KPM
@kpmcgrath.bsky.social
Chicago Gay. Day job is healthcare analytics, unpaid night gig is trying to get my friends to play math rocks with me. Recovering policy addict. Cat pics are my own, but it's not my cat.
There was an effort to get insurers and hospitals to cough up master prices lists for the public but these days HHS is more focused on fatshaming and undermining vaccines than making the health system work.
It was even a Trump idea, from his first term! One of the only constructive things he did!
It was even a Trump idea, from his first term! One of the only constructive things he did!
December 11, 2025 at 12:50 PM
There was an effort to get insurers and hospitals to cough up master prices lists for the public but these days HHS is more focused on fatshaming and undermining vaccines than making the health system work.
It was even a Trump idea, from his first term! One of the only constructive things he did!
It was even a Trump idea, from his first term! One of the only constructive things he did!
Cpuld be an idiot. But more likely, a liar.
We already have the GOP's preferred health plan, but they branded it too strongly as Obamacare and now their base hates the name and depends on the services.
This weird government HSA thing is just the ACA, but worse.
We already have the GOP's preferred health plan, but they branded it too strongly as Obamacare and now their base hates the name and depends on the services.
This weird government HSA thing is just the ACA, but worse.
December 11, 2025 at 12:48 PM
Cpuld be an idiot. But more likely, a liar.
We already have the GOP's preferred health plan, but they branded it too strongly as Obamacare and now their base hates the name and depends on the services.
This weird government HSA thing is just the ACA, but worse.
We already have the GOP's preferred health plan, but they branded it too strongly as Obamacare and now their base hates the name and depends on the services.
This weird government HSA thing is just the ACA, but worse.
Christ on a stick, should have read the article first.
Literally sanctioning ICC officials as if they were war criminals themselves. Harrassing lawyers and human rights advocates so their bank accounts and cards are frozen. Thug shit.
Literally sanctioning ICC officials as if they were war criminals themselves. Harrassing lawyers and human rights advocates so their bank accounts and cards are frozen. Thug shit.
December 10, 2025 at 10:40 PM
Christ on a stick, should have read the article first.
Literally sanctioning ICC officials as if they were war criminals themselves. Harrassing lawyers and human rights advocates so their bank accounts and cards are frozen. Thug shit.
Literally sanctioning ICC officials as if they were war criminals themselves. Harrassing lawyers and human rights advocates so their bank accounts and cards are frozen. Thug shit.
Isn't the US ... Not even a signatory? In fact don't we have an honest to gods law saying "we reserve the right specifically to invade Den Haag, a city in an allied country, if the ICC tries to prosecute Americans for war crimes?"
What leverage is Trump trying to use here?!?
What leverage is Trump trying to use here?!?
December 10, 2025 at 10:37 PM
Isn't the US ... Not even a signatory? In fact don't we have an honest to gods law saying "we reserve the right specifically to invade Den Haag, a city in an allied country, if the ICC tries to prosecute Americans for war crimes?"
What leverage is Trump trying to use here?!?
What leverage is Trump trying to use here?!?
He's at least setting up the conditions to fight back, even if the effort might not ultimately succeed. There don't seem to be many other people with power handing out crowbars to other institutions so they can try and pry fascism out of the system.
December 10, 2025 at 7:57 PM
He's at least setting up the conditions to fight back, even if the effort might not ultimately succeed. There don't seem to be many other people with power handing out crowbars to other institutions so they can try and pry fascism out of the system.
I can't claim to have first come up with this formulation; I'm pretty sure I got it secondhand through Contrapoints. But it's fascinating that the feminists have had these weirdos dead to rights for a long time, and yet their rancid misbeliefs keep getting surfaced to new, astonished people.
December 10, 2025 at 6:32 PM
I can't claim to have first come up with this formulation; I'm pretty sure I got it secondhand through Contrapoints. But it's fascinating that the feminists have had these weirdos dead to rights for a long time, and yet their rancid misbeliefs keep getting surfaced to new, astonished people.
It's a weird psychosocial terror of being feminized by penetration, but the penetration is "your feelings being affected by people you care for," a basic element of being a social creature. They want to amputate a key chunk of human nature in the name of being totes alpha masc bros.
December 10, 2025 at 11:54 AM
It's a weird psychosocial terror of being feminized by penetration, but the penetration is "your feelings being affected by people you care for," a basic element of being a social creature. They want to amputate a key chunk of human nature in the name of being totes alpha masc bros.
Which is sort of what the PPACA did for the marketplace and individual consumers/freelancers. A lot of employers and carriers are already naturally bolted on to those systems anyway just for UX benefits, even!
However, the GOP is ideologically dedicated to killing Obamacare, so.
However, the GOP is ideologically dedicated to killing Obamacare, so.
December 9, 2025 at 2:23 PM
Which is sort of what the PPACA did for the marketplace and individual consumers/freelancers. A lot of employers and carriers are already naturally bolted on to those systems anyway just for UX benefits, even!
