Pinned
Dan Munro
@dan-munro.com
· Dec 8
Single-Payer Healthcare Isn’t Necessary — But Single-Pricing Is
[First appeared in Forbes July 4, 2017]
hc4.us
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
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
Reposted by Dan Munro
Conway: This is a criminal government. Unless you are willing to say that, you’re basically fighting on their terms. They get to lie, and they win that battle because people say, “We shouldn’t use that kind of language.”
But you get to use that language when it’s fucking true.
But you get to use that language when it’s fucking true.
December 4, 2025 at 1:00 AM
Conway: This is a criminal government. Unless you are willing to say that, you’re basically fighting on their terms. They get to lie, and they win that battle because people say, “We shouldn’t use that kind of language.”
But you get to use that language when it’s fucking true.
But you get to use that language when it’s fucking true.
Reposted by Dan Munro
Just to be clear, Jared Kushner is NOT negotiating with Putin on behalf of the U.S. government.
He's negotiation on behalf of the Trump Crime Syndicate . . .
which controls the U.S. government -
at the moment.
He's negotiation on behalf of the Trump Crime Syndicate . . .
which controls the U.S. government -
at the moment.
December 2, 2025 at 4:40 PM
Just to be clear, Jared Kushner is NOT negotiating with Putin on behalf of the U.S. government.
He's negotiation on behalf of the Trump Crime Syndicate . . .
which controls the U.S. government -
at the moment.
He's negotiation on behalf of the Trump Crime Syndicate . . .
which controls the U.S. government -
at the moment.
Lessons from 2008 fiscal crisis:
“In the short term a lot, in the medium term a little, in the long term, nothing at all.” Jeremy Grantham
Stablecoins, which bristle w/ all the dangers of subprime-mortgage securities, remind us how much time has passed ...
www.theatlantic.com/ideas/2025/1...
“In the short term a lot, in the medium term a little, in the long term, nothing at all.” Jeremy Grantham
Stablecoins, which bristle w/ all the dangers of subprime-mortgage securities, remind us how much time has passed ...
www.theatlantic.com/ideas/2025/1...
How Crypto Could Trigger the Next Financial Crisis
The danger of stablecoins lies in the ways they are meant to be safe.
www.theatlantic.com
December 2, 2025 at 4:45 PM
Lessons from 2008 fiscal crisis:
“In the short term a lot, in the medium term a little, in the long term, nothing at all.” Jeremy Grantham
Stablecoins, which bristle w/ all the dangers of subprime-mortgage securities, remind us how much time has passed ...
www.theatlantic.com/ideas/2025/1...
“In the short term a lot, in the medium term a little, in the long term, nothing at all.” Jeremy Grantham
Stablecoins, which bristle w/ all the dangers of subprime-mortgage securities, remind us how much time has passed ...
www.theatlantic.com/ideas/2025/1...
“I don’t think there is any way to regain that trust [in science] other than have the viruses do the education, and the bacteria do the education, and then people will realize they paid way too high a cost."
~ Dr. Paul Offit
www.theatlantic.com/magazine/202...
#Medsky
~ Dr. Paul Offit
www.theatlantic.com/magazine/202...
#Medsky
Why Is Robert F. Kennedy Jr. So Convinced He’s Right?
How an outsider, once ignored by the public-health establishment, became the most powerful man in science
www.theatlantic.com
November 30, 2025 at 2:49 PM
“I don’t think there is any way to regain that trust [in science] other than have the viruses do the education, and the bacteria do the education, and then people will realize they paid way too high a cost."
~ Dr. Paul Offit
www.theatlantic.com/magazine/202...
#Medsky
~ Dr. Paul Offit
www.theatlantic.com/magazine/202...
#Medsky
Hope. On the horizon.
November 27, 2025 at 3:31 AM
Hope. On the horizon.
