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/3mlvmhtf3xs2lEmily Litella for President! https://www.youtube.com/watch?v=OjYoNL4g5Vg Democrats also want more violins on TV [contains quote post or other embedded content]15 May 2026 15:10 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mlvmhtf3xs2lhttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mlvlzdo7ak2lImagine if Trump met Jesus. The mind bends. [contains quote post or other embedded content]15 May 2026 15:01 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mlvlzdo7ak2lhttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mltwmwy6w22mWho's going to write a novel titled Irreparable Harm? A watchword fir the Trump era.14 May 2026 23:06 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mltwmwy6w22mhttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mlspcaw7ks2g Krugman: "rest assured that the Chinese will use Trump’s debilitated status to their ultimate advantage, pressing for concessions on Taiwan while letting Trump bleed away what’s left of U.S. credibility on a failed war." https://open.substack.com/pub/paulkrugman/p/a-failing-flailing-president-supplicates?r=7jbrn&utm_campaign=post&utm_medium=email14 May 2026 11:22 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mlspcaw7ks2ghttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mlsoe67oxs2gMy mother visited China in 1975 by invitation to observe early childcare. Viewing her slides, I said the children look happy. She said, "Totalitarianism makes happy children." [contains quote post or other embedded content]14 May 2026 11:05 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mlsoe67oxs2ghttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mlr2qwbbls2bThis sounds like a column premise for @jonathanbernstein.bsky.social "On issue after issue, both in Washington and in state capitals around the country, Republicans are giving Trump the stiff arm." https://punchbowl.news/archive/51326-am/13 May 2026 19:42 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mlr2qwbbls2bhttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mlqlu347o22iEver heard the ethnic joke about the [country of your choice] that planned to fly to the sun at night? [contains quote post or other embedded content]13 May 2026 15:15 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mlqlu347o22ihttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mlqcgly3j22iFruit of @wqxr.bsky.social fundraising: It just dawned on me that "underwrite" and "subscribe" have the same literal meaning.13 May 2026 12:27 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mlqcgly3j22ihttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mlobb7jxy22oAnyone have the lowdown on this agreement? Looks like DHS agreed to postpone work on the threatened Roxbury detention center until after it conducts an environmental review (or other review?), but that can only be inferred below. [contains quote post or other embedded content]12 May 2026 17:00 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mlobb7jxy22ohttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mlnr6t7otk2oWhen you hear fraudster Oz claim that the 3 million drop in ACA enrollment is due to fraud cleanup, keep this from @charlesgaba.com in mind https://acasignups.net/26/05/12/breaking-cms-admits-over-30-million-have-already-lost-aca-coverage-so-far-year12 May 2026 12:13 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mlnr6t7otk2ohttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mlegrajle22vMurdoch created Trump [contains quote post or other embedded content]08 May 2026 19:12 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mlegrajle22vhttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mleeni5ldk2vVisitors to the Geo Group-run Delaney Hall immigrant detention center in Newark can enter with only two things in their pockets: i.d. and credit card. https://open.substack.com/pub/xpostfactoid/p/fascism-with-vending-machines?r=7jbrn&utm_campaign=post-expanded-share&utm_medium=web08 May 2026 18:34 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mleeni5ldk2vhttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mldtq3jzxs2hThey think they're Old Testament judges [contains quote post or other embedded content]08 May 2026 13:32 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mldtq3jzxs2hhttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mldr3o6kks2h"Enjoy your visit," one guard at the Delaney Hall security booth likes to say. It's kindly meant.... https://open.substack.com/pub/xpostfactoid/p/fascism-with-vending-machines?r=7jbrn&utm_campaign=post-expanded-share&utm_medium=web08 May 2026 12:44 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mldr3o6kks2hhttps://bsky.app/profile/xpostfactoid.bsky.social/post/3ml4f7csmsc2iIn the visiting room at the Delaney Hall detention center, when 50-70 visitors are let in all at once, a subset immediately lines up at 4 vending machines to buy drinks and snacks