Writer at The Bulwark / Author of THE TEN YEAR WAR & SICK / Fan of Red Sox, Dolphins, Wolverines, Billy Joel / Proud husband & dad

Ann Arbor, Michigan
**Some Personal News** THE TEN YEAR WAR, my new book, is available for pre-order. It’s an effort to tell the story of Obamacare and, more broadly, the story of American politics over the last decade. (1) read.macmillan.com/lp/ten-ye…
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NEW Harris rolling out a major policy proposal today: Having Medicare cover long-term care at home Idea is to help millions of seniors & people w/disabilities -- and their family caregivers too Announcement to come on “The View” huffpost.com/entry/kamala-ha…
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Number of House Republicans who signed onto Trump lawsuit: 126 Words it took Supreme Court to reject the case: 126
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A friendly reminder that the Supreme Court did not even recognize an individual right to own a firearm until 2008 -- and that the opinion, by Scalia, relied on some highly suspect reasoning.
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Chris Wallace on Fox citing the numerous breaches of protocol -- and Hatch Act -- we saw tonight. Says people can decide for themselves whether it matters but makes clear that "all of this has never happened before."
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Not sure people grasp the totality or history of what Democrats won in Michigan last night ☑️Governor ☑️Attorney General ☑️Sec'y of State ☑️Abortion, voting amendments ☑️Key U.S. House races And now it looks like they've flipped the Senate *and* House huffpost.com/entry/gretchen-…
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Paul Ryan says insurance can't work if healthy must pay more to subsidize the sick. But this is exactly what happens in every employer plan.
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Social media reaction to Harris home care proposal like nothing I’ve seen So many people saying they’re struggling, could use the help And reaction of the political set is … a collective shrug huffpost.com/entry/kamala-ha…
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🚨🚨🚨 "I have never experienced such radical non-transparency, nor have I seen such unskilled manipulation of data to achieve a political end rather than the good of the American people."
My resignation letter from CDC. Dear Dr. Houry, I am writing to formally resign from my position as Director of the National Center for Immunization and Respiratory Diseases at the Centers for Disease Control and Prevention (CDC), effective August 28, 2025, close of business.   I am happy to stay on for two weeks to provide transition, if requested. This decision has not come easily, as I deeply value the work that the CDC does in safeguarding public health and am proud of my contributions to that critical mission. However, after much contemplation and reflection on recent developments and perspectives brought to light by Secretary Robert F. Kennedy Jr., I find that the views he and his staff have shared challenge my ability to continue in my current role at the agency and in the service of the health of the American people. Enough is enough. While I hold immense respect for the institution and my colleagues, I believe that it is imperative to align my professional responsibilities to my system of ethics and my understanding of the science of infectious disease, immunology, and my promise to serve the American people.  This step is necessary to ensure that I can contribute effectively in a capacity that allows me to remain true to my principles. I am unable to serve in an environment that treats CDC as a tool to generate policies and materials that do not reflect scientific reality and are designed to hurt rather than to improve the public’s health.  The recent change in the adult and children’s immunization schedule threaten the lives of the youngest Americans and pregnant people.   The data analyses that supported this decision have never been shared with CDC despite my respectful requests to HHS and other leadership.  This lack of meaningful engagement was further compounded by a “frequently asked questions” document written to support the Secretary’s directive that was circulated by HHS without input from CDC subject matter experts and that cited studies that did not support the conclusions that were attributed to these authors.  Having worked in local and national public health for years, I have never experienced such radical non-transparency, nor have I seen such unskilled manipulation of data to achieve a political end rather than the good of the American people. It is untenable to serve in an organization that is not afforded the opportunity to discuss decisions of scientific and public health importance released under the moniker of CDC.  The lack of communication by HHS and other CDC political leadership that culminates in social media posts announcing major policy changes without prior notice demonstrate a disregard of normal communication channels and common sense.  Having to retrofit analyses and policy actions to match inadequately thought-out announcements in poorly scripted videos or page long X posts should not be how organizations responsible for the health of people should function.  