Skip to content
  • Home Home Home, current page.
  • Moments Moments Moments, current page.

Saved searches

  • Remove
  • In this conversation
    Verified accountProtected Tweets @
Suggested users
  • Verified accountProtected Tweets @
  • Verified accountProtected Tweets @
  • Language: English
    • Bahasa Indonesia
    • Bahasa Melayu
    • Català
    • Čeština
    • Dansk
    • Deutsch
    • English UK
    • Español
    • Filipino
    • Français
    • Hrvatski
    • Italiano
    • Magyar
    • Nederlands
    • Norsk
    • Polski
    • Português
    • Română
    • Slovenčina
    • Suomi
    • Svenska
    • Tiếng Việt
    • Türkçe
    • Ελληνικά
    • Български език
    • Русский
    • Српски
    • Українська мова
    • עִבְרִית
    • العربية
    • فارسی
    • मराठी
    • हिन्दी
    • বাংলা
    • ગુજરાતી
    • தமிழ்
    • ಕನ್ನಡ
    • ภาษาไทย
    • 한국어
    • 日本語
    • 简体中文
    • 繁體中文
  • Have an account? Log in
    Have an account?
    · Forgot password?

    New to Twitter?
    Sign up
charles_gaba's profile
Charles #GetVaxxed! 💉
Charles #GetVaxxed! 💉
Charles #GetVaxxed!  💉
Verified account
@charles_gaba

Tweets

Charles #GetVaxxed!  💉Verified account

@charles_gaba

Healthcare policy data analysis, advocacy & snark. If you find my work of value, please support it at http://ACASignups.net/support 

Bloomfield Township, MI
acasignups.net
Joined March 2009

Tweets

  • © 2021 Twitter
  • About
  • Help Center
  • Terms
  • Privacy policy
  • Cookies
  • Ads info
Dismiss
Previous
Next

Go to a person's profile

Saved searches

  • Remove
  • In this conversation
    Verified accountProtected Tweets @
Suggested users
  • Verified accountProtected Tweets @
  • Verified accountProtected Tweets @

Promote this Tweet

Block

  • Tweet with a location

    You can add location information to your Tweets, such as your city or precise location, from the web and via third-party applications. You always have the option to delete your Tweet location history. Learn more

    Your lists

    Create a new list


    Under 100 characters, optional

    Privacy

    Copy link to Tweet

    Embed this Tweet

    Embed this Video

    Add this Tweet to your website by copying the code below. Learn more

    Add this video to your website by copying the code below. Learn more

    Hmm, there was a problem reaching the server.

    By embedding Twitter content in your website or app, you are agreeing to the Twitter Developer Agreement and Developer Policy.

    Preview

    Why you're seeing this ad

    Log in to Twitter

    · Forgot password?
    Don't have an account? Sign up »

    Sign up for Twitter

    Not on Twitter? Sign up, tune into the things you care about, and get updates as they happen.

    Sign up
    Have an account? Log in »

    Two-way (sending and receiving) short codes:

    Country Code For customers of
    United States 40404 (any)
    Canada 21212 (any)
    United Kingdom 86444 Vodafone, Orange, 3, O2
    Brazil 40404 Nextel, TIM
    Haiti 40404 Digicel, Voila
    Ireland 51210 Vodafone, O2
    India 53000 Bharti Airtel, Videocon, Reliance
    Indonesia 89887 AXIS, 3, Telkomsel, Indosat, XL Axiata
    Italy 4880804 Wind
    3424486444 Vodafone
    » See SMS short codes for other countries

    Confirmation

     

    Welcome home!

    This timeline is where you’ll spend most of your time, getting instant updates about what matters to you.

    Tweets not working for you?

    Hover over the profile pic and click the Following button to unfollow any account.

    Say a lot with a little

    When you see a Tweet you love, tap the heart — it lets the person who wrote it know you shared the love.

    Spread the word

    The fastest way to share someone else’s Tweet with your followers is with a Retweet. Tap the icon to send it instantly.

