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Dan Munro

@dan-munro.com

Author of Casino Healthcare

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07.02.2024
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Latest posts by Dan Munro @dan-munro.com

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Exclusive: AI Error Likely Led to Iran Girl's School Bombing Pentagon investigators believe a bombing of a girls' school in Iran on Saturday likely resulted from inaccurate information provided by AI.

Local Massachusetts weekly says it's confirmed that the Pentagon was relying on Claude for strike targeting, which is how they came to bomb a girls' school.
thisweekinworcester.com/exclusive-ai...

07.03.2026 15:22 πŸ‘ 1159 πŸ” 602 πŸ’¬ 90 πŸ“Œ 285

Totally normal stuff

07.03.2026 14:15 πŸ‘ 609 πŸ” 98 πŸ’¬ 50 πŸ“Œ 2

Ok, NOW the US is doing war crimes.

05.03.2026 05:56 πŸ‘ 618 πŸ” 163 πŸ’¬ 21 πŸ“Œ 5

The list of billionaires aiming to "disrupt" healthcare is long:

Gates, Page/Brin, Bezos/Buffet/Dimon, Soon-Shiong - and now Cuban.

But the framing is fatally flawed b/c moving fast and breaking things in healthcare isn't disruptive - it's just rearranging deck chairs.

#Medsky

02.03.2026 14:55 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

"Disrupting" US healthcare is a fatally flawed premise.

Moving fast & breaking things in healthcare isn't disruptive - it's just rearranging deck chairs.

Our system isn't technically zero-sum, but it is practically - and "pricing transparency" (incl cash pay) is just a BIG distraction.

#Medsky

02.03.2026 04:01 πŸ‘ 4 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

"... referrals are submitted electronically, are effective immediately, and are accepted as entered."

Sounds more like a new PCP game in our #CasinoHealthcare?

Maybe a small fee to submit an E-Referral? Whole process could be automated online. I'm not advocating FOR it - just sayin' ...

#Medsky

02.03.2026 03:51 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Two photos. The first shows Catturd tweeting: Name one US inspired regime change that hasn't ended in absolute disaster

The next tweet shows him posting an AI illustration of Khamenei turned into a pile of dust. It says "I'm eliminated."

Two photos. The first shows Catturd tweeting: Name one US inspired regime change that hasn't ended in absolute disaster The next tweet shows him posting an AI illustration of Khamenei turned into a pile of dust. It says "I'm eliminated."

Two tweets. The first shows Laura Loomer promoting her show, where she says "A message has been sent that we are not interested in going back to the way politics were prior to Donald Trump, prior to 2016. We don't want warhawks. We don't want any more Neocons. We want American First. Period. End of discussion."

The next tweet says: Today is a great day. 

Our military is amazing. 

@PeteHegseth
 is an absolute killer. 

Now you see why the Deep State worked so hard against him. 

It’s great having a Sec War who has Infidel literally tattooed on his body. 

He actually gets it. 

God bless him.

Two tweets. The first shows Laura Loomer promoting her show, where she says "A message has been sent that we are not interested in going back to the way politics were prior to Donald Trump, prior to 2016. We don't want warhawks. We don't want any more Neocons. We want American First. Period. End of discussion." The next tweet says: Today is a great day. Our military is amazing. @PeteHegseth is an absolute killer. Now you see why the Deep State worked so hard against him. It’s great having a Sec War who has Infidel literally tattooed on his body. He actually gets it. God bless him.

Two tweets. The first shows Will Chamberlain tweeting: The Republican Party is no longer the party of regime change and endless wars. If you want to be its standard-bearer that is a non-negotiable position.

The next tweet shows him posting "Ayatollah Ali Khamenei is dead." The tweet has a USA flag attached.

Two tweets. The first shows Will Chamberlain tweeting: The Republican Party is no longer the party of regime change and endless wars. If you want to be its standard-bearer that is a non-negotiable position. The next tweet shows him posting "Ayatollah Ali Khamenei is dead." The tweet has a USA flag attached.

