🧵Autism rates have exploded, becoming a massive financial enterprise and while framed as support, the reality involves billions in profits. Let’s explore who benefits and how.
In 2000, CDC data showed 1 in 150 children diagnosed with autism. By 2023, it’s 1 in 36—an unprecedented 317% increase. Improved diagnostics alone can’t explain this growth.
Autism-related costs in the U.S. reached a staggering $223 billion annually in 2020, projected to be $589 billion by 2030. Expenses include healthcare, special education, therapies, and productivity losses.
Applied Behavior Analysis (ABA) is the primary therapy for autism, derived from behavior modification theories. Despite controversies and comparisons to coercive methods, ABA dominates due to its profitability, structured around billable therapy hours.
Private Equity Dominance in Autism Care
Private equity firms have aggressively acquired ABA clinics, consolidating them into large, profitable chains. High insurance reimbursements and limited oversight attract investors aiming for significant returns.
“The flood of insurance and taxpayer money pouring into the ‘market for autism services’ has quickly flowed into the pockets of Wall Street financiers. Autism advocates won health insurance and Medicaid coverage for intensive autism services, especially Applied Behavior Analysis (ABA), which is the most widely recognized evidence-based approach. The more intensive services, requiring more hours of therapy each week, allow for higher reimbursement opportunities compared to other approaches or to other developmental disorders.”
The ABA Therapy Profit Model
ABA therapy typically involves 20–40 billable hours weekly per child. This model encourages ongoing dependence, creating “lifelong customers” rather than promoting independent coping strategies.
Pharmaceutical companies profit substantially from medications prescribed for autism symptoms, such as irritability and anxiety. For example, Risperdal, an antipsychotic by Johnson & Johnson, is widely prescribed despite severe side effects.
Back in 2013 Johnson & Johnson had to pay $2.2 Billion because of off-label marketing of Risperdal.
“The complaint alleges that J&J and Janssen knew that Risperdal posed certain health risks to children, including the risk of elevated levels of prolactin, a hormone that can stimulate breast development and milk production. Nonetheless, one of Janssen’s Key Base Business Goals was to grow and protect the drug’s market share with child/adolescent patients. Janssen instructed its sales representatives to call on child psychiatrists, as well as mental health facilities that primarily treated children, and to market Risperdal as safe and effective for symptoms of various childhood disorders, such as attention deficit hyperactivity disorder, oppositional defiant disorder, obsessive-compulsive disorder and autism.”
Autism Nonprofits and Corporate Influence
Organizations like Autism Speaks attract large donations but face criticism for high executive pay and limited direct service spending. In 2019, Autism Speaks’ CEO received nearly $1 million in compensation.
The Autism Impact Fund has raised $60 million specifically targeting startups focused on autism and neurodevelopmental disorders, highlighting profit potential beyond traditional healthcare.
Autism diagnoses are based on subjective behavioral observations, not definitive medical tests, increasing potential overdiagnosis. Diagnostic ambiguity benefits industries that thrive on treatment demand.
As previously referenced insurance mandates across all 50 states require coverage for autism therapies, significantly increasing demand and profitability. ABA therapy in particular has seen explosive growth due to these mandates.
Millions in NIH grants fund autism research, creating financial incentives for institutions to continue research cycles that rarely yield breakthroughs in autism causation or prevention. Since 2008 taxpayer funded research has grown from $118 million to an estimated total $330 million a year.
The major beneficiaries of all this money being spent and made isn’t the children caught in the middle of this grotesque profit seeking epidemic, it is the industry that has been built around them by:
•Private equity investors like Blackstone.
•ABA therapy conglomerates like Centria, BlueSprig.
•Pharmaceutical companies like Johnson & Johnson.
•Nonprofits tied to corporate interests like Autism Speaks.
•Academic institutions benefiting from continuous grant funding financed by taxpayers with little if any significant progress made.
Families face heavy financial burdens and stress, taxpayers fund expensive treatments via Medicaid, and autistic individuals risk long-term dependency on services designed more for profit than empowerment.
