10/ That being said, these are just musings based on a few conversations. I know the reality is way more complicated than a set of tweets can convey. But at a time where political divides are so deeply entrenched it often feels practically impossible to move forward, this gave me some hope.

9/ If folks could see a path to a future where HCPs (who are not burnt out) can actually build relationships with patients, and where those relationships drive decision-making & investments in health & care— which is what I hope for too— we might be able to really build something…

8/ I think “single payer” might be more palatable to some of them if you got rid of the “payer” & focused messaging on relationships with (human) HCPs, mutual aid, stopping A.I.-takeover & the exploitative & extractive industries of tech-enabled surveillance of people’s intimate health data.

7/ There is SO MUCH we disagree on. And frankly, I find many of their views harmful.

But these were some spots where I could see coalition-building might be possible. Namely:
1. Abolish the insurance industrial complex
2. Rein in exploitative tech surveillance
3. Stop A.I. sprawl
4. mutual aid

6/ They LOVE mutual aid. They don’t call it that, and if I did they would immediately disagree. But that’s what it is. And that’s the heart of their communities. They want relationships with real people they know & trust. They recognize relationality is vitally important & needs to be sustained.

5/ They HATE that A.I. companies/big data companies are chewing up the grid, fresh water, & other resources. These folks are lifelong hunters & fisherpeople. The kind that took off school to hunt. They see the unmitigated sprawl as unsustainable & another example of elites exploiting the little guy.

4/ [Note: Several of them *are* or have been health care workers. So these are not folks naive to contemporary health care institutions/record-keeping. They know it. They deliver it. They hate it.]

3/ They HATE government surveillance of their health & care. Any records, any interactions - in their opinions- that get shared beyond the walls of their health care providers’ office is an unnecessary intrusion into their privacy, & government overreach. Single payer (to them)= gov surveillance.

2/ They HATE (& I mean HATE) insurance companies. They do not differentiate between gov payers (CMS) & private. In their opinions, insurance is just another bunch of do-nothing middlemen between them & actual health care/health care providers. To them, *any* $$ to insurance is a waste/fraud.

2/ And this:

bsky.app/profile/esca...

Remember, folks. We took one for the team. "affect recognition" is so bad it's beyond the realm of wrong and you might give yourself an ulcer having to debate it. SO WE MDE SURE YOU DON'T HAVE TO! Here's that link to our piece once again.

hyperallergic.com/604897/how-s...

6/ Or here:

bsky.app/profile/hist...