Blogging mostly healthcare policy at http://xpostfactoid.substack.com. ACA implementation watcher. CSR czar. AKA Andrew Sprung.https://bsky.app/profile/xpostfactoid.bsky.socialhttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mrwyq3ksmc2iI know of 6 refugees who arrived in the U.S. btwn Jan. 2024 and Jan. 2025. All applied timely for green cards; none have them. All would be eligible for Medicaid if their green cards arrived timely; all will be ineligible as of Oct. 1. These indivs don't need Medicaid, but some in this situ must.31 Jul 2026 12:53 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mrwyq3ksmc2ihttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mrvhlfzrv22iThis is good. See also Pema Levy on the "dual state," where a defined class of people are placed outside the rule of law. https://www.motherjones.com/politics/2025/10/dual-state-supreme-court/ [contains quote post or other embedded content]30 Jul 2026 22:13 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mrvhlfzrv22ihttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mrvh46t7h22iThought bubble: A desperate Trump is a dangerous Trump30 Jul 2026 22:05 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mrvh46t7h22ihttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mrt3lpaj5s23The entire GOP is disgraced by moving in near unison to confirm this open, obvious enemy to the rule of law. They are, as a body, enemies of the rule of law. [contains quote post or other embedded content]29 Jul 2026 23:33 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mrt3lpaj5s23https://bsky.app/profile/xpostfactoid.bsky.social/post/3mrqr723wwc2vNo one needs to feel protective of the much-attacked Emily Wilson: she is the Achilles of classicist scholarly debate. [contains quote post or other embedded content]29 Jul 2026 01:22 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mrqr723wwc2vhttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mrl42wz6nc2jExcept weak and spineless is usually replaced by aggressively malevolent. [contains quote post or other embedded content]26 Jul 2026 19:21 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mrl42wz6nc2jhttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mrd4jsfuas27Sorry, but Cassidy's career-defining vote was to confirm RFK Jr. https://www.politico.com/newsletters/politico-pulse/2026/07/23/cassidy-vote-erica-schwartz-cdc-trump-kennedy-0100925123 Jul 2026 15:08 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mrd4jsfuas27https://bsky.app/profile/xpostfactoid.bsky.social/post/3mrd4cytyxc2y"Homer’s Odysseus is a complicated man, polytropos, whereas Matt Damon in the film is traumatized Jason Bourne. He’s an action hero who feels bad about being an action hero." Delightful to hear Emily Wilson expound at length. https://open.substack.com/pub/derekthompson/p/emily-wilsons-complicated-feelings?r=7jbrn&utm_campaign=post&utm_medium=email23 Jul 2026 15:04 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mrd4cytyxc2yhttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mrd47zz4qk23"If you come at the poem with the most boring kinds of strangeness up front, like putting the verb in the wrong place, that distracts the audience from what’s fundamentally strange in Homer." https://open.substack.com/pub/derekthompson/p/emily-wilsons-complicated-feelings?r=7jbrn&utm_campaign=post&utm_medium=email23 Jul 2026 15:02 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mrd47zz4qk23https://bsky.app/profile/xpostfactoid.bsky.social/post/3mr6tklm5vk2pI have loved the Odyssey since I was 7 years old (children's versions), but I don't think I could take all the violence that's bound to be in a good movie version.21 Jul 2026 22:16 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mr6tklm5vk2phttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mr62ztfz5224There were 53,808 in absentia removal orders nationally in June, a 55% jump from a month earlier. https://www.thecityreporter.nyc/2026/07/21/deportation-removal-immigration-orders-mega-master-trump/?utm_medium=email&utm_campaign=SCOOP_072126&utm_source=ActiveCampaign&npnl=ODEzOTV8ODZmYTVlNTgzZGY0MWU1ZjU3MDBjYTYxN2E1YzkxOGRhMWI3OGNjZTc5ZjI1OGFjYjc2MTNhMjBjZGFhMmUyMg&utm_content=A+surge+in+deportation+orders+in+NYC&fbclid=IwY2xjawTMZvlleHRuA2FlbQIxMQBzcnRjBmFwcF9pZBAyMjIwMzkxNzg4MjAwODkyAAEeWTDipRLXYOJ1LCs1UT9b9y06O_KfDmAUoP4_bfGXds9MA7OsploClzMR5cY_aem_CXh5N61bH2hGtxKzAXzCNg21 