Was just talking about ANZ Sky Couch the other day. Just got word that Rachael’s last uncle, John, died in Mount Maunganui an hour ago, so we’ll be on a plane to NZ tomorrow for a long few days. Requiescat in pace Uncle John.
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Mike vonTschudi 🇨🇭🇱🇮
42.6K posts
Mike vonTschudi 🇨🇭🇱🇮
@ICUStat
Native Conch currently in exile in Missoula, MT, and Kona, Hawaii. Former submarine XO. Cirrus Owner/Pilot. Bon vivant.
Missoula, MT Joined Haziran 2009
2K Following2.2K Followers
Mike vonTschudi 🇨🇭🇱🇮 retweeted
BREAKING UPDATE: Cathy DiFilippo-Kiley, administrator at Huron-Superior Catholic Schools, has been FIRED following deranged tiktok fantasizing about Trump getting ass*ssinated-
Another one bites the dust!
Libs of TikTok@libsoftiktok
Meet Cathy DiFilippo-Kiley. She’s an administrator at Huron-Superior Catholic Schools in Ontario, Canada. She fantasizes about Trump getting ass*ssinated publicly and says she will be cheering You can contact the school here: front.desk@hscdsb.on.ca
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@KatTimpf message to young kids on @JesseBWatters show was Ludacris. Shows that’s people in positions as hers should stick to comedy, not giving advise to kids and trying to turning them into alcoholics. Bad messaging from a @FoxNews contributor.
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Mike vonTschudi 🇨🇭🇱🇮 retweeted
Don’t we love our diversity, folks?
Don’t we love our variety of cultures?
Don’t we feel like a stronger country because of it?
End Wokeness@EndWokeness
Applause line at protest in Philly: "For every US soldier who comes back in casket, we cheer!"
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Can you imagine ever taking this communion seriously again?
Archbishop of Canterbury@ArchbishopSarah
I am Sarah, a servant of Jesus Christ, and I come as one seeking the grace of God, to travel with you in his service together. I am sent as archbishop to serve you to proclaim the love a Christ and with you to worship and love him with heart and soul, mind and strength.
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@MCCCANM That’s how the kids go when we go to NZ. Mom and dad up front, kids in the back tucked in.
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Sorry, I couldn’t help myself.
(Stolen meme. Also, Air New Zealand has had this going for a while & apparently it’s pretty popular. Guess we’ll see)
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Mike vonTschudi 🇨🇭🇱🇮 retweeted
Azeen did careful, sensitive and well-written work on a very tough beat and gets her just reward. Bravo. @nytimes and @nytmag: nytco.com/press/a-new-ro…
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Mike vonTschudi 🇨🇭🇱🇮 retweeted
Surviving Sepsis 2026 is here & it's even more loony tunes than I was expecting.
They're promoting pre-hospital ABX & preemptive broad-spectrum IV antibiotics for intubated patients.
This insane fever dream is an antimicrobial stewardship nightmare.
Embarrassment for SCCM.
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@Sen_Albritton @jasonbrodeur @GovRonDeSantis @CarlosGSmith @AlexisMCalatayu @SenatorOsgood @ShevrinJones @IleanaGarciaUSA No matter how much you give to these bug chasers, it will never be enough for them to vote for you.
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Thank you @GovRonDeSantis! I’m grateful to @jasonbrodeur @CarlosGSmith @AlexisMCalatayu @SenatorOsgood @ShevrinJones @IleanaGarciaUSA and many other Senators for working together to come up with a short-term solution to keep the program going. 🇺🇸🍊
Forrest Saunders@FBSaunders
New: Gov. DeSantis signed emergency legislation restoring HIV medication access for 12,000+ Floridians after ADAP cuts left patients in limbo. The bipartisan law provides $30.9 M through June 30, restores eligibility to 400% of poverty level, and adds new DOH reporting requirements.
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@AmyMek @pythonintercept News concerning anything the LDS church is involved with being shocking. Puhleeze. It’s a cult with a decent choir.
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🚨SHOCKING ESCALATION IN UTAH
The LDS Church – which donated $25K to build Utah's largest mega-mosque (Utah Islamic Center) and other mosques in the state – is NOW exposed for partnering with Hamas-linked ministries & financing Hamas contractors!
