Pam Herd
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pamherd.bsky.social
Pam Herd
@pamherd.bsky.social
Personal Account. Carol Kakalec Kohn Professor of Social Policy. University of Michigan-Ann Arbor. I ❤️ surveys. I 😖Administrative Burden. My views do not represent the views of my lovely employer!
Reposted by Pam Herd
Still dubious there is any message that would do the trick but this is a definite contender and certainly vastly better than saying “you don’t understand how the Senate works”
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 1:46 PM
Reposted by Pam Herd
What the actual fuck???

“Cassidy has been exhorting his colleagues to back a new idea to put money into employer-sponsored accounts that would allow individuals to set aside pre-tax dollars for medical expenses.”

HALF OF ACA ENROLLEES ARE SELF-EMPLOYED.
Democrats want to extend Obamacare credits. Republicans have other ideas. (Politico)

Main Link | memeorandum Permalink
November 11, 2025 at 10:50 AM
Reposted by Pam Herd
The “public charge” exclusion is inherently discriminatory, but of course Trump takes the hatefulness to a new level, denying visas to folks because they are obese or have diabetes.

kffhealthnews.org/news/article...
Immigrants With Health Conditions May Be Denied Visas Under New Trump Administration Guidance - KFF Health News
The Trump administration has directed visa officers to consider common health ailments, including obesity and diabetes, when would-be immigrants seek visas to enter the U.S.
kffhealthnews.org
November 11, 2025 at 12:13 PM
Reposted by Pam Herd
Glad people are on this. I've kind of figured that if you can't get FLORIDA to hate the largest Medicare fraudster in US history after a decade to do it, we, excluding Matthew, are just not trying hard enough
Rick Scott was CEO of a large, for-profit healthcare company called HCA. While Rick Scott was CEO, HCA stole so much money from Medicare they were fined $1.7 Billion.
Rick Scott told me his plan would be to take all of the remaining ACA subsidies and redistribute them to HSA accounts and people can then buy whatever insurance a state certifies. Basically a repeal/replace.
He denied when I asked wouldn’t that create two-tiered system where sick pay much more…
November 11, 2025 at 12:13 PM
Reposted by Pam Herd
Reposted by Pam Herd
🚨 New research 🚨 "Interventions To Automate Medicaid Renewals Reduce Procedural Denials And Increase Coverage," published in Health Affairs from authors @pamherd.bsky.social @giannella.bsky.social, me, @lukef.bsky.social and @donmoyn.bsky.social

Full paper: www.healthaffairs.org/doi/full/10....
Interventions To Automate Medicaid Renewals Reduce Procedural Denials And Increase Coverage | Health Affairs Journal
Burdensome Medicaid renewal processes are a known source of coverage loss among eligible people. In spring 2023, the pause in Medicaid disenrollment resulting from the COVID-19 public health emergency...
www.healthaffairs.org
November 10, 2025 at 7:37 PM
Reposted by Pam Herd
Tell me you don’t understand risk pools without telling me you don’t understand risk pools
November 10, 2025 at 3:02 PM
Reposted by Pam Herd
Hey, a lot of people are talking about changing affiliation from Democratic to Independent.

Let me tell you why you shouldn’t do that in Colorado.

One of the main ways to get a primary challenge candidate on a ballot is to caucus for your party. You need to be registered as a Dem to caucus.
November 10, 2025 at 3:32 PM
Reposted by Pam Herd
The least most politically engaged people I know are texting me before 8am to say, “we won’t forget.”