Jul 2026 14:57 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mr62ztfz5224https://bsky.app/profile/xpostfactoid.bsky.social/post/3mr3sstc3is2bTell me you're a Nazi without telling me you're a Nazi [contains quote post or other embedded content]20 Jul 2026 17:25 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mr3sstc3is2bhttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mr3ffy6vfk2sJust as I try to settle down to work, my daily morning terrorfication... [contains quote post or other embedded content]20 Jul 2026 13:25 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mr3ffy6vfk2shttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mr3eg45vok2aComing out for "open Medicare," as @brianbeutler.bsky.social proposes, is different from "surrendering" re "Medicare for All." "Open Medicare" bills have been around since the early 2000s. It's always been the most obvious glide path to Medicare for all. 1/ https://open.substack.com/pub/brianbeutler/p/medicare-for-all-obamacare-affordable-care-act-health-care-barack-obama-bernie-sanders-public-option?r=7jbrn&utm_campaign=post&utm_medium=email20 Jul 2026 13:07 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mr3eg45vok2ahttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mqrd65enus24Underwear will be worn on the outside https://www.youtube.com/watch?v=p_g5Zjnp520 [contains quote post or other embedded content]16 Jul 2026 13:18 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mqrd65enus24https://bsky.app/profile/xpostfactoid.bsky.social/post/3mqr65hjkvk24Capsule summary of billionocracy from Paul Krugman https://open.substack.com/pub/paulkrugman/p/democracy-in-an-age-of-powermaxxing?r=7jbrn&utm_campaign=post&utm_medium=email16 Jul 2026 11:49 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mqr65hjkvk24https://bsky.app/profile/xpostfactoid.bsky.social/post/3mqqzmwqvbk24Hey, remember that video Trump posted showing him shitting all over the country? https://prospect.org/2026/07/16/how-donald-trump-created-worst-diarrhea-outbreak-cyclosporiasis-food-safety/16 Jul 2026 10:28 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mqqzmwqvbk24https://bsky.app/profile/xpostfactoid.bsky.social/post/3mqp5ujr3ls22Taking a moment to grieve that the U.S. federal government is putting forward this lifelong charlatan as my personal health guru.15 Jul 2026 16:38 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mqp5ujr3ls22https://bsky.app/profile/xpostfactoid.bsky.social/post/3mqnkolhu5k24"Backtracks" on "plan" -- LOL. It's all explosive diarrhea. [contains quote post or other embedded content]15 Jul 2026 01:22 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mqnkolhu5k24https://bsky.app/profile/xpostfactoid.bsky.social/post/3mqnbwese3c2iAnd, um, forcing Iranians to die for it. [contains quote post or other embedded content]14 Jul 2026 22:46 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mqnbwese3c2ihttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mqn5lfgojc2iIs he going to purport to believe this Trump toadie? What is Durbin, an aspiring Sue Collins? [contains quote post or other embedded content]14 Jul 2026 21:28 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mqn5lfgojc2ihttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mqh236aoqk2oWell, goodbye to someone who may have once had some shreds of decency but then disgraced and abased himself to an unfathomable degree. May his biography be a cautionary tale to all who take on this mortal coil. [contains quote post or other embedded content]12 Jul 2026 11:09 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mqh236aoqk2ohttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mqfa3vn3r22j"No one wants to hurtle in a metal tube to the suffocated corners of the world with shackled, weeping people, whose only crimes were yearning to breathe free..." [contains quote post or other embedded content]11 Jul 2026 17:52 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mqfa3vn3r22jhttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mqejafzja22nAnd if Rubio weren't a Bible-thumping murderous fascist [contains quote post or other embedded content]11 Jul 2026 11:02 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mqejafzja22n