Senior Fellow @amprog. Former White House Office of Management and Budget. Adjunct Professor of Law. Opinions my own.
Joined October 2011
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Jun 12
LOLOLOLOL
Algae resurfaces in reflecting pool after multimillion-dollar fixes dlvr.it/TT1BzL
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Topher Spiro retweeted
Jun 12
Hey Jon! Hope you are doing well. Couldn't help but notice you shared the ending balance in FY24. That's 2 years old. Please go ahead and tell them the expected ending balance for FY26, which ends in 3 weeks. Then let us know your plan to arrive at a balanced budget.
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Jun 12
And yet. AHIP is nowhere to be found when it comes to capping hospital prices.
Jun 12
Hospital spending now tops $1.6 trillion — the single largest driver of insurance premiums. Anticompetitive hospital consolidation, unpredictable pricing, and private equity takeovers are fueling the rise at Americans' expense. x.com/larry_levitt/status/20…
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Jun 12
You want to know why? Here's a map of highly concentrated hospital markets in America:
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Jun 12
You cannot make this shit up. Trump's solution to the health care affordability crisis: go get a loan from a health insurance company.
Jun 11
The Trump administration is quietly moving to change the Affordable Care Act to let health insurers offer people loans to pay for their care.
Deep in a document over 1,000 pages long about how the Affordable Care Act market will operate next year, the administration suggests that insurers consider offering loans to cash-strapped customers.
Under this approach, people who develop a costly disease or need unexpected emergency care would turn to their health insurer for loans.
A third of American households already have medical debt, and this approach would mean even more debt that patients owe to their health insurance companies.
The insurers, who already make billions, would stand to make even more.
nytimes.com/2026/06/11/busin…
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Topher Spiro retweeted
Jun 11
The Trump administration is quietly moving to change the Affordable Care Act to let health insurers offer people loans to pay for their care.
Deep in a document over 1,000 pages long about how the Affordable Care Act market will operate next year, the administration suggests that insurers consider offering loans to cash-strapped customers.
Under this approach, people who develop a costly disease or need unexpected emergency care would turn to their health insurer for loans.
A third of American households already have medical debt, and this approach would mean even more debt that patients owe to their health insurance companies.
The insurers, who already make billions, would stand to make even more.
nytimes.com/2026/06/11/busin…
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Jun 11
Sort of wild that Texas is not rated a tossup. Like what's the point of this exercise
Jun 11
NEW Crystal Ball Senate Rating Changes
Alaska Leans R to Toss-up
NC Toss-up to Leans D
Ohio Leans R to Toss-up
GOP still favored because they only need one of the four Toss-ups, while Ds need all four
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Jun 11
This just might be the craziest policy idea I've ever heard.
🚨🚨🚨The Trump administration is secretly setting it up so SICK PEOPLE HAVE TO TAKE OUT LOANS FROM THEIR INSURANCE COMPANIES in order to afford the rising costs of health care.
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Topher Spiro retweeted
Jun 11
New federal data shows hospital revenues increased 7.6% in the first quarter of 2026 compared to 2025. Hospitals continue to be the biggest driver of health care cost growth.
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Jun 10
Perhaps not the main mistake here, but telling Iran you're secretly guiding lots of tankers through the Strait at night is probably not the best idea.
Reporter: Are you concerned, Mr. President, about the latest inflation number which came out this morning?
Trump: No, I love it. I love the inflation.
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Topher Spiro retweeted
Jun 10
Q: Are you concerned about the latest inflation number?
Trump: No, I love it. The numbers were great. You know what I really love? I love the inflation.
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Jun 10
It's fascinating how some people never learn you cannot trust these people.
Jun 9
New: I am told by a few sources that Lesley Stahl led a champagne toast for some '60 Minutes' staffers yesterday.
She told staff that David Ellison had called her and pledged that the show would be independent and also apologized for some of the recent turmoil and said things would get back on the right track.
I am told that one staffer did push back and note that Ellison had previously pledged editorial independence for the show when he first met with the team after acquiring Paramount...
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Topher Spiro retweeted
Jun 9
Maybe she owes Maine an answer for dating a married man whose wife had cancer, if Senate seats are now about someone’s dating history
GOP Sen. Susan Collins of Maine says allegations against Democratic Senate candidate Graham Platner are “extremely troubling and serious” and that he “owes the people of Maine a detailed answer.” The Senate race in the state has been a priority for Democrats seeking to topple Collins in their quest to win back the upper chamber. cbsn.ws/3QrOBMJ
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Topher Spiro retweeted
New - Senate poll - Iowa
🔴 Hinson 46%
🔵 Turek 46%
PPP #B (🔵) - RV - 6/4
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Jun 6
YESSS
Huge drop for Raman. Heavily favored to pass Pratt. She beat Bass on this one.
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It is deeply disappointing to see the @washingtonpost Editorial Board to embrace this flawed analysis. It takes so much methodological handwaving to arrive at this conclusion. Did they even bother to talk to experts?
Jun 5
A new report from @Paragon_Inst estimates there are more low-income enrollees in the Obamacare exchanges than there is eligible people in 28 states.
Florida is the worst, with over 3M enrollees from an eligible population of 636,000.
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Topher Spiro retweeted
Jun 5
It’s not my call of course but would suggest a Sunday midnight Hawaii time informal deadline for all Biden discourse. Again it’s a free country so if you like it and think it’s important or interesting all good.
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Jun 5
For shame. People don't get it. You cannot associate yourself in any way with the people who are destroying our institutions.
Jun 5
NEW: Lesley Stahl & The ‘60 Minutes’ Guys Are Staying
In a brief manifesto, Stahl, Bill Whitaker, and Jon Wertheim acknowledged that the show has become a disaster, but they worry that leaving now would make things even worse. An earlier draft was even more critical.
puck.news/lesley-stahl-and-t…
@PuckNews
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