Two tweets. The first shows Gunther Eagleman tweeting: "Warmonger Lindsey Graham just rushed to Fox to advocate for U.S. involvement as soon as he could.

He is also pushing for a US-backed regime change in Iran.

I would like to renominate Graham to get a one-way ticket to the frontlines of every war he wants America involved in." There's an attached video of Graham speaking. 

The next shows Eagleman tweeting: UST IN! President Trump is HARD AT WORK all weekend after the massive strikes on Iran!

He’s already on the phone with Saudi Arabia, Qatar, United Arab Emirates, and NATO Secretary General Mark Rutte! 

Trump is a machine!" There's an attached video of a news segment about the war in Iran.

Two tweets. The first shows Gunther Eagleman tweeting: "Warmonger Lindsey Graham just rushed to Fox to advocate for U.S. involvement as soon as he could. He is also pushing for a US-backed regime change in Iran. I would like to renominate Graham to get a one-way ticket to the frontlines of every war he wants America involved in." There's an attached video of Graham speaking. The next shows Eagleman tweeting: UST IN! President Trump is HARD AT WORK all weekend after the massive strikes on Iran! He’s already on the phone with Saudi Arabia, Qatar, United Arab Emirates, and NATO Secretary General Mark Rutte! Trump is a machine!" There's an attached video of a news segment about the war in Iran.

manufacturing consent through lowly paid influencers

28.02.2026 20:20 πŸ‘ 6969 πŸ” 1546 πŸ’¬ 92 πŸ“Œ 77

folks we’re going to see some wild litigation between the world’s worst people

01.03.2026 16:03 πŸ‘ 1969 πŸ” 317 πŸ’¬ 16 πŸ“Œ 14

He doesn't want to ack that @costplusdrugs.com isn't always the lowest b/c they tend to focus on narrow patient segments (ie: uninsured) and even then - lot's of other factors also come into play.

More broadly - transparent pricing isn't the big systemic fix many politicians are claiming.

#Medsky

28.02.2026 03:34 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Moving fast and breaking things in healthcare isn't Uber-like disruption - it's rearranging deck chairs.

We need employers OUT of the business of healthcare.

hc4.us/esi20

#Medsky

26.02.2026 17:14 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
11 Reasons Why We Need To End Employer Sponsored Health Insurance (ESI)

No.

Longer reply on the LinkedIn post - but the short answer is that we need employers OUT of the business of healthcare - and here's 11 reasons why:

hc4.us/esi20

www.linkedin.com/feed/update/...

26.02.2026 16:28 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Preview
X's Algorithm Pushes Users to Lean More Conservative, Researchers Find The algorithm also doesn't like posts by traditional news media, the researchers found.

Very obviously, but good to have data.

X’s Algorithm Pushes Users to Lean More Conservative, Researchers Find gizmodo.com/researchers-...

From study: "...the algorithm promotes conservative content and demotes posts by traditional media" (via @nature.com).

19.02.2026 22:57 πŸ‘ 61 πŸ” 41 πŸ’¬ 3 πŸ“Œ 2
The political effects of X's feed algorithm
https://doi.org/10.1038/s41586-026-10098-2
Received: 16 December 2024
Accepted: 4 January 2026
Published online: 18 February 2026
Open access
β€’ Check for updates
Germain Gauthier,5, Roland Hodler?5, Philine Widmer35 & Ekaterina Zhuravskaya3,4,5 m
Feed algorithms are widely suspected to influence political attitudes. However, previous evidence from switching off the algorithm on Meta platforms found no political effects'. Here we present results from a 2023 field experiment on Elon Musk's platform X shedding light on this puzzle. We assigned active US-based users randomly to either an algorithmic or a chronological feed for 7 weeks, measuring political attitudes and online behaviour. Switching from a chronological to an algorithmic feed increased engagement and shifted political opinion towards more conservative positions, particularly regarding policy priorities, perceptions of criminal investigations into Donald Trump and views on the war in Ukraine. In contrast, switching from the algorithmic to the chronological feed had no comparable effects.
Neither switching the algorithm on nor switching it off significantly affected affective polarization or self-reported partisanship. To investigate the mechanism, we analysed users' feed content and behaviour. We found that the algorithm promotes conservative content and demotes posts by traditional media. Exposure to algorithmic content leads users to follow conservative political activist accounts, which they continue to follow even after switching off the algorithm, helping explain the asymmetry in effects. These results suggest that initial exposure to X's algorithm has persistent effects on users' current political attitudes and account-following behaviour, even in the absence of a detectable effect on partisanship.

