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
Photo by Brian Chiglinsky (@chiglinsky)Photo by Brian Chiglinsky (@chiglinsky)Photo by Brian Chiglinsky (@chiglinsky)Photo by Brian Chiglinsky (@chiglinsky)Photo by Brian Chiglinsky (@chiglinsky)Photo by Brian Chiglinsky (@chiglinsky)Photo by Brian Chiglinsky (@chiglinsky)Photo by Brian Chiglinsky (@chiglinsky)Photo by Brian Chiglinsky (@chiglinsky)Photo by Brian Chiglinsky (@chiglinsky)
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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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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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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There are about to be many more stories like this. "McCreary, 64, was told that his benefits now required that he have a job. "I don't understand what job I can get," McCreary said. "I can't walk. I can hardly breathe. What job am I going to get?" npr.org/2026/11/09/nx-s1-603…
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mind you, Hawley voted to cut rural health care and give data centers tax breaks lmao
Sen. Josh Hawley (R-Mo.) with a stinging rebuke of this Congress: “When you cut Medicaid but you fund data centers, when you cut rural hospital funding, then you fund Planned Parenthood, when you let the cost of healthcare for working people go through the roof but you can't do anything for them on other issues of affordability from fertilizer to gas and everything else — yeah, you know what? The American public doesn't like that very much.” 
I asked: Does that mean new leadership is needed? Hawley: “I'm not going to pledge my vote ahead of time.”
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Ugh.
NEWS: Nebraska rushed to be the first state to require adults in Medicaid to prove they're working, under Trump's budget law. The result: A cancer patient lost his insurance, while several consultants are making lots of money. By @rachanadpradhan npr.org/2026/11/09/nx-s1-603…
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Sen. Josh Hawley (R-Mo.) with a stinging rebuke of this Congress: “When you cut Medicaid but you fund data centers, when you cut rural hospital funding, then you fund Planned Parenthood, when you let the cost of healthcare for working people go through the roof but you can't do anything for them on other issues of affordability from fertilizer to gas and everything else — yeah, you know what? The American public doesn't like that very much.” 
I asked: Does that mean new leadership is needed? Hawley: “I'm not going to pledge my vote ahead of time.”
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This is good! They should call for delaying the SNAP “cost sharing” too.
New: Warnock, Luján lead 16 Senate Dems in calling for 2 year delay of Medicaid work requirements Which are set to take effect on Jan 1 Letter calls for action on next moving legislative vehicle Start of Dem push on repeal or delay of Medicaid changes In @PunchbowlNews AM
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Counting every success since last Tuesday as part of the Blue Wave. Already got a family photo and printed our holiday cards? Blue Wave. Complained and lowered our internet costs? Blue Wave. Reorganized the utility closet? That’s the Blue Wave, baby.
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Brian Chiglinsky retweeted
We spent all this time worrying about AI cybersecurity risks when the real vulnerability all along was human frailty.
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Literally every peer country regulates hospital prices, whether it has a single payer or multi payer system. That's why literally every peer country has far lower costs!
Preview of Medicare for All. Government will dictate prices and then try to control supply by wielding control over hospital systems that employee 80% of physicians. It will never work. Price controls create shortages. Medicare for All will absolutely make healthcare less accessible.
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Democrats have around a 500-seat net gain currently in state legislatures nationwide. 229 seats remain to be called, but the final tally will likely be a ~575-seat net gain for Democrats in the 2026 state legislative elections. In 1974, they gained 628. projects.statenavigate.com/2…
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I've seen versions of this cope and they all ignore how many seats Dems started with. The "smart take" was that it would be hard for them to crack 230 bc they had so many swing seats already - Rs entered the cycle with just two members in districts won by Kamala. The biggest GOP House majority since the New Deal was the 2014 majority of 247 seats. Dems have already zoomed past that. And their big New Deal era majorities relied on Solid South conservatives who were replaced by Rs long ago. A majority of this size, where the most conservative member is Henry Cuellar (a pro-life Hispanic who's otherwise a normal liberal), is brand new.
Clinton lost 54 seats in the 1994 midterm election. Obama lost 63 seats in the 2010 midterm election. Trump just lost 41 seats in the 2026 midterm election. It’s not exactly the historic event you believe it to be.
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One of the most insane stats in an election full of them — had literally zero people showed up to vote for Talarico on Tuesday, he still would’ve won by 150k.
James Talarico received *more early votes* then Paxton received in TOTAL This race was over before it began 😭
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Scott Colom appears set to win Forrest County, named after Nathan Bedford Forrest, who founded the Ku Klux Klan
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.@GovernorVA Spanberger: “I'm not surprised by the successes that we had across the country because so much of what people were hearing in other states is what we were hearing a year ago in Virginia.” “We are a state that paves the way.” richmond.com/news/state-regi…
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Brian Chiglinsky retweeted
NBC Exit Poll: 60% of voters want the federal government to play a bigger role in helping Americans get healthcare
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THE NORTH CAROLINA DUMMYMANDER SHOT: GOP gerrymandered North Carolina to be 11-3 CHASER: As of right now, Democrats are going to win 9 or 10 of the 14 seats.
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It could be...and stay with me here...that when Republicans passed a bill last year to cut Medicaid they made a grave political (and moral and economic) mistake.
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You love to see it! Voters really don’t like any effort to cut or repeal Medicaid, especially after they approved expansion in 2022. southdakotasearchlight.com/2…
For those following the Medicaid expansion trigger law ballot measure in South Dakota, voters are opposing it 55.7 - 44.3% with 67.2% of the vote in.
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