<?xml version="1.0" encoding="UTF-8"?><rss xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:atom="http://www.w3.org/2005/Atom" version="2.0" xmlns:itunes="http://www.itunes.com/dtds/podcast-1.0.dtd" xmlns:googleplay="http://www.google.com/schemas/play-podcasts/1.0"><channel><title><![CDATA[TheRanter's Substack]]></title><description><![CDATA[The Ranter maps the systems designed to take your money -- every claim sourced, every mechanism named.]]></description><link>https://newsletter.theranter.com</link><image><url>https://substackcdn.com/image/fetch/$s_!4yvT!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6751a064-ea08-4521-93e0-2dca44bb3a4e_200x200.png</url><title>TheRanter&apos;s Substack</title><link>https://newsletter.theranter.com</link></image><generator>Substack</generator><lastBuildDate>Tue, 26 May 2026 06:58:35 GMT</lastBuildDate><atom:link href="https://newsletter.theranter.com/feed" rel="self" type="application/rss+xml"/><copyright><![CDATA[TheRanter]]></copyright><language><![CDATA[en]]></language><webMaster><![CDATA[theranterofficial@substack.com]]></webMaster><itunes:owner><itunes:email><![CDATA[theranterofficial@substack.com]]></itunes:email><itunes:name><![CDATA[TheRanter]]></itunes:name></itunes:owner><itunes:author><![CDATA[TheRanter]]></itunes:author><googleplay:owner><![CDATA[theranterofficial@substack.com]]></googleplay:owner><googleplay:email><![CDATA[theranterofficial@substack.com]]></googleplay:email><googleplay:author><![CDATA[TheRanter]]></googleplay:author><itunes:block><![CDATA[Yes]]></itunes:block><item><title><![CDATA[The Sacred Covenant]]></title><description><![CDATA[His wife says he broke a sacred covenant. His party calls his conduct disgusting. He is on track to be a United States Senator.]]></description><link>https://newsletter.theranter.com/p/the-sacred-covenant</link><guid isPermaLink="false">https://newsletter.theranter.com/p/the-sacred-covenant</guid><dc:creator><![CDATA[TheRanter]]></dc:creator><pubDate>Wed, 20 May 2026 13:49:22 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!ooeu!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F29c508f2-2ca3-4ce4-b9cd-4ef051df711a_1983x793.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>In July 2025, Angela Paxton filed for divorce from her husband of 38 years. The grounds in court were adultery. The grounds she gave in public were biblical. &#8220;I believe marriage is a sacred covenant,&#8221; she wrote, and said staying no longer honored God or anyone in the family.</p><p>Angela Paxton is a Republican state senator in Texas. Her husband, Ken Paxton, is the state attorney general, and he was seven months into a campaign for the United States Senate when she filed. His own party&#8217;s Senate campaign committee, the NRSC, put out a statement that same week calling what he had put his family through &#8220;truly repulsive and disgusting.&#8221;</p><p>Then, on May 19, the President of the United States endorsed him over John Cornyn, a Republican who has held that Senate seat for 23 years. The same night in Kentucky, a Trump-backed challenger ended Thomas Massie&#8217;s career. The brand was settling accounts.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!ooeu!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F29c508f2-2ca3-4ce4-b9cd-4ef051df711a_1983x793.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!ooeu!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F29c508f2-2ca3-4ce4-b9cd-4ef051df711a_1983x793.png 424w, https://substackcdn.com/image/fetch/$s_!ooeu!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F29c508f2-2ca3-4ce4-b9cd-4ef051df711a_1983x793.png 848w, https://substackcdn.com/image/fetch/$s_!ooeu!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F29c508f2-2ca3-4ce4-b9cd-4ef051df711a_1983x793.png 1272w, https://substackcdn.com/image/fetch/$s_!ooeu!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F29c508f2-2ca3-4ce4-b9cd-4ef051df711a_1983x793.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!ooeu!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F29c508f2-2ca3-4ce4-b9cd-4ef051df711a_1983x793.png" width="1456" height="582" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/29c508f2-2ca3-4ce4-b9cd-4ef051df711a_1983x793.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:582,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:2582358,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://newsletter.theranter.com/i/195897646?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F29c508f2-2ca3-4ce4-b9cd-4ef051df711a_1983x793.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!ooeu!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F29c508f2-2ca3-4ce4-b9cd-4ef051df711a_1983x793.png 424w, https://substackcdn.com/image/fetch/$s_!ooeu!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F29c508f2-2ca3-4ce4-b9cd-4ef051df711a_1983x793.png 848w, https://substackcdn.com/image/fetch/$s_!ooeu!