    Join the conversation

    Add your thoughts about any Tweet with a Reply. Find a topic you’re passionate about, and jump right in.

    Learn the latest

    Get instant insight into what people are talking about now.

    Get more of what you love

    Follow more accounts to get instant updates about topics you care about.

    Find what's happening

    See the latest conversations about any topic instantly.

    Never miss a Moment

    Catch up instantly on the best stories happening as they unfold.

    Charles #GetVaxxed!  💉‏Verified account @charles_gaba 24 Feb 2020

    📣 THREAD: Since Bernie's "Who the hell knows how much #M4All would cost" clip on #60Minutes is causing such a stir, here's why his answer, while terrible, is actually accurate. Let's look at the much-discussed "Mercatus Analysis" which received so much attention in July 2018: 1/

    8:21 AM - 24 Feb 2020
    • 58 Retweets
    • 118 Likes
    • Soros-PaidSpaceLaserOperator Julian Morgen Get the Lead Out! Pass the Infrastructure Bill! Matt Kukla, PhD Holly Garner James Hawk 'n' Roll Songbird Diego Sully_Willis
    17 replies 58 retweets 118 likes
      1. New conversation
      2. Charles #GetVaxxed!  💉‏Verified account @charles_gaba 24 Feb 2020

        Back in July 2018, Charles Blahous of the @Mercatus Center, a *right-wing* think tank which isn't a fan of #M4All, came out with a 10-year projection about how much Bernie's #M4All bill would cost *assuming it was implemented exactly as worded* 2/ https://www.mercatus.org/system/files/blahous-costs-medicare-mercatus-working-paper-v1_1.pdf …

        2 replies 5 retweets 19 likes
        Show this thread
      3. Charles #GetVaxxed!  💉‏Verified account @charles_gaba 24 Feb 2020

        There were a TON of headlines screaming about how Bernie's #M4All proposal "would cost $32 Trillion!", which isn't surprising..but there were *other* headlines, including from Bernie himself, noting that the same analysis projected M4All "would *save* $2 Trillion!". Huh?? 3/

        3 replies 9 retweets 25 likes
        Show this thread
      4. Charles #GetVaxxed!  💉‏Verified account @charles_gaba 24 Feb 2020

        I wrote up an explainer which helps visualize how *both* of these headlines could be accurate: 3/http://acasignups.net/20/02/24/dear-single-payer-advocates-heavens-sake-mercatus-analysis-fairly-reasonable-and-pretty …

        1 reply 6 retweets 22 likes
        Show this thread
      5. Charles #GetVaxxed!  💉‏Verified account @charles_gaba 24 Feb 2020

        Here's a graph charting TOTAL healthcare spending NATIONALLY--including EVERYtHING--via the National Health Expenditure (NHE) report by the Centers for Medicare & Medicaid thru 2026, overlaid with the Mercatus analysis which runs through 2031: 4/ https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NationalHealthAccountsProjected …pic.twitter.com/pMvfVIL18E

        1 reply 6 retweets 23 likes
        Show this thread
      6. Charles #GetVaxxed!  💉‏Verified account @charles_gaba 24 Feb 2020

        The blue section shows total CURRENT spending. TOTAL spending includes both public AND private spending...which means Medicare, Medicaid, CHIP, the VA, the IHS & ACA subsidies...AS WELL AS *all* premiums, co-pays, deductibles, coinsurance, etc by employers & individuals. 5/

        1 reply 5 retweets 24 likes
        Show this thread
      7. Charles #GetVaxxed!  💉‏Verified account @charles_gaba 24 Feb 2020

        The greyed out section below the dotted line represents current PUBLIC spending by both state/local governments (below the blue line) and the federal government (above the blue line). Everything *above* the dotted line is current *private* spending/projections. 6/

        2 replies 5 retweets 16 likes
        Show this thread
      8. Charles #GetVaxxed!  💉‏Verified account @charles_gaba 24 Feb 2020

        the Mercatus analysis assumes that Bernie is swept into office in January 2021 w/218 M4A supporters in the House & 60 M4A supporters in the Senate; the bill is somehow quickly passed through both and signed into law by President Sanders, and goes into effect on Jan. 1, 2022. 7/