for their poorly fed loved ones. This seems very American to me. Fascism with vending machines.05 May 2026 14:23 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3ml4f7csmsc2ihttps://bsky.app/profile/xpostfactoid.bsky.social/post/3ml6vfaxknk26Declare victory, Accept defeat, Pretend to end, Rinse, repeat. [contains quote post or other embedded content]06 May 2026 14:18 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3ml6vfaxknk26https://bsky.app/profile/xpostfactoid.bsky.social/post/3ml6v6nqhn226"The White House believes it's getting close...LOL https://www.axios.com/2026/05/06/iran-us-deal-one-page-memo06 May 2026 14:14 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3ml6v6nqhn226https://bsky.app/profile/xpostfactoid.bsky.social/post/3ml5534wq2k2nRemembering these foibles of the late great John Sterling fondly -- this was written circa 1994:05 May 2026 21:30 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3ml5534wq2k2nhttps://bsky.app/profile/xpostfactoid.bsky.social/post/3ml4i3runu22gYou most prove you're worthy. Eat roadkill and sniff cocaine off toilet seats. [contains quote post or other embedded content]05 May 2026 15:15 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3ml4i3runu22ghttps://bsky.app/profile/xpostfactoid.bsky.social/post/3ml4f7csmsc2iIn the visiting room at the Delaney Hall detention center, when 50-70 visitors are let in all at once, a subset immediately lines up at 4 vending machines to buy drinks and snacks for their poorly fed loved ones. This seems very American to me. Fascism with vending machines.05 May 2026 14:23 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3ml4f7csmsc2ihttps://bsky.app/profile/xpostfactoid.bsky.social/post/3ml4apnmnbc2a"as a result of the Iran debacle, Trump’s presidency has been a net positive for the global green energy revolution." https://open.substack.com/pub/paulkrugman/p/trump-is-losing-a-second-war?r=7jbrn&utm_campaign=post&utm_medium=email05 May 2026 13:03 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3ml4apnmnbc2ahttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mkzzu6fsis2hThanks @juddlegum.bsky.social for reporting that ICE has stiffed third-party medical providers for 7 months -- and many detainees have died following egregious medical neglect. This is proto-Nazi conduct. https://popular.info/p/ice-has-not-paid-for-detainee-medical?utm_source=post-email-title&publication_id=1664&post_id=196355001&utm_campaign=email-post-title&isFreemail=false&r=13mvu&triedRedirect=true&utm_medium=email04 May 2026 15:55 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mkzzu6fsis2hhttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mkv72zu43s2hThis was one of my favorite Onion pieces ever, but 12 years later I have to admit, with some bafflement, that my cohort expressing their preferences here are in a distinct minority. https://theonion.com/christ-article-a-video-1819595653/02 May 2026 17:45 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mkv72zu43s2hhttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mks6ffhw5k25Really good job overviewing the likely year-long enrollment attrition in 2026. [contains quote post or other embedded content]01 May 2026 12:55 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mks6ffhw5k25https://bsky.app/profile/xpostfactoid.bsky.social/post/3mkqwuamvok2tLast weekend I was present when a detainee walked out of Delaney Hall. I found myself thinking of how in the first months of the pandemic, hospital staff would sing Here Comes the Sun when a patient got off a ventilator. Then I thought how I'd sing it if we ever get past Trump to an elected Democrat01 May 2026 01:07 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mkqwuamvok2thttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mkqv22dx322vn an era in which we may never trust the federal government again, an all-payer state healthcare system looks pretty good. Here Merrill Goozner, long an advocate for the Maryland model, testifies in favor of an Illinois bill that would replicate it. https://open.substack.com/pub/gooznews/p/one-step-forward?utm_campaign=post-expanded-share&utm_medium=web01 May 2026 00:34 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mkqv22dx322vhttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mkmzldhgzs2wKind of recursive, isn't it. Our deepest long-term problem: You can't have a democracy when one of two parties won't play.29 Apr 2026 11:45 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mkmzldhgzs2whttps://bsky.app/profile/xpostfactoid.bsky.social/post/3mkia4fokxk2t"all of Israeli Jewish politics, essentially, takes place within an ethno-nationalist framework, in which the very language of democracy itself is really, largely confined to the idea of democracy for Jews." https://open.substack.com/pub/peterbeinart/p/israel-is-not-hungary?utm_campaign=post&utm_medium=email27 Apr 2026 13:59 +0000at://did:plc:symglact7pb7poh4oceron46/app.bsky.feed.post/3mkia4fokxk2t