Some examples include the announcement of the change in the COVID-19 recommendations for children and pregnant people, the firing of scientists from ACIP by X post and an op-ed rather than direct communication with these valuable experts, the announcement of new ACIP members by X before onboarding and vetting have completed, and the release of term of reference for an ACIP workgroup that ignored all feedback from career staff at CDC. The recent term of reference for the COVID vaccine work group created by this ACIP puts people of dubious intent and more dubious scientific rigor in charge of recommending vaccine policy to a director hamstrung and sidelined by an authoritarian leader.   Their desire to please a political base will result in death and disability of vulnerable children and adults.  Their base should be the people they serve not a political voting bloc. I have always been first to challenge scientific and public health dogma in my career and was excited by the opportunity to do so again.  I was optimistic that there would be an opportunity to brief the Secretary about key topics such as measles, avian influenza, and the highly coordinated approach to the respiratory virus season.  Such briefings would allow exchange of ideas and a shared path to support the vision of “Making America Healthy Again.”  We are seven months into the new administration, and no CDC subject matter expert from my Center has ever briefed the Secretary.  I am not sure who the Secretary is listening to, but it is quite certainly not to us.  Unvetted and conflicted outside organizations seem to be the sources HHS use over the gold standard science of CDC and other reputable sources.  At a hearing, Secretary Kennedy said that Americans should not take medical advice from him.  To the contrary, an appropriately briefed and inquisitive Secretary should be a source of health information for the people he serves. As it stands now, I must agree with him, that he should not be considered a source of accurate information. The intentional eroding of trust in low-risk vaccines favoring natural infection and unproven remedies will bring us to a pre-vaccine era where only the strong will survive and many if not all will suffer.  I believe in nutrition and exercise.  I believe in making our food supply healthier, and I also believe in using vaccines to prevent death and disability.  Eugenics plays prominently in the rhetoric being generated and is derivative of a legacy that good medicine and science should continue to shun. The recent shooting at CDC is not why I am resigning.  My grandfather, who I am named after, stood up to fascist forces in Greece and lost his life doing so.  I am resigning to make him and his legacy proud.   I am resigning because of the cowardice of a leader that cannot admit that HIS and his minions’ words over decades created an environment where violence like this can occur.  I reject his and his colleagues’ thoughts and prayers, and advise they direct those to people that they have not actively harmed. For decades, I have been a trusted voice for the LGBTQ community when it comes to critical health topics.  I must also cite the recklessness of the administration in their efforts to erase transgender populations, cease critical domestic and international HIV programming, and terminate key research to support equity as part of my decision. Public health is not merely about the health of the individual, but it is about the health of the community, the nation, the world. The nation’s health security is at risk and is in the hands of people focusing on ideological self-interest. I want to express my heartfelt gratitude for the opportunities for growth, learning, and collaboration that I have been afforded during my time at the CDC. It has been a privilege to work alongside such dedicated professionals who are committed to improving the health and well-being of communities across the nation even when under attack from within both physically and psychologically. Thank you once again for the support and guidance I have received from you and previous CDC leadership throughout my tenure. I wish the CDC continued success in its vital mission and that HHS reverse its dangerous course to dismantle public health as a practice and as an institution.  If they continue the current path, they risk our personal well-being and the security of the United States. Sincerely, Demetre C. Daskalakis MD MPH (he/his/him)
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Susan Collins saying it was a mistake not to consider Garland and that it would be a mistake for Democrats to do same to Trump's next nominee tells you everything you need to know about how the GOP gets away with breaking all the rules.
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Friendly reminder: 1. Rick Scott was CEO of a company that the feds fined $1.7 billion -- yes, billion with a "b" -- for fraudulent Medicare billing politifact.com/florida/state… 2. Scott's party, the GOP, has repeatedly tried to cut and privatize Medicare cbpp.org/research/medicare-i…
If you want to protect Medicare, vote Republican. If you want a socialist experiment with Medicare, by all means vote Democrat.
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Announcement from @ASlavitt -- HHS/Defense approving a new over-the-counter, self-administered COVID test. Says they are 95% accurate, results within 15 minutes.
