Author of Casino Healthcare w/ bylines in Forbes, Newsweek, re/code, Techonomy and healthcare specific publications.
Phoenix, AZ
Joined June 2008
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- Following534
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Pinned Tweet
What if single-payer healthcare is the wrong debate?
The amount of the check matters more than the number of entities writing it.
Maybe we should debate pricing first.
danmunro.substack.com/p/why-…
The ultimate objective isn't just to make PBM compensation transparent - it should be to make the cost of ALL healthcare rational, consistent, and defensible - including Rx costs.
Anything short of that is just rearranging deck chairs.
hc4.us/sp
Dan Munro retweeted
Real photo or AI fake, if someone is sharing a nude of you or using one to threaten you, there is free help.
You are not alone.
Please share this with the teens in your life and every adult who cares about them. No one has to face this alone.
Payer rage is easy - and popular - but misguided b/c payers don't set the price for:
$50,000 C-Section
$100,000 CABG
$1,000,000 CAR-T
Sure - payers profit in our Casino Healthcare, but commercial PRICING for inpatient/outpatient TX are uncapped.
hc4.us/sp
Per @KFF, 39% increase in ACA premiums in 2 yrs is remarkable itself but consider it against a backdrop of $23.139B (@UHC alone is $15.874B) in net profits YTD for 4 of the for profit health plans who have reported —w/ 3 major plans reporting this next week.
So, the responsibility for the “affordability crisis” rests squarely w/ these plans + the dozens of non-profit @BCBSAssociation plans + Kaiser itself & others as a non profits who do not publicly report.
Not physicians, hospitals, the #NoSurprisesAct or others that the health plan industry points to—$23,139,000,000 net profit—with Q4 yet to reported as well.
wsj.com/health/healthcare/af…
Dan Munro retweeted
This is possibly the reason the White House stopped posting the transcripts of Trump's remarks.
If you read them, you realize very quickly that he is out of his mind.
Dan Munro retweeted
This is weak sauce. No serious person disputes that single payer would significantly reduce administrative costs!
Dan Munro retweeted
This is a very important point. "Medicare for All" is far more generous than either Medicare or single-payer in most countries.
Well over 1/3 of Medicare's gross health are spending are covered by cost-sharing or paid for by premiums. And lots isn't covered.
There's a line in @TheSocialMovie that's just pitch perfect:
"For the record, my bias isn't because tech is taking journalism jobs. It's because you are doing them so badly.” Jeff Horowitz
Dan Munro retweeted
Dollar General makes $1.5 billion in profits, gives its CEO $8.1 million, spends $700 million on stock buybacks & pays cashiers $8/hour. Over 5,600 Dollar General workers need food stamps & Medicaid paid by U.S. taxpayers.
It robs customers, workers & taxpayers to enrich the 1%.
Dan Munro retweeted
Tim Miller is on the Charlie Kirk Show and it's not going well for the hosts 👇
HOST: Nobody wanted Renee Good to die more than the left. I think that's very obvious
MILLER: That's an insane thing to say. That's really offensive actually
HOST: They actively get in the face of ICE
MILLER: And the punishment for that should be summary execution?
Dan Munro retweeted
My heart goes out to the hardworking hospital staff and security team. What happened underscores why incident response plans need testing and how tabletop exercises can prepare teams for ransomware, executive impersonation, and data exposure.
apnews.com/article/new-mexic…
Dan Munro retweeted
Trust is the most important asset in the current world. Trust is the ground on which we all stand. But we are losing trust in each other and in human institutions, and instead increasingly trust only algorithms and AI.
Watch the whole conversation with @DanielStach for @hpcivilizace on @Vedact24 here: bit.ly/YNH-HPC
Lowering premiums isn't the same as lowering HC costs.
Less-regulated plans may reduce premiums (by shifting risk, narrowing coverage, or increasing out-of-pocket exposure), but that's just rearranging the bill - not fixing the real problem. Price.
hc4.us/sp
We absolutely do need to end employer-sponsored insurance (ESI), but we keep debating who should pay for healthcare when we haven't solved the more fundamental problem: what we pay.
hc4.us/sp
Dan Munro retweeted
Watching the evolution of coverage is getting more and more concerning. The U.S. uninsured rate rose from 8.9% in 2024 to 11% in 2026, and nearly half of working-age adults had gaps, with either no coverage or too little coverage. We are trending in the wrong direction.
Dan Munro retweeted
"You Can See Everything is a film about the tension between two modes of deception. Holmes uses deceit to tell big lies, and Fielder uses conceit to tell strange truths. The film ends with a strangely moving shot of them playing together in the ocean. Maybe this is just another joke, with the documentarian drowning the last morsels of his reliability as a narrator. Or maybe, in the end, there’s something honest happening in the water, as two masters of artifice see in each other that rarest thing: an unerring commitment to the bit."
Dan Munro retweeted
I'm in my 40s. I'm a lawyer. My wife is a lawyer. We both work full time.
We cannot afford the house my parents purchased on a single electrician's income in their 30s.
We cannot afford the house my immigrant grandparents purchased on a single MTA bus driver's salary in their 30s. They had SIX CHILDREN.
For 30 years, politicians in Washington & their oligarch allies convinced regular people that this was just about avocado toast and fancy coffee.
In reality, this is end-stage capitalism. Everyone is stuck in place. It's impossible to buy a home. It's too costly to move. We work too much to have passion projects. We don't have enough savings to start our own businesses. We can't afford to go without healthcare to do it.
Thanks for writing this article @troy_closson. Would be very happy to discuss further.
nytimes.com/2026/10/25/nyreg…
Dan Munro retweeted
In addition to being unbelievably racist, this is also (obviously) totally false.
Multiple Arab winners of the Nobel Prize (Bawendi, Karman, etc). And the Wolf Prize (Zeweil, Yaghi). And literature (Mahfouz, El Saadawi, etc).
RFK Jr is a disgrace.
Dan Munro retweeted
"We estimate that Mr Trump’s policies will cost the poorest tenth of American households, with average income after taxes and transfers of around $37,000, almost 3% of their income. The richest tenth, with average after-tax incomes of nearly $500,000, will gain nearly 3% (see chart 1). Households in the middle, with average income of roughly $100,000, lose more than $400"