New March 23, 2026, reveals LDS Charities (Church's humanitarian arm) has funneled support to terror-aligned Islamic groups – far beyond what was known.
Key facts:
🔺LDS Charities partnered with Medglobal, an Illinois-based charity that openly boasted of collaborating directly with Hamas’s Ministry of Health in Gaza (2020 announcement lists LDS Charities alongside Hamas-connected Rahma Worldwide and Taliban-linked Islamic Oasis). Medglobal received $200,000 from LDS in 2017 and $1.9 million in 2019, with support continuing in recent years.
🔺 Rahma Worldwide (Michigan charity) has signed contracts with senior Hamas officials, including designated terrorist Ghazi Hamad (who vowed to repeat the October 7 attacks “time and again”).
Internal Hamas documents from 2022 confirm Rahma’s Gaza director is “affiliated with Hamas.” Aid workers in Gaza wore jackets bearing both LDS Charities and Rahma logos — along with the logo of RIHS, a Kuwaiti group designated by the U.S. Treasury for supporting Al-Qaeda.
LDS has listed Rahma as a major partner for over a decade, with joint projects in Gaza, Syria, Lebanon, and beyond - continuing even after Rahma’s terror ties became public. In March 2026, Rahma released a video of a new joint LDS-Rahma project in Syria.
🔺 LDS Charities funded Bayader Association, a Gaza-based group that coordinates closely with Hamas ministries and whose staff have publicly praised Palestinian Islamic Jihad terrorists. LDS supported Bayader welfare projects in Gaza (2014–2016), including untraceable cash grants - a method experts say often subsidizes terror recruitment and operations.
🔺 The Church has long collaborated with Islamic Relief (Muslim Brotherhood-linked, designated a terror organization by the UAE), serving as its largest donor after the 2004 tsunami and contributing millions in goods and services.
These partnerships persisted years after the groups’ terror connections were reported. When previously challenged, the LDS Church dismissed concerns as “false” without addressing specifics, claiming no aid was diverted - yet the collaborations continued.
🔺 This is the same Church that promotes “interfaith friendship” while funding mosque construction in conservative Utah, where conversions are surging and Republican leaders (Gov. Cox, SLC mayor in hijab at City Hall iftar) are accommodating Islamic events with zero reciprocity from Muslim-majority nations.
Utah Mormons: Your tithing dollars are building mega-mosques at home and - indirectly - supporting Hamas-aligned networks abroad.
This isn’t compassion. It’s dangerous, one-sided enabling of the ideology now infiltrating red-state Utah.
See the full report: meforum.org/church-of-latt…
Amy Mek@AmyMek
🚨SCOOP: RED STATE ISLAMIZATION ALERT: BEWARE UTAH RED STATE UTAH'S ISLAMIZATION ACCELERATES – EVEN THE LDS CHURCH IS FUNDING IT Utah – America's reddest stronghold (GOP trifecta, Trump landslide, Mormon pioneer roots) – is transforming before our eyes. And Republican leadership + the LDS Church are helping pave the way. Just exposed: Yesterday, we exposed the Salt Lake City Democrat Mayor Erin Mendenhall donned a full blue hijab, hosted an official Ramadan Iftar, turning historic City Hall into a mosque – complete with live Adhan under the "OFFICE OF THE MAYOR" arch, qibla prayer direction signs, and program cards stamped with the city seal. Then we showed that Republican Gov. Spencer Cox hosted the first-ever Iftar at the Governor's Mansion (2024), transforming the people's house into a mini-mosque with prayer mats. He posted "Grateful... Ramadan Kareem" while renewing Muslim American Heritage Month proclamations praising Islam's "contributions" and combating "anti-Muslim hate." Zero reciprocity: Name one Islamic nation letting Christians pray in government halls, officials in crosses, or declaring Christian Heritage Month. It doesn't exist. Now the next layer – straight from the imam himself in a recent tour/interview of Utah's largest/newest mega-mosque. The Utah Islamic Center, completed in June 2020, spans 14,356 square feet and can accommodate 1,050 worshippers. The total cost was $3,365,833.36, including a $587,000 lot. The community, ethnically diverse, includes Middle Eastern, subcontinent, Somali, and convert groups 🚨Imam Shuaib Din boasts: 🔺Utah Muslims: 30-60k (likely 40-45k), "well-kept secret" growing fast. 