Bootstraps

@POTUS Biden, you’re a lying dog-faced pony soldier. Ppl are learning the healthcare system is a GIGANTIC INCOME TAX on all workers to fund Medicare, hospital drug profiteering and those without insurance. 🤡

@lizzybetsdad @JohnJHarwood Haha, I’m sorry you have a micro penis.

@StrapsBoot @JohnJHarwood Yep. That’s another word for ya that fits.

for cryin' out loud, cancel the dinner permanently it's a godawful event that serves no useful purpose

@lizzybetsdad @JohnJHarwood Wow, what a douchebag.

@StrapsBoot @JohnJHarwood Obama made Trump look like the dumb phony he is. And all you fuckers voted for him anyway, because you’re the stupidest, most broken bunch of losers in modern history.

We have a left-wing violence problem in America. After 3x attempts on Trump, Charlie, Kavanaugh, Scalise and more… I wake up everyday with a knot in my stomach about what will happen next.

Remember this

@ChrisDJackson @JoeBiden They used AI to remove the drool.

Who else misses the boring, no-drama days of @JoeBiden? No chaos. No circus. No daily embarrassment. Just quiet competence from a president who actually knew how to do the job.

This has aged well.

@mcuban Ha. You left out the key point that Medicare underpays hospitals and government and the industry knows that the privately insured has to make up the difference!!!

The greatest problem in healthcare ? Hospitals, even market dominant hospitals, won’t walk away from the big ins companies that underpay, late pay, clawback, deny claims, waste their time in denial appeals, and require them to pay up to 8 pct of revenue to RCM consultants so they think they are getting what they are owed. Here is the crazy part. The ins companies ARE NOT THE ONES ACTUALLY PAYING THEM on commercial plans. Employers are. 60 pct of employees get their insurance from their self insured employers. The ins carrier is just a middleman that pretends to add value. All the clinical “value” they add, the hospital could do better, for both medical and pharmacy. Most hospitals have no idea whether they make or lose money with their big ins contracts. They are just afraid to lose patient flow. But. They actually know which companies their patients are coming from. They actually know or can find out, how much more the employers are paying the ins company, than what the ins company pays them (the spread, just like in pharmacy ) And to make it worse, those ins companies negotiate their rates as a discount from the “charge master “, which is like WAC in pharmacy. Just a made up list price. Because the hospitals are afraid or too uninformed to walk away from these deals, the hospitals use the inflated charge master prices as the basis to charge uninsured , or out of network , or insured but not covered for their care, at charge master rates. Which of course the patients can’t afford. And it crushes their finances or they go without care I’ll summarize. Employers , and their members , are paying far more than they should to companies they don’t like working with , that effectively rip off both the employer and hospital , and they could eliminate the middlemen if they went directly to to the employer. It’s so simple. Sell your services to the employers that use your services at a price that is less than what nine companies charge for your services and you will make MORE money and employers will save a ton And if they did this, they could dump the chargemaster and reduce the price they bill patients when they are at their most vulnerable But they don’t want to change. And don’t get me started on how much hospitals over pay for drugs and devices because of the GPO deals they do. It’s just stupid. Which in turn leads to the hospital being a bad actor with 340b , facilities fees and afraid of their doctors who demand they pay more for things like glue and implants so they can get vacations. If you are a politician and reading this. Now you know why this is so fucked up and it’s not about capping rates. The insurance companies are smarter than you. They will just move the money to other places. It’s not about giving money to patients. You can’t shop for care from hospitals that are too gutless to walk away from the ins companies that distort all of healthcare economics Go to your local hospitals , particularly those at risk of closing and ask for their profitability by carrier. Fully burdened. Ask how much they spend on RCM and consultants. In many cases they could survive if they ran like a real business and hired execs that could do the work rather than just manage consultants. They could work out contracts in their communities rather than with ins companies and benefit everyone. The middlemen are not needed. Get rid of them

@Jacobtheclipper You mad bro?

Its a DISGRACE the best guard in basketball chooses to play like this 🤢🤢🤢 The league has to stop rewarding this or else the game will die 👊

@WSJopinion @Peggynoonannyc No, the Pope has a few talking points from Axelrod. Hardly Trump’s match.

Trump Meets His Match in Pope Leo by @Peggynoonannyc on.wsj.com/4tNwjU3

@SenWarren Populist BS. Warren is such a lying POS.

If you paid even a penny in federal income tax last year, you paid more than: Tesla Southwest Disney Live Nation HP United PayPal CVS Health Palantir Citigroup PG&E 3M That's right. They paid $0 in federal income tax. It's time for big corporations to pay their fair share.

@WSJ Nice of the @Pontifex to get Dem talking points from @davidaxelrod so he can start politicking. foxnews.com/politics/david…

Pope Leo XIV is facing the biggest test of his papacy in a fight with President Trump over the Iran war—and he isn’t folding. 🔗 on.wsj.com/4cOneER

@Pontifex x.com/knesix/status/…

God’s heart is torn apart by wars, violence, injustice and lies. But our Father’s heart is not with the wicked, the arrogant, or the proud. God’s heart is with the little ones and the humble, and with them He builds up His Kingdom of love and peace day by day. Wherever there is love and service, God is there. #ApostolicJourney #Algeria

@ericswalwell You’re yet another hypocritical clown. Haha!

I am suspending my campaign for Governor. To my family, staff, friends, and supporters, I am deeply sorry for mistakes in judgment I’ve made in my past. I will fight the serious, false allegations that have been made — but that’s my fight, not a campaign’s.

@MalcolmWTaylor @SilentlySirs Ritter is a sick, demented pedo. Plain and simple. Iranian media is quoting him left and right.

@SilentlySirs Ritter NEVER criticizes the Islamic Pedophile Regime of Iran OR Russia. He's wrong about EVERYTHING. He predicted a QUICK Victory for Russia when it invaded Ukraine in 2022.😂 Russia has LOST MORE soldiers in Ukraine than the USA lost in World War II.

An American analyst says it out loud: “The Gulf royal families didn’t reach their thrones through legitimacy. The British planted them, the Americans guard them, and they live off money pulled from land they never built.” Words no Arab channel will air — whispered in every Arab home.

@SilentlySirs An American "Analyst." 😂 This is one of the most Anti American scum bang on the planet. Oh, he's also a 2x CONVICTED pedophile. Scotty Ritter. Just a disgusting human being. Btw he's always wrong. Every single time

@SilentlySirs @RealScottRitter You’re a disgrace, probably possessed by a demon. May God force the demon out of you, may you see light.

This is the most sublime example of “the internet is forever” ever! Here’s censured liar Adam Schiff pontificating about “lying and indecency” with Eric Swalwell in an instant classic. Watching the Democrat Party implode in slow motion is a such a joy.

@Pontifex True Bible believing Catholics need to splinter yet once again.

God does not bless any conflict. Anyone who is a disciple of Christ, the Prince of Peace, is never on the side of those who once wielded the sword and today drop bombs. Military action will not create space for freedom or times of #Peace, which comes only from the patient promotion of coexistence and dialogue among peoples.

Taxing non-income-producing property is wrong. Homeowners should not be forced to work to pay "rent" to the government for the privilege of living in their own homes. Property taxes should only be levied on income-producing property, as the income provides a means to pay the tax.