Dan Munro
@dan-munro.com
📤 751
📥 411
📝 493
Author of Casino Healthcare
pinned post!
It’s the prices stupid. Our system of tiered coverage only serves one purpose. To support tiered (and uncapped) pricing. Universal *coverage* is the delivery mechanism for monopsony (one-buyer) pricing. No one really cares how many (or type) of payers there are.
#MedSky
hc4.us/singleprice
loading . . .
Single-Payer Healthcare Isn’t Necessary — But Single-Pricing Is
[First appeared in Forbes July 4, 2017]
http://hc4.us/singleprice
10 months ago
2
21
2
reposted by
Dan Munro
Carl Quintanilla
2 days ago
“Marathon Man” premieres 49 years ago today. Dustin Hoffman had tried various techniques “to appear out-of-it during the dental scenes,” director John Schlesinger recalled. “I had to completely reshoot all the close-ups. That’s when [Lawrence] Olivier said to me ‘Why doesn’t he just try ACTING?’”
loading . . .
19
248
35
reposted by
Dan Munro
Adam Parkhomenko
2 days ago
196
10774
3776
American exceptionalism on full display. I got mine. F--k everyone else.
add a skeleton here at some point
4 days ago
0
1
0
reposted by
Dan Munro
Sahil Kapur
4 days ago
👀 Marjorie Taylor Greene breaks with Republicans on Obamacare funding, saying she’s not a fan of the law but demands action to prevent a premium hike. “I’m absolutely disgusted that health insurance premiums will DOUBLE if the tax credits expire this year.” She says GOP leaders don’t have a plan.
187
1809
609
Yes - FISCAL health policy is about ACA tax credits and costs to government .. .. but there's a MORAL health policy that keeps getting ignored/subverted. Is healthcare a basic, fundamental human right? Or is it a privilege? We can easily afford the former and the latter is bankrupting us.
add a skeleton here at some point
4 days ago
1
4
1
CICS - still alive ;-)
9 days ago
0
2
0
reposted by
Dan Munro
Senator Scott Wiener
15 days ago
Trump just signed a terrifying order classifying anyone challenging his regime or espousing anti-MAGA worldviews as “domestic terrorists.” It directs National Joint Terrorism Task Force, DOJ & Treasury to investigate & prosecute individuals/nonprofits/funders & freeze assets.🧵
13
116
52
On Trump’s acetaminophen remarks: “The saddest display of a lack of evidence, rumors, recycling old myths, lousy advice, outright lies, and dangerous advice I have ever witnessed by anyone in authority.” Art Caplan – NYU Bioethicist
17 days ago
0
1
1
reposted by
Dan Munro
Axios
29 days ago
Trump spent his 2024 campaign promising Americans he'd lower grocery prices. Virtually all major grocery categories are now more expensive than they were a year ago, however, some substantially so.
loading . . .
Grocery prices rise at the fastest pace since 2022 as Trump tariffs bite
On the campaign trail, Trump promised lower grocery prices.
https://www.axios.com/2025/09/11/trump-tariffs-grocery-prices-rise-cpi
52
997
467
reposted by
Dan Munro
Acyn
25 days ago
Reporter: Do you think it would have been fitting to lower the flags for Melissa Hortman who was killed as well? Trump: Uh, I’m not familiar, who?
loading . . .
802
6872
2840
reposted by
Dan Munro
ChrisO_wiki
26 days ago
Grok is being sent to the reeducation camp
551
14973
4845
reposted by
Dan Munro
Julian Sanchez
about 1 month ago
Translation: In six months, the economy will be tanking, but we’ll be able to falsify the numbers.
add a skeleton here at some point
19
2398
599
Can't tell if it's intentional - but this view of eliminating payers in healthcare (the ONLY group that's heavily regulated) in favor of employers is a GOP political POV - NOT an economic or healthcare one. We can easily afford UHC - and get employers OUT of the HC biz.
hc4.us/esi20
#Medsky
add a skeleton here at some point
about 1 month ago
0
3
1
reposted by
Dan Munro
Adam Isacson
about 1 month ago
Lethal force against a civilian vessel in international waters is a war crime if not in self-defense. If not in self-defense, only non-lethal actions, such as warning shots or disabling fire, are allowed. "Not yielding to pursuers" or "suspected of carrying drugs" doesn't carry a death sentence.
add a skeleton here at some point
208
7187
2555
reposted by
Dan Munro
John SpooOOoky 🏳️🌈
about 1 month ago
The greatest trick the fascists ever pulled was convincing everyone that moderation was useless
add a skeleton here at some point
1
48
5
reposted by
Dan Munro
dag
about 1 month ago
Nobody knows if civil conflict will start in US. But this is certainly how a civil war could start. The breakdown of constitutional mechanisms to resolve tensions, leading to use of coercive and even lethal force by both ‘sides’. Yep, civil conflict is one foreseeable outcome of this escalation
2
432
118
Whether it's Direct-to-Consumer (DTC) or Direct-to-Payer (DTP), making money as a new venture in healthcare isn't the real challenge. The real challenge is lowering the TOTAL cost of care for all. ... and for that challenge, the politics of profits are the *real* bottleneck.
