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Whatever the other merits of this proposal, funneling another ~$30B to hospitals is the antithesis of "targeted relief."
A dozen hospital chains just presented at #JPM21, two weeks ago.
General theme: Financially speaking, hospitals are doing quite well. 1/n
We have, for example, Community Health Systems, which operates 89 hospitals in 16 states, many of them in smaller towns / metro areas.
Through the pandemic, CHS's EBITDA margin never even fell into single digits, and profitability actually *increased* in 2020.
Meanwhile, Lifepoint Health (84 hospitals, 30 states) also saw profits increase in 2020, while its cash-to-debt ratio fell. Pretty solid year.
ProMedica Health (non-profit, 13 Midwestern hospitals) actually saw profits increase even in *the first half of 2020,* when hospitals were supposedly facing catastrophe.
They finished the year with ~$440M of EBITDA, and $2.3B of cash on hand.
Baylor Scott & White (52 hospitals) saw its profit margin *more than double* during the pandemic year, and ended September with $7.8 billion of cash and portfolio investments.
That's about $600M more than they had pre-pandemic.
A dozen hospital chains just presented at #JPM21, two weeks ago.
General theme: Financially speaking, hospitals are doing quite well. 1/n
The new GOP Covid-19 relief offer includes the $20B that Biden asked for on vaccine distribution, and also calls for $35 billion in new grants for hospitals and health providers that wasn't included in Biden's plan pic.twitter.com/DMjVPahc64
— Rachel Cohrs (@rachelcohrs) February 1, 2021
We have, for example, Community Health Systems, which operates 89 hospitals in 16 states, many of them in smaller towns / metro areas.
Through the pandemic, CHS's EBITDA margin never even fell into single digits, and profitability actually *increased* in 2020.
Meanwhile, Lifepoint Health (84 hospitals, 30 states) also saw profits increase in 2020, while its cash-to-debt ratio fell. Pretty solid year.
ProMedica Health (non-profit, 13 Midwestern hospitals) actually saw profits increase even in *the first half of 2020,* when hospitals were supposedly facing catastrophe.
They finished the year with ~$440M of EBITDA, and $2.3B of cash on hand.
Baylor Scott & White (52 hospitals) saw its profit margin *more than double* during the pandemic year, and ended September with $7.8 billion of cash and portfolio investments.
That's about $600M more than they had pre-pandemic.
Dear @theSNP,
If you are serious about tackling transphobia within your party, perhaps you should begin by talking to actual trans people, and the organisations who represent them.
Your own NEC is really not the place to start, it's part of the problem.
I mean your Conduct Committee is a joke. Here is a small sample of tweets from Neale Hanvey's campaign guy. This is what is going on in the name of the SNP.
https://t.co/RRuwNAAeUB
Hanvey appears to have deleted his own tweets equating trans people with paedophiles, but the damage is already done.
You will never regain trust, members, or member subs, until you tackle this effectively.
Hanvey deleted his tweet, but here's a quote of the tweet, where he conflated paedophilia with GRA reform, and perpetuates the far-right conspiracy theory about paedophiles "adding letters" to the LGBTQ+ grouping.
If you are serious about tackling transphobia within your party, perhaps you should begin by talking to actual trans people, and the organisations who represent them.
Your own NEC is really not the place to start, it's part of the problem.
I mean your Conduct Committee is a joke. Here is a small sample of tweets from Neale Hanvey's campaign guy. This is what is going on in the name of the SNP.
https://t.co/RRuwNAAeUB
Hanvey appears to have deleted his own tweets equating trans people with paedophiles, but the damage is already done.
You will never regain trust, members, or member subs, until you tackle this effectively.
Hanvey deleted his tweet, but here's a quote of the tweet, where he conflated paedophilia with GRA reform, and perpetuates the far-right conspiracy theory about paedophiles "adding letters" to the LGBTQ+ grouping.