The political effects of X's feed algorithm https://doi.org/10.1038/s41586-026-10098-2 Received: 16 December 2024 Accepted: 4 January 2026 Published online: 18 February 2026 Open access β€’ Check for updates Germain Gauthier,5, Roland Hodler?5, Philine Widmer35 & Ekaterina Zhuravskaya3,4,5 m Feed algorithms are widely suspected to influence political attitudes. However, previous evidence from switching off the algorithm on Meta platforms found no political effects'. Here we present results from a 2023 field experiment on Elon Musk's platform X shedding light on this puzzle. We assigned active US-based users randomly to either an algorithmic or a chronological feed for 7 weeks, measuring political attitudes and online behaviour. Switching from a chronological to an algorithmic feed increased engagement and shifted political opinion towards more conservative positions, particularly regarding policy priorities, perceptions of criminal investigations into Donald Trump and views on the war in Ukraine. In contrast, switching from the algorithmic to the chronological feed had no comparable effects. Neither switching the algorithm on nor switching it off significantly affected affective polarization or self-reported partisanship. To investigate the mechanism, we analysed users' feed content and behaviour. We found that the algorithm promotes conservative content and demotes posts by traditional media. Exposure to algorithmic content leads users to follow conservative political activist accounts, which they continue to follow even after switching off the algorithm, helping explain the asymmetry in effects. These results suggest that initial exposure to X's algorithm has persistent effects on users' current political attitudes and account-following behaviour, even in the absence of a detectable effect on partisanship.

A new paper shows that less than 2 months of exposure to Twitter’s algorithmic feed significantly shifts people’s political views to the right.

Moving from chronological feed to the algorithmic feed also increases engagement.

This is one of the most concerning papers I’ve read in awhile.

19.02.2026 18:57 πŸ‘ 6471 πŸ” 3238 πŸ’¬ 159 πŸ“Œ 408

This serial killing spree has been completely normalized.

I consider this in many ways the single worst thing going on because it’s getting zero resistance from the media, Congress, everywhere.

Everyone has seemingly accepted he can commit mass murder on boats for… fun, basically.

18.02.2026 16:17 πŸ‘ 666 πŸ” 275 πŸ’¬ 22 πŸ“Œ 5
Video thumbnail

Ossoff: "Among today's false prophets are the election deniers who indulge this president's obsession with overturning the 2020 election. Hear me when I say this -- they tell a lie so absurd, and therefore so debasing, that the act of telling it proves the teller's total and humiliating submission."

16.02.2026 17:22 πŸ‘ 30337 πŸ” 8791 πŸ’¬ 577 πŸ“Œ 462

Actors rely on income to qualify for health insurance thru SAG-AFRA.

10yrs ago - SAG-AFRA's minimum earnings to qualify was 1/3 of what it is today - and MANY actors don't make the minimum. Van Der Beek wasn't making enuf to qualify - so uninsured at time of Dx. Post Dx rates? Can only guess ;-(

15.02.2026 21:51 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Post image Post image

Ah yes. More patient testimonials here on @bluesky b/c nothing says authentic healthcare reform like being featured in a repost by @mcuban.bsky.social plugging his Rx company.

NB: Just b/c the consequences of cash-pay for Rx are opaque and downstream - doesn't mean they don't exist.

#Medsky

09.02.2026 20:39 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Post image
05.02.2026 08:07 πŸ‘ 2658 πŸ” 934 πŸ’¬ 96 πŸ“Œ 285

Since a lot of the coverage is omitting this detail: The Kennedy Center HAD a $250 million renovation and expansion just a few years ago, in 2019.