So I don’t know man.
November 10, 2025 at 12:38 PM
The US Digital Service was taken over by DOGE, and then destroyed the federal gov't. Our paper shows how the pre-DOGE USDS prevented 100,000s of eligible Medicaid beneficiaries from losing coverage. Implementing Medicaid work requirements with a gutted federal government will be disastrous
New at Can We Still Govern? New Medicaid work requirements will see an estimated 5 million lose coverage.
Small investments in in-house tech capacity could allow states to start preparing now to expand automatic renewal of clients. Here is the evidence 🧵
donmoynihan.substack.com/p/how-a-van-...
Lessons from Pandemic Era Medicaid Automation for Work Requirements
Small tech capacity investments offer big returns
donmoynihan.substack.com
November 10, 2025 at 3:35 PM
Reposted by Pam Herd
The best take on all of this shutdown came from @shannonrwatts.bsky.social who told me this would only end by Republicans killing the filibuster or Democrats caving. That’s it. But Schumer somehow broadcast that Republicans would cave when they never gave any indication they would.
November 10, 2025 at 12:33 PM
Reposted by Pam Herd
otherwise a grim night but I'll give the writers this, it's pretty funny they're having to hold the vote open so Cornyn can get there and his flight's delayed
November 10, 2025 at 3:38 AM
Reposted by Pam Herd
Everyone compares Fetterman to Manchin. The better comparison is Sinema. Manchin, as much as he annoyed Democrats, focused entirely on West Virginia-related issues.
john fetterman campaigned on not being the next joe manchin, duping a lot of people in the process, when the reality is and always has been that joe manchin was always a reliable healthcare vote in the senate
November 10, 2025 at 2:33 AM
Reposted by Pam Herd
watching my Obamacare premiums go from $422/month to $1455/month on the Senate floor right now.
November 10, 2025 at 1:52 AM
Reposted by Pam Herd
so currently defectors are:

Kaine (2030)
Shaheen (Retiring)
Hasan (2028)
Fetterman (2028)
Durbin (Retiring)
CCM (2028)
Rosen (2030)
King (2030)
November 10, 2025 at 1:52 AM
Reposted by Pam Herd
SO WHAT HAPPENS WHEN ALL YOU HAVE IS AN HSA AND YOUR KID NEEDS SURGERY OR YOU GET CANCER?????

I am going to go insane that anyone things a personal savings account is a replacement for insurance.
(also pretty sure this graphic is is AI-generated, haha)
November 9, 2025 at 11:49 PM
Reposted by Pam Herd
Allowing this to pass is a mistake.
November 10, 2025 at 1:54 AM
Reposted by Pam Herd
HSAs and FSAs will never substitute for health insurance coverage. BFFR.
November 10, 2025 at 12:06 AM
Reposted by Pam Herd
Absolute queen shit
November 9, 2025 at 6:30 PM
Reposted by Pam Herd
I asked Georgetown law prof David Super wtf is going on with this latest demand for states to claw back benefits already sent out.
He says the law doesn't allow for this, and if the USDA is mad that states already sent out SNAP money, too bad—they were following USDA's own guidance. Full comments:
November 9, 2025 at 4:19 PM
Reposted by Pam Herd
Last night, the Trump Administration sent a letter suggesting Wisconsin should return our FoodShare payments.

My response ⬇️
November 9, 2025 at 5:05 PM
Reposted by Pam Herd
Breaking News: The Trump administration told states to undo any steps to provide full food stamp benefits to low-income families, threatening financial penalties if the states do not comply. It was unclear how that would affect the program.
Trump Live Updates: Airport and SNAP Benefit Disruptions Amid Shutdown
nyti.ms
November 9, 2025 at 3:43 PM
Reposted by Pam Herd
PSC experts @pamherd.bsky.social and Luke Shaefer @umfordschool.bsky.social help us understand the consequences of blocking SNAP benefits, which mostly go to children or disabled elderly adults.

donmoynihan.substack.com/p/the-big-be...

fordschool.umich.edu/news/2025/ef...
November 9, 2025 at 5:11 PM
Reposted by Pam Herd
I became very conscientious about this during COVID. I do puzzles, read hard things or read and watch programming with different normative (or cultural) assumptions etc. I would like to keep what I can. Bananas to come out of the forced mediated world of COVID…and jump into AI.
Exactly, including for the long term for health benefits. Friend of mine did Parkinson’s research at Mayo for decades and he tells me all the time how important it is to stay mentally active to reduce the chances of a whole lot of cognitive decline.
November 8, 2025 at 1:13 PM
Reposted by Pam Herd
For those confused by state of play on SNAP right now: You're not alone
Yesterday, *before* SCOTUS paused order telling Trump admin to send out SNAP $$, a handful of states rushed to issue full SNAP benefits to at least part of their caseload.
This includes CA, OR, WA, MI, and WI—all blue states (🧵)
November 8, 2025 at 7:35 PM