Ezra Golberstein
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egolberstein.bsky.social
Ezra Golberstein
@egolberstein.bsky.social

Health policy and economics. Some Prince, some Minnesota. Opinions my own.

Economics 24%
Public Health 24%

It is a truly wonderful moment

Pleased to share that tonight my family graduates from the small jar of chili crisp to the large jar.

I don't think we know what they have in mind, either. Also, I feel like there needs to be some very basic calculation here of the people who are even eligible for either of those arrangements and how that maps onto people most affected by indy mkt premium increases.

My paper on the consumer financial impacts of Missouri's 2005 Medicaid cut with @1armedeconomist.bsky.social and Slava Mikhed is finally out in the fall issue of AJHE: www.journals.uchicago.edu/doi/10.1086/...
Missouri’s Medicaid Contraction and Consumer Financial Outcomes | American Journal of Health Economics: Vol 11, No 4
Abstract In July 2005, the state of Missouri implemented a series of cuts to its Medicaid program. These cuts resulted in the elimination of the Medical Assistance for Workers with Disabilities progra...
www.journals.uchicago.edu

I just pay the firefighters directly instead of fire insurance. What could go wrong?

Good times.

It's been forever, would love to catch up there

I had a typo, which means it will probably go viral...

Reposted by Aaron Sojourner

If he thinks that bad, wait til he sees how few people file claims for auto, fire, and flood insurance.
Tell me you don’t understand risk pools without telling me you don’t understand risk pools
Tell me you don’t understand risk pools without telling me you don’t understand risk pools

Reposted by Gabriella Conti

Was wonderful to have you, thanks for coming!

(not to argue with your v good points, though)

It seems that it fundamentally is about replacing something that has insurance value with something without any.

Reposted by Ezra Golberstein

With the mini-burst of proposals to replace enhanced PTCs with spending accounts like FSAs, keep in mind that this would *absolutely wallop* older people with middle incomes—say a 63-year-old earning $65K—who are among the most dependent on enhanced PTCs. 🧵1/

Also is incompatible with pushing to rely on private insurance to deliver Medicare via Medicare Advantage.
The new GOP talking point again premium tax credits is an argument against *all* demand-side assistance.

Don’t help people buy health insurance because money flows to insurers?

That’s also an argument against SNAP and WIC — dollars flow to grocery stores.

Just an excuse to not help people.

Yep. I’ve banged this drum before but if there were any sincerity or consistency, R’s would have implemented work requirements for spouses and adult dependents to be eligible for these huge subsidies for employer-sponsored insurance.
if you are insured, in all likelihood.. you got a SUBSIDY to buy health insurance.

WE ALL GET TAX SUBSIDIES TO BUY HEALTH INSURANCE

Those with employer insurance (60% of us) get subsidies TEN TIMES higher than the costs of the ACA subsidies.

So why only attack the ACA/Obamacare subsidies?
A complaint: extending ACA/marketplace enhanced premium tax credits would be expensive.

It would cost $35 billion/year to extend marketplace credits.

In contrast the tax exclusion for employer-sponsored health insurance cost $299 billion/year in 2022
taxpolicycenter.org/briefing-boo...
if you are insured, in all likelihood.. you got a SUBSIDY to buy health insurance.

WE ALL GET TAX SUBSIDIES TO BUY HEALTH INSURANCE

Those with employer insurance (60% of us) get subsidies TEN TIMES higher than the costs of the ACA subsidies.

So why only attack the ACA/Obamacare subsidies?
A complaint: extending ACA/marketplace enhanced premium tax credits would be expensive.

It would cost $35 billion/year to extend marketplace credits.

In contrast the tax exclusion for employer-sponsored health insurance cost $299 billion/year in 2022
taxpolicycenter.org/briefing-boo...

Reposted by Ezra Golberstein

The new GOP talking point again premium tax credits is an argument against *all* demand-side assistance.

Don’t help people buy health insurance because money flows to insurers?

That’s also an argument against SNAP and WIC — dollars flow to grocery stores.

Just an excuse to not help people.

Yeah, this place has the au jus.

Not all heroes wear capes

Of course. And I always wear Axe fragrances before throwing axes.
a man in a tuxedo is wearing a tux and asking why are you wearing a tux ?
ALT: a man in a tuxedo is wearing a tux and asking why are you wearing a tux ?
media.tenor.com

He had such an easy-out too. He could have just said “gefilte fish, feh!”

So you want me to just text you with all my smart-casual hot takes, instead?

A regular ritual where he transforms into "more like Steve Slow-man amirite" for like 40 minutes

Pretty poor showing for Mamdani. Not even hitting zero.

"Let's talk about sandwich velocity. When you threw the sandwich, did you put any mustard on it?"

Reposted by Sarah E. Gollust

In case you needed more motivation to rank @dewayneforminneapolis.com #1, last week my 11yo randomly spouted out, "DeWayne 'De-Rock' Davis" and we all need that for our new mayor.
The polls close at 8 today. You can find information about how and where to vote here: pollfinder.sos.mn.gov
Voting Information
pollfinder.sos.mn.gov

I was delighted to rank @dewayneforminneapolis.com #1 just now. A great choice for Minneapolis.