1/ Learn more about the @USPS, its leadership and Louis DeJoy in Bill's conversation with Lisa Graves about how Charles Koch marked the Postal Service for privatization in the early 1970s and how he is using the Koch empire to push his political agenda to this day.
2/ She pointed to a recent report she authored for @PubInterest about Koch's efforts to popularize the fringe idea of privatizing the Postal Service and to capture the agency.
3/ When regulatory capture occurs, a special interest is prioritized over the general interests of the public. In 2006, one of his pro-privatization allies "James Miller was rewarded with a post on the Board of Governors for the Postal Service."
4/ "And from that perch in 2006, he pushed through this bill called the Postal Accountability and Efficiency Act, the PAEA, which really has dramatically harmed our Postal Service."
5/ Some people might say that they were trying to assure the failure of the Postal Service with the bill, which loaded it with burdens for the future that are not asked of any other government agency.
Pressure is mounting on President Biden to enact leadership changes at the U.S. Postal Service, including one Democratic lawmaker who's calling on Biden to fire the postmaster general and the entire board of governors. https://t.co/3cwqGOMvQH
— NPR Politics (@nprpolitics) January 29, 2021
2/ She pointed to a recent report she authored for @PubInterest about Koch's efforts to popularize the fringe idea of privatizing the Postal Service and to capture the agency.
3/ When regulatory capture occurs, a special interest is prioritized over the general interests of the public. In 2006, one of his pro-privatization allies "James Miller was rewarded with a post on the Board of Governors for the Postal Service."
4/ "And from that perch in 2006, he pushed through this bill called the Postal Accountability and Efficiency Act, the PAEA, which really has dramatically harmed our Postal Service."
5/ Some people might say that they were trying to assure the failure of the Postal Service with the bill, which loaded it with burdens for the future that are not asked of any other government agency.
@afneil What a disgusting comment. There is NOTHING "hard left" about wanting to protect people's lives. You, like @BorisJohnson & @Keir_Starmer haven't thought this through 1/
You clearly don’t care about people’s lives; you just want the chance to have a go at a trade union. FYI, schools need to be made SAFE b4 reopening. 2/
You must’ve seen the figures: Covid cases increased via schools after reopening in September & cases are now increasing in nurseries, left open since Xmas. 3/
Why hurt or kill more people? Ensure safety FIRST. 4/
How to make schools SAFE? a) Vaccinate all school staff & all students, with both vaccine shots. That'll take us until May as second shots are only being given after 3 months. 5/
Hard-left National Education Union opposes schools reopening even if all teachers get a priority jab. Schools clearly an inconvenience for teachers\u2019 union, since they only get in the way of its real passion \u2014 political activism. It would help NEA if we just closed schools forever
— Andrew Neil (@afneil) January 31, 2021
You clearly don’t care about people’s lives; you just want the chance to have a go at a trade union. FYI, schools need to be made SAFE b4 reopening. 2/
You must’ve seen the figures: Covid cases increased via schools after reopening in September & cases are now increasing in nurseries, left open since Xmas. 3/
Why hurt or kill more people? Ensure safety FIRST. 4/
How to make schools SAFE? a) Vaccinate all school staff & all students, with both vaccine shots. That'll take us until May as second shots are only being given after 3 months. 5/
This is an interesting review and a good intro to new municipalism (or what @davidjmadden calls 'socialist municipalism')
But it misses some key aspects of what makes the movement distinctive, and distinct from London's municipal socialism.
So here’s a thread on municipalism...
Municipalism is not simply “a political stance as well as an approach to shaping the built environment” (as @davidjmadden puts it) – it’s a distinctive strategic approach to democratising the local state and transforming urban economies using urban spaces as a platform…
1/
Municipalism adopts a ‘dual power’ strategy: 1) supporting commons and practices of commoning through which a more democratic, cooperative (and potentially prefiguratively postcapitalist) ‘solidarity economy’ can be instituted;
2/
...and 2) seeking to take hold of the political institutions of the local state through mobilising social movements for winning electoral office, to reimagine and transform the state from within, through guerrilla occupation of bureaucracies, in order to support 1) above.