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Just to be clear, he’s saying he wants to roll back protections for people with pre-existing conditions
John Kennedy on Republican healthcare ideas: "Bringing back high risk pools, which have been outlawed under the ACA."
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Not the first to observe this, but these hearings are pulling back the curtain on the deep state to reveal ... serious, smart and deeply patriotic public servants. We should be thankful that government service attracts people of such high caliber.
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How the Manafort news is playing on Fox right now
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On @NBCNews right now @SavannahGuthrie keeps asking Fauci if he wishes there were a national stay-at-home order and Fauci is doing everything he can to avoid saying “yes” while basically saying ... yes.
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NEW at HuffPost: Warren updates her coronavirus plan, now includes push to increase ICU capacity, ramp up ventilator production, bigger stimulus. She's not running for president anymore, but hopes to influence administration, fellow lawmakers. huffpost.com/entry/coronavir…
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Impact of NIH cut starting to sink in Here's Sen. Katie Britt urging "a smart, targeted approach" in order to protect important research at UA-Birmingham, a top NIH recipient Also, as article notes, the state's largest employer al.com/news/2025/02/katie-br…
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Sometimes I think Jim Jordan is actually a caricature of Jim Jordan
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And there it is: The House just passed the Inflation Reduction Act.
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Last month we got news that an mRNA vaccine showed progress against pancreatic cancer, one of the deadliest…
Exclusive: NIH officials have advised some scientists to remove references to mRNA vaccines from their grant applications, in expectation the Trump administration intends to abandon most research in the field. By @ArthurAllen202 kffhealthnews.org/news/artic…
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Insurers had been relatively quiet in their criticism of GOP health bills Last night, they let out a primal scream huffingtonpost.com/entry/sen…
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Uh, that's not how running for president works.
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Congress investigated Benghazi, Whitewater, etc -- and those were wisps of scandal compared to smoke billowing out of Trumpland right now.
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Hate even dignifying tweets like these -- and I know this isn't the most incendiary part -- but I feel compelled to note that "lightweight" Gillibrand has a magna cum laude degree from Dartmouth.
Lightweight Senator Kirsten Gillibrand, a total flunky for Chuck Schumer and someone who would come to my office “begging” for campaign contributions not so long ago (and would do anything for them), is now in the ring fighting against Trump. Very disloyal to Bill & Crooked-USED!
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Did Trump just sound exasperated that states are looking for the feds to help with supplies? This is a national disaster. It is absolutely the federal government's job to take charge.
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Mayor Pete’s new addiction/mental health agenda has a bit of everything, from better coverage of opioid treatments to investments in screening. But if fully implemented, it could add up to the most sweeping mental health care changes in 50 years huffpost.com/entry/buttigieg…
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The Nunberg interviews were crazy, I agree. But shouldn't we still be talking about the @JaneMayerNYer story & possibility of Russian meddling with Trump's choice of Secretary of State? newyorker.com/magazine/2018/…
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A trauma surgeon who was on duty last week, taking care of Parkland victims, describes -- in graphic detail -- what bullets from an AR-15 do to the human body. Difficult to read. Important to read. theatlantic.com/amp/article/…
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The fact that Portman is calling here for a bipartisan commission to investigate the election system -- and not the assault on the Capitol -- tells you a lot about why Wednesday happened.
We need to work together to restore confidence in the integrity of our electoral system. That's why I will introduce a bill to establish a bipartisan, blue ribbon panel to provide transparency into past election issues & recommend best practices for the states moving forward.
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Replying to @jaketapper
Rolling Scones? SEO Speedwagon? Ah... got it Rash
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The girl in this picture, hospitalized at age 9, had an illness that made her uninsurable. Now she's a U.S. senator and she's fighting the Trump administration over pre-existing conditions. huffingtonpost.com/entry/bal…
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Combined with other reporting out there -- and what I'm now also hearing -- looks like at least 5 senior CDC leaders just left/are leaving the agency today Never seen anything like this
NEW : Am told that Demetre Daskalakis who runs the National Center for Immunization and Respiratory Diseases and played a crucial role in the Covid and monkeypox fights, has also submitted his resignation
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Reminder: During ACA debate, Obama visited GOP retreat & answered questions at length; later held day-long bipartisan session at Blair House
Chuck Schumer has sent a letter to. McConnell inviting the entire Republican conference to an all-senators meeting on health care.