Reposted by Dan Munro
Investigative reporter says "heavy" redactions possible in Epstein files release
tinyurl.com/2mavermm
tinyurl.com/2mavermm
Investigative reporter says ‘heavy’ redactions possible in Epstein files release | CNN
Julie K. Brown joins The Lead.
tinyurl.com
November 19, 2025 at 2:42 AM
Investigative reporter says "heavy" redactions possible in Epstein files release
tinyurl.com/2mavermm
tinyurl.com/2mavermm
Reposted by Dan Munro
Good morning, Asia. While you were sleeping, this was our most-read story: on.ft.com/3JH3g3p
November 19, 2025 at 12:00 AM
Good morning, Asia. While you were sleeping, this was our most-read story: on.ft.com/3JH3g3p
Reposted by Dan Munro
As Democratic FCC Commissioner Anna Gomez said last week: "Capitulation breeds capitulation."
Disney/ABC's $16 million dollar payout to Trump in December didn't earn the company any special favors today.
Disney/ABC's $16 million dollar payout to Trump in December didn't earn the company any special favors today.
Trump in response to an Epstein question: "ABC, your company, your crappy company is one of the perpetrators. I think the license should be taken away from ABC because your news is so fake and so wrong. And we have a great commissioner, a chairman, who should take a look at that."
November 18, 2025 at 9:24 PM
As Democratic FCC Commissioner Anna Gomez said last week: "Capitulation breeds capitulation."
Disney/ABC's $16 million dollar payout to Trump in December didn't earn the company any special favors today.
Disney/ABC's $16 million dollar payout to Trump in December didn't earn the company any special favors today.
... same GOP BS fiction they've been peddling for decades.
Healthcare is unlike ANY other market.
* Don't know WHEN we need big $ HC
* Don't know HOW MUCH big $ HC we need
* ZERO demand elasticity
* No one WANTS budget HC - they want THE BEST
Healthcare is unlike ANY other market.
* Don't know WHEN we need big $ HC
* Don't know HOW MUCH big $ HC we need
* ZERO demand elasticity
* No one WANTS budget HC - they want THE BEST
Dr Oz: "If you had a check in the mail, you could buy the insurance you thought was best for you"
November 16, 2025 at 5:48 PM
... same GOP BS fiction they've been peddling for decades.
Healthcare is unlike ANY other market.
* Don't know WHEN we need big $ HC
* Don't know HOW MUCH big $ HC we need
* ZERO demand elasticity
* No one WANTS budget HC - they want THE BEST
Healthcare is unlike ANY other market.
* Don't know WHEN we need big $ HC
* Don't know HOW MUCH big $ HC we need
* ZERO demand elasticity
* No one WANTS budget HC - they want THE BEST
Reposted by Dan Munro
I don't want to jump to any hasty conclusions here, but this email exchange from 2011 between Jeff Epstein and Ghislaine Maxwell about Donald Trump having spent hours alone with an underage girl does seem like it might be bad for him.
November 12, 2025 at 3:27 PM
I don't want to jump to any hasty conclusions here, but this email exchange from 2011 between Jeff Epstein and Ghislaine Maxwell about Donald Trump having spent hours alone with an underage girl does seem like it might be bad for him.
Reposted by Dan Munro
i mean c’mon. the president’s best friend was the most notorious pedo in the country’s history who ran a massive child trafficking ring. every bit of circumstantial evidence we have says that trump was a participant. if this were a criminal trial we’d have enough evidence to compel a plea deal.
November 12, 2025 at 2:49 PM
i mean c’mon. the president’s best friend was the most notorious pedo in the country’s history who ran a massive child trafficking ring. every bit of circumstantial evidence we have says that trump was a participant. if this were a criminal trial we’d have enough evidence to compel a plea deal.
Reposted by Dan Munro
This seems like the most straightforward and also basically accurate message.
instead of saying this was good strategy, maybe senate dems should say: "the republicans were going to kill people by starving them to death, and because we aren't monsters, we decided to let this fight go. We'll keep fighting. Stop electing monsters."
November 11, 2025 at 2:50 PM
This seems like the most straightforward and also basically accurate message.
Remind me ... what was it Rex Tillerson called Trump?
November 8, 2025 at 5:04 PM
Remind me ... what was it Rex Tillerson called Trump?