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F29c508f2-2ca3-4ce4-b9cd-4ef051df711a_1983x793.png 1272w, https://substackcdn.com/image/fetch/$s_!ooeu!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F29c508f2-2ca3-4ce4-b9cd-4ef051df711a_1983x793.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>So here is the charge sheet on the man Texas may send to Washington. His wife says he broke the most serious promise two people make. His party&#8217;s own committee says his behavior is repulsive. The 2023 impeachment articles alleged he used his office to benefit a donor, Nate Paul, who in turn hired the woman Paxton was having the affair with. And the leader of his party just made him the official choice.</p><p>There is a voter question buried under all of that. If the person who knows you best decided she could no longer trust you, on what theory does a stranger in a voting booth hand you a vote on war, taxes, and the courts?</p><p>We know the answer. We just save it for the candidates we can afford to lose.</p><p>Voters still care about character. They just price it against replacement cost.</p><p>David Vitter&#8217;s number turned up in the records of the &#8220;D.C. Madam&#8221; in 2007. He called it a serious sin and asked forgiveness. Louisiana reelected him to the Senate by almost 20 points in 2010. The scandal did not end him until he ran for governor in 2015, when the seat was one Republicans could fill another way.</p><p>Mark Sanford disappeared for six days in 2009 while his staff told reporters he was hiking the Appalachian Trail. He was in Argentina. His marriage ended, the state House censured him, and he finished his term anyway. Four years later he won his old House seat back. South Carolina kept finding uses for him.</p><p>John Edwards ran the other way. Democratic senator, 2004 vice-presidential nominee, an affair with a campaign videographer that began while his wife Elizabeth was alive and ended with him lying about fathering the child. Elizabeth died of cancer in 2010. A federal indictment over campaign money came the next year. Edwards never held office again and never tried. By 2008 the Democrats had Barack Obama and a whole administration to staff. The bench was deep, so North Carolina was free to be disgusted.</p><p>Andrew Cuomo resigned as governor of New York in 2021, a week after the state attorney general&#8217;s office found he had sexually harassed 11 women. In 2025 he tried to come back, running for mayor of New York City. He lost the Democratic primary to Zohran Mamdani, then ran in the general as an independent and lost again, by roughly 207,000 votes. Mamdani gave New York voters somewhere else to go, and they went.</p><p>Which brings it back to Paxton. Edwards was finished because his party no longer needed him. Vitter survived because Louisiana Republicans still did. Paxton&#8217;s affair ran alongside the donor allegations his own party put in writing, and it produced a divorce filing from his wife of 38 years citing his conduct as incompatible with God. He is winning anyway.</p><p>He is winning because no one else in Texas Republican politics carries his brand. Wesley Hunt finished third in March at 13.5 percent. Cornyn, after 23 years in the Senate, is the one taking fire as the establishment. Paxton built a national name suing the Biden administration more than 100 times, and to the voters he needs, the divorce reads as one more attack from that same establishment. An endorsement from the most popular man in the party does one thing in a primary. It tells the people who already like Paxton that the alternative is the real danger. His wife calling him untrustworthy in a court filing has not moved them. Neither has his own party&#8217;s committee calling him repulsive. And now the President is telling them the receipts were never the point.</p><p>If the party has another nominee it can live with, character comes roaring back and the cheater loses. If it does not, disgust gets refiled as persecution and the tribe votes anyway.</p><p>Angela Paxton had 38 years of evidence and walked. Texas Republicans have been handed more receipts than voters usually get, from his wife, from his own party, and from a Senate impeachment trial. Six days from the runoff, the trust question is already settled in the only place that counts. It does not decide the race. The brand decides the race. Yesterday the President put his name on it.<br></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/p/the-sacred-covenant?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/p/the-sacred-covenant?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/subscribe?"><span>Subscribe now</span></a></p>]]></content:encoded></item><item><title><![CDATA[Standards First]]></title><description><![CDATA[Eight of America's eleven largest childcare chains are private equity owned. Federal subsidies expand the funnel without fixing standards, wages, or oversight.]]