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Good call @brianbeutler
This almost certainly ends with some dumbfuck (or group of dumbfucks) going to jail.
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Chief of Staff Mick Mulvaney was on two different shows this morning -- @CNNSotu & @ThisWeekABC -- insisting "every Republican plan" had protections for people with pre-existing conditions. In reality, every single plan rolled back those protections. This is just one example.
The president's budget on March 11 proposed replacing the ACA with an approach modeled after the Graham-Cassidy bill, providing "relief" from "many" of the ACA's insurance rules. The original Graham-Cassidy bill allowed unlimited premiums for people with pre-existing conditions.
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This ad tells you everything you need to know about how potent the politics of health care has become -- and how it's turned on Republicans, even in deeply red states.
Patrick Morrisey's lawsuit would take away health care from people with pre-existing conditions. That's just dead wrong, and that ain't gonna happen.
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Replying to @TPCarney
My list of contenders would start with the 2000 election/recount & 2008 financial collapse. Election of Obama & Trump close behind, then natural disasters (Katrina, Sandy), gun violence tragedies (Sandy Hook, Las Vegas, Parkland) and a legislative debate (ACA).
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In fact, the filibuster frequently prevents broadly popular legislation from passing.
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Story that should be getting a *lot* more attention: Utah Republicans are rushing to pass a bill that will block the state's Medicaid expansion, which voters just approved in the November election @JeffYoung has the details --> huffingtonpost.com/entry/uta…
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Absolutely baffled by this decision from @MSNBC -- Joan is one of the sharpest political observers they have on air, and her voice is especially vital at this moment. #KeepJoanWalsh
Many women citing @joanwalsh as an early champion; I’m among them. She encouraged me to write from feminist perspective more than a decade ago as an editor @salon. Strange time for MSNBC to jettison someone who’s long been committed to making space for & promoting other women.
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Hi, Fox and Friends. Just an FYI. If you're on the company health care plan, that's how your insurance works too.
"Congratulations, the healthy people are paying for the sick people."
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It's true that Pelosi is wealthy and raises money from wealthy people. It's also true that Pelosi has spent her career fighting to strengthen the safety net, bolster unions, regulate corporations, raise taxes on wealthy, etc. I mean, there's a reason conservatives detest her.
Marcia Fudge on Nancy Pelosi's unpopularity: "I think they see her as an elitist. And I think to some degree she is. She’s a very wealthy person, she raises a lot of money from a lot of other wealthy people.” huffingtonpost.com/entry/mar…
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Looks like another Republican candidate has removed abortion language from his website. This time it’s Tom Barrett, who is challenging Elissa Slotkin for a U.S. House seat in Michigan. Via @nannburke @CraigDMauger detroitnews.com/story/news/p…
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I've seen Sanders repeatedly on Detroit television this weekend, thanks to coverage of his rallies, interviews with local anchors, appearances on national Sunday shows airing now. I've seen almost nothing of Biden, who comes tomorrow. No idea if this will make a difference.
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Vance just said Biden-Harris policies sent manufacturing jobs overseas The facts (and this graph on manufacturing construction) tell a very different story huffpost.com/entry/2024-elec…
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Medicaid cuts went through Budget Committee at 10:30 last night, with changes still not public (and still no full CBO score) Next up: Rules Committee at 1 a.m. Wednesday, then floor vote by weekend What's the rush? What don't they want you to see? thebulwark.com/p/how-to-take…
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Seems ironic given all the chatter about how Harris needs to talk policy, show vision and differentiate from Biden Doing all three here and it’s crickets Not a word on Sunday shows, for example (though possible I’ve missed) huffpost.com/entry/kamala-ha…
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Even by Fox standards this is grossly irresponsible
On Fox & Friends, Jerry Falwell Jr claims people are "overreacting" to coronavirus, the national response is "their next attempt to get Trump," and the virus itself is a North Korean bioweapon.
