Brian Chiglinsky (@chiglinsky) header
Brian Chiglinsky (@chiglinsky) profile picture

health care comms and speechwriting | views here are my own, but they should be yours too

Lake Barcroft, VA
Joined October 2008
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CMS delayed Medicaid work requirements by 6 months. so I got fired up and wrote about what Dems should do with that extra time.
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This is the crucial point in CMS’s delay of work requirements. An even messier and more confusing patchwork of Medicaid rules across the country.
Replying to @onceuponA
It will be interesting ("interesting") to see which, if any, states move forward anyways — this isn't a mandatory enforcement delay, it's an optional one.
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Huge news, and — whatever you think of work requirements — very necessary after the October 29 court decision vacating CMS's definition of medical frailty. Two months was never going to be enough time to overhaul systems, enrollee communications, or training materials.
NEWS: The administration is giving states another 6 months before they must enforce Medicaid work requirements. CMS told Medicaid directors today it's pushing the deadline from Jan. 1 to July 1. People can't be kicked off until then if states opt in. washingtonsun.com/health/tru…
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“You’re right to push back. I shouldn’t have shut down the FAA in booking your flight.”
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Not as good as a full repeal, but breathing time helps!
NEWS: The administration is giving states another 6 months before they must enforce Medicaid work requirements. CMS told Medicaid directors today it's pushing the deadline from Jan. 1 to July 1. People can't be kicked off until then if states opt in. washingtonsun.com/health/tru…
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man, chuck schumer is losing votes he didn’t see coming
Taylor Swift is making a “big announcement” today on Good Morning America.
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And something deeply cynical about using the inevitable coverage losses to pay down some of the revenue lost to tax cuts.
There is something so cruel about tying a work requirement that comes with a high documentation burden to a person’s ability to access healthcare. And then letting rural, critical access hospitals bear that cost because their doctors signed an oath.
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Visiting the Wharf and, as always, fighting the call to go whaling. AMA
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Dr. Oz is currently overseeing the largest losses of health coverage in American history, relegating millions of Americans to charity care or none at all.
.@DrOzCMS on so-called Medicare for All: "When you socialize medicine, rich people buy the care they want—everybody else is stuck with what's left—and you end up with a two-tier system where you actually hinder the ability of many folks to access care."
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Do things quickly! Should be the rallying cry not just in DC, but all the new Govs and state legislators. Great piece, as always, from @CitizenCohn
NEW at @BulwarkOnline The next Medicare for All debate is already starting It's worth having, important arguments on both sides But Dems actually agree on a lot already -- enough to get some things done quickly thebulwark.com/p/democrats-m…
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A very… timely podcast episode release! Posted Monday. (all news is really health care news, in case you forgot)
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All the people who told us the Democrats could never win Texas and we all needed to fall in line behind Paxton are now doing the same with Vance.
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Brian Chiglinsky retweeted
We need far fewer billionaires counting their pennies, hoarding wealth and calling the Forbes Midas list editors because they missed a yacht. The world needs a new set that realizes their privelege and gives it away.
My biggest hope right now is for another billionaire woman to free herself and devote a lot of the fortune to supporting women’s causes, democracy and saving the planet 🌎🙏🤞
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Looking at Mississippi and realizing my kids could grow up in a country that’s striving to recapture the democratic spirit of reconstruction.
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this is why Dems should work behind the scenes on routes to universal coverage but talk about (and campaign with the new govs and state houses on) only tangible, real health care reforms until 2029
Imagine a historian in 2035 writing a political history of the 2020s, and he points out that every election, the out-of-power party won a cost-of-living election and then used their mandate to ignore or exacerbate affordability only to be destroyed in the next election, where voters again said “to be clear, I don’t want whatever bullshit you’re up to, I just want life to feel more affordable,” and then, once again, the winning politicians prioritized everything except affordability, and this story repeated itself over and over again. One of my strongest held political opinions right now is: Democrats should do everything they can to avoid that history being written.
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Brian Chiglinsky retweeted
This is actually not true. Those numbers are before any offsets or pay fors, including requirements for states and employers to maintain their current spending.
This will cost $20 to $40 trillion, depending on details.#InstaScore
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jokes on you. singularity will take all the jobs. we’ll be the first generation to spend decades gaming and vibing until death.
"As lifespans increase, people have to prepare, mentally and financially, to work well into their 70s and 80s," per WSJ
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You know this is true because of his career dedicated to engaging and supporting young minority men.
NEW: Stephen Miller wants to use his new role as White House chief of staff to win back young and minority men who helped elect President Trump in 2024 but swung toward Democrats in the midterms. axios.com/2026/11/11/stephen…
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