></description><link>https://newsletter.theranter.com/p/standards-first</link><guid isPermaLink="false">https://newsletter.theranter.com/p/standards-first</guid><dc:creator><![CDATA[TheRanter]]></dc:creator><pubDate>Sat, 16 May 2026 00:03:56 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!Kmrk!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe48485e7-1b95-4274-b440-46bbcdf02378_1456x762.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>A  young woman I know worked at a daycare. She watched her supervisor mix bleach with Fabuloso and wipe down the toddler nap mats. That was the standard cleaning protocol. The bottles sat next to each other under the sink. Nobody had told her any different.</p><p>Bleach and Fabuloso don&#8217;t mix. Fabuloso&#8217;s own FAQ says so. The CDC says the same thing in plainer language: do not mix household cleaners. The mix releases chlorine gas. American poison control centers logged more than two thousand chlorine-gas exposures from cleaner mixing in 2017 alone, and those are just the calls. A Buffalo Wild Wings manager died in 2019 from a similar accidental mix.</p><p>This is what the absence of federal training standards looks like in a room.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!Kmrk!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe48485e7-1b95-4274-b440-46bbcdf02378_1456x762.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!Kmrk!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe48485e7-1b95-4274-b440-46bbcdf02378_1456x762.png 424w, https://substackcdn.com/image/fetch/$s_!Kmrk!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe48485e7-1b95-4274-b440-46bbcdf02378_1456x762.png 848w, https://substackcdn.com/image/fetch/$s_!Kmrk!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe48485e7-1b95-4274-b440-46bbcdf02378_1456x762.png 1272w, https://substackcdn.com/image/fetch/$s_!Kmrk!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe48485e7-1b95-4274-b440-46bbcdf02378_1456x762.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!Kmrk!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe48485e7-1b95-4274-b440-46bbcdf02378_1456x762.png" width="1456" height="762" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/e48485e7-1b95-4274-b440-46bbcdf02378_1456x762.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:762,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:147223,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://newsletter.theranter.com/i/197919884?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe48485e7-1b95-4274-b440-46bbcdf02378_1456x762.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!Kmrk!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe48485e7-1b95-4274-b440-46bbcdf02378_1456x762.png 424w, https://substackcdn.com/image/fetch/$s_!Kmrk!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe48485e7-1b95-4274-b440-46bbcdf02378_1456x762.png 848w, https://substackcdn.com/image/fetch/$s_!Kmrk!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe48485e7-1b95-4274-b440-46bbcdf02378_1456x762.png 1272w, https://substackcdn.com/image/fetch/$s_!Kmrk!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe48485e7-1b95-4274-b440-46bbcdf02378_1456x762.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h2>The oversight gap</h2><p>There is no national childcare safety curriculum. Federal money flows through the Child Care and Development Fund, $11.6 billion in fiscal 2023, but CCDF is a participation floor for subsidies, not a teaching standard. The training requirement varies by state. Texas mandates 24 hours of pre-service training plus 30 hours per year. New York wants 15 hours in the first six months and 30 hours every two years. Chemical safety is rarely a separately mandated topic. It gets bundled into &#8220;health and safety,&#8221; and the state gets to decide what that means.</p><p>Licensure inspections cycle from annually to every three years. License-exempt categories are everywhere. Complaint-driven unannounced inspections happen, but the trigger requires someone in the building to know that mixing bleach with Fabuloso is wrong and to know who to call. In a workforce where the median tenure is short and the median wage sits in the bottom 5 percent of all U.S. occupations, that condition is rarely satisfied.</p><h2>Where the money goes</h2><p>Eight of the eleven largest childcare chains in the United States are owned by private equity. The Congressional Research Service finds that fifteen of the sixteen largest receive some private equity funding. KinderCare is the biggest. Its 2023 fiscal year, per its S-1 filing: $2.5 billion in revenue, $102.6 million in net income. That is a net margin of four cents on the dollar. Looks lean.</p><p>Then you read the rest of the filing.