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VP Pence jumping right for it at rally in Yuma, AZ: “I was with Martha McSally every step of the way when she fought to protect pre-existing conditions for every American. She was there. I saw it.”
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In terms of consequences of a Trump election, a serious role for RFK Jr in public health policy probably deserves more attention
RFK Jr. said tonight that Trump “has promised me” control of HHS & “its sub-agencies” as well as the Dept. Of Agriculture
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JD Vance in Detroit today, audience included more than a dozen wearing "auto workers for Trump" t-shirts @CraigDMauger spoke to six who said they weren't actually auto workers, just Trump supporters (1/x) detroitnews.com/story/news/p…
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State spox tells @detroitnews that "delay in processing voters appears to be concentrated at city clerks office is college towns, such as Ann Arbor, East Lansing and Kalamazoo, that are fielding hundreds of people registering to vote" detroitnews.com/story/news/p…
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Listening to Mitt Romney — “I think we should have nothing to do with Marjorie Taylor Greene, and think we should repudiate the things she said and move away from her” — I keep thinking of a historical echo that seems relevant on multiple levels: cbsnews.com/news/george-romn…
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Trump saying he's almost finished with his health care plan sounds a lot like the time(s) he said he as almost ready to release tax returns
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So basically Democrats prevailed in all the statewide races, but not where there were gerrymandered districts.
Biden wins Michigan by at least 2 points, nears 270 electoral votes; Dems also buoyed by Senate victory, new majority on Supreme Court; Republicans keep control of state House (from @AP) apnews.com/46c8a10647ef59777…
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The morning after Donald Trump's election, almost nobody thought the ACA would survive -- except one Obama adviser, who was convinced Republicans had no idea what they were doing. She was right. An excerpt from THE TEN YEAR WAR, now up at @TheAtlantic theatlantic.com/politics/arc…
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A lot has happened in the last 20 years. Much of it pretty awful.
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Tell people Medicare for All means a guaranteed right to health care, 78 percent support it. Tell them it means eliminating private insurance, 37 percent support it. huffingtonpost.com/entry/med…
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This GOP mailer landed in Michigan mailboxes yesterday In case you were wondering how much of a liability Project 2025 has become for Trump
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Not the most consequential thing Trump has said, for sure, but calling Meryl Streep "over-rated" gets Four Pinnochios. Right?
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Have now seen two governors -- Pritzker (D-Ill) and Scott (R-Vt) -- call for removing Trump from office. Also the National Association of Manufacturers, which is as establishment DC as you can get.
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.@BernieSanders says scary stories of wait times abroad are mostly myth. He's right. Here's primary care ... (1/3)
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The Trump Administration has gone from asking courts to roll back part of the ACA to asking courts to roll back the entire thing. Pre-ex protections, tax credits, Medicaid expansion — all would be gone and many millions would lose coverage. huffpost.com/entry/trump-adm…
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If you want a sense of how big a deal this could be, check out the Replies and Quote RTs to this So many people saying they have been in this situation, or are now Not sure I've ever gotten this kind of reaction on a post before
NEW Harris rolling out a major policy proposal today: Having Medicare cover long-term care at home Idea is to help millions of seniors & people w/disabilities -- and their family caregivers too Announcement to come on “The View” huffpost.com/entry/kamala-ha…
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First time Eminem has licensed a song for a political ad...
Joe Biden just launched a campaign ad with Eminem’s “Lose Yourself”
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Vance once again talking about bringing manufacturing back to the U.S. So I'm once again posting this item about all the factory construction taking place today because of Biden-Harris policies that got zero Republican support
Vance just said Biden-Harris policies sent manufacturing jobs overseas The facts (and this graph on manufacturing construction) tell a very different story huffpost.com/entry/2024-elec…
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Must-read from @NoamLevey on problems in ACA markets -- and the Trump Administration's role in them latimes.com/politics/la-na-p…
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Bias on CNN — the pro-Eagles kind. (For the record, I’m totally with @jaketapper on this. Go Eagles.)
