media.
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xpostfactoid @xpostfactoid.bsky.social · 18/09/2026
Why both U.S. parties tend to move right: "maybe being oriented toward the groups who are already powerful, and against the rights of those who are marginalized, is usually safe." goodpoliticsbadpolitics.substack.com/p/what-if-we...
goodpoliticsbadpolitics.substack.com
What if we’re wrong about party asymmetry?
Join me on this journey of speculation
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xpostfactoid @xpostfactoid.bsky.social · 18/09/2026
The rest are corrupt traitors who sold U.S. public health down the river, along with democracy and the rule of law. (As for McConnell, he was 2 for 3.)
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Carla Astudillo @carla-astudi.bsky.social · 16/09/2026
Since I joined ProPublica in January, I have been tracking the massive surge in petitions by immigrants to contest their detention. When I looked closer at the data, I found HUGE disparities in the time it takes certain judges to resolve these cases. THREAD ⬇️ www.propublica.org/article/ice-...
propublica.org
These Judges Take Months to Decide If Immigrants Have Been Unlawfully Detained
Judges in some parts of the country have taken months to adjudicate immigrants’ claims of unlawful imprisonment, our analysis of 70,000 habeas petition cases found. Some detainees are asking to be dep...
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