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Tom Giovanetti 🗽
@tgiovanetti
, 4 tweets, 1 min read Read on Twitter
After a reasonably protracted battle, today we got the price of a prescription from $300/mo. down to $25 mo. There is clearly something wrong with a healthcare system where some people in theory pay $300 for something while other people pay $25. (1/3)
HOWEVER, note that this issue had NOTHING to do with the pharmaceutical manufacturer. This was all about the health insurance company’s willingness or unwillingness to pay—to meet their contractural obligations to their policyholder. (2/3)
Under Ocare, health insurers extracted the rent that every American was required to buy their product. In exchange, they were expected to cover things. Far too often, they find a way to weasel out, yet people knee-jerk reflexively blame drug manufacturers. (3/4)
There are many links in the drug supply chain—insurers, PBMs, etc. It’s the middlemen who create nothing yet extract from the system that we should focus on, not those who innovate and create these products that enhance our lives. (4/4)
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Tom Giovanetti 🗽
@tgiovanetti
So last night the Nashville Predators, found out that they cannot skate with the #DallasStars. The Stars are just too young and too fast for the Preds. Plus the Stars are healthy right now literally for the first time all season.

But the Preds are bigger.
So if you know anything about hockey, and I know only a little, what you know is that in Game 2 the Preds will come out and simply try to physically injure and damage as many of the #Stars as possible. It will be an attempted mugging.
If our young little #Stars can handle it, this team may go farther than we thought.

And if anyone wants to invite me to a game, I’m a good guest.
Read 3 tweets
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Tom Giovanetti 🗽
@tgiovanetti
Local control is a tool, not a governing principle. The state legislature is free to use it or discard it situationally, and because it's not a governing principle, that's not a logical inconsistency. (1/4) #txlege
The #txlege has a compelling interest in the economic freedom of its residents who live in cities, and a compelling interest in preventing its cities from self-destructing. As cities tend to do. See Detroit, Baltimore, Chicago, Philadelphia, St. Louis, etc. (2/4)
Cities are not feudal city-states. The authority and responsibility of the #txlege does not stop at the municipal border. Cities are creations of the state, and not the other way around. (3/4)
Read 4 tweets
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Tom Giovanetti 🗽
@tgiovanetti
I did a completely justifiable amount of work today but I've not accomplished a commensurate amount of success.
This is the inherent tension in my job--the successes are most often quite distant and thus seemingly unconnected to the effort that went into them. The opposite of more pedestrian but somehow more satisfying tasks.
That's why I found my experiment of driving for @Uber to be almost therapeutic. Very direct, immediate relationship between the effort put forth, and (in the case of Uber) getting paid. Almost the exact opposite of my real job.
Read 3 tweets

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Christopher Moore
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This should be clear, before this goes any further:if your health plan does not guarantee coverage without premium penalty for, or exclusion of a preexisting condition, it is not covering preexisting conditions as well as the current ACA. Saying it, don’t make it so. #healthcare
In another life, before I was a novelist,I was a health insurance broker. I filed claims for clients, read policies, and dealt with insurance underwriters all day. The ACA needs work,at LEAST a public option (Medicare buy in?), but nothing the GOP has proposed to date is as good.
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Fraser Institute recommends healthcare policy in AB.

Since UCP hasn’t released a clear platform, this is the best way to approximate what Kenney’s plans may be.

Let’s look at their 7 suggestions for improved AB healthcare.
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Forcing hospitals to do more with less funding surely won’t affect quality of care, burn out of staff or health outcomes.

It’s not like the countries whose models of care are highlighted have much higher tax revenue to work with, meaning they are funded appropriately.
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Alexandra Erin
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Hello. At about 2:00 PM today, I'm going to be doing a deep dive of the State of the Union address. Why am I talking about a three day old speech? Because I've spent two days thinking about it and now I'm ready.
For new followers who've never seen me do this, I'm not a fact checker so I leave that to people with the resources. What I do is apply literary and media analysis skills to the speech, which is an attempt to tell a story, and generally apply my knowledge of human communication.
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Better keep your demon spawn on your side of the fence Gerald Clark. @GenFlynn
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Ola Brown(Orekunrin)
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1. Thread on how to fix #healthcare in #Nigeria, sorry this is going to be long and boring for people now interested in health
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