Topher Spiro
1.7K posts
Topher Spiro
@TopherSpiro
Senior Fellow @amprog. Former White House Office of Management and Budget. Adjunct Professor of Law. Opinions my own.
Washington DC Katılım Ekim 2011
229 Takip Edilen76.1K Takipçiler
Having covered health care for 40 years, I would say no one should hold their breath waiting for employers to boldly engage in health policy. @larry_levitt
Larry Levitt@larry_levitt
Waiting for employers to fully engage on health care costs, both politically and in the marketplace, has kind of been like waiting for Godot.
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Topher Spiro retweetledi
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There’s a reason moderates and leftists are equally pissed at Ken Martin: his whole thing is looting the party apparatus for the benefit of the people who run party organs, rather than helping the party win and enact an agenda.
Alex Thompson@AlexThomp
.@reidepstein with a good catch: Last month, the D.N.C. sent $15,500 to the Democratic Party in American Samoa and just $10,500 to the Democratic Party of Wisconsin. nytimes.com/2026/05/22/us/…
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Dying at “He’s a person I’ve known for a long time.”
Acyn@Acyn
Reporter: Are you attending your son’s wedding? Trump: He’d like me to go. I’m going to try. I said, this is not good timing for me. I have a thing called Iran and other things. He’s a person I’ve known for a long time.
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NEW: Records released tonight show that Reynolds, makers of Vuse vapes, gave $5 Million to MAGA Inc. days before the FDA wrote a policy that could allow them to make millions selling flavored vapes.
Via @kenvogel
nytimes.com/2026/05/20/us/…
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US Senate Georgia primaries from the Georgia Secretary of State’s office
🟦Jon Ossoff: 53.3%
🟥Republicans: 46.7%
(Trump +2 | 2024)
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I know a few teachers in Queens who would beg to differ.
Aaron Rupar@atrupar
Bezos on CNBC: "You could double the taxes I pay, and it's not gonna help that teacher in Queens. I promise you."
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The Great Trump Health Care Plan is to spike premiums, spike deductibles, and throw 10 million off Medicaid.
Larry Levitt@larry_levitt
New: The average ACA deductible has jumped by over $1,000 per person in 2026 as people switched to lower premium plans with higher deductibles as Congress allowed enhanced premium subsidies to expire.
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BLANCHE: "The United States...is hereby FOREVER BARRED and PRECLUDED from prosecuting or pursuing...examinations or similar or related reviews" against Trump "or related or affiliated individuals," including family members or related companies and trusts.
Josh Gerstein@joshgerstein
FLASH: DOJ expands settlement in Trump-IRS leak suit to cover audits of all tax returns filed by Trump, family members, companies and trusts. Waiver of IRS' claims contained in addendum signed by AAG Blanche that was not in agreement released Monday politico.com/news/2026/05/1…
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The drugs are all from @mcuban's @costplusdrugs! They're getting the deals! You're just adding them to a webpage!!!
Susie Wiles@SusieWiles47
I’ve watched firsthand how focused this team is on making life more affordable for American families. As of today, TrumpRX.gov has already helped save Americans more than $400 million and we just added 600 more medications to the program. Our President is demanding transparency and choice, which helps bring economic freedom.
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Hospital spending is the biggest driver of health care spending growth, and hospital price increases are a big part of that -- specifically, the hospital prices paid by private insurers, employers, and insured patients.
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Note that it's @mcuban and @costplusdrugs getting the deals--not TrumpRx. But Biden's Medicare price negotiation is real.
Eric Daugherty@EricLDaugh
🚨 WOW! Mark Cuban — who opposed Trump in 2024 — just gave a GLOWING ENDORSEMENT of 47 and TrumpRx "This is a SPECIAL partnership. 559 [of 600] of the new drugs are OURS!" "Together, we're gonna make something special." "Other than you, I've been the biggest proponent of TrumpRx." Trump is TEAMING UP with Mark Cuban to give low-price Pharma drugs to Americans who need it! 🇺🇸🇺🇸
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TrumpRx isn’t healthcare. It’s essentially a limited cash-pay prescription discount portal for a small list of medications — and in many cases, GoodRx or generic alternatives are already cheaper.
Aaron Rupar@atrupar
Trump on TrumpRx: "I think outside of maybe a cure itself, it's the biggest thing to happen to healthcare and everything having to do with medical"
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TrumpRx provides discounts on only 0.13% of drugs. So this was a big lie. americanprogress.org/article/trumpr…
Aaron Rupar@atrupar
Trump on TrumpRx: "I think outside of maybe a cure itself, it's the biggest thing to happen to healthcare and everything having to do with medical"
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Here's how to do that for health insurance: americanprogress.org/article/a-pati…
Mary Peltola@MaryPeltola
We need to ban corporate price gouging.
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She wasn’t prosecuted for free speech. She was prosecuted for allowing a far-right activist to access her county's election system to help efforts to overturn the 2020 election.
Jared Polis@jaredpolis
Why would I want to run from it or redefine it? I’ll always stand for free speech and to make sure that we live in a country that no matter what your viewpoints are, you are not incarcerated longer because of them; the very democracy our clerks aspire to protect and defend through capably administering our gold-standard election system.
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THIS is an aggressive public option with employer and employee buy in, and guaranteed universal coverage: americanprogress.org/article/medica…
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It appears to be a public option only for the individual (ACA) market.
Colin Baillio@colinbaillio
I appreciate that pragmatism that you all are trying to bring to the health care debate, but this is *not* an aggressive public option. To be honest, it’s not even a public option that would be worth the fight it would take to get it.
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That is the cowards lesson. The real lesson is that if you take a stand for something you know to be right and just you should keep fighting, not retreat. You need to go down brawling for what’s right. You lose your senate seat either way, but you keep your integrity.
Chris Cillizza@ChrisCillizza
And that's it. Bill Cassidy, the incumbent Senator, finishes third and out of the runoff. The lesson: Do not cross Trump.
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