Iwishiwasntthisway

I used to work in revenue management for a PE backed health system (I know, I know). What is charged for services is actually just a back and forth between the provider and insurance, or how they can write off uncollectible billing through charity care, or through applications/negotiable with state Medicaid. So like, a 100k hospital stay can actually become 40k, depending on what the provider says, and this is before you ever get a bill for a fraction of that. If the objective is to make it look like tons of money is being "spent" on undocumented persons - and there is always incentive for this because it can be written off - there is a lot of spin built in even without any political motivation.

Does anybody have any info/takes on free speech in the USSR? Particularly in the lead up to collapse? I was thinking about authoritarian crack downs on things like free speech, the recent thing with the Telegram guy, the arrest of various activists for nothing. And I understand there have always been infringements on these rights, assassinations, and all that. But lately it seems to be getting more blatant, rushed, and inconsistent.

Chud twitter is quating this with communism. On the left this sort of thing seems to be equated with fascism

But like, isn't this just a symptom of a panicked ruling class, narrative loss, and incoming collapse? Did something similar genuinely happen in the USSR, especially toward the end, or was it a complete western invention? This is a difficult thing to research because of course you're going to get propaganda from every angle.

I'm on 4 hours of sleep and 20 mg of gummies so I apologize if this was a stupid question

I read his substack. His Twitter occasionally posts some stuff that might be upsetting (anti-woke mostly, he doesn't appear to be racist but a lot of his commentors are). This guy has some very good write ups when he sticks to his special interest though.

Ok poindexter

I don't know about the UK, but the American middle class is obsessed with not smoking as a sort of Bourdieu-ian status marker, particularly in the suburbs. If you live in an east Coast city it's more bimodal... Your leisure/creative class/hipsters of olde will smoke in art galleries and fake speakeasies, along with the poor. But everyone in between thinks it's some sort of virtue that they don't. This is before vaping anyway.

I used to smoke, then vape, then quit, but I never acquired the performative sensitivity many former smokers, particularly middle aged women seem to possess... Crossing the street in coughing fits because somebody lit up 20 ft away.

When they figure out a way to inject stem cells into lungs these bitches are gonna be chain smoking with opera cigarette holders like cruella devile talking about notes or tonka bean and peet moss

It's all good. Thanks for the link. I've got time lapse map clairvoyance, give me a time lapse map and apply dialectical materialism and will tell you the future. Something about that format just makes everything so clear

He actually is, like not for a baby, but for a person

He's 22 months bro and they're not supposed to get a lot of salt. He's not gonna sit still and watch me cook for hours prepping meals for the week. I was just joking.

Thanks so much! Any chance there is a time lapse version?

I agree but my toddler doesn't.

I live off of steam-in-bag shit right now and I still wind up running the dishwasher twice a day. Send help

Where do y'all get these maps