However, the GOP is ideologically dedicated to killing Obamacare, so.
However, the GOP is ideologically dedicated to killing Obamacare, so.
Both programs are thoroughly infiltrated with private actors already but it forces more and more of the overall market into federal regulation and oversight, and ensures you've always got an *option* at least. Leaves inmigrants uninsured but that's politically toxic 😭.
December 9, 2025 at 2:00 PM
Both programs are thoroughly infiltrated with private actors already but it forces more and more of the overall market into federal regulation and oversight, and ensures you've always got an *option* at least. Leaves inmigrants uninsured but that's politically toxic 😭.
I've long thought that the quickest way to get universal healthcare was "drop the Medicare enrollment age by 1 every year and grant universal Medicaid eligibility to children then add one year of eligibility to Medicaid until they meet in the middle."
December 9, 2025 at 1:58 PM
I've long thought that the quickest way to get universal healthcare was "drop the Medicare enrollment age by 1 every year and grant universal Medicaid eligibility to children then add one year of eligibility to Medicaid until they meet in the middle."
Do it Yourself Hormone Replacement Therapy.
December 9, 2025 at 1:31 PM
Do it Yourself Hormone Replacement Therapy.
Real "how much clicker noise can you get from that weird speaker while you play footsie with the Demon Core" energy. Except that was a tragic preventable accident and this is bored indifference to consequences.
December 8, 2025 at 8:06 PM
Real "how much clicker noise can you get from that weird speaker while you play footsie with the Demon Core" energy. Except that was a tragic preventable accident and this is bored indifference to consequences.
But even in the US there was much more public support for lockdowns than the information environment suggested; the political imperative to reopen schools and barber shops in autumn 2020 actually cut strongly against public opinion, even into late 2021 *after* vaccines were deployed.
December 8, 2025 at 12:01 PM
But even in the US there was much more public support for lockdowns than the information environment suggested; the political imperative to reopen schools and barber shops in autumn 2020 actually cut strongly against public opinion, even into late 2021 *after* vaccines were deployed.
And if they're stulid enough to think that will work it will not be hard at all for any adversary to defeat them.
December 7, 2025 at 10:29 AM
And if they're stulid enough to think that will work it will not be hard at all for any adversary to defeat them.
And it's pretty much impossible to govern an advanced economy dependent of people who fucking hate you down to their marrow, even if you Gulag and Staso your way through it. Sooner or later you need someone capable of operating someone more complicated than a spoon and if you killed their auntie ...
December 7, 2025 at 1:22 AM
And it's pretty much impossible to govern an advanced economy dependent of people who fucking hate you down to their marrow, even if you Gulag and Staso your way through it. Sooner or later you need someone capable of operating someone more complicated than a spoon and if you killed their auntie ...
Fun thing about war crimes, evidence of them makes people hopping fucking mad and negatively polarizes them against the atrocious.
Like those Union soldiers who went from "meh, want to go hom" to TurboJohnBrownForever upon actual personal contact with the conditions of the enslaved.
Like those Union soldiers who went from "meh, want to go hom" to TurboJohnBrownForever upon actual personal contact with the conditions of the enslaved.
December 7, 2025 at 1:21 AM
Fun thing about war crimes, evidence of them makes people hopping fucking mad and negatively polarizes them against the atrocious.
Like those Union soldiers who went from "meh, want to go hom" to TurboJohnBrownForever upon actual personal contact with the conditions of the enslaved.
Like those Union soldiers who went from "meh, want to go hom" to TurboJohnBrownForever upon actual personal contact with the conditions of the enslaved.
That racial breakdown on Holocaust denial is *staggering*.
December 6, 2025 at 1:34 PM
That racial breakdown on Holocaust denial is *staggering*.
However, 40-50% of the GOP will happily go along if the groypers are in charge. It's not like they have objections to blatant racism; if they did they wouldn't be GOP.
December 5, 2025 at 2:47 AM
However, 40-50% of the GOP will happily go along if the groypers are in charge. It's not like they have objections to blatant racism; if they did they wouldn't be GOP.
Every other advanced economy put simpler, cheaper, and easier systems in place to solve the universal coverage problem, but they were dead on arrival here for political reasons. Which have led us close to where we started on healthcare before the PPACA, with a coverage crisis and rising costs.
December 3, 2025 at 2:58 PM
Every other advanced economy put simpler, cheaper, and easier systems in place to solve the universal coverage problem, but they were dead on arrival here for political reasons. Which have led us close to where we started on healthcare before the PPACA, with a coverage crisis and rising costs.
Compared to the scale of what was required, the PPACA was simply not ambitious. It wasa complex fix over two crises - rising "rate of change" for healthcare costs and shrinking coverage that was going to provoke insurance death spirals.
December 3, 2025 at 2:56 PM
Compared to the scale of what was required, the PPACA was simply not ambitious. It wasa complex fix over two crises - rising "rate of change" for healthcare costs and shrinking coverage that was going to provoke insurance death spirals.