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No subtlety here
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- Protecting the LGBTQ community instead of targeting it - Strengthening gun safety rules instead of rolling them back - Repealing old abortion bans instead of enacting new ones Now at @HuffPost: How Michigan is becoming the anti-Florida huffpost.com/entry/michigan-…
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Gratuitous shot at M4A from Biden. M4A isn't the reason Italy is having problems. Italy's problem is health system capacity. Independent of health system design.
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Wow -- HHS retrofitted website, replacing enrollment links with anti-Obamacare propaganda Via @samstein thedailybeast.com/team-trump…
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Sabotage of risk corridors doesn't get nearly enough attention
ACA is only failing where Rs sabotaged it by not accepting Medicaid expansion, not setting up exchanges, and eliminating risk corridors.
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Literally taking services away from disabled kids
A little-noticed target in the House health care bill: special education nyti.ms/2pzatGQ
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200K could get health insurance, another 1M could save money on premiums under a new proposal the Biden administration is unveiling today. And it's something they can do without Congress. huffpost.com/entry/biden-aca…
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The Trump Administration is fighting in court to take those protections away. huffingtonpost.com/entry/tru… This is just a shocking contempt for truth — and the voters. Even by Trump’s standards.
All Republicans support people with pre-existing conditions, and if they don’t, they will after I speak to them. I am in total support. Also, Democrats will destroy your Medicare, and I will keep it healthy and well!
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Trump tried to explain economics to The Economist and it went just like you think it did Via @jonathanchait nymag.com/daily/intelligence…
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"People will buy these policies, show up at the hospital for a condition they did not expect, and discover they are not covered.” That's an insurance commissioner talking -- not me. huffingtonpost.com/entry/tru…
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Trump says Obama "was not proactive" about trying to pass a background check bill. WHAT ON EARTH IS HE TALKING ABOUT Obama, fresh off reelection -- and Sandy Hook -- spent nearly all of his political capital trying to get Manchin-Toomey through Congress.
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More to say about Pelosi soon, but this was just one of the moments from the ACA fight when she defied skeptics all over Washington -- and within her own caucus. "By sheer will, she turned that room around."
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Important -- Michigan has been among the most successful ACA states, w/a thriving market. Trump doing everything he can to tear that down.
Donald Trump is destroying Obamacare from within. And Michigan is a case study thedailybeast.com/donald-tru… w/ @GideonResnick
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Here, via Dr. Slaoui, are the number of people who will get vaccinated each month if both Pfizer & Moderna get speedy approval: 20M in Dec 30M in Jan 50M in Feb Yes, that's people, not doses. Enough to reach high-risk population. h/t @megtirrell for asking question
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So maybe vote no? Just spitballing here.
Unhappy GOP senators complain about voting on ObamaCare repeal bill they don't know details of: hill.cm/JX55Oal
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We're all talking about pre-existing conditions, but -- one more time -- the Medicaid cuts are an even bigger deal in terms of magnitude nitter.app/dylanlscott/status/859…
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Could use some more yelling on this, tbh
Sorry for yelling guys. BUT IN THE MIDDLE OF THIS S@#%SHOW THEY ARE STILL TRYING TO TAKE AWAY YOUR HEALTHCARE AND RUIN THE INTERNET.
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In most of America, the story was about a red wave that never materialized In Michigan, the story was about a blue wave that made history This is what it looked like huffpost.com/entry/how-gretc…
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Heard from a lot of people in health care this past week, in administration and on the front lines. They know a coronavirus patient surge is coming. They know what kind of capacity the system has. And they are worried. huffpost.com/entry/coronavir…
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Not creating a special ACA enrollment period makes no sense unless carrying on your crusade against "Obamacare" is more important to you than addressing a public health crisis. Read @JeffYoung huffpost.com/entry/trump-adm…
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