prediction engine. everything is computer casino
Joined November 2018
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man knicks so clutch in 4q
deuce three on the fly
mitch lock down of wemby
brunson corner three
hart steal and rebounds
og never misses ft in 4q
#knicksin4
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Mar 18
Every. Word. Of. This.
ALT “In an ever-changing, incomprehensible world the masses had reached the point where they would, at the same time, believe everything and nothing, think that everything was possible and that nothing was true... Mass propaganda discovered that its audience was ready at all times to believe the worst, no matter how absurd, and did not particularly object to being deceived because it held every statement to be a lie anyhow. The totalitarian mass leaders based their propaganda on the correct psychological assumption that, under such conditions, one could make people believe the most fantastic statements one day, and trust that if the next day they were given irrefutable proof of their falsehood, they would take refuge in cynicism; instead of deserting the leaders who had lied to them, they would protest that they had known all along that the statement was a lie and would admire the leaders for their superior tactical cleverness.” Hannah Arendt, Origins of Totalitarianism
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23 Mar 2025
The ACA was the greatest piece of legislation ever passed? Spare me.
Such a claim is not merely hyperbolic, it is historically illiterate. The Affordable Care Act passed in 2010, was not a triumph of reform but a masterpiece of political theatre and economic distortion.
It did not fix the American healthcare system; it calcified its worst features.
The ACA entrenched a reimbursement model that favors bloated health systems over independent medicine.
Through CMS, Medicare reimburses more for services rendered in hospitals and HOPDs than independent physician offices.
The consequence?
A wave of acquisitions.
Once nimble and patient-focused, private practices were absorbed by not-for-profit health systems looking to maximize revenue through arbitrage, not outcomes.
This is not reform, it is rent-seeking on an industrial scale.
Second, mandated coverage inflated prices while distorting risk. One of the ACA’s proudest boasts, essential health benefits, became its most economically illogical mandate.
Insurers were forced to cover services like maternity care for men and pediatric dentistry for retirees. Risk pools were distorted. Premiums soared. The healthy were penalized to subsidize the inefficient.
In pre-ACA America, a healthy 30-year-old could purchase catastrophic coverage for a few hundred dollars a month.
Post-ACA, that same individual faces a $1,200 monthly bill for insurance they neither want nor need. The state declared, in effect, that every American must buy a Mercedes, even if they only needed a bicycle.
The claim that “50 million Americans gained coverage” is semantically clever and substantively hollow.
Coverage is not care. The expansion of Medicaid, a key pillar of the ACA, placed millions into a program that few physicians accept and that delivers subpar outcomes.
The middle class, meanwhile, found themselves with narrow networks, enormous deductibles, and unaffordable care, all behind the illusion of a plastic insurance card.
This is the Potemkin village of healthcare: coverage without capacity, access without agency.
Finally, the ACA codified a cartel. Section 6001 of the law effectively banned the creation and expansion of physician-owned hospitals. Why?
Because physician-owned facilities outperformed corporate health systems in terms of quality and cost. The empirical record was clear. So, instead of fostering competition, Congress, lobbied by the AHA and its allies, shut it down.
Imagine a world in which Amazon had lobbied Congress to outlaw any new e-commerce startups after 2010 under the guise of “market stabilization.”
That is precisely what happened in healthcare. The ACA chose incumbency over innovation. It outlawed the insurgents and rewarded the monopolists.
In sum, the ACA is not a monument to progress, it is a monument to protectionism.
It preserved the oligopoly of legacy health systems, empowered insurers by mandating the purchase of their products, distorted prices, crushed physician autonomy, and locked out competition.
To call it the “greatest” legislation of our time is to mistake technocratic complexity for genuine reform.
It was corporate statism painted in the pastel colors of progressive compassion.
#healthcare
23 Mar 2025
I know it can feel like a different era sometimes. But fifteen years ago, I signed the Affordable Care Act into law. Now nearly 50 million people have received health care through the ACA.
With everything going on right now, it’s easy to feel like regular folks can’t make a difference – but the Affordable Care Act is a reminder that change is possible when we keep fighting for progress.
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15 Oct 2024
🚨 Eric Cantona: “Sir Alex Ferguson should be able to do anything he wants at Man United until the day he dies”.
“Such a lack of respect. It's totally scandalous. Sir Alex Ferguson will be my boss forever. And I throw them all in a big bag of sh*t”.
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7 Oct 2024
the greatest life advice is hiding on reddit
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3 Sep 2024
“The greatest perpetrator of misinformation during the pandemic has been the United States government.”
~ Johns Hopkins Surgeon, Dr. Martin Makary
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15 Aug 2024
Sweden 🇸🇪
Sweden didn’t enforce lockdowns, school closures and mask mandates during the Covid era, yet Sweden’s excess death rate during 2020–2022, was the lowest of all European countries.
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