This may sound counterintuitive, but the best place to start a path to Universal Healthcare is with big companies. Our biggest companies are really bad dealing with the economics of their healthcare benefits. They get ripped off. A lot. They are not functionally set up to address both cost and quality of outcomes. They take on all the cost risk. But. They hire companies affiliated with huge HC conglomerates to manage it all for them. Those conglomerates keep the huge companies as much in the dark about actual costs as they do the 20 person start up I can’t tell you how many times I have talked to companies with tens and hundreds of thousands of lives who had no idea whether the price the company administering their medical benefits paid a hospital for a surgery and in patient stay, was the same price they billed the company. They have no idea at all. In many cases, they only receive a weekly invoice for millions of dollars for their medical and pharmacy benefits and they have no idea if it accurately reflects their contract, or, if they got the best price , or if there is a spread and more Some try to audit, but the claims data doesn’t incorporate the actual amount paid to the care provider. Nor does it have all the fields necessary. Or even worse, sometimes they only get their weekly invoice and don’t have full claims available to them Still, despite this they “ trust” these big conglomerates to act as middlemen and rip them off. Why don’t they switch ? This is the conundrum they find themselves in. They have tens or hundreds of thousands of employees and their families they cover. The law of big numbers say a lot of those folks are in very messy situations. They dont want to go through the pain, fear and uncertainty of moving from their current source of care. And the HR department knows the emotional switching cost of moving away from the incumbent is incredibly high. They don’t have enough people working in HR to deal with it. Those same big companies rarely have more than one person acting as a “HealthCare CFO “, responsive for making sure all the pricing is accurate or negotiated. And of course, no big company wants to admit they are getting ripped off. And none will violate their confidentiality clause of their contracts. I literally tell them to put a pdf of their HC contracts into their LLMs and just ask it “where am I getting ripped off “. Not perfect. But the list is always very long and eye opening So what should they do. The word of the week is “Carve Out”. These companies are big enough they can ask to Carve Out anything they want. I tell them to use their Carve Out to direct contract with transparent surgery centers and providers. Maybe just hop or knee replacements to start. Hopefully CostPlusDrugs.com too :) This is the starting point

アルゴリズムが私たちの認識を支配しかねない時代にとって、最も重要なのは自らの想像力を跳躍させること。想像力の飛翔を伴う思考能力を失ってしまえば、私たちは羊のように無個性的で操作されるだけの存在になる。 それでも幸せに生きられるように思えるかもしれないが、それは屠殺される日が来るまでのこと。 > In fact, the more I think about taste, the more I realise it boils down to a leap of imagination: a counterintuitive combination of colours, for instance; or gradually attuning to a piece of music that initially seems alienating. There are no shortcuts or quick fixes: personal taste is something that requires the kind of quiet contemplation and creative thinking big tech is actively discouraging. (“Nobody wants to sit with thoughts. Sitting with thoughts: lame; AI can do that,” jokes Vicente.) When it comes to tuning into your own taste, Gamble’s advice is essentially the same. “Always question yourself. Why do I like that? Do I just like it because I’ve been shown it 100 times – or do I genuinely love it?” アルゴリズムに身を委ねてしまうと我々は判断する能力を失ってしまう。 > It’s a bewildering paradox: these platforms made personalisation a major part of their business model, then synthesised, commodified and automated individual taste into oblivion. We no longer choose what we want to consume; we take what we’re given. And we are being given it in such overwhelming quantities that we no longer have the mental capacity to properly digest and assess what we have encountered. > Nowadays, “we’re always being told what to like and what not to like rather than being able to seek it out for ourselves”, she says. “It’s making us all feel powerless – we don’t have the power to train our own taste because there’s not the room in the day any more.” > working out what feels authentic to us has become very difficult since we subcontracted out those instincts – and left them wide open to corporate manipulation. theguardian.com/media/2026/j…

Counterintuitive, but accepting it always helps mine pass faster. I remind myself I’ve been through this before, it will pass because it always does, and I just have to let it be. If that means being a lump in bed or eating like shit or whatever, oh well.

Alaskans need lower gas prices now! Food, rent are unaffordable! It feels completely counterintuitive that a state famous for the Trans-Alaska Pipeline has such expensive fuel, but it comes down to a few structural bottlenecks! Sullivan? Clueless. Petola knows what’s needed! Pair her with #TomBegich who has a plan, as Governor? They will resolve it all! 💯! You are a liability to #Alaska! It’s time for a change! It’s time for affordability! Sullivan has a “Complete and Total Endorsement” from Trump: More inflation! They both “love the inflation!” Vote for #MaryPetola

Sounds counterintuitive, so very fascinating.

🚨 INVESTOR MICHAEL ZUBER ON THE MOST COUNTERINTUITIVE MONEY STAT YOU'LL HEAR TODAY: "The average salary at Facebook is $386K. And most of them are living paycheck to paycheck because they do dumb shit with money." x.com/TheICHpodcast/status/2… $386K a year. Paycheck to paycheck. High income is not the same as wealth. It never has been. The problem is not the salary. It is the lifestyle that expands to consume every dollar of it the moment it arrives. 2 high earners. 2 daycare bills. 1 expensive city. 0 assets. Income is what you make. Wealth is what you keep. Most people optimize for the wrong one their entire career.

It’s counterintuitive, but downing a hot drink on a hot day may actually cool you off. Here’s why. bit.ly/3JeM9Fi

Did you read and comprehend the part where I said it happened yesterday? It isn't some matrix - it took my body count to ridiculous numbers at peak. It's the most counterintuitive way of winning in this game. The way of Masters in the game, some willing to generously distil it like this and some keeping it hidden to monopolize the game.

If you’ve struggled with a problem for years, it’s because the solution is counterintuitive to your understanding of the world

Dismissing someone simply because they purchased multiple vehicles from the brand would seem COUNTERINTUITIVE! The real question is probably not “Why did she buy four cars?” but rather “What was she doing with those four cars?” and “Did it breach company policy?”

Counterintuitive cart recovery secret: The most profitable stores *exclude* high-intent abandoners from discounts. Why? It's all about protecting your margins while recovering sales. #eCommerce

➡️ The strategic paradox The most counterintuitive feature of this model is that coordination must remain partially invisible to function effectively. Excess coherence would reveal the script; visible unity would reduce leverage; overt alignment would allow Iran to discount signals as purely constructed. So the system performs partial opacity: enough unity to deter miscalculation, enough divergence to sustain uncertainty. 6/7