3/
Means and ends are intertwined in a prefigurative politics that ‘feminises’ the state’s decision-making processes and subverts technocratic managerialism in favour of 'collective theory-building' and open-source, crowdsourced deliberative-democratic policy-making.
4/
But it misses some key aspects of what makes the movement distinctive, and distinct from London's municipal socialism.
So here’s a thread on municipalism...
"Politically, socialist municipalism is fundamentally different than the elitist, real-estate-allied stance toward urban development that has come to be known as \u2018urbanism'."@owenhatherley's Red Metropolis reviewed by @davidjmadden for @jacobinmag. \U0001f3d7\ufe0f https://t.co/yF5IZa0FmD
— Repeater Books (@RepeaterBooks) January 26, 2021
Municipalism is not simply “a political stance as well as an approach to shaping the built environment” (as @davidjmadden puts it) – it’s a distinctive strategic approach to democratising the local state and transforming urban economies using urban spaces as a platform…
1/
Municipalism adopts a ‘dual power’ strategy: 1) supporting commons and practices of commoning through which a more democratic, cooperative (and potentially prefiguratively postcapitalist) ‘solidarity economy’ can be instituted;
2/
...and 2) seeking to take hold of the political institutions of the local state through mobilising social movements for winning electoral office, to reimagine and transform the state from within, through guerrilla occupation of bureaucracies, in order to support 1) above.
3/
Means and ends are intertwined in a prefigurative politics that ‘feminises’ the state’s decision-making processes and subverts technocratic managerialism in favour of 'collective theory-building' and open-source, crowdsourced deliberative-democratic policy-making.
4/
Still confused about the 2nd dose vaccine supply? Me too, but I think this is what happened: 🧵
Let’s go chronologically. Last Thursday, governors wrote a letter to @SecAzar requesting second doses not be held in reserve and instead immediately be made available:
2. Friday, CNN reported the Biden team planned to do just that:
3. Tuesday @SecAzar said OWS would make the change as well.
Azar: "We can now ship all of the doses, that had been held in physical reserve with second doses being supplied by doses coming off of manufacturing lines with quality control going
4. @SecAzar also noted in that announcement:
"Each week, doses available would be released to first cover the needed second doses, and then cover additional first vaccinations." (4)
5. There was an expectation that with release of 2nd doses would come an immediate increase in # of doses states could order.
That... didn't happen:
Let’s go chronologically. Last Thursday, governors wrote a letter to @SecAzar requesting second doses not be held in reserve and instead immediately be made available:
Coalition of 8 governors writes to HHS @SecAzar & General Gustave Perna to request they release second doses of #covid19 vaccine immediately & trust manufacturing supply will come through: https://t.co/jIjAwSqApp pic.twitter.com/y5YOSqoEb1
— Meg Tirrell (@megtirrell) January 7, 2021
2. Friday, CNN reported the Biden team planned to do just that:
CNN reports Biden administration won't hold back second doses of #covid19 vaccine: https://t.co/TS0XJENudf
— Meg Tirrell (@megtirrell) January 8, 2021
3. Tuesday @SecAzar said OWS would make the change as well.
Azar: "We can now ship all of the doses, that had been held in physical reserve with second doses being supplied by doses coming off of manufacturing lines with quality control going
Operation Warp Speed is now releasing entire supply of #covid19 vaccines instead of holding second doses in reserve, @SecAzar says https://t.co/Vv88EheIaJ
— Meg Tirrell (@megtirrell) January 12, 2021
4. @SecAzar also noted in that announcement:
"Each week, doses available would be released to first cover the needed second doses, and then cover additional first vaccinations." (4)
5. There was an expectation that with release of 2nd doses would come an immediate increase in # of doses states could order.
That... didn't happen:
