The impact of ending the subsidies will affect *everyone’s* premiums. People who think they’re healthy will drop out of the market, leaving the remainder populated by higher utilization subscribers.

My god the regime really thinks starting a war is some master stroke. Change the domestic narrative, steal the oil, destabilize other Latin American countries. Monroe doctrine meets wag the dog.

Wow lizard and emu commercials, so relatable! Also wtf is he talking about “federal law prohibits”

When mike johnson isn’t speaker anymore, no one will have to bother asking for his comment on anything because it’s a pretty good bet he hasn’t heard about it.

Sometimes you’re generally a part of the same community as a group of experts but that doesn’t mean you should join their discussion lol

It was easy to predict that 2025 would be a rough year but I feel like it’s been even worse than anticipated. Just relentless bad news, tragedies, and outrages.

Man the Pats defense really let them down in the second half. (Offense wasn’t much better but 31 points ought to be enough to win). Some brutal penalties too. Oh well. On to Baltimore.

And another antisemitic act of mass violence, a disgraceful reminder that the scourge is unfortunately alive and well across the world

I…huh www.bbc.com/news/article...

God fucking dammit whyyyyy is this country so fucked up www.browndailyherald.com/article/2025...

From violent racist fantasies to lending his voice to dangerous antivax horseshit, turns out liam neeson actually really sucks www.theguardian.com/film/2025/de...

Herald’s gonna herald

After Marcelo Gomes da Silva was arrested by ICE on his way to volleyball practice in Milford, he made a promise to the men he shared a cell with: He’d be a voice for immigrants unfairly detained. He's one of Boston Globe Magazine’s Bostonians of the Year. trib.al/p9Edy6F

My buddy Pacheco from the block #Caturday

It’s appropriate to focus on the impact the subsidy cliff will have on tens of millions of Americans. But it’s actually worse than you think. Who is going to drop their insurance because it costs too much? People who think they’re healthy. Who stays? People who know they need insurance.

Will include: - HSAs for “consumer choice” - Junk insurance plans - High risk pools - Uncompensated care fund - Get insurance across state lines - Solemn promises that “the market” will solve everything

Good. Now I’m sure they won’t but I really hope they just leave this guy alone.

White House Begins Christmas Season With Ceremonial Lighting Of Cross

Maybe the Boston archdiocese ought to sit this one out. Or maybe stfu about anything related to morality for like, ever.

What is it about these guys that they insist on failing to do pull ups in public? Like, maybe make sure you can do it before going on TV and finding out you can’t?

To me as well

Disgusting embarrassing enraging fuck these gutter racists www.wgbh.org/news/local/2...

When you realize rfk jr believes that pathogens make society stronger by revealing the strong and culling the weak, his apparent worldview starts to make more sense.

The way the regime is going at Somalis is the same kind of vile gutter racism as how they lied about Haitians during the election. I’m glad city officials in Minneapolis are standing up for them. I hope our city leaders do the same for our Haitian community.

Friday night chez Ostrander, situation normal.

I saw Adm Dr. Levine at AAIM 2019. Her plenary helped light the way for IM med ed on transgender medicine. We’ve a long way yet to go. Of course she’s their worst nightmare: a brilliant trans woman, an avatar of modern public health, someone they can’t comprehend, let alone counter.

Sure this punishes businesses in blue cities to an extent. But it most directly punishes stadium owners, who are all billionaire sports franchise owners and mostly support trump. For example, Bob Kraft.

AG James is far more sympathetic to me than Comey, but I’m glad they both shut that ridiculous shit down and embarrassed those clowns.

Temu ACIP has just voted to discontinue the recommendation for the birth dose of HBV vaccine against the advice of all scientific experts. They have now established beyond a shadow of doubt that they are not a legitimate scientific body. Meissner says “we are doing harm”.

I really hope we can find a viable workaround for ACIP. Maybe a coalition of professional societies, pharma, and insurers, that can work together with the regional health compacts? (I’m certain that pharma and insurers would be on the right side of this fight for a change).

Using the greatest war machine the world has ever known to murder defenseless people, even IF they were drug traffickers (press X to doubt), is not tough and cool. It’s weak and sociopathic. Not to mention illegal and dishonorable.

What the actual f is wrong with him. How are we saddled with the absolute worst failures of leadership at a time like this? Absolutely mind blowing.

Something something spirit animal

There are lots of reasons to get a cardiac or abdominal MRI but routine screening is not one of them.

Uncle Tommy, look how far we’ve come. We wouldn’t have NRTIs without you and the others.

Why do we call it baby aspirin? Only adults take baby aspirin.

@profanity.accountant I’m curious to find out

I tried to type “hepatocellular” into my phone and it autocorrected to “hepatitis gelato” So we’re off to a good start today

Man the regime really is full of angry, racist twits who picked charisma as their dump stat

Spending the day in southern Maine, land of the Wabanaki Confederacy, taken from them by my ancestors. As I give thanks today for the positive things in life, I vow to speak of and remember the foundational sins of our nation.

With DC shooter now identified as an Afghan national not the antifa secret agent White House hoped for a good time to remember the Trump admin has gutted domestic anti-terrorism capacity and reassigned many to finding grandmothers to arrest at immigration hearings.

Watching everyone rush to make political hay out of the shooting is such a stark reminder of how deranged our society is today. (Yes my comment from last night fits that description).

Fuck whoever did this, for whatever reason. I hope the guardsmen survive and get to go home to their families. Does anyone else find this odd? No info on a shooter, months into the occupation, when they’ve been flailing everywhere, the afternoon before thanksgiving?

I missed this. Insane and appalling, but consistent with the regime’s hostility to public health. www.newsweek.com/nursing-not-...

Happy lazy #caturday

I looked at the lizza post because I’m possessed of morbid curiosity and let me tell you that the people warning you not to read it are absolutely correct

This may be the single most damaging image of the whole trump era

The CDC has been the preeminent public health organization for generations. People simply do not understand how damaging to the world this is going to be. Other agencies & professional societies will step into the breach, but it won’t fully make up for what’s happened. Complete insanity.