xpostfactoid
@xpostfactoid.bsky.social
Blogging mostly healthcare policy at http://xpostfactoid.substack.com. ACA implementation watcher. CSR czar. AKA Andrew Sprung.
At Delaney Hall in Newark, Geo Group won't spring for an indoor visitor waiting area. Here's their setup for winter visiting.
November 26, 2025 at 6:41 PM
At Delaney Hall in Newark, Geo Group won't spring for an indoor visitor waiting area. Here's their setup for winter visiting.
Time for the annual pre-winter mystery: what is triggering these afternoon internal rainbows?
November 24, 2025 at 8:52 PM
Time for the annual pre-winter mystery: what is triggering these afternoon internal rainbows?
It's true that broker fraud became a major problem in the federal marketplace circa 2023, and that $0 premium created an opening. But, via @citizencohn.bsky.social, state-based exchanges prevent such fraud without killing $0 premium, per CA and MA SBE directors 3/
www.thebulwark.com/p/obamacare-...
www.thebulwark.com/p/obamacare-...
November 24, 2025 at 2:44 PM
It's true that broker fraud became a major problem in the federal marketplace circa 2023, and that $0 premium created an opening. But, via @citizencohn.bsky.social, state-based exchanges prevent such fraud without killing $0 premium, per CA and MA SBE directors 3/
www.thebulwark.com/p/obamacare-...
www.thebulwark.com/p/obamacare-...
I asked Gemini 3x to make this AI-generated image more racially diverse. The program could not do it. Kept saying "I'll try" and failing.
November 23, 2025 at 10:56 PM
I asked Gemini 3x to make this AI-generated image more racially diverse. The program could not do it. Kept saying "I'll try" and failing.
Clippy is back!
Eff off, Copilot.
Eff off, Copilot.
November 23, 2025 at 9:34 PM
Clippy is back!
Eff off, Copilot.
Eff off, Copilot.
...and here's me
Pandora, don't ignore her...the Problem Solvers' HOPE Act is good.
xpostfactoid.substack.com/p/on-earth-2...
Pandora, don't ignore her...the Problem Solvers' HOPE Act is good.
xpostfactoid.substack.com/p/on-earth-2...
November 21, 2025 at 11:12 PM
...and here's me
Pandora, don't ignore her...the Problem Solvers' HOPE Act is good.
xpostfactoid.substack.com/p/on-earth-2...
Pandora, don't ignore her...the Problem Solvers' HOPE Act is good.
xpostfactoid.substack.com/p/on-earth-2...
Pitch-perfect response to Republicans' ACA "reform" plans:
punchbowl.news/article/heal...
punchbowl.news/article/heal...
November 21, 2025 at 12:34 PM
Pitch-perfect response to Republicans' ACA "reform" plans:
punchbowl.news/article/heal...
punchbowl.news/article/heal...
He's been calling people Piggy for years...
www.npr.org/2016/10/13/4...
www.npr.org/2016/10/13/4...
November 19, 2025 at 3:13 PM
He's been calling people Piggy for years...
www.npr.org/2016/10/13/4...
www.npr.org/2016/10/13/4...
Michele Obama flashback
www.npr.org/2016/10/13/4...
Sad that the U.S. electorate lacked the moral perception of a six-year-old.
www.npr.org/2016/10/13/4...
Sad that the U.S. electorate lacked the moral perception of a six-year-old.
November 19, 2025 at 2:44 PM
Michele Obama flashback
www.npr.org/2016/10/13/4...
Sad that the U.S. electorate lacked the moral perception of a six-year-old.
www.npr.org/2016/10/13/4...
Sad that the U.S. electorate lacked the moral perception of a six-year-old.
November 19, 2025 at 2:34 PM
HRAs, HSAs, and other Republican nostrums
xpostfactoid.substack.com/p/republican...
xpostfactoid.substack.com/p/republican...
November 18, 2025 at 9:39 PM
HRAs, HSAs, and other Republican nostrums
xpostfactoid.substack.com/p/republican...
xpostfactoid.substack.com/p/republican...
Charles Gaba spotlights states with a "super silver load": open.substack.com/pub/charlesg...
November 12, 2025 at 1:31 PM
Charles Gaba spotlights states with a "super silver load": open.substack.com/pub/charlesg...
First mention of Christmas shopping I've seen. Seems relatively late, TBH.
November 11, 2025 at 5:23 PM
First mention of Christmas shopping I've seen. Seems relatively late, TBH.
Hey, my mother designed these:
www.newyorker.com/magazine/202...
www.newyorker.com/magazine/202...
October 29, 2025 at 4:58 PM
Hey, my mother designed these:
www.newyorker.com/magazine/202...
www.newyorker.com/magazine/202...
Hey, 60 year-old NJ couple with $85,000 income: stuff another $500 in a retirement account (knocking MAGI down to $84,500) and get $1812/month in subsidies.
We're back to all the pre-ARPA maneuverings...
We're back to all the pre-ARPA maneuverings...
October 27, 2025 at 2:19 PM
Hey, 60 year-old NJ couple with $85,000 income: stuff another $500 in a retirement account (knocking MAGI down to $84,500) and get $1812/month in subsidies.
We're back to all the pre-ARPA maneuverings...
We're back to all the pre-ARPA maneuverings...
Oh wait - -they just haven't changed the intro page; 2026 is up when you click throgh. AND GetCoveredNJ doesn't appear to have a BlueSky account.
October 27, 2025 at 2:12 PM
Oh wait - -they just haven't changed the intro page; 2026 is up when you click throgh. AND GetCoveredNJ doesn't appear to have a BlueSky account.
Hmm, the comparison tool doesn't appear to have a 2026 option yet.
October 27, 2025 at 2:09 PM
Hmm, the comparison tool doesn't appear to have a 2026 option yet.
One of many stories on an eternal loop
October 24, 2025 at 2:21 PM
One of many stories on an eternal loop
These roundup paragraphs are not uncommon, but... ai ai ai!
open.substack.com/pub/paulkrug...
open.substack.com/pub/paulkrug...
October 24, 2025 at 12:18 PM
These roundup paragraphs are not uncommon, but... ai ai ai!
open.substack.com/pub/paulkrug...
open.substack.com/pub/paulkrug...
Trump justice: No criminal (who pays me or praises me) left behind
October 23, 2025 at 4:47 PM
Trump justice: No criminal (who pays me or praises me) left behind
Someone at CMS appears not to have had their heart full into pursuing "protection" and "affordability" by Trumpist means
www.cms.gov/files/docume...
www.cms.gov/files/docume...
October 22, 2025 at 7:46 PM
Someone at CMS appears not to have had their heart full into pursuing "protection" and "affordability" by Trumpist means
www.cms.gov/files/docume...
www.cms.gov/files/docume...
Maybe I should substitute...
October 22, 2025 at 4:27 PM
Maybe I should substitute...
The dominant physician group around here: Use a lot of healthcare!
October 21, 2025 at 8:31 PM
The dominant physician group around here: Use a lot of healthcare!
Barbara Pym's A Glass of Blessings is largely about a sheltered 30-something wife's gradual awareness of/acceptance of gay men. With that in mind, I wonder if this isn't a little joke...
October 20, 2025 at 4:57 PM
Barbara Pym's A Glass of Blessings is largely about a sheltered 30-something wife's gradual awareness of/acceptance of gay men. With that in mind, I wonder if this isn't a little joke...
Thank you @kim.senate.gov for lighting up Maplewood, NJ on #NoKingsDay
October 18, 2025 at 7:22 PM
Thank you @kim.senate.gov for lighting up Maplewood, NJ on #NoKingsDay