Michael Botta (@michaelbotta) header
Michael Botta (@michaelbotta) profile picture

Michael Botta

@michaelbotta

Co-founder, @sesamecare, a top-ranked health tech company. Formerly: @McKinsey, PhD @HMSHCP. Enemy of online gambling and helicopters. Otro jíbaro luchando.

 New York | 🇵🇷
sesamecare.com
Joined February 2011
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Replying to @michaelbotta @thehill @Sesamecare
We’re trying to pay for 21st-century medical miracles with a 1940s financing model. Time to fix the foundation. Full piece in @thehill: thehill.com/opinion/healthca…
America’s health insurance model crumbles under the success of modern medicine

America’s health insurance model crumbles under the success of modern medicine 

We are trying to pay for 21st-century medical miracles with a mid-20th-century financing model. It’s time for a change.

thehill.com
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Open enrollment is here, starting with the annual email from HR claiming they’re "committed to competitive benefits" right before the sticker shock hits. Employer plan costs are jumping 9.5% for 2027 (past $19k/worker), and 4.5M+ people just dropped off the ACA markets. 🧵
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Policymakers can speed this up: stop funneling tax breaks solely into bloated employer plans. Give tax advantages to individuals for portable catastrophic coverage + cash-pay accounts. And right now, make cash spending count toward your deductible.
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Acyn (@Acyn) profile picture
Acyn
@AcynOct 25
TRUMP on HIGH GAS PRICES: We’re making money like we’ve never made before. They’ll say: President Trump is bragging about all the money they're making while people are suffering at the pump. I don’t give a damn. We’re making a freaking fortune.
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Mikey V. (@mikey_v_bdc) profile picture
Mikey V.
@mikey_v_bdcOct 21
I’ll take, “things your father would never say” for $1,000, Alex.
Neil Keefe (@NeilKeefe) profile pictureNeil Keefe@NeilKeefeOct 21
Hal Steinbrenner: “Winning 93 games is not a failure. Playing in the division series is not a failure.”
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The pop it got in our house when he hit the button for "or two" - always a crowd favorite.
rat king 🐀 (@MikeIsaac) profile picturerat king 🐀
@MikeIsaacOct 19
eight year old me faking being sick to stay home from school would be hooting and hollering at this
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Michael Botta retweeted
Jonathan Lemire (@JonLemire) profile picture
Jonathan Lemire
@JonLemireOct 18
In Campaign’s Final Stretch, Trump Can’t Stop Praising Men’s Bodies nytimes.com/2026/10/17/us/po…
In Campaign’s Final Stretch, Trump Can’t Stop Praising Men’s Bodies

In Campaign’s Final Stretch, Trump Can’t Stop Praising Men’s Bodies

As he stumps for midterm candidates, the president has been especially eager to talk about the physical appearance of some men.

nytimes.com
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Charles Arthur (@charlesarthur) profile picture
Charles Arthur@charlesarthurOct 14
When they tell you sports gambling is harmless: no it isn't. Nicole Noren on why she left ESPN.
Image from Charles Arthur (@charlesarthur)
Christopher Clarey 🇺🇸 🇫🇷 🇪🇸 (@christophclarey) profile pictureChristopher Clarey 🇺🇸 🇫🇷 🇪🇸
@christophclareyOct 14
An important and poignant perspective on ESPN's embrace of sports gambling cjr.org/the-interview/nicole…
Nicole Noren: “I’m not going to have blood on my hands.”

Nicole Noren: “I’m not going to have blood on my hands.”

Why Nicole Noren, a decorated ESPN producer, quit in protest.

cjr.org
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Anesthesiologists:
Andrew Curran (@AndrewCurran_) profile pictureAndrew Curran
@AndrewCurran_Oct 10
This is a slide from Terence Tao's 'Math 2.0' public lecture yesterday evening at Caltech. I am highly confident that, if the cure actually worked, almost any Stage 4 cancer patient would tell you that human comprehension of its mechanism is completely irrelevant to them.
Image from Andrew Curran (@AndrewCurran_)
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Michael Botta retweeted
Kelsey Piper (@KelseyTuoc) profile picture
Kelsey Piper
@KelseyTuocSep 22
Every child should get to go to a good school. *Your* child is in a position of extraordinary vulnerability and dependence on *you*, which comes with an obligation to try to do right by them in particular, just like if you are a nurse you have particular obligations to your patients and if you are an employer you have particular obligations to your employees. That's not an obligation to send them to private school! But it's an obligation to make sure they are safe at school, check regularly what they're learning, make sure they are literate and numerate even if the school fails to make sure of that, and change things if the situation they're in is really bad for them. We wouldn't think much of a nurse who doesn't give their patient the recommended treatment because 'why are you any more deserving than destitute people who can't get treatment'. The nurse may go join Doctors Without Borders if he wishes; that would be a commendable thing to do. But when people depend on us, and have no resort to anyone else, we must do right by them.
Nathan J Robinson (@NathanJRobinson) profile pictureNathan J Robinson@NathanJRobinsonSep 21
I notice none of Nikole Hannah-Jones' critics try to answer to the basic question she wrestled with, which is: Why should my daughter get to go to a better school than other people's kids just because I work for the New York Times?
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Michael Botta retweeted
kang (@jaycaspiankang) profile picture
kang@jaycaspiankangSep 22
Wrote about how we need to all go back to church (or at least some physical, in-person place) so we can bring back shame. Digital shaming is actually making everyone more of an asshole. Need to bring back communal shaming. newyorker.com/news/fault-lin…
How the Absence of Shame Weakens Democracy

How the Absence of Shame Weakens Democracy

A sense of shame binds us together—and can hold the powerful in check.

newyorker.com
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