        2 replies 6 retweets 18 likes
        Show this thread
      9. Charles #GetVaxxed!  💉‏Verified account @charles_gaba 24 Feb 2020

        Charles #GetVaxxed!  💉 Retweeted Charles #GetVaxxed!  💉

        (as an aside, I should note that this timeline wouldn't happen even WITH a huge progressive majority in both the House/Senate for reasons @bjdickmayhew laid out here, but let's ignore that for the moment): 8/https://twitter.com/charles_gaba/status/1231579714533367808 …

        Charles #GetVaxxed!  💉 added,

        Charles #GetVaxxed!  💉Verified account @charles_gaba
        This, by @bjdickmayhew, is the best explainer I've seen about why any #M4All would require a 3-yr lead time at a minimum *before* the "4-yr transition period" could start under the best of circumstances (it's from July 2019 so add 18 months to all dates) : https://www.balloon-juice.com/2019/07/30/plumbing-and-the-us-healthcare-system/ …
        Show this thread
        2 replies 6 retweets 19 likes
        Show this thread
      10. Charles #GetVaxxed!  💉‏Verified account @charles_gaba 24 Feb 2020

        (Also: I believe Mercatus' analysis couldn't figure out how to estimate the 4-year transition period during which chunks of the population would be shifted over; it seems to assume everyone would be move into place by 2022. That would shift some of the costs out 3-4 years) 9/

        2 replies 5 retweets 14 likes
        Show this thread
      11. Charles #GetVaxxed!  💉‏Verified account @charles_gaba 24 Feb 2020

        With those caveats in mind: *ASSUMING* all reimbursement rates to doctors, hospitals, drug companies, medical device makers etc. were locked in at *100% Medicare rates*, they figure total *federal* spending would indeed nearly triple. HOWEVER... 10/

        1 reply 5 retweets 13 likes
        Show this thread
      12. Charles #GetVaxxed!  💉‏Verified account @charles_gaba 24 Feb 2020

        ...a big chunk of that would presumably still actually come from the states in the form of them being required to keep contributing the same levels that they do now, while the rest would be cancelling out all existing premiums, deductibles, co-pays, coinsurance, etc etc. 11/

        1 reply 5 retweets 15 likes
        Show this thread
      13. Charles #GetVaxxed!  💉‏Verified account @charles_gaba 24 Feb 2020

        Here's where the "$32T more!" and the "$2T less!" show up: The blue sliver at the top. According to the Mercatus projection, the *combination* of a) administrative savings/reduced paperwork *and* lower reimbursement rates to providers would save ~3.4% or $2.0T over a decade. 12/

        1 reply 5 retweets 17 likes
        Show this thread
      14. Charles #GetVaxxed!  💉‏Verified account @charles_gaba 24 Feb 2020

        That's the GOOD news. Here's the BAD news: Again, this assumes that *doctors, hospitals, drug co's & device makers are paid 100% Medicare rates*...which would be devastating to many rural hospitals, would likely cause the existing shortage of doctors to get worse, etc etc. 13/

        3 replies 5 retweets 19 likes
        Show this thread
      15. Charles #GetVaxxed!  💉‏Verified account @charles_gaba 24 Feb 2020

        OK, so what if you kept reimbursing medical providers at their CURRENT levels? Wouldn't there still be *some* savings from the reduced administrative overhead/etc? Well, Mercatus looked at that as well...and here's what they concluced: 14/pic.twitter.com/nuJOY6NhYM

        1 reply 6 retweets 15 likes
        Show this thread
      16. Charles #GetVaxxed!  💉‏Verified account @charles_gaba 24 Feb 2020

        Under *that* scenario, they projected that total national health spending would actually INCREASE by about $3.25 trillion over a decade, or around 5.5% more than it's currently expected to. Why? 15/

        1 reply 5 retweets 18 likes
        Show this thread
      17. Charles #GetVaxxed!  💉‏Verified account @charles_gaba 24 Feb 2020