</p><p>Profit is the wrong line to watch. Money leaves a private equity company through rent paid to landlords the sponsor controls, interest on debt the sponsor loaded onto the operating company, and management fees the sponsor charges itself. Sometimes the company borrows new money just to mail the owners a check. Net income is what is left.</p><p>The company carries $2.4 billion in total lease obligations, with $285.8 million expected to be paid out in fiscal 2026 alone. KinderCare&#8217;s own filings list lease agreements with entities tied to its private equity owners. Its long-term debt obligations including interest run $1.2 billion. In March 2024, eight months before going public, KinderCare took out an incremental term loan and made a $320 million distribution to KC Parent. KC Parent then paid $276.9 million to Class A unitholders and $42.6 million to profit-interest unitholders. The operating company borrowed money so its private equity owners could pay themselves a dividend. The deal is right there in the filing.</p><p>Bright Horizons is publicly traded. Its 10-K explains the business model in plain terms: continued profitability requires that the company &#8220;pass on our increased costs, such as labor and related costs, to our customers.&#8221;</p><h2>The second extraction</h2><p>Run the numbers at the room level. The infant room loses money on its own. $325 a week times four infants is thirteen hundred. The worker watching them at $15.41 an hour clears $616. The room nets the center about $684 a week. That is the slot every parent fights to get into. It is also the slot the chain pretends is the price floor.</p><p>The preschool room is where the math turns. Ten four-year-olds at $275 a week is twenty-seven fifty in revenue. One teacher, still $616. The room nets the center over two thousand dollars a week on one worker. Stack one infant room, two toddler rooms, and four preschool rooms in a single center and you have twelve thousand a week off seven workers, before rent, before supplies, roughly six hundred thousand a year per center before the back office takes its cut.</p><p>Some of that pays rent on a building the PE owners&#8217; affiliate happens to own. Some of it pays interest on debt the PE owners loaded onto the operating company. Some of it paid the management fee back to the sponsor until the IPO made them stop disclosing it.</p><p>The worker has done a version of this math herself. She knows what she brings in for the room. She knows what she takes home. She also knows that nobody is going to pay her more by next Tuesday.</p><p>So the second extraction begins. After they take the money, they come for the meaning. The job is framed as a calling. The worker is told she is doing something noble. The cost of the job, in money, gets reclassified as the price of doing good. Pay too low to live on becomes a moral test the worker is supposed to pass. The Cleveland Fed reports that childcare pay does not cover a living wage for a single adult plus one child in any state. Median wage is $15.41 an hour, bottom 5 percent of all U.S. occupations. Turnover runs 65 percent above the median occupation, and about half of the workers who leave the industry leave the labor force entirely. The worker mixing bleach with Fabuloso has been there three weeks because the worker who would have known better got a job at Target.</p><h2>What the bill says, and who has refused to pay it</h2><p>Infant childcare costs more than public college tuition in 38 states. The federal affordability threshold is seven percent of family income. The average family is paying more than twenty.</p><p>Build Back Better had $400 billion in it for childcare and universal pre-K. The House passed it in November 2021. Joe Manchin killed it on Fox News a month later. Every Senate Republican opposed it. The American Rescue Plan&#8217;s Child Care Stabilization Program kept the industry alive with about $24 billion. It expired in September 2023. Neither party renewed it.</p><h2>There is precedent for what comes next</h2><p>Public charter schools were a bipartisan idea in 1991. Within a decade, the extraction model had emerged. The Department of Education&#8217;s Office of Inspector General has documented extensive related-party transactions between charter management organizations and their own real estate affiliates. National Heritage Academies sold more than two-thirds of its schools to its own real estate arm for roughly a billion dollars. In Academica&#8217;s Florida network, schools paid 17.7 percent of their total expenses in rent to Academica-owned landlords, against 11.5 percent for schools with unrelated landlords. The public paid twice. Once for the school. Again through inflated lease payments to entities the owners controlled.