#medsky
add a skeleton here at some point
about 1 month ago
1
2
0
For lowering Rx costs - there's more than one way to skin the PBM's.
@mcuban.bsky.social
is betting on Direct-to-Consumer w/
@costplusdrugs.com
- but there's also Direct-to-Payer and a new venture just landed a $6B valuation w/ that model.
#Medsky
reports.endpoints.news/107e23d7/d84...
loading . . .
Endpoints News — A $6B bet to change drug pricing
https://reports.endpoints.news/107e23d7/d84b66cb/4c8f434a/index.html
about 1 month ago
1
2
3
reposted by
Dan Munro
Brendan Nyhan
about 1 month ago
I believe this is what the kids call performative
add a skeleton here at some point
24
580
150
reposted by
Dan Munro
Pat Bagley
about 1 month ago
*Ahem*
add a skeleton here at some point
50
778
202
reposted by
Dan Munro
Laurence H. Tribe
about 1 month ago
Putin did more than eat Trump’s lunch in Alaska. He ate Trump for lunch and swallowed him whole. The losers? Ukraine, the EU, NATO, and the United States of America.
47
1305
369
reposted by
Dan Munro
Brian Tyler Cohen
about 1 month ago
Here he goes.
693
9652
4216
reposted by
Dan Munro
Jesse Eisinger
about 1 month ago
Really important new study on the tax rate of billionaires from
@gabrielzucman.bsky.social
et al Upshot: The top 400 ultrabillionaires: 23.8% Avg Americans: 30.2% Yes, the superrich pay far less in taxes than the rest of us.
www.nber.org/papers/w34170
loading . . .
How Much Tax Do US Billionaires Pay? Evidence from Administrative Data
Founded in 1920, the NBER is a private, non-profit, non-partisan organization dedicated to conducting economic research and to disseminating research findings among academics, public policy makers, an...
https://www.nber.org/papers/w34170
18
483
244
reposted by
Dan Munro
Corey O'Neill
about 2 months ago
18
2337
471
Ronald Reagan [joke]: "I’m from the government, and I’m here to help." Donald Trump: “I am the government and I'm here to take over."
about 2 months ago
0
2
0
One state: ~300K Coloradans are enrolled in ACA plans. By not extending enhanced premium tax credits for the individual market, it is projected that ~100K will lose coverage. For those who remain enrolled, the avg net rate increase for the majority will be 100%+. And for many - closer to 200%.
about 2 months ago
0
0
0
"US sees youth unemployment at 8.5%, nearly double the national average. Many entry-level roles lost during the pandemic haven’t returned, and the degree-to-job pathway is more uncertain than ever." c
@profgalloway.com
2 months ago
0
3
3
“I don’t think I’ve seen a more dangerous decision in public health in my 50 years in the business.” Mike Osterholm University of Minnesota Infectious Disease Expert
apnews.com/article/kenn...
loading . . .
RFK Jr. pulls $500 million in funding for vaccine development
The Department of Health and Human Services plans to cancel contracts and pull funding for some vaccines being developed to fight respiratory viruses like COVID-19 and the flu.
https://apnews.com/article/kennedy-vaccines-mrna-pfizer-moderna-1fb5b9436f2957075064c18a6cbbe3c9
2 months ago
0
2
0
reposted by
Dan Munro
Cheesles
2 months ago
"And if you thought this was unimportant to you, remember BLS calculates the CPI used for Social Security COLAs, as well as the headline CPI used to calculate TIPS yields. Oh, also the inflation adjustments to the marginal tax rate thresholds…"
#econsky
econbrowser.com/archives/202...
loading . . .
August 1, 2025: A Day that Will Live in Statistical Infamy | Econbrowser
https://econbrowser.com/archives/2025/08/august-1-2025-a-day-that-will-live-in-statistical-infamy
30
714
225
reposted by
Dan Munro
Brian Tyler Cohen
2 months ago
Olympic level cognitive dissonance.
904
18962
4939
"... this is why nothing works for ordinary people. It's not b/c of woke college kids or trans students - or b/c there are interracial couples in cereal commericals. It's b/c the people's elected representatives don't represent the people. They represent the donors."
add a skeleton here at some point
2 months ago
0
0
0
The payer-provider battle in healthcare has a new frontier - AI. Providers use AI to maximize billing and payers use AI to deny claims. Patients are the collateral damage in our Casino Healthcare.
2 months ago
0
1
0
"Trump realized you don’t have to do things. You just need to say things and then it’s all wrapped in one big burrito of dream and fantasy.” ~ David Remnick
2 months ago
0
1
0
Update: 15-16 million guns were sold in the U.S. in 2024. Before "2007, people in the US never purchased more than 7M guns in a single year. By the time Barack Obama left office, the US was purchasing almost 17M guns a year." In 2020 US consumers "bought almost 23M guns in a single year."
add a skeleton here at some point
2 months ago
0
0
0
Tough odds of this happening - but damn. Wish it would. A kind of legal WWE-level smackdown. "Obama should offer to waive his immunity from prosecution for treason, if Trump waives his immunity from prosecution for defamation."
add a skeleton here at some point
2 months ago
0
0
0
reposted by
Dan Munro
Joshua Livestro
3 months ago
The Orbanisation of America: ownership of social and traditional media outlets is consolidated in parent companies owned by Trump supporters. By the time we get to the 2028 election, there will be few independent media left.
add a skeleton here at some point
1
46
26
reposted by
Dan Munro
Tom Watson
3 months ago
Dark, dark times at the Onion.
