Bill -_-

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Bill -_-

Bill -_-

@UbiquitousGDM

Katılım Mart 2020
2K Takip Edilen538 Takipçiler
Bill -_-
Bill -_-@UbiquitousGDM·
@agenturban We used to have a dozen donuts now all we have are a few munchkins.
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Mike Urban
Mike Urban@agenturban·
I just signed an Executive Order to bring enough 'energy' into Massachusetts to power 2 million homes, and by 'power,' I mean we’re going to charge you for it whether the wind is blowing or not! So how does our 'all-of-the-above' energy strategy actually lower your bills? Well, it doesn't. But it makes for a great TikTok! Let’s break down the Big Dig 2.0 in terms everyone understands: munchkins.
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Bill -_-
Bill -_-@UbiquitousGDM·
@bostonradio Maura Healey had no affiliation with Dunkin’ at the time, she was just the Attorney General.
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John Castel
John Castel@JBB4768·
@bostonherald does @MassGovernor ever get embarrassed by @MassStatePolice ? They literally cleared Farwell & his sperm was on her underwear and his DNA on the murder weapon. I mean Helen Keller would have seen enough evidence.
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Bill -_- retweetledi
Dutch Rojas
Dutch Rojas@DutchRojas·
The most expensive parts of your healthcare bill are the things Americans, at large, never learn or hear about. Some accounts on @X are trying to make you angry at your doctor. Not at the system that owns your doctor. Not at the hospital network that sets the prices. Not at the insurer that controls what gets paid. Not at the academic medical center that pays no taxes while dominating the market. Your doctor. Here’s what happens when you actually follow the money. Physician compensation is roughly 8% of total U.S. healthcare spend. CMS publishes this annually. We spend about $17,000 per person. That leaves roughly $15,600 per person elsewhere. Start there. Not with blame. With understanding… Go ahead and ask about price transparency. Hospitals have been legally required to publish negotiated rates since 2021. Most don’t. Enforcement is weak. A functioning market requires prices. Healthcare has been allowed to operate without them. Ask about facility fees. Same physician. Same procedure. Same outcome. But when a health system acquires the practice, the billing entity changes, reimbursement jumps 2–3x, and nothing else changes. Ask about consolidation. Academic medical centers and large nonprofit systems have spent decades acquiring physician groups, outpatient sites, and regional hospital networks. Not because care improved. Because pricing power did. Once they dominate a geography, they don’t compete on price anymore. They set it. Health systems used the facility fee differential as a weapon. They acquired 60% of independent physicians in 16 years. Ask about Certificate of Need laws. Regulations that restrict new hospitals and surgery centers from opening. In practice it means limited new entrants, protected incumbents, and controlled supply. Competition is not absent by accident. It is constrained by design. Ask about Medicare Advantage and system-owned insurance. Many large nonprofit and academic systems now operate Medicare Advantage plans, Medicaid managed care organizations, and narrow-network products including systems that also employ the physicians and own the facilities. They increasingly control both sides of the transaction. Ask about UnitedHealth Group. $370 billion in revenue. Both a payer and the owner of the largest physician network in the country through Optum. Same system. Different roles. Ask about 340B. A drug pricing program designed for safety-net patients. In practice, a revenue stream embedded inside large hospital systems unrelated to patient-level subsidy in most cases. Ask about the organizations that define the rules. CMS payment design. Site-of-care differentials. Reimbursement schedules that reward system ownership over independent practice. None of this is visible to the patient. All of it is visible to the system. Every time, the same answer. “It’s the doctors.” This is not confusion. Confused people ask questions. These accounts don’t ask questions. They deliver verdicts. That is the difference between someone trying to understand a system and someone paid to protect it. Your doctor trained for a decade to keep you alive. That is not an accident. That’s the job…
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Bill -_-
Bill -_-@UbiquitousGDM·
@johnfgately In this picture is she explaining how much wind and solar are currently contributing to our power supply?
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Bill -_-
Bill -_-@UbiquitousGDM·
@MicheleMcPhee Maura Healey was the Attorney General at the time as well.
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Bill -_-
Bill -_-@UbiquitousGDM·
@MicheleMcPhee MA investigators have a habit of not looking for evidence when officers are suspects.
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Michele McPhee
Michele McPhee@MicheleMcPhee·
Read that again: "That is because state investigators did not obtain DNA from Farwell or anyone else."
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Michele McPhee
Michele McPhee@MicheleMcPhee·
This is a devastating statement from the government on Matthew Farwell as it pertains to Norfolk County investigators: "From Farwell or anybody else." From new filing "Birchmore’s underwear tested positive for the presence of sperm cells. Fingernail clippings tested positive for the presence of DNA. The ligature that was around Birchmore’s neck tested positive for the presence of DNA—specifically, male DNA. However, despite detecting DNA on these items, no meaningful conclusions could be drawn from this evidence in 2021. That is because state investigators did not obtain DNA from Farwell or anyone else."
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Bill -_-
Bill -_-@UbiquitousGDM·
@johnfgately @Lorrie57 Leaders with mental illness are soft on criminals with mental illness. As Bobby Finn would say “Because that’s Why”
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JohnFGately
JohnFGately@johnfgately·
CORNER OFFICE CASH ON HAND Minogue: $9.8M Healey $5.3M Kennealy $1.4M Shortsleeve $732K #mapoli
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Chester Tam
Chester Tam@islantstudio·
@UbiquitousGDM How effective will them batteries be when temperatures drop into freezing temos?
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Chester Tam
Chester Tam@islantstudio·
Governor Healey really thought comparing your electric bill to a box of munchkins was the way to explain why Massachusetts families are struggling. Here’s the reality: our energy costs were already among the highest in the country long before any current global conflict. That’s not because people don’t understand supply and demand. It’s because of bad policy decisions made right here at Beacon Hill. Wind, solar, and “all-of-the-above” sound nice, but they haven’t lowered your bill. Reliable, affordable energy keeps getting pushed aside while expensive mandates get added to your utility bill. Blaming Trump doesn’t fix your bill. You fix it by lowering mandates, expanding reliable energy, and cutting hidden fees. We the people don’t need to be spoken to with a dumbed-down analogy.
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Shadow of Ezra
Shadow of Ezra@ShadowofEzra·
President Trump hints he may use a nuclear weapon against Iran and says the day of reckoning could be tomorrow, where the entire country of Iran could be taken out in one night. “The entire country could be taken out in one night, and that night could be tomorrow night.”
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