</p><p>The 2025 federal policy law moved childcare money into the same shape. Section 45F, the employer-provided childcare tax credit that has existed since 2001, was expanded from 25 percent to 40 percent of qualified expenses, with the maximum credit raised from $150,000 to $500,000. Small businesses get 50 percent up to $600,000. The pre-tax childcare savings cap rose from $5,000 to $7,500. The expansion explicitly added contracted intermediaries to the list of qualifying recipients. Big chains with corporate-client portfolios, the same chains owned by private equity, are sitting on the largest single demand pipeline they have ever had. The federal money flows to corporations, which route it to providers who happen to be the chains we just walked through. The supply problem at the worker level is untouched. So is the training standard. So is the inspection cycle.</p><p>Different parties have voted on this bill. The same bill keeps not passing. The mechanism does not have a party.</p><h2>Standards first</h2><p>If Medicare and Medicaid fraud bother you, and they should, you have not been paying attention. Childcare is the same setup with less oversight. The money keeps flowing. The standards never showed up. We are subsidizing an industry where the buyer has no choice, the workers have no leverage, the inspectors visit once every three years, and the owners are taking cash out through rent paid to their own affiliates. Add federal subsidies on top without changing any of the upstream conditions and the only thing that grows is the funnel.</p><p>So you want to save money. You are going to do it with the people who take care of your kid.</p><p>Yes, there is fraud in these programs. The dollar value of recipient-level fraud is dwarfed by provider-level fraud, contractor capture, and intermediary skim. But the framing matters now.</p><p>When a person on assistance games a benefit, the response is &#8220;scrap the program, people are lazy, fix it by removing it.&#8221; When the same federal government pays $34.8 billion a year in direct subsidies to a fossil fuel industry that already books record profits, the response is &#8220;energy security, market dynamics, complicated.&#8221; The same Big Beautiful Bill that expanded the Section 45F childcare credit also added $40 billion in new fossil fuel subsidies over the next decade. Paid for, partly, by the families who can&#8217;t afford daycare. The framing tells you who the rules are written for.</p><p>The honest answer isn&#8217;t to scrap the program over fraud. It&#8217;s to design it so the fraud is auditable, and audit it. We don&#8217;t scrap the Pentagon for failing audits, oil subsidies for going to profitable companies, or the mortgage interest deduction for benefiting buyers who didn&#8217;t need it. We keep those programs and accept the leakage because the beneficiaries have political weight. Childcare doesn&#8217;t, yet, and welfare recipients never will.</p><p>We under-train police, teachers, and the people we hand babies to. Then we say these are the three things we value most. The first question is not how much money. It is what kind of room. Standards on training, on inspection, on who is allowed to own a chain subsidized with public money. Build the plan. Then spend the money.</p><p>A one-page document with the chemistry, the alternatives, and a basic disinfection protocol fits on one side of one sheet of paper. What the training policy reads and what the room looks like on the floor are always two different things. The document probably exists. Page 47 of an employee handbook. A PDF on a training portal she clicked through in week one. Wherever it lives, it is not above the sink. Somebody&#8217;s job is owning that document. Nobody&#8217;s job is putting it in her hand.</p><p>Before we throw federal money into a room nobody has inspected, ask the questions any first-time parent already knows to ask. What does the room look like. Who trained the worker. Who is the landlord. Who is taking the cash out. The answer is Gordon Gekko, Henry Kravis, Stephen Schwarzman, Carl Icahn, Mitt Romney, Donald Trump, and the guy who ran WeWork. If all of them had a kid together, that kid would look like Jean-Baptiste Emanuel Zorg. Feel better about her future?</p><p>The worker I know did not know that mixing bleach with Fabuloso was dangerous. The next day, she did. So did her coworkers. So did the workers at two other centers. One person walked back to the floor. Nobody else had. The cleaning bottles came out from under the sink at three centers in one day. The system that is supposed to know this stuff did not know it. The system that is supposed to fund and enforce it did not fund or enforce it. A one-page document was sitting between safe and unsafe. Nobody had put it in her hand.</p><p>Well, fuck that plan.<br></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/p/standards-first?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/p/standards-first?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/subscribe?"