02.02.2026 12:38 πŸ‘ 4066 πŸ” 1368 πŸ’¬ 21 πŸ“Œ 88

... also why Surgical Center of Oaklahoma has never really scaled past the novelty stage.

31.01.2026 17:12 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Yes - cash-pay IS cheaper b/c it's OUTSIDE insurance (and there are other cash-pay examples in HC), but these "fixes" can't scale - and generics aren't where the big margins are.

Cash-pay prices are "transparent," but there are downstream consequences. Rx shortages = good example.

#Medsky

31.01.2026 16:44 πŸ‘ 1 πŸ” 1 πŸ’¬ 1 πŸ“Œ 1

There were other things at play in 2024, for sure, but I can’t stop thinking about how this country responded to the possibility of a Black woman being president by electing the Klan.

30.01.2026 15:19 πŸ‘ 395 πŸ” 84 πŸ’¬ 13 πŸ“Œ 1

BUT - it's ignoring the systemic flaws.

Yes - cash-pay IS cheaper b/c it's OUTSIDE insurance (and there are other cash-pay examples in HC), but they don't/can't scale - AND - there are consequences that get ignored b/c they're downstream/opaque.

Rx shortages are a prime example.

#Medsky

27.01.2026 01:44 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
There is far more outrage from tech leaders over a wealth tax than masked ICE agents terrorizing communities and executing civilians in the streets. 

Tells you what you need to know about the values of our industry.

There is far more outrage from tech leaders over a wealth tax than masked ICE agents terrorizing communities and executing civilians in the streets. Tells you what you need to know about the values of our industry.

OpenAI exec James Dyett calling out the cowardice

25.01.2026 19:11 πŸ‘ 9471 πŸ” 1737 πŸ’¬ 158 πŸ“Œ 121
Preview
Collapse in Real Time This is what collapse looks like in real time: a president who doesn’t know where countries are, doesn’t know what they’re called, doesn’t know the difference between geography and fantasy, and doesn’...

"This is what collapse looks like ..."

by @notjustadrummer.bsky.social

[in 5 paragraphs - no notes]

substack.com/home/post/p-...

27.01.2026 01:29 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

i think this attitude β€” that all opposition is illegitimate and nothing we do can be questionedβ€” is probably pervasive in the white house and helps explain why they keep making terrible political choices

25.01.2026 15:02 πŸ‘ 15205 πŸ” 2976 πŸ’¬ 318 πŸ“Œ 114
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FCC Finds New Way To Target The Talk Shows That Get Under Trump's Skin The president has repeatedly pushed FCC Chair Brendan Carr to take action against U.S. broadcasters.

www.huffpost.com/entry/fcc-ta...
Republicans never believed in smaller government. What they believe is that they alone should control the government and that’s exactly why they were every bit a part of the insurrection. Not charging them and not locking Trump away is why America has fallen to them.

22.01.2026 17:16 πŸ‘ 6 πŸ” 5 πŸ’¬ 0 πŸ“Œ 0
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Exclusive: Drugmakers raise US prices on 350 medicines despite pressure from Trump Drugmakers plan to raise U.S. prices on at least 350 branded medications including vaccines against COVID, RSV and shingles and blockbuster cancer treatment Ibrance, even as the Trump administration p...

... meanwhile ... in other news ... branded Rx prices keep going up. By one account 350 of them just announced for this year - and there will be more throughout the year.

Our Casino Healthcare isn't technically zero-sum. But it is practically.

#Medsky

www.reuters.com/business/hea...

22.01.2026 17:05 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

The president of the United States is so brain-dead that he doesn't remember which country he's threatening to destroy the world's greatest military alliance over.

21.01.2026 14:37 πŸ‘ 3577 πŸ” 890 πŸ’¬ 117 πŸ“Œ 42
11 Reasons Why We Need To End Employer Sponsored Health Insurance (ESI)

The first big political battle (toward systemic reform) is getting rid of Employer Sponsored Insurance - and the real heavy lifting there is *sweeping* tax reform.

... and that's not a technology problem - it's purely political.

#Medsky

hc4.us/esi20

21.01.2026 00:16 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0