Reposted by Dan Munro
🚨BREAKING: Donald Trump & USDA going to Supreme Court to try and STOP SNAP Benefits from being distributed. This is truly the MOST evil thing I have ever witnessed by a sitting Administration. Absolutely DESPICABLE!
www.lawdork.com/p/trump-admi...
www.lawdork.com/p/trump-admi...
Trump admin goes to SCOTUS to try and stop order that it pay full SNAP benefits this month
DOJ asks the justices for an order by 9:30 p.m. Friday — as USDA was in the middle of completing its process for making full payments, under a court order to finish Friday.
www.lawdork.com
November 8, 2025 at 1:35 AM
🚨BREAKING: Donald Trump & USDA going to Supreme Court to try and STOP SNAP Benefits from being distributed. This is truly the MOST evil thing I have ever witnessed by a sitting Administration. Absolutely DESPICABLE!
www.lawdork.com/p/trump-admi...
www.lawdork.com/p/trump-admi...
Reposted by Dan Munro
prepping for that inevitable government bail out after three years of broad product misrepresentation and fancy math
BREAKING: OpenAI is requesting US government support to help guarantee financing for the massive investments in AI chips and data centers it needs for expansion, per Bloomberg.
November 6, 2025 at 4:56 PM
prepping for that inevitable government bail out after three years of broad product misrepresentation and fancy math
Reposted by Dan Munro
November 3, 2025 at 11:38 AM
"Transparent" healthcare pricing isn't a problem b/c it isn't AGENCY to influence.
The only innovation w/ @costplusdrugs is a "for-profit" philanthropy.
SOME will benefit - others won't - and some will see shortages or higher prices for margin that get's siphoned off of Rx manufacturers.
#Medsky
The only innovation w/ @costplusdrugs is a "for-profit" philanthropy.
SOME will benefit - others won't - and some will see shortages or higher prices for margin that get's siphoned off of Rx manufacturers.
#Medsky
October 30, 2025 at 10:45 PM
"Transparent" healthcare pricing isn't a problem b/c it isn't AGENCY to influence.
The only innovation w/ @costplusdrugs is a "for-profit" philanthropy.
SOME will benefit - others won't - and some will see shortages or higher prices for margin that get's siphoned off of Rx manufacturers.
#Medsky
The only innovation w/ @costplusdrugs is a "for-profit" philanthropy.
SOME will benefit - others won't - and some will see shortages or higher prices for margin that get's siphoned off of Rx manufacturers.
#Medsky
Reposted by Dan Munro
To all those “Let them go without food for a month, maybe they’ll get a job” people: Most SNAP recipients have jobs. Exploitative jobs that keep them living just below the poverty line. — Should they starve to death? And then what?
October 27, 2025 at 8:29 PM
To all those “Let them go without food for a month, maybe they’ll get a job” people: Most SNAP recipients have jobs. Exploitative jobs that keep them living just below the poverty line. — Should they starve to death? And then what?
“A nation of sheep will beget a government of wolves.”
~ Edward R. Murrow
~ Edward R. Murrow
October 29, 2025 at 4:51 AM
“A nation of sheep will beget a government of wolves.”
~ Edward R. Murrow
~ Edward R. Murrow
Reposted by Dan Munro
dickerson is one of the best broadcast journalists in the game, and someone who would clearly be a real asset to a new leader interested in strengthening the network's journalism. but, of course, we know weiss isn't actually interested in journalism as such.
John Dickerson To Depart CBS News In First Major Talent Exit Under New Paramount Owners
John Dickerson, co-anchor of CBS Evening News who has been with the network since 2009, said that he is exiting at the end of this year.
deadline.com
October 27, 2025 at 7:43 PM
dickerson is one of the best broadcast journalists in the game, and someone who would clearly be a real asset to a new leader interested in strengthening the network's journalism. but, of course, we know weiss isn't actually interested in journalism as such.
Solutions to our healthcare cost crisis keeps repeating. This week in a ref by @matthewstoller.bsky.social in his BIG substack.
FWIW: I wrote this in 2017 at Forbes: The solution to our GALLOPING healthcare cost crisis isn't single-payer. The solution is single-pricing.