><span>Subscribe now</span></a></p>]]></content:encoded></item><item><title><![CDATA[The House Is Yours. The Ground Isn’t.]]></title><description><![CDATA[How 22 million Americans bought a home and lost the exit.]]></description><link>https://newsletter.theranter.com/p/the-house-is-yours-the-ground-isnt</link><guid isPermaLink="false">https://newsletter.theranter.com/p/the-house-is-yours-the-ground-isnt</guid><dc:creator><![CDATA[TheRanter]]></dc:creator><pubDate>Tue, 12 May 2026 15:03:32 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!7Ge6!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c89fc54-9f0f-423e-9aba-5bb37c020442_1080x1080.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>You buy a manufactured home for around $123,000. Cheap compared to a site-built house. Maybe the only door into ownership left.</p><p>Then you learn what you bought.</p><p>The house is yours. The ground is a subscription.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!7Ge6!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c89fc54-9f0f-423e-9aba-5bb37c020442_1080x1080.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!7Ge6!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c89fc54-9f0f-423e-9aba-5bb37c020442_1080x1080.png 424w, https://substackcdn.com/image/fetch/$s_!7Ge6!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c89fc54-9f0f-423e-9aba-5bb37c020442_1080x1080.png 848w, https://substackcdn.com/image/fetch/$s_!7Ge6!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c89fc54-9f0f-423e-9aba-5bb37c020442_1080x1080.png 1272w, https://substackcdn.com/image/fetch/$s_!7Ge6!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c89fc54-9f0f-423e-9aba-5bb37c020442_1080x1080.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!7Ge6!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c89fc54-9f0f-423e-9aba-5bb37c020442_1080x1080.png" width="1080" height="1080" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/3c89fc54-9f0f-423e-9aba-5bb37c020442_1080x1080.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1080,&quot;width&quot;:1080,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:155456,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://newsletter.theranter.com/i/197349614?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c89fc54-9f0f-423e-9aba-5bb37c020442_1080x1080.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!7Ge6!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c89fc54-9f0f-423e-9aba-5bb37c020442_1080x1080.png 424w, https://substackcdn.com/image/fetch/$s_!7Ge6!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c89fc54-9f0f-423e-9aba-5bb37c020442_1080x1080.png 848w, https://substackcdn.com/image/fetch/$s_!7Ge6!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c89fc54-9f0f-423e-9aba-5bb37c020442_1080x1080.png 1272w, https://substackcdn.com/image/fetch/$s_!7Ge6!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3c89fc54-9f0f-423e-9aba-5bb37c020442_1080x1080.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Lot rent runs $300 to $800 a month depending on the state. The home depreciates from the day you finish unpacking. The lot rent does not. The house ages like a car. The ground bills like a landlord with a spreadsheet.</p><p>This is the structural deal that does not show up in the brochure. You bought a depreciating asset, and somebody else owns the dirt it is sitting on.</p><p>The marketing word is &#8220;mobile,&#8221; but the actual move costs $3,000 to $20,000 depending on distance and unit age. About three-quarters of older units cannot be relocated without structural damage, and most receiving parks will not accept used homes anyway. So the lot rent goes up and you stay.</p><p>It is mobile the way a grand piano is mobile. Sure. Technically. Bring money, equipment, paperwork, luck, and a priest.</p><p>Roughly 22 million Americans live in manufactured homes, and about one-third rent the lot beneath them.</p><p>That makes manufactured housing the largest unsubsidized affordable housing pool in the country. Which is exactly why the spreadsheet showed up.</p><p>Three publicly-traded REITs dominate the institutional segment: Equity LifeStyle Properties, Sun Communities, and RHP Properties. Between them they control hundreds of thousands of lots. Private equity firms hold another 1,800-plus parks with more than 370,000 lots, per the Private Equity Stakeholder Project&#8217;s tracker. Realtor.com ran a piece this week documenting what residents have been reporting for a decade: after a private equity acquisition, lot rents jump. Sometimes 20 percent in a single notice cycle. Sometimes more.</p><p>Property taxes did not go up 20 percent. Insurance did not go up 20 percent. The new owner did.