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Republicans don’t want a speaker to lead them; they want a hostage.

Technically true, but collectively nonsense

Republicans are the party of chaos and catastrophe.

Fuck the extremist election deniers. What’s money for if not for keeping them out of office?

The truth is, these are not very bright guys, and things got out of hand.

He really is that stupid.

Nothing worth doing is easy.

I’d hate to be the candidate who lost to this guy.

When someone says they “love freedom”, rest assured they don’t mean yours.

The GOP couldn’t organize an orgy in a whorehouse with a fist full of 50s.

Joe Lieberman disappointingly reemerged to remind us that he’s still alive.

A sufficient plurality of insane, greedy people can tank any democratic system ever devised, apparently.

It’s easy to sit in safety and prescribe what other people should be doing.

This year has been the longest three days of putin’s life.

A thin legal pretext to veneer over their personal religious and political desires

Incompetence, fear, or corruption? why not all three?

Putting aside our relentless self-interest because the moral imperative is crystal clear.

Come for the politics, stay for the snark.

I’d try pessimism, but it probably wouldn’t work.

Let’s delete this post and never speak of this again.

In my day, never was longer.

Bark louder, little dog.

Why is it so hard for them to condemn hate?

And we’re all out of bubblegum.

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You are here: Home / 2023 / Archives for January 2023

Archives for January 2023

Thanks, Dr. Fauci

by Betty Cracker|  January 1, 202311:43 am| 153 Comments

This post is in: Healthcare, Open Threads, Republican Stupidity

Dr. Tony Fauci, who served as director of the NIH’s National Institute of Allergy and Infectious Diseases for decades, retired as a federal employee yesterday. He plans to write a memoir and accept speaking engagements to encourage people to choose careers in public service. He also says he’ll show up for House Republicans’ planned show trials if asked.

Republicans have relentlessly vilified Fauci, starting with Donald Trump, whose juvenile sneering was eagerly taken up by a vile parade of imitators like Rand Paul and Ron DeSantis. Maybe their innate amorality reacts on a cellular level to Fauci’s inherent integrity. It’s unsurprising but especially outrageous, considering the tremendous debt this country owes Fauci.

I’m old enough to remember when AIDS was an automatic death sentence that was killing so many gay guys in my friend set in the late 1980s and early 1990s. Fauci was on the job then too, and from the earliest days of the crisis, he was working with activists who were reviled by mainstream medical establishments, politicians and news outlets. Fauci worked his ass off to try to get answers on treatments and encourage GOP administrations to care about the carnage.

Peter Staley, an early member of the AIDS activist group ACT UP, wrote a guest essay for the NYT on his working relationship with Fauci and the friendship that grew between them over the years. Here’s a gift link and excerpt:

The regular meetings [Fauci] had with an ACT UP member, Bill Bahlman, continued even after Larry Kramer, one of the group’s founders, wrote an open letter to Dr. Fauci in The Village Voice calling him a murderer and comparing him to the Holocaust organizer Adolf Eichmann. But there Dr. Fauci was, meeting with me and my comrades, branded radical homosexuals, to discuss our policy proposal for upending longstanding Food and Drug Administration strictures against public access to drugs before they are approved…

Within months, hundreds of ACT UPers were surrounding his building at the N.I.H., and I was the first one arrested, after climbing onto its portico. Cops wrestled me down, bound my hands behind me with a zip tie, then hauled me through the building to a police van. The burly cop pulling my shoulder was dumbfounded when a familiar short man in a white lab coat walking toward us down the hallway yelled, “Peter, are you all right?” Laughing, I replied, “I’m fine. Just doing my job. How about you, Tony?”…

When Covid hit and the rest of the world got to know Dr. Fauci, he leaned on us for guidance… I’ve always been a politician among the activists, and it’s been the honor of my life that he leaned on me hard during his tumultuous year navigating “team normal” and “team crazy” in President Donald Trump’s orbit.

Because he crossed Mr. Trump, Dr. Fauci was turned into a villain for the MAGA crowd, providing fodder for those who thrive on conspiracies and hate. There has rarely been a larger gap between a mob’s viciousness and its target’s decency.

Emphasis mine because it’s the plain truth. As Staley notes, Dr. Fauci has his faults like everyone else, but he did an extraordinarily hard job competently, and he dedicated his life to saving lives. Bullies like Trump and DeSantis aren’t fit to shine Dr. Fauci’s wingtips. I hope he has a long, enjoyable and productive retirement and lives to see the goons who vilified him disgraced and shunned as they deserve.

Open thread.