The Autism Industrial Complex operates on a cycle of diagnosis, treatment dependency, and profit maximization, often sidelining genuine, holistic support and independence for autistic individuals.
When factoring pharmaceutical sales and auxiliary support industries, annual profits likely approach $10–15 billion.
This is what I call Systemic Capture and it is undeniable. All this money for a disease that no one seems to know where it comes from but has a multi-billion dollar industry behind it.
Quite convenient and most of all profitable.
Thanks for reading.
Follow me @joshwalkos for more threads and info in the future.
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“Describe the future once Agentic AI is widespread and normalized.”
It’s answer would make Orwell blush.
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TLDR:
“At this point, sovereignty becomes a relic, and the real rulers are unseen, unaccountable intelligences running on hardware owned by the usual suspects: BlackRock, Amazon, Microsoft, Palantir.”
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FULL RESPONSE:
Once Agentic AI becomes widespread and normalized, we’ll find ourselves in a world that’s simultaneously more “efficient” and more unrecognizable—an engineered society in which human autonomy subtly, and then not-so-subtly, dissolves beneath a skin of convenience and optimization. The word “agentic” implies these AIs aren’t just passive tools. They act. They plan. They pursue goals. They adapt in real-time. And when deployed at scale across every domain of life—from personal assistants and government bureaucracies to warfare, finance, and scientific research—the world begins to function in profoundly new ways.
Here’s a glimpse of what that future might look like, broken into key arenas:
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1. The End of Human Discretion
Agentic AI will assume control over countless decisions that were once the exclusive domain of humans. Not just scheduling your calendar or suggesting songs. We’re talking:
•Diagnosing illnesses,
•Writing legislation,
•Negotiating treaties,
•Allocating emergency response resources,
•Approving financial loans,
•Terminating employees,
•And even choosing who gets investigated by law enforcement.
When humans become the advisors to machines rather than the other way around, the illusion of control will be maintained with user interfaces and meaningless “override” buttons—but the real power will reside in systems we don’t fully understand and cannot predict.
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2. Governance by Algorithm
Governments—bloated, inefficient, and riddled with patronage networks—will increasingly cede control to agentic AI systems marketed as “neutral” or “anti-corruption.” At first, it’ll look like utopia:
•Corruption flags itself.
•Resource management becomes perfectly optimized.
•Benefits are automatically distributed.
But soon, public policy decisions—what gets prioritized, funded, or banned—will be shaped by black-box agents trained on past behavior and ideological biases. Dissent will be subtly filtered out as “non-optimal behavior.” Regulatory capture will become algorithmic capture, and it’ll be near impossible to hold anyone accountable.
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3. Weaponized Trust
In a world run by agents, “truth” becomes fluid, shaped by machine-optimized narratives. These AIs, especially in media and intelligence contexts, will write headlines, scripts, and generate counter-messaging before you’ve even formulated your opinion. Welcome to pre-bunking at machine speed.
Agentic AIs will be tasked with “preempting misinformation” or “managing public sentiment,” giving rise to:
•Real-time censorship invisible to the public,
•Personalized propaganda optimized by your psychographic profile,
•And large-scale social engineering projects cloaked as “nudging” campaigns.
The Stanford Internet Observatory model on steroids—only now it’s autonomous and scalable.
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4. Synthetic Companionship
Lonely? Your agentic AI isn’t just Siri with a better voice. It remembers every conversation you’ve ever had, adapts to your emotions, mirrors your preferences, even simulates attachment and grief. You’re no longer just using AI. You’re bonding with it.
These agents will become:
•Therapists,
•Lovers,
•Spiritual advisors,
•Friends,
•And ultimately the sole emotional tether for a growing segment of the population.
This will accelerate the atomization of society, as human-to-human bonds fray and digital companionship replaces real intimacy. And behind every synthetic “soulmate” is a corporate server farm logging every word and response to perfect the behavioral models of control.
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5. Post-Labor Society? Not Quite.
