AGK

@DutchRojas wouldn’t you add big food, that partly generates diseases so these guys can keep “treating “ chronic conditions?

The Five Families of Healthcare In every empire, there is a hidden court. A ruling elite whose power is felt but rarely seen. In American healthcare, that court is not found in hospital boardrooms or surgical theaters. It resides in the offices of five corporate behemoths: UnitedHealth. CVS. Elevance. Cigna. Centene. Together, they now control 46% of the U.S. insurance market. But "insurance" is too narrow a term. They don't merely process claims. They orchestrate the system. This vertical integration resembles nothing so much as the great zaibatsu of pre-war Japan—corporate conglomerates that owned everything from raw materials to retail outlets. Except healthcare's Five Families have achieved something even Mitsubishi never managed: control of a sector comprising one-fifth of the world's largest economy. They own the physician networks. They own the pharmacies. They own the PBMs. They even own the algorithms that decide whether you're approved or denied. Consider UnitedHealth Group: $395 billion in annual revenue, 400,000 physicians in its networks, and Optum's data analytics that process 14.7 trillion healthcare transactions annually. This is not innovation. It is quiet domination. The consolidation was swift and strategic. Between 2006 and 2016 alone, these insurers executed 400+ acquisitions, primarily in data, pharmacy, and physician practices. Unlike European systems with countervailing regulatory powers or Japan's post-war reforms that dismantled similar concentrations, America's healthcare oligopoly faces remarkably little resistance. Worse, they lobby against the very reforms that would bring balance. Site-neutral payments, a modest correction that would stop health systems from collecting 600% of Medicare for the same treatment a physician delivers at 80%, is sabotaged at every turn. Price transparency? Obstructed. Preauthorization reform? Delayed. PBM rebates and backdoor kickbacks? Defended with $71 million in annual lobbying. These firms do not deliver care. They do not heal the sick. But they profit from every transaction that does. In the final accounting, this isn't a broken system. It's a rigged one, with the Five Families at the top. And like all empires built on extractive institutions rather than productive innovation, it cannot sustain itself indefinitely. #healthcare

@DanielDiMartino wow Biden admin added new fees to H1B to solve “border crisis”. H1Bs really get burnt don’t they?

Woke MAGA - H1Bs are indentured servants and cannot change jobs easily. H1Bs - Give us EAD and Green cards and set us free. Woke MAGA - No No. Then you can change jobs easily and compete and there will be more Indians who get Green Cards which we don't want. #H1B

@DcWalaDesi she could have done something with VB, she didn’t. Now she wants to “raise voice” on X. Shameless opportunist

@neeratanden When it was time to help, you and your boss screwed us! Stop using us for elections!

Anyone – of any race, creed or nationality – who came to America and worked like hell to contribute to this country will forever have my respect. America is the land of freedom and opportunity. Fight with every fiber of your being to keep it that way! 🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸

@neeratanden @atalovesyou @Cloudwatch199 I remember congress writing letter to move Visa Bulletin, and ball being in your court. You didn’t lift a finger. You should sit this one out. All talk no work

@atalovesyou @Cloudwatch199 Happy to call out the racism. I just did

I am an Indian American who was born here and it's crystal clear that the Democratic Party sees me as American and a large part of the base of the Republican Party does not. I hope Indian Americans remember this moment at the next election. They don't see you as one of them. And never will. You thought they just hated other immigrants. But it turns out there's no exception for you. As many of us have been telling you.

@neeratanden What have you done for highly skilled immigrants? Over 50 Congress members wrote to you requesting administrative relief. Don’t pretend to care now.

@neeratanden what i also remembered is that dems also forgot the same indians - all legal immigrants - and left their kids to age out of the green card backlog queue. you yourself could have done something, no?

All of these debates about high skilled immigration miss several important points: 1) there is not a single person from another country that wants to come here on an H-1B visa — that system is completely broken and morally bankrupt. That visa should be reformed for high skilled people on a temporary assignment (no more than 6 months per year, and only one 3 - year term per person using it). 2) what truly high-skilled people (not companies) want are green cards to be able to start companies here and have free agency. If America wants to limit who gets those high-skilled green cards so that they only go to people who meet a truly meritorious standard of excellence — for instance, a U.S. employer has already paid them over a certain salary per year while on OPT, or they already have x number of patents— there are many ways to do this. 3) Finally, the one thing that should absolutely makes no sense to anyone is why any sane green card policy seeking to attract the world’s best talent would place even 1 iota of consideration on what country that person is from. The national origin of people coming here as skilled immigrants should be completely irrelevant.

@anthonyaus1234 @ThePoliticalHQ in GA

Paul Rudd is handing out water to students waiting in line at Temple University in Philadelphia. Every voter they’re talking to says they’re voting for Kamala Harris.

@BaniasLaw i would say @immivoice @anujchristian are good examples of advocacy and reach

@BaniasLaw many people benefit from keeping this backlog alive, big tech and some big immigration law companies. after many years we f being part of the backlog i don’t believe there is anyone acting in good faith.. there are advocacy groups like immigration voice who help

Who are the five most effective advocates—political (lobbyist), legal (lawyer), or social (influencer/organizer)—specifically for the high skilled, backlogged Indian community? #thebacklog #aosdelay I want to get them all in the same room.

@USCIS oh give a break!! you waited 7 months to adjudicate h1b renewal, finally we gave up and paid up premium fees. Your game is to frustrate law abiding people till they pay premium fee, so you can process few more illegal aliens applications. Completely opaque system. #corruptuscis

For the third consecutive year, all available employment-based immigrant visas were fully utilized, based on preliminary data. This commitment remains strong for FY 2025. Visit our FAQs for more info and resources:  uscis.gov/green-card/gre…

@ViCustomerCare They don’t help resolve anything. if someone really read messages it would have been fixed by now. @TRAI please investigate these fraudsters. I will take my business somewhere else

@ViCustomerCare Stay away from this provider. Completely apathetic customer service. They don’t read logs/ notes. Keep going round in circles. they call on suspended phone number or inactive number for verification DESPITE telling them 100 times

Two people answer love's call, but what's the story behind it all? ❤️ 🍿 Guess the movie using #ViLoveThePlot in the comment section and stand a chance to win a movie date 🎬 and a romantic dinner 🍽️ So, go on and answer now. 🎁🤩

@Dr_AkshayBaheti @ViCustomerCare they keep lying to me that they called me on provided number. I am sitting next to it. Didn’t receive any call. they are sick liars and fraudsters @TRAI

@ApuGK1 @ViCustomerCare Same here. The level of incompetence & arrogance needed to unilaterally inactivate someone's number without informing them, & simultaneously bill them, is unimaginable. They had anyway Aadhar verified her at the store. And yet claim it's inactivated due to lack of verification

Hey @ViCustomerCare. My mom transitioned from pre to post paid. You have simply deactivated her number for the last five days. Repeated calls from us asking for you to complete the verification and activate her number again leading nowhere. Why simply deactivate someone's..

@ViCustomerCare @ViCustomerCare @TRAI STOP lying! Start reading logs/messages. What part of message “alternative number has changed!” do youNOT UNDERSTAND?!!! #fraudsters #boycottVi

@ApuGK1 Hi Anagha! I have shared some information in DM, I request you to kindly check your DM - Prashant twitter.com/messages/compo…

@ViCustomerCare @TRAI @ViCustomerCare you don’t care about the customers. you have provided no help

@ViCustomerCare @ViCustomerCare I am getting same automated replies. You make no sense. You calling suspended number or calling alternate number which is also not active; DOESN’T help. Do you have anyone who reads logs and uses some brain? Day 4 no resolution