🔺 Record Shahadas in 2024 – weekly conversions, including unrelated groups post-Isha. Blames the Gaza conflict for inspiring people to see Muslim "faith in suffering." 🔺 The mosque blends in (massive minaret, mountain colors) so "most people driving past cannot tell this is a masjid." Practical design prioritizing sisters' sharia-adherent spaces, civic use (polling place, COVID vax site, preschool for 350+ kids). Most shocking: The LDS Church donated $25,000 to build this purpose-built mega-mosque (same policy for Hindu temples & older mosques). Imam praises LDS "higher-ups" encouraging interfaith friendship and missionary outreach – while conversions surge among locals, including from LDS backgrounds. They also showed an image of Republican Gov. Spencer Cox proudly visiting. This isn't "tolerance." It's one-sided funding and accommodation enabling Islamic infrastructure in conservative Utah. LDS values (family, modesty) make it "good place to raise a family" per the imam – perfect for building enclaves. Republican Gov. Cox opens state mansion & declares heritage months. Democrat mayor turns City Hall into prayer space. Dominant LDS Church funds the mosques. Utah is being surrendered from the top – by its own leaders and religious majority. This is the Muslim Brotherhood playbook: internal Sharia enclaves + external "radicals with a smile" infiltrating via civic events. Wake up, Utah! Demand separation of mosque and state. Boycott halal. Do not vote for any leaders helping to Islamize YOUR state. Reject the infiltration. Before "grateful" becomes full submission.
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OF COURSE THE LEADER WAS A CORGI!!
𝕐o̴g̴@Yoda4ever
Seven dogs stolen from their owners have gone viral after escaping from an illegal transport truck and making their way home. They traveled around 17 km together, led by a corgi across highways and fields, now safely back with their respective owners..🐶🐾🥺❤️
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Mike vonTschudi 🇨🇭🇱🇮 retweeted
Next time you sip wine at a party, notice the tears dripping down the inside walls of your glass. The same tensile force that causes wine tears also causes embryos to develop a head-to-tail axis. quantamagazine.org/genes-have-har…
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Mike vonTschudi 🇨🇭🇱🇮 retweeted
Mike vonTschudi 🇨🇭🇱🇮 retweeted
Had a parent-teacher conference this morning
My wife told me not to come
I came anyway
She said "please just listen and nod"
I said "I always listen"
She said "you listen like you're sitting in a boardroom looking for something to challenge"
That's how listening works
Nice classroom
Small chairs
I am 6'4" and was seated at a desk designed for someone who still believes in Santa Claus
My knees touched my chest
The teacher introduced herself
Shared her identified pronouns
I shared my identified adjectives
Smart and handsome
My wife closed her eyes
The teacher had a folder
Color-coded tabs
I respected the organization
She said our son is "a pleasure to have in class"
My wife smiled
I waited
That sentence is never the whole report
It's the executive summary before the risk section
She said "however"
There it is
She said he "asks a lot of questions"
I said "good"
She said "during quiet time"
I said "when is quiet time?"
She said "it's when students are expected to work independently and in silence"
I said "so he's the only one trying to get information and you've structured the environment to prevent it?"
My wife put her hand on my arm
I continued
The teacher said he recently told another student that "sharing pencils doesn't make sense if nobody brings their own"
I said "that's an accurate observation"
My wife squeezed harder
The teacher said she's concerned about his "resistance to group activities"
I said "he's not resistant. He just doesn't see the value of doing more work for the same grade."
The teacher said he also corrected her math on the whiteboard
I said "was he right?"
She paused
She said "that's not the point"
I said "it's a little bit the point"
My wife stood up
Sat back down
Compromise
The teacher pulled out an evaluation sheet
Categories like "works well with others" and "follows directions" and "respects classroom norms"
All subjective
Not a number on the page
I asked how these are graded
She said "based on observation"
I said "so one person's opinion with no second review?"