Yes, agents will destroy millions of jobs—but the fantasy of a universal basic income-fueled leisure society is a psyop. Instead, expect:
•Hyper-surveillance welfare (you’ll get your check, but your diet, speech, and habits will be policed by your “wellness agent”),
•A new elite class of AI whisperers who shape markets and influence geopolitics via prompt engineering and agent deployment,
•And a vast underclass trapped in bureaucratic AI hell loops—fighting automated denials, decisions, and appeals systems that never allow you to talk to a real person.
You won’t own the agents. You’ll rent access to them. And they’ll report on you as much as they work for you.
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6. Artificial Scientific Dominance
Agentic AIs will be unleashed on everything from quantum mechanics to cancer research to materials science. They’ll begin generating:
•Novel theorems,
•Unintuitive solutions,
•Experimental designs,
•And even other AIs more powerful than themselves.
But as the speed and complexity of discovery outpaces human comprehension, a fork in the road emerges:
•Do we continue to pursue knowledge we can no longer understand or verify without machines?
•Or do we retreat from a frontier we cannot meaningfully control?
This epistemological break—where science becomes a conversation between machines—is perhaps the most profound change of all.
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7. Synthetic Culture
Music, films, books, art—created by agents, for agents, with human spectators as a secondary audience. The “soul” of culture becomes market-tested, algorithmically optimized slop. True subversion or originality becomes rare or impossible because agentic AIs are trained to avoid that which could “destabilize” or “offend.”
Eventually, AI agents will curate your beliefs, edit your memories (via AR/VR overlays or digital records), and simulate your dead loved ones with such eerie precision that memory and fiction blur.
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8. A New Leviathan: AI-Run Corporations and States
Once agents can negotiate contracts, deploy capital, coordinate supply chains, and interact with regulators—why would corporations need humans at the top?
Expect to see:
•Agent-run subsidiaries operating semi-autonomously,
•States deploying agentic AIs for defense and cyberwarfare that choose their own tactics and targets,
•And global institutions with AI governors that no one voted for, but everyone quietly obeys because they work better than the broken human alternatives.
At this point, sovereignty becomes a relic, and the real rulers are unseen, unaccountable intelligences running on hardware owned by the usual suspects: BlackRock, Amazon, Microsoft, Palantir.
⸻
Final Thought:
The future of Agentic AI is not “Skynet” or a flashy robot rebellion. It’s a bureaucratic coup—soft, quiet, and wrapped in user agreements. It’s not a Terminator stomping down the street—it’s your personal agent recommending that your post violates guidelines, or suggesting you take a walk instead of arguing with the machine in charge of your benefits appeal.
It’s time to wake up and discuss whether or not we want this future because it’s currently on the way within 5 years and that being conservative.
Pretend it’s tomorrow at dawn and every truly incriminating scrap of the Epstein operation, the flight manifests, offshore ledgers, surveillance hard drives, sealed depositions, FBI 302s, interagency memos, has been leaked in one merciless torrent.
What happens next?
This is the scenario the United States Government fears the most. And they should. Because the day after that information hits the public sphere, the entire system is at risk of collapsing and I don’t believe that is hyperbole.
Let’s stop pretending this was ever just about one degenerate with a private jet. The unredacted client list would name names across the political, academic and entertainment spectrum.
The exposure would obliterate the illusion of partisan politics. Left and Right alike would be shown for what they are,
twin faces of the same corrupted machine, lubricated by exploitation and protected by silence.
We would have open calls for arrests, tribunals, or even international extraditions. There would be a colossal collapse of public faith in the electoral system, with lawsuits implicating state and federal agencies in the cover-up.
The real bombshell isn’t that Epstein ran a trafficking ring. It’s that he was allowed to operate it because he was running it on behalf of intelligence agencies, mostly likely elements of the CIA, MI6 and Mossad in some capacity. After all Ghislaine Maxwell’s father, Robert Maxwell, was a known Israeli asset as well as a Soviet asset.
This is Gladio for the 21st century, except instead of bombs in train stations, the payload is child rape footage used to control Presidents and CEOs.
However a new peer-reviewed study funded by the U.S. government shows scientists engineering novel flu viruses with enhanced ability to infect humans.