        Because in *either* scenario, there'd be a dramatic increase in *utilization* of healthcare which would (in their projection) more than cancel out administrative savings. This is why every country w/guaranteed universal healthcare coverage ALSO includes STRICT rate setting. 16/

        2 replies 6 retweets 21 likes
        Show this thread
      18. Charles #GetVaxxed!  💉‏Verified account @charles_gaba 24 Feb 2020

        OK, but this is from a right-wing, anti-M4All outlet...they're biased, right? Of course. And other analyses by different outlets have come to different conclusions. Here's a great rundown by Josh Katz, Kevin Quealy & Margo @sangerkatz of the NY Times: 17/https://www.nytimes.com/interactive/2019/04/10/upshot/medicare-for-all-bernie-sanders-cost-estimates.html …

        2 replies 5 retweets 13 likes
        Show this thread
      19. Charles #GetVaxxed!  💉‏Verified account @charles_gaba 24 Feb 2020

        Depending on which estimate/projection they looked at, a Bernie-style "pure" #M4All system would cost up to 25% *less* than what we currently spend *or* as much as 15% *more* than what we currently spend...and the highest-end estimate comes the @urbaninstitute. 18/pic.twitter.com/nlkXl43oAS

        3 replies 7 retweets 17 likes
        Show this thread
      20. Charles #GetVaxxed!  💉‏Verified account @charles_gaba 24 Feb 2020

        The point is that it when you're talking about ANY program which is THIS massive, which would impact all ~327 million of us, it's extremely difficult to predict how much it will cost...and w/numbers this big, being off by even a percentage point can mean trillions of dollars. 19/

        2 replies 10 retweets 22 likes
        Show this thread
      21. Charles #GetVaxxed!  💉‏Verified account @charles_gaba 24 Feb 2020

        It's also important to note: It's not just about how much TOTAL spending would increase or decrease, it's also about how much YOU would see YOUR spending increase or decrease. A 25% total savings nationally doesn't necessarily mean you'd pay (net) 25% less...or vice versa. 20/

        3 replies 7 retweets 22 likes
        Show this thread
      22. Charles #GetVaxxed!  💉‏Verified account @charles_gaba 24 Feb 2020

        THAT'S where the debate re *how to pay for it* comes into play. If YOUR taxes are increased by LESS than the amount that YOU'D be saving on premiums, co-pays, deductibles, etc etc, then YOU'D come out ahead. If they increase MORE than how much you'd save, YOU come out behind. 21/

        3 replies 8 retweets 21 likes
        Show this thread
      23. Charles #GetVaxxed!  💉‏Verified account @charles_gaba 24 Feb 2020

        The farther away you are from your eventual goal, the harder it is to extrapolate costs to reach that goal. Think about those hurricane projection charts (even the one Trump doctored with a Sharpie). Note how the potential path range grows wider each day out from the moment? 22/pic.twitter.com/cjBPpN3Wo3

        2 replies 5 retweets 14 likes
        Show this thread
      24. Charles #GetVaxxed!  💉‏Verified account @charles_gaba 24 Feb 2020

        Right now, we're at "X 11am". Florida represents the low to high total M4All spending range. Ten years out is "8am Tuesday". If M4All cost projections are off on the high side, the hurricane hits Key West. If they're off on the low side, it hits the Panhandle. 23/

        3 replies 3 retweets 12 likes
        Show this thread
      25. Charles #GetVaxxed!  💉‏Verified account @charles_gaba 24 Feb 2020

        This is why *even as someone who *personally* prefers achieving M4All*, *for now* I'd prefer to get us from "X 11am" to, say, "8pm Friday" and then re-evaluate the path forward a few years down the road. That means #ACA2.0, preferably including a robust Public Option. 24/END

        4 replies 8 retweets 27 likes
        Show this thread
      26. End of conversation

    Loading seems to be taking a while.

    Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.

      Promoted Tweet

      false

      • © 2021 Twitter
      • About
      • Help Center
      • Terms
      • Privacy policy
      • Cookies
      • Ads info