10
401
59
reposted by
Dan Munro
Alejandra Caraballo
3 months ago
This is an executive order that lays the groundwork for sending homeless people and people with mental illness to concentration camps to be "civilly committed." It was never going to stop with immigrants. This is horrifying beyond words.
www.whitehouse.gov/presidential...
loading . . .
Ending Crime and Disorder on America's Streets
By the authority vested in me as President by the Constitution and the laws of the United States of America, it is hereby ordered: Section 1. Purpose and
https://www.whitehouse.gov/presidential-actions/2025/07/ending-crime-and-disorder-on-americas-streets/
251
5810
3695
reposted by
Dan Munro
Carolyn Shapiro
3 months ago
I *am* a constitutional scholar and you are correct.
add a skeleton here at some point
14
4201
895
State Medicaid forms are often designed to reject applicants - not admit them easily - so how exactly does automating the process (w/ or w/out AI) help?
#Medsky
add a skeleton here at some point
3 months ago
0
1
1
reposted by
Dan Munro
Charles Ghoul-ba ✡️
3 months ago
🚨🚨🚨 UPDATE: Across 17 states, *unsubsidized* 2026
#ACA
rate increases average 20.2%...and that's ON TOP OF the lost IRA subsidies which are about to hit ~24 million enrollees starting January 1st.
acasignups.net/rate_changes...
loading . . .
2026 Rate Change Project
Every year, I spend months painstakingly tracking every insurance carrier rate filing (nearly 400 for 2025!) for the following year to determine just how much average insurance policy premiums on the ...
https://acasignups.net/rate_changes/2026
6
55
43
reposted by
Dan Munro
Charles Ghoul-ba ✡️
3 months ago
AGAIN: The ~20% avg. hike is for *unsubsidized* enrollees. 92% of ACA exchange enrollees (~22M Americans) receive subsidies which are about to be dramatically cut. For them, the net increase will be FAR MORE than 20%...in many cases 3x - 4x what they're paying now.
acasignups.net/ira-subsidy-...
loading . . .
How much more will ACA enrollees have to pay if the IRA subsidies expire?
USE THE DROPDOWN MENU ABOVE TO PICK A STATE. It was in early 2021 that Congressional Democrats passed & President Biden signed the American Rescue Plan Act (ARPA), which among other things dramaticall...
https://acasignups.net/ira-subsidy-expiration
0
41
27
"Nearly 500 metric tons of emergency food — enough to feed about 1.5M children for a week — are set to expire tomorrow. Within weeks — the food, meant for children in Afghanistan and Pakistan, will be ash."
www.theatlantic.com/health/archi...
loading . . .
The Trump Administration Is About to Incinerate 500 Tons of Emergency Food
Federal workers warned for months that the high-energy biscuits would go to waste.
https://www.theatlantic.com/health/archive/2025/07/usaid-emergency-food-incinerate-trump/683532/
3 months ago
0
0
0
"Totalitarianism replaces all first-rate talent with crackpots and fools whose lack of intelligence and creativity is still the best guarantee of their loyalty." ~ Hannah Arendt
add a skeleton here at some point
3 months ago
0
0
0
reposted by
Dan Munro
Timothy Caulfield
3 months ago
“It’s a huge red flag for the direction in which we’re going." Yep. Dark Age 2.0 Measles Cases Hit Record High, 25 Years After U.S. Eliminated the Disease
www.nytimes.com/2025/07/09/w...
And then there's Alberta...
loading . . .
Measles Cases Hit Record High, 25 Years After U.S. Eliminated the Disease
https://www.nytimes.com/2025/07/09/well/us-measles-record-outbreaks.html?smid=tw-share
4
50
19
I'll take Drug Exclusions for $5B, Alex. c
@mcuban.bsky.social
@costplusdrugs.com
www.nytimes.com/2025/07/03/h...
loading . . .
Drugmakers Notch a $5 Billion Win in Republicans’ Policy Bill
https://www.nytimes.com/2025/07/03/health/trump-bill-medicare-drug-prices.html
3 months ago
0
0
0
Perfect capture.
3 months ago
0
0
0
reposted by
Dan Munro
Elise Wang
3 months ago
He proposes releasing some ICE prisoners to labor on farms where the employers will “own them” and be responsible for them. Historians have spent decades meticulously proving the straight line between slavery and modern capitalism’s concept of the laborer—or we could just let them say it.
add a skeleton here at some point
230
8063
4200
reposted by
Dan Munro
Joanne Kenen
3 months ago
17. Million. People.
add a skeleton here at some point
0
5
5
Load more
feeds!
log in