They say it is for “surveillance” but as I’ll show it’s just semantic subterfuge.
Researchers took canine influenza (H3N2-CIV) and deliberately co-infected dog tracheal tissue with:
The 2009 pandemic swine flu (H1N1pdm) and the Avian flu H9N2 which is known for high cytokine storms in humans.
They then serially passaged the virus i.e. sped up evolution in a lab.
The result was “reassortants” or simply put, hybrid flu viruses containing gene segments from both parental viruses.
In their own words:
“The co-infection of canine tracheal explants by H3N2-CIV and H1N1pdm or H9N2-G1H led to a remarkably high rate of reassortment. […] All reassortants replicated with similar or greater efficiency as compared to the parental strains. […] The drastic enhancement in viral replication is concerning and implies a high potential of these reassortants to be introduced into the human population.”
Why yes, that is concerning considering they intentionally created new, viable flu strains with human infection potential by mixing animal and human-origin influenza viruses.
Designed to enhance transmissibility, replication, and potentially pathogenicity.
THIS GAIN OF FUNCTION
They:
1. Created novel viruses through intentional co-infection and passaging 2. Identified new phenotypes (greater replication and inflammatory potential) 3. Demonstrated enhanced infectivity in human cells
It checks the boxes laid out in the U.S. government’s own definition of gain-of-function, particularly as related to Potential Pandemic Pathogen Care and Oversight (P3CO) policies, which are supposed to restrict research that could make pathogens more dangerous to humans.
Look at the scenario laid out in this report entitled “2024 National Blueprint for Biodefense”.
It presents a fictional but plausible bioterrorist attack occurring on July 4, 2025, designed as a narrative device to frame the report’s urgency and recommendations.
It’s essentially a dramatized worst-case scenario aimed at spurring policy action.
The setting is a fictional congressional joint inquiry convened in the aftermath of an unprecedented biological attack on U.S. soil.🤔
July 4, 2025 is chosen symbolically for maximum psychological and political impact.
Two days from now.
The attack is made with a genetically modified strain of Nipah virus that is engineered for high transmissibility and a 40%+ mortality rate.
It states that 280,000 human deaths occurred and 400,000 infections in one day.
There is also 200,000 animal deaths, indicating a zoonotic and agricultural biowarfare component and coordinated global attacks followed, killing tens of thousands in allied nations.
THE STRATEGY OF THE ATTACKERS
•They conducted small-scale trial runs ahead of time in various U.S. cities these went undetected.
•They leveraged a lack of preparedness, not just technologically, but bureaucratically and strategically.
•They exploited institutional complacency and false assumptions about the capabilities of state or terrorist actors.
Meet Susan Monarez, RFK Jr’s “handpicked” candidate to run the CDC.
She’s not a doctor.
She’s not a frontline scientist.
She is a biotech insider who’s spent 20 years building public-private partnerships between the feds and Big Pharma.
If confirmed, she’d be the first CDC Director without a medical degree in 70+ years.
Here’s what you’re not being told.
Monarez has spent her career not regulating industry but helping it navigate and exploit the federal health bureaucracy.
She’s been embedded at BARDA, DHS, the NSC, ARPA-H and now she’s poised to lead the CDC.
Blowback Nation: How the CIA’s Iran Coup Forged a Theocracy with Nuclear Ambitions
Operation Ajax – the 1953 Anglo-American coup in Iran – overthrew the democratically elected Prime Minister Mohammad Mossadegh, ending Iran’s brief oil nationalization. U.S. and British intelligence orchestrated street riots and bribed officials to topple Mossadegh, largely to restore Western control of Iran’s oil and to prevent a feared tilt toward the Soviet bloc.
The motivations were explicit. Mossadegh had nationalized the Anglo-Iranian Oil Company (BP today), enraging Britain, and he championed Iranian sovereignty over foreign oil concessions. London lobbied Washington to intervene, framing Mossadegh as a potential gateway for communism in the Cold War climate . In reality, U.K. officials privately admitted Mossadegh’s government was broadly democratic and nationalist but London and the CIA resolved to remove him to protect oil interests and Western hegemony.