xpostfactoid
banner
xpostfactoid.bsky.social
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
Time for the annual pre-winter mystery: what is triggering these afternoon internal rainbows?
November 24, 2025 at 8:52 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-...
November 24, 2025 at 2:44 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.
November 23, 2025 at 10:56 PM
Clippy is back!

Eff off, Copilot.
November 23, 2025 at 9:34 PM
...and here's me

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
Pitch-perfect response to Republicans' ACA "reform" plans:
punchbowl.news/article/heal...
November 21, 2025 at 12:34 PM
He's been calling people Piggy for years...
www.npr.org/2016/10/13/4...
November 19, 2025 at 3:13 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.
November 19, 2025 at 2:44 PM
November 19, 2025 at 2:34 PM
HRAs, HSAs, and other Republican nostrums
xpostfactoid.substack.com/p/republican...
November 18, 2025 at 9:39 PM
Charles Gaba spotlights states with a "super silver load": open.substack.com/pub/charlesg...
November 12, 2025 at 1:31 PM
First mention of Christmas shopping I've seen. Seems relatively late, TBH.
November 11, 2025 at 5:23 PM
Hey, my mother designed these:
www.newyorker.com/magazine/202...
October 29, 2025 at 4:58 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...
October 27, 2025 at 2:19 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.
October 27, 2025 at 2:12 PM
Hmm, the comparison tool doesn't appear to have a 2026 option yet.
October 27, 2025 at 2:09 PM
One of many stories on an eternal loop
October 24, 2025 at 2:21 PM
These roundup paragraphs are not uncommon, but... ai ai ai!
open.substack.com/pub/paulkrug...
October 24, 2025 at 12:18 PM
Trump justice: No criminal (who pays me or praises me) left behind
October 23, 2025 at 4:47 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...
October 22, 2025 at 7:46 PM
Maybe I should substitute...
October 22, 2025 at 4:27 PM
The dominant physician group around here: Use a lot of healthcare!
October 21, 2025 at 8:31 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...
October 20, 2025 at 4:57 PM
Thank you @kim.senate.gov for lighting up Maplewood, NJ on #NoKingsDay
October 18, 2025 at 7:22 PM