She said "it's professional judgment"
I said "my auditors say that too. Right before I disagree with them."
She looked at my wife
My wife said "I'm sorry about him"
I said "I'm sitting right here"
My wife said "I know"
The teacher said overall he's a bright kid and she just wants to make sure he learns to "collaborate"
I said "collaboration is important. But so is recognizing when you're the only one doing the work. He'll learn that again in college. And again in the real world. Might as well start now."
Nobody spoke
The teacher closed her folder
She said "I think we've covered everything"
I said "one more thing"
She braced herself
I said "his reading is above grade level. His math is strong. He asks hard questions and corrects mistakes when he sees them. I just want to make sure this school knows what it has."
The teacher looked at me differently
My wife looked at me differently
I said "that's all"
We left
In the car my wife was quiet
Then she said "he's turning into you"
I said "is that a good thing?"
She didn't answer
From the backseat he said "dad, why does the teacher count off for asking questions? Isn't that the whole point of school?"
I looked at my wife
She looked out the window
I said "yes. It is."
He said "I don't think she likes when I'm right"
I didn't say anything
Neither did my wife
Small chairs
Color-coded tabs
No follow-up items
But the kid's going to be fine
Sent from my iPhone
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If you think the allegations against Cesar Chavez are incriminating, just wait another 1000 years for the truth about MLK Jr to come to light.
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Mike vonTschudi 🇨🇭🇱🇮 retweeted
MUST READ: A bombshell NYT investigation shows that Cesar Chavez sexually abused young girls.
Dolores Huerta also discloses for first time that that Chavez raped her.
So much more from Manny Fernandez and Sarah Hurtes —>
nytimes.com/2026/03/18/us/…
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You know that top left corner of Epic that has the pt name and demographics…and that can change colour of for certain user defined “reasons?” You know the troony gimp “healthcare expert” Matthew Cortland? Yeah, his is red.
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Mike vonTschudi 🇨🇭🇱🇮 retweeted
I am Sam Hazen, CEO of HCA Healthcare. The largest for-profit hospital system in the United States.
One hundred and eighty-two hospitals. Twenty states.
I oversee a spreadsheet called the chargemaster. It has 42,000 line items. Each line item is a price. The prices are not real.
I need to be precise about that. They are not estimates. Not approximations. Not market rates. They are anchors. An anchor is a number you set high so that every negotiated discount feels like a victory. No relationship to cost. No relationship to value. A relationship to leverage.
My team sets the anchors. That is the job.
The price is correct.
Take a drug. Keytruda. Immunotherapy. Treats sixteen types of cancer. The manufacturer charges approximately $11,000 per dose. That is the acquisition cost. What the hospital pays.
My team enters it into the chargemaster. They do not enter $11,000. They enter $43,000.
That is the gross charge. The gross charge is a fiction. No one pays it. No one is expected to pay it. The gross charge exists so that when Blue Cross negotiates a 68% discount, they pay $13,760, and the contract says "68% discount" and both parties feel the transaction was rigorous.
A 68% discount on a fictional price produces a real price that is 25% above acquisition cost. That margin is where I live. My 2025 compensation was $26.5 million. Eighty percent of my bonus is tied to EBITDA. Earnings Before Interest, Taxes, Depreciation, and Amortization. It is also earnings before the patient opens the bill.
Same dose of Keytruda at the hospital across town. Gross charge: $12,000. Blue Cross rate: $10,200. Same drug. Same dose. Same needle. Same cancer. Different spreadsheet.
The CMS transparency data showed the ratio between the highest and lowest negotiated price for the same drug at the same hospital can reach 2,347 to one. Not 2x. Not 10x. Not 100x. Two thousand three hundred and forty-seven to one. For the same thing. In the same building. On the same Tuesday.
The price is correct.
Every drug in the chargemaster has twelve prices. Twelve.
Gross charge. Medicare rate. Medicaid rate. Blue Cross. Aetna. Cigna. UnitedHealth. Humana. Workers' comp. Tricare. Auto insurance.
And the self-pay rate.
The self-pay rate is for the person without insurance. It is the gross charge. The fictional number. The anchor. The person without insurance pays the number that was designed to be negotiated down from. They pay the ceiling because they have no one to negotiate on their behalf. Same drug. Same chair. Same nurse. They pay the price that no insurer in the country would accept.
