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Andrew Goldstein Profile picture
@AndrewMakeTweet
Mar 6, 2020 • 6 tweets • 2 min read • Read on X
Joe Biden's healthcare plan:

– 10 million uninsured
– Uninsurance kills 15,000 yearly
– Medical bankruptcies are rampant
– Millions frustratedly fight insurers for needed care
– Your pay is siphoned to insurer/pharma/hospital profits

We need #MedicareForAll. #DoctorsForBernie
BidenCare *increases* costs.

BidenCare:
– Fails to negotiate with pharma
– Creates expensive (and frustrating!) bureaucracy for insurance enrollment and billing
– Gives corporate welfare of your taxpayer money to insurers

#MedicareForAll saves money.

How is BidenCare give corporate welfare?

1) Basically, existing insurers see that they can save money by jettisoning sick patients.

2) They will build all kinds of frustration points.

3) These sick people will go on BidenCare...
...

4) BidenCare costs will balloon from having the sickest.

5) Taxpayers will foot the bill for the sickest (more taxes).

6) Meanwhile insurers will refuse to reduce prices even after jettisoning their most expensive patients. More profits!
So BidenCare basically creates another situation of "patient dumping."

Bottomline: by distorting incentives in the market for healthcare, Biden wants our tax dollars to line the pockets of insurer CEO and stockholder.
Ok, that's overall costs. Systems costs. National costs.

What about for people who "choose" the public option?

It's *really* expensive.

In what world is this "affordable" healthcare?

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More from @AndrewMakeTweet

Andrew Goldstein Profile picture
Mar 3, 2022
"Protecting the vulnerable"
"Protecting hospital capacity"
"Preventing variants"

Are good rhetoric, but do the policies make sense for these goals? Are these goals enough?

No. A mini-🧵.
The policies don't live up to the words once we consider the realities of:
– US healthcare inaccessibility
– pre-/asymptomatic spread
– people living with others
– chains of transmission
– exponential growth
– levels of immunity
This doesn't even include the issues with the continued shifting of responsibility to states, municipalities, and individuals, and the delay in implementation and effects of implementation once supposed policy/behavior triggers are met by indicators.
Read 5 tweets
Andrew Goldstein Profile picture
Feb 25, 2022
CDC mask guidance change 🧵

1) Hospitalizations lag test positive cases which lag actual cases

2) Guidance based more on hospitalizations means willfully abandoning critical windows to act

3) So this guidance is less about new science or better public health, and more about…
... both justifying the relaxation of public health protections now and about justifying too little, too late policy responses in the future when surges re-emerge.
This is – in contrast to "evidence-based policymaking" – policy-based guidancemaking.

It is irresponsible and inappropriate for health experts and public health authorities to create this or champion it in their messaging work.
Read 24 tweets
Andrew Goldstein Profile picture
Feb 24, 2022
War is bad for everyone except the wealthy and powerful.

It's pathetic and tragic that most of humanity has little it can offer except condemnation.

We deserve democratic global institutions capable of preventing and dealing with conflict. 1/
Borders and nations are artificial.

Powerful nations and the powerful within all nations use to these constructs to their advantage.

But there are other constructs that show how ridiculous this is. 2/
To me this invasion is as preposterous as Florida invading Georgia.

Just as one US state invading another is essentially inconceivable and impossible in 2022, we need democratic and representative global institutions empowered to prevent and deal with international conflict. 3/
Read 5 tweets
Andrew Goldstein Profile picture
Feb 5, 2022
Let's highlight how "civility politics" operates in pandemic discourse. 🧵

1) Highly platformed health "experts" drive policy negligence with their incorrect, harmful messaging. They get bylines, journalist interviews, TV appearances, book deals, and wide rightwing celebration.
2) The health "experts" face a backlash. Some of it is admittedly unkind and personal, but most was civil, valid criticism or very fair sharing of real and raw emotion from people who have endured awful policy violence these experts have fostered.
3) These health "experts" have a choice. They can respond to substantive criticisms, they can show up for debates, they can reflect on if their prior predictions were accurate or prior prescriptions worked out well. Or they can seek to deflect the backlash.
Read 10 tweets
Andrew Goldstein Profile picture
Dec 12, 2021
Here's a 🧵 reviewing this op-ed from @MonicaGandhi9 and @LeslieBienen.

Spoiler: incoherence, obfuscation, and omission that feeds pandemic inaction + promoting a data reporting approach that destroys opportunities to save lives and prevent suffering.

First off, why is the NYTimes continuing to platform voices that have consistently been incorrect?

Premature optimism, essentially calling the pandemic over, has driven real harm by degrading policy protections and public behavior.

Who was the editor here?
How's this essay start?

Highlighting Omicron, and what isn't known about.

What's neglected? Omitted? Ignored?

The current surge in *Delta* cases, hospitalizations, and deaths, with 1,000+ deaths most days for months, and projections of another 100,000+ dead in coming months.
Read 21 tweets
Andrew Goldstein Profile picture
Dec 11, 2021
Rapid test are probably able to catch about half of presymptomatic cases.

They're neither perfect nor insignificant, which makes them a great layer of protection to use with others. 1/
That means at the population level, pre-gathering rapid tests may halve the rates of infectious people attending. 2/
But a more meaningful question, at the level of an individual gathering might be:

"What is the chance of anyone attending this gathering being infectious?"

I.e. the chance of one or more people being infectious. 3/
Read 5 tweets

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