#Medsky
hc4.us/oneprice
FWIW: I wrote this in 2017 at Forbes: The solution to our GALLOPING healthcare cost crisis isn't single-payer. The solution is single-pricing.
#Medsky
hc4.us/oneprice
'Single-Payer' Healthcare Isn't Necessary -- But Single Pricing Is
America can easily afford any healthcare system it chooses - except one. The one we have.
hc4.us
October 27, 2025 at 4:28 AM
Solutions to our healthcare cost crisis keeps repeating. This week in a ref by @matthewstoller.bsky.social in his BIG substack.
FWIW: I wrote this in 2017 at Forbes: The solution to our GALLOPING healthcare cost crisis isn't single-payer. The solution is single-pricing.
#Medsky
hc4.us/oneprice
FWIW: I wrote this in 2017 at Forbes: The solution to our GALLOPING healthcare cost crisis isn't single-payer. The solution is single-pricing.
#Medsky
hc4.us/oneprice
Reposted by Dan Munro
Whenever people complain about the number of folks relying on food stamps, it is worth reminding them that SNAP is, by too large of a degree, a subsidy for corporations that refuse to pay a living wage and their political allies who reject public policy prescriptions to reduce income inequality.
October 27, 2025 at 1:11 AM
Whenever people complain about the number of folks relying on food stamps, it is worth reminding them that SNAP is, by too large of a degree, a subsidy for corporations that refuse to pay a living wage and their political allies who reject public policy prescriptions to reduce income inequality.
Reposted by Dan Munro
Johnson has subordinated himself to the president so much that even Trump in private jokes that "I'm the speaker and the president," @anniekarni.bsky.social reports. www.nytimes.com/2025/10/25/u...
Keeping the House Absent, Johnson Marginalizes Congress and Himself
www.nytimes.com
October 26, 2025 at 3:47 PM
Johnson has subordinated himself to the president so much that even Trump in private jokes that "I'm the speaker and the president," @anniekarni.bsky.social reports. www.nytimes.com/2025/10/25/u...
"America’s two great growth engines are rage and carbs — AI monetizes the former, the food complex the latter."
FWIW - Credit Suisse report (2013) ties sugar to an annual US healthcare cost of $1 trillion.
hc4.us/sugar
FWIW - Credit Suisse report (2013) ties sugar to an annual US healthcare cost of $1 trillion.
hc4.us/sugar
October 25, 2025 at 10:18 PM
"America’s two great growth engines are rage and carbs — AI monetizes the former, the food complex the latter."
FWIW - Credit Suisse report (2013) ties sugar to an annual US healthcare cost of $1 trillion.
hc4.us/sugar
FWIW - Credit Suisse report (2013) ties sugar to an annual US healthcare cost of $1 trillion.
hc4.us/sugar
Reposted by Dan Munro
So they didn’t like the ad. Let’s just post Reagan’s 5 min speech against tariffs as it appears on YouTube.
Over and over. On all platforms (some of y’all are still on X).
*1981 Sherrilyn horrified by 2025 Sherrilyn saying “let’s post Reagan’s speech.”
youtu.be/5t5QK03KXPc
Over and over. On all platforms (some of y’all are still on X).
*1981 Sherrilyn horrified by 2025 Sherrilyn saying “let’s post Reagan’s speech.”
youtu.be/5t5QK03KXPc
President Reagan's Radio Address on Free and Fair Trade on April 25, 1987
YouTube video by Reagan Library
youtu.be
October 24, 2025 at 5:14 PM
So they didn’t like the ad. Let’s just post Reagan’s 5 min speech against tariffs as it appears on YouTube.
Over and over. On all platforms (some of y’all are still on X).
*1981 Sherrilyn horrified by 2025 Sherrilyn saying “let’s post Reagan’s speech.”
youtu.be/5t5QK03KXPc
Over and over. On all platforms (some of y’all are still on X).
*1981 Sherrilyn horrified by 2025 Sherrilyn saying “let’s post Reagan’s speech.”
youtu.be/5t5QK03KXPc