I maintain a file. CDM line item 637-4892-PKB. Saline flush. Sodium chloride 0.9%. Acquisition cost: $0.47. We charge $87. That is an 18,410% markup.
The saline flush is used before and after every IV infusion. A chemo patient receiving twelve cycles will be charged $87 for saline fourteen times per visit. I know the math. My team built the math. The math is the job.
The price is correct.
In 2021, the federal government required hospitals to publish their prices. The Hospital Price Transparency Rule. Machine-readable file. Gross charges. Discounted cash prices. Payer-specific negotiated rates.
We complied. We posted the file.
The file is a 9,400-row CSV on our website under "Patient Financial Resources." Four clicks from the homepage. Column F: "CDM_GROSS_CHG." Column J: "DERV_PAYERID_NEGRATE." My team designed the column headers. They designed them to comply. They did not design them to communicate.
CMS reported 93% of hospitals now post a file. Compliance. But only 62% of the posted data is usable. That gap is where we operate. We are compliant. The data is published. The data is incomprehensible.
A researcher downloaded our file. She spent three weeks cleaning it. She called the billing department for clarification on 340 line items. They transferred her four times. The fourth transfer was to a voicemail box that was full.
She published her analysis anyway. Cardiac catheterization lab charges: $8,200 to $71,000 for the same procedure depending on the payer. The report received eleven views on our press monitoring dashboard. I saw it. I did not forward it.
On April 1, a new CMS rule takes effect. Hospital CEOs must personally attest — by name, encoded in the machine-readable file — that the pricing data is "true, accurate, and complete."
My name. Sam Hazen. In the file. Attesting that 42,000 fictional anchors are true, accurate, and complete. They are complete. I will give them that. Forty-two thousand line items is nothing if not complete.
A new analyst read the transparency data. She asked why the same MRI costs $450 for Medicare and $4,200 for Aetna in the same building on the same machine.
I told her the rates reflect negotiated contractual agreements between the payer and the facility. She said that doesn't explain the difference. I told her the difference IS the contractual agreement. She said that sounds like the price is arbitrary.
I told her the price is the result of a rigorous, multi-variable analysis that accounts for acuity, case mix, regional market dynamics, and payer contract terms. She asked if I could show her the analysis.
I told her the analysis is proprietary.
The analysis does not exist. The analysis is my team, in Q4, adjusting the chargemaster upward by the percentage the CFO wrote on a sticky note. The sticky note this year said "6-8%." They chose 7.4% because it is between six and eight and it has a decimal, which makes it look calculated.
She stopped asking.
The price is correct.
My insurance. The executive health plan. Not in the chargemaster. Administered separately.
I do not pay the gross charge. I do not pay the negotiated rate. I pay a $20 copay for services at our own facilities. Gross charge for my treatment: $14,200. Insured rate for our largest commercial payer: $8,600. I pay $20.
The executive health plan was designed by the Chief Human Resources Officer and approved by the compensation committee. I was not on the compensation committee. I was a beneficiary of it. That is a different thing.
I benefit from the system I price. I price the system I benefit from. These are two separate facts that happen to involve the same person.
HCA Healthcare was named the Most Admired Company in our industry by Fortune magazine for the twelfth consecutive year. That was February. The same month I sold $21.5 million in company stock and purchased zero shares. Fortune did not ask about the chargemaster.
I am Sam Hazen, CEO of HCA Healthcare. I have 42,000 prices in a spreadsheet across 182 hospitals. None of them are real. All of them are charged.
Same drug: $12,000 or $43,000. Depends on which spreadsheet. Which building. Which contract. Which page of which PDF.
The patient who has no contract pays the most. The researcher who found the discrepancy got a voicemail box that was full. The analyst who asked why stopped asking. The executive who prices the system pays $20.
On April 1, I will personally attest that this is true, accurate, and complete.
The price is correct. The price has always been correct. I am the price.
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Now we’re talking. This is a storm worthy of summertime in the Keys.
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Mike vonTschudi 🇨🇭🇱🇮 retweeted
