Drew Bomb
1.7K posts


$7.25 an hour is about $14,000 a year. No one can survive on that. People can barely survive on double that. We raised the minimum wage in Illinois. It's long overdue everywhere else.


@mcuban For all its faults, at least a person in the USA doesn’t have to wait until it’s to late for life saving care.



Insurers are not directly the primary cause of health spending growth. But, with major insurers posting strong profits as health care costs grow, it’s reasonable to ask what value they provide for the overhead they consume.






The PBM lobby is pulling out all the stops to kill vertical integration reform in Tennessee. They've already spent $7 million. 💸 🔎 Read more: bit.ly/4sGTLRV















Most hospitals don't know their costs. Things I've asked for that made them roll their eyes : A BOM for surgeries P&L for each insurance carrier P&L for Medicaid or Medicare business Why do they need consultants for everything. Why doesn't their CSuite know how to do any of it Why do they use GPOs when prices are insane Why do they work with carriers that underpay, late pay, deny everything, waste docs time with denial committees run by 97 yr old pediatricians. Why do they make no effort to sell direct to employers (excluding those on costpluswellness.com to avoid all the carrier abuse , and avoid being sub prime lenders for patient OOP Why do they abuse 340b Why do facilities fees exist Why do they abuse site neutrality Why do they abuse patients with charge master based bills Why do they not push for standard contract templates to reduce admin. Why do they accept so many different ins plans Anyone want to add more And for context, remember I think the biggest insurance companies are worse

@mcuban Because reimbursement is often set below cost. Medicare—especially Medicaid—pay fixed rates that frequently don’t cover staffing, infrastructure, and 24/7 care. Hospitals can’t refuse those patients so the gap gets made up elsewhere.

Truth is now considered a right-wing conspiracy. That’s the chilling line from Melanie Phillips that stopped me in my tracks. She explains how we’ve reached a point where simply stating observable reality — whether it’s basic biology defining a woman or pushing back against blanket accusations that all white people are inherently bad — gets you branded as evil. Not wrong. Evil. Therefore you must be silenced, cancelled, or erased. No debate. No evidence allowed. She calls it cultural totalitarianism: a Manichean worldview where one ideology claims a monopoly on goodness, progress, and reason itself. Dissent isn’t argued with — it’s treated as a moral threat that has to be removed. The deepest irony? In an era that smugly ditched religion in the name of superior rationality, we’ve ended up rejecting reason, evidence, and open inquiry altogether. We’re so “rational” we’ve dispensed with the very tools of rationality. It doesn’t add up. Her take has me wondering how we got here — and how quickly disagreement turned into moral excommunication. Anyone else seeing this pattern play out in conversations lately? Where have you felt truth itself become off-limits?

More than 400 hospitals across the U.S. are at high risk of closing or cutting services because of the Medicaid cuts in President Trump’s “big, beautiful bill,” according to an analysis from the progressive watchdog group Public Citizen. nbcnews.com/health/health-…