Thanks, Dr. FauciPost + Comments (153)

The ACA and super high cost treatments

by David Anderson|  January 1, 20239:25 am| 19 Comments

This post is in: Anderson On Health Insurance

Last week, we talked about the oncoming wave of super high cost treatments for fairly rare to very rare diseases.  These treatments are priced in the millions.  They may be cost-effective and cost-savings from a societal point of view with a long time horizon but they are not cost-effective from an insurer’s point of view that has a one or two year time horizon.

I want to illustrate this a bit more from the point of view of an ACA insurer.  I’ll be using the 2021 Risk Adjustment reports from CMS to outline my numbers and NBPP 2021 for my risk adjustment co-efficiencts.  We’ll take hemophilia as the case example as the Wall Street Journal article had some good info on this very rare and super high cost disease.

The most recent one approved in the U.S. set a price record: $3.5 million for CSL Ltd.’s Hemgenix, a treatment for the blood disorder hemophilia B….

The condition is rare, affecting only about 6,000 people in the U.S., of whom about 1,900 have severe enough cases to require frequent Factor IX replacement infusions aimed at preventing serious bleeds, according to CSL. These repeat treatments, which CSL also makes, can cost millions of dollars over a lifetime, according to CSL….

A study found that a one-time Hemgenix treatment decreased subjects’ need for routine Factor IX replacement and reduced their bleeding episodes. Some 94% of the patients discontinued Factor IX prophylaxis.

Let’s assume ACA insurers are profit seeking (even if not all of them are actually good at finding profits after losing 90% of their IPO value).  Let’s assume that insurers profit seek by trying to cover people whose net expenses are less than their net revenue.  Let’s assume that insurers have some ability above random chance to actually identify marginal members who may or may not be profitable and can act on that belief in a rational way by chasing away likely money losers and attracting likely money makers on the margin.

Now let’s look at what a $3.5 million dollar singly year payment for a disease looks like from the point of view of an insurer.

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The ACA and super high cost treatmentsPost + Comments (19)

Sunday Morning Open Thread: Happy (Cross Fingers!) New Year

by Anne Laurie|  January 1, 20236:56 am| 197 Comments

This post is in: Open Threads, Proud To Be A Democrat!, Vice-President Harris

Sunday Morning Open Thread: Happy (Cross Fingers!) New Year

(Clay Jones via GoComics.com)

In 2022, I saw the best of America: its resiliency, its character and its strength.

As we move into the new year, I’ve never been more confident about our shared future and the progress that lies ahead. pic.twitter.com/2fhvTaARny

— Vice President Kamala Harris (@VP) December 31, 2022

Happy New Year to all my Balloon Juice comrades, including DougJ:

Biden has yet to hold a solo press conference in 2023

— New York Times Pitchbot (@DougJBalloon) January 1, 2023

Miley Cyrus und Dolly Parton singen „Wrecking Ball“ und „I Will Always Love You“ bei Miley‘s New Year‘s Eve Party
pic.twitter.com/Sd8VI0DPTZ

— Miley Cyrus Germany???? (@MCyrusDE) January 1, 2023

This election was won by *persuasion.* Americans were *persuaded* that they needed to defend democracy. That argument was a tremendous success. But apparently, once you steer away from a tree, the tree instantly becomes an absurd myth, & evasive action a grievous overreaction. https://t.co/B9XGrhsLfA

— chatham harrison is tending his garden (@chathamharrison) December 31, 2022

I think it can be both true that people are ultimately responsible for their decisions, and one of the more important jobs of politics is to create a structure which makes people more likely to do good things and less likely to do bad things.

— Checkless Starfish Who Can Change His Name (@IRHotTakes) December 31, 2022

Both sides!

They think your house is a dumpster and everyone inside is fresh garbage

You are in great danger https://t.co/7dvhBquZqM

— UAE Exotic Falconry & Finance 𓅃 (@FalconryFinance) December 31, 2022

Sunday Morning Open Thread: Happy (Cross Fingers!) New YearPost + Comments (197)

Sunday Morning Garden Chat: Summer Is Past

by Anne Laurie|  January 1, 20235:07 am| 21 Comments

This post is in: Garden Chats

Sunday Morning Garden Chat: Summer Is Past

From our ever-loyal, multi-gifted Ozark Hillbilly:

Summer is past,

Sunday Morning Garden Chat 93

All our blossoms
Have gone to seed.
Sunday Morning Garden Chat: Summer Is Past 1

The acorns have been laid to bed
Sunday Morning Garden Chat: Summer Is Past 2

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Sunday Morning Garden Chat: Summer Is PastPost + Comments (21)

Late Night Open Thread: Ukraine vs Russia, Two Very Separate Sagas

by Anne Laurie|  January 1, 20231:21 am| 27 Comments

This post is in: War in Ukraine

Ukraine vs Russia: Two Very Separate Sagas - STOCKPILE

Per Glam:

Ukraine continues to spread its national spirit by participating in global events like Miss Universe, the World Cup Qualifiers, Eurovision, and more. For the Miss Universe 2022 competition, Ukraine has decided to send its vice Miss Ukraine Universe 2021, Victoria Apanasenko, to showcase the strength that characterizes the Ukrainian people. One of the moments already gaining attention is Apanasenko’s choice for the national costume portion of the competition. Without a doubt, Apanasenko’s national costume is an ode to the current struggle facing her country today…

In a message to The Odessa Journal, the designer and creator behind the costume, Lesya Patoka, explains, “It was very important for us to create the image of not just a beautiful, but also a strong-willed girl who personifies the whole of Ukraine — unbending, courageous, free. Despite all the difficulties and challenges, we coped with creating the image on time, because each of us is a Warrior in his business.” The idea of this costume is to portray Apanesko as a warrior leading her people with bravery and humanity, something we have seen Ukrainian officials reiterate time and time again. No matter where Apanaesko lands in the competition, there’s no doubt that her national costume will be remembered for years to come

Meanwhile, Putin: Where my Nazgul at?…

Ukrainians have been telling they are fighting with Mordor and calling russian soldiers orks and now the accuracy has been confirmed by putin himself https://t.co/UGq3Fl6GzP

— Kateryna_Kruk (@Kateryna_Kruk) December 27, 2022

Dueling Christmas stories:

Some people in Ukraine celebrate #Christmas today. Some decided not to celebrate. But we have a choice. And we should remember whom we should thank for this choice.#ThanksToZSU pic.twitter.com/GFVvYvLrkx

— Alexander Kamyshin (@AKamyshin) December 25, 2022

A new Kremlin propaganda video encourages middle-aged Russian men to join the genocidal invasion of Ukraine in order to buy their daughters new iPhonespic.twitter.com/RDFoVc8HSD

— Business Ukraine mag (@Biz_Ukraine_Mag) December 19, 2022

I bought a Russian advent calendar. Every time you open a window an oligarch falls out.

— Gary Delaney is on tour now (@GaryDelaney) December 28, 2022

Windows of all Russian buildings are insulated with cotton and sticky tape for the entirety of Russian winter (September through April) and cannot be opened without a concerted effort of at least 3 burly men or a single determined grandma.
So, make your own conclusions. https://t.co/qhmcA5VISU

— Slava Malamud ???? (@SlavaMalamud) December 27, 2022

Day 307 of my 3 day war. I played my gas card so early Europe stocked up for winter and I mobilized so late that my conscripts will freeze in it.

I remain a master strategist.

— Darth Putin (@DarthPutinKGB) December 27, 2022

FTFNYTimes:

Ukraine’s position is that they stop being occupied by a genocidal foreign army. Russia’s position is that that’s unreasonable. Who comes up with this shit at @nytimes? pic.twitter.com/TOWdx34Q0y

— Michael Weiss ?????????? (@michaeldweiss) December 29, 2022

Never forget…

Both American guests of honor in this 2015 photo taken at the 10th anniversary celebration for Russian state media network RT are, in 2022, publicly advocating for the U.S. to leave Ukraine to the mercy of Russian aggression.
Funny how that works out. https://t.co/4OJvVl1Fb6 pic.twitter.com/IKZkPC9j6b

— Nicholas Grossman (@NGrossman81) December 28, 2022

I’m convinced the prewar intelligence gathering & reporting was fatally compromised by the assumption that Russia wouldn’t dare do something so catastrophically risky. The country that recently did a catastrophic invasion was the only one that believed another country would https://t.co/RqF01wvTNg

— chatham harrison is tending his garden (@chathamharrison) December 28, 2022

Zelensky, in his New Year address today, has said that there will be no forgiveness to those who have started and supported this war.
I don’t idolize politicians and don’t blindly follow their lead. But this is a recommendation I will absolutely adhere to. No forgiveness. Ever.

— Slava Malamud 🇺🇦 (@SlavaMalamud) December 31, 2022

I think this is the ultimate verdict of 2022:
“the war started as a struggle for ukraine’s survival, it will end as a struggle for russia’s.” https://t.co/sv1XkxFePW

— Anders Åslund (@anders_aslund) December 31, 2022

Late Night Open Thread: Ukraine vs Russia, Two Very Separate SagasPost + Comments (27)

Good Riddance to Bad Rubbish

by John Cole|  January 1, 202312:09 am| 62 Comments

This post is in: Open Threads

Fuck 2022.

2023, please be kind.

Happy New Year.

Good Riddance to Bad RubbishPost + Comments (62)

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