xpostfactoid
@xpostfactoid.bsky.social
Blogging mostly healthcare policy at http://xpostfactoid.substack.com. ACA implementation watcher. CSR czar. AKA Andrew Sprung.
Hey, my mother designed these:
www.newyorker.com/magazine/202...
www.newyorker.com/magazine/202...
October 29, 2025 at 4:58 PM
Hey, my mother designed these:
www.newyorker.com/magazine/202...
www.newyorker.com/magazine/202...
Hey, 60 year-old NJ couple with $85,000 income: stuff another $500 in a retirement account (knocking MAGI down to $84,500) and get $1812/month in subsidies.
We're back to all the pre-ARPA maneuverings...
We're back to all the pre-ARPA maneuverings...
October 27, 2025 at 2:19 PM
Hey, 60 year-old NJ couple with $85,000 income: stuff another $500 in a retirement account (knocking MAGI down to $84,500) and get $1812/month in subsidies.
We're back to all the pre-ARPA maneuverings...
We're back to all the pre-ARPA maneuverings...
Oh wait - -they just haven't changed the intro page; 2026 is up when you click throgh. AND GetCoveredNJ doesn't appear to have a BlueSky account.
October 27, 2025 at 2:12 PM
Oh wait - -they just haven't changed the intro page; 2026 is up when you click throgh. AND GetCoveredNJ doesn't appear to have a BlueSky account.
Hmm, the comparison tool doesn't appear to have a 2026 option yet.
October 27, 2025 at 2:09 PM
Hmm, the comparison tool doesn't appear to have a 2026 option yet.
One of many stories on an eternal loop
October 24, 2025 at 2:21 PM
One of many stories on an eternal loop
These roundup paragraphs are not uncommon, but... ai ai ai!
open.substack.com/pub/paulkrug...
open.substack.com/pub/paulkrug...
October 24, 2025 at 12:18 PM
These roundup paragraphs are not uncommon, but... ai ai ai!
open.substack.com/pub/paulkrug...
open.substack.com/pub/paulkrug...
Trump justice: No criminal (who pays me or praises me) left behind
October 23, 2025 at 4:47 PM
Trump justice: No criminal (who pays me or praises me) left behind
Someone at CMS appears not to have had their heart full into pursuing "protection" and "affordability" by Trumpist means
www.cms.gov/files/docume...
www.cms.gov/files/docume...
October 22, 2025 at 7:46 PM
Someone at CMS appears not to have had their heart full into pursuing "protection" and "affordability" by Trumpist means
www.cms.gov/files/docume...
www.cms.gov/files/docume...
Maybe I should substitute...
October 22, 2025 at 4:27 PM
Maybe I should substitute...
The dominant physician group around here: Use a lot of healthcare!
October 21, 2025 at 8:31 PM
The dominant physician group around here: Use a lot of healthcare!
Barbara Pym's A Glass of Blessings is largely about a sheltered 30-something wife's gradual awareness of/acceptance of gay men. With that in mind, I wonder if this isn't a little joke...
October 20, 2025 at 4:57 PM
Barbara Pym's A Glass of Blessings is largely about a sheltered 30-something wife's gradual awareness of/acceptance of gay men. With that in mind, I wonder if this isn't a little joke...
Thank you @kim.senate.gov for lighting up Maplewood, NJ on #NoKingsDay
October 18, 2025 at 7:22 PM
Thank you @kim.senate.gov for lighting up Maplewood, NJ on #NoKingsDay
I'm not sure I've ever registered before that "beware" = "be aware"...
October 16, 2025 at 6:22 PM
I'm not sure I've ever registered before that "beware" = "be aware"...
As this poem keeps cropping up in my feed(s), I have come to hate it.
What a stupid bunch of reductive cliches. "Germany, an oompah band"? Um...
What a stupid bunch of reductive cliches. "Germany, an oompah band"? Um...
October 10, 2025 at 12:45 PM
As this poem keeps cropping up in my feed(s), I have come to hate it.
What a stupid bunch of reductive cliches. "Germany, an oompah band"? Um...
What a stupid bunch of reductive cliches. "Germany, an oompah band"? Um...
Today in "RFK Jr. is possessed by the devil"
www.axios.com/newsletters/...
www.axios.com/newsletters/...
October 10, 2025 at 12:22 PM
Today in "RFK Jr. is possessed by the devil"
www.axios.com/newsletters/...
www.axios.com/newsletters/...
I'm paywalled here, but in case you thought Republicans had cleverly back-loaded their Medicaid cuts until after midterms...stories like this are proliferating.
October 8, 2025 at 12:56 PM
I'm paywalled here, but in case you thought Republicans had cleverly back-loaded their Medicaid cuts until after midterms...stories like this are proliferating.
Not be picayune, but can escalations reach a low?
October 6, 2025 at 2:19 PM
Not be picayune, but can escalations reach a low?
They're flat-out lying, yes, but she didn't answer his question, which was about OBBBA stripping eligibility from certain categories of *lawfully present* noncitizens, whom Republicans smear as "illegals."
www.kff.org/medicaid/tra...
www.kff.org/medicaid/tra...
October 3, 2025 at 3:41 PM
They're flat-out lying, yes, but she didn't answer his question, which was about OBBBA stripping eligibility from certain categories of *lawfully present* noncitizens, whom Republicans smear as "illegals."
www.kff.org/medicaid/tra...
www.kff.org/medicaid/tra...
The psychopath who wanted to execute the innocent Central Park 5 is now running the country.
abc7chicago.com/post/ice-chi...
abc7chicago.com/post/ice-chi...
October 2, 2025 at 3:34 PM
The psychopath who wanted to execute the innocent Central Park 5 is now running the country.
abc7chicago.com/post/ice-chi...
abc7chicago.com/post/ice-chi...
But but I thought the president was surging troops to Poland.
Oh, Portland. Right, Portland.
www.washingtonpost.com/national-sec...
Oh, Portland. Right, Portland.
www.washingtonpost.com/national-sec...
September 30, 2025 at 7:13 PM
But but I thought the president was surging troops to Poland.
Oh, Portland. Right, Portland.
www.washingtonpost.com/national-sec...
Oh, Portland. Right, Portland.
www.washingtonpost.com/national-sec...
Two reasons:
1. Base premium increases
2. Trump's CMS cutting subsidies by raising the "applicable percentages" paid at each income level.
I noted the latter factor back in August
xpostfactoid.substack.com/p/worse-than...
1. Base premium increases
2. Trump's CMS cutting subsidies by raising the "applicable percentages" paid at each income level.
I noted the latter factor back in August
xpostfactoid.substack.com/p/worse-than...
September 30, 2025 at 6:06 PM
Two reasons:
1. Base premium increases
2. Trump's CMS cutting subsidies by raising the "applicable percentages" paid at each income level.
I noted the latter factor back in August
xpostfactoid.substack.com/p/worse-than...
1. Base premium increases
2. Trump's CMS cutting subsidies by raising the "applicable percentages" paid at each income level.
I noted the latter factor back in August
xpostfactoid.substack.com/p/worse-than...
My first thought in response was 'they won't be able to do any damage for a while.'
Not true, not helpful, but that's how the mind works.
Not true, not helpful, but that's how the mind works.
September 30, 2025 at 2:03 PM
My first thought in response was 'they won't be able to do any damage for a while.'
Not true, not helpful, but that's how the mind works.
Not true, not helpful, but that's how the mind works.
Self-answering question: The far right *by definition* seeks to suppress any speech that contradicts its propaganda.
September 24, 2025 at 2:12 PM
Self-answering question: The far right *by definition* seeks to suppress any speech that contradicts its propaganda.