</p><p>Run the comparison. Site-built homes appreciate at a median rate around 3.8 percent annually. Manufactured homes on rented lots appreciate far more slowly, and once rising lot rent is factored in, residents often lose ground. After five years in a corporate-owned park, the resident has accumulated little or no equity and watched the housing cost climb.</p><p>Wall Street did not discover affordable housing. It discovered a customer base that has to ask permission to leave. The math is clean for the owner. Buy the park. Raise the rent. Residents pay or pay more to leave.</p><p>The supply-side answer is: build more housing. That has real merit for site-built rental markets, but it does little for the resident already trapped in a park. More supply helps when people can choose. It does not help when the thing they own costs thousands to move, may crack in transit, and may have nowhere to land. The constraint is not just the number of lots. The constraint is the exit.</p><p>The tenant-protection answer is: stabilize rents. That also has merit, but in many states, manufactured housing communities fall outside the protections written for conventional apartments. Florida and Texas preempt local rent stabilization for mobile home parks. California and Oregon have manufactured housing rent rules that apply unevenly. New York&#8217;s tenant protections were not built around this asset class.</p><p>Oregon&#8217;s caps on annual lot rent increases have slowed the worst spikes in covered communities. New Hampshire&#8217;s right-of-first-refusal statute has helped residents buy parks when owners want out. The patchwork isn&#8217;t useless. It&#8217;s just not built for this asset class as a system. State by state, the rules cover what their legislators were thinking about when they wrote them, which is mostly apartments.</p><p>In red states, operators often get room to run. In blue states, tenant protections often stop at the apartment door. Different speeches. Same rent notice.</p><p>Defuse the trap. Residents buy the park together. The lot rent stops being a rent bill set by a company in another state and becomes a budget line controlled by the people living there. Groups like ROC USA facilitate the conversions, and about 300 parks have converted to resident ownership. There are roughly 43,000 parks in the country. The exit exists. It just comes in pamphlet form while the rent notice comes in the mail.</p><p>Saturday&#8217;s sidebar tracked the word &#8220;facility fee&#8221; across hospitals, hotels, gyms, and concert tickets. Same word, every industry. You came for one thing. The fee was attached to the thing beside it.</p><p>Facility fee was the polite version. Lot rent is the geological version. Same trick, deeper floor.</p><p>You bought a home. The fee is on the ground beneath it. The fee compounds. The exit is theoretical. The contract was signed before you knew you were trapped, because the trap is the product.</p><p>Ask who owns the ground before you sign the lot lease. If the answer is a holding company you cannot call, you are not buying stability. You are buying walls on someone else&#8217;s leverage.<br></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/p/the-house-is-yours-the-ground-isnt?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/p/the-house-is-yours-the-ground-isnt?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/subscribe?"><span>Subscribe now</span></a></p>]]></content:encoded></item><item><title><![CDATA[The Bill Says Hospital]]></title><description><![CDATA[Your doctor didn't move. Your bill did.]]></description><link>https://newsletter.theranter.com/p/the-bill-says-hospital</link><guid isPermaLink="false">https://newsletter.theranter.com/p/the-bill-says-hospital</guid><dc:creator><![CDATA[TheRanter]]></dc:creator><pubDate>Fri, 08 May 2026 20:19:46 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!Uvmp!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F27590d13-a73d-4787-bb4e-6e6e68459066_1672x941.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>You went to your doctor&#8217;s office. The one you have been going to for three years. Same building, same waiting room, same person who hands you the clipboard. You sat in the same chair. You saw the same doctor.</p><p>Your bill says hospital.</p><p>Mark Cuban called it a cup fee. 162,000 people agreed with him in 24 hours.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!Uvmp!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F27590d13-a73d-4787-bb4e-6e6e68459066_1672x941.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!Uvmp!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F27590d13-a73d-4787-bb4e-6e6e68459066_1672x941.png 424w, https://substackcdn.com/image/fetch/$s_!Uvmp!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F27590d13-a73d-4787-bb4e-6e6e68459066_1672x941.png 848w, https://substackcdn.com/image/fetch/$s_!Uvmp!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F27590d13-a73d-4787-bb4e-6e6e68459066_1672x941.png 1272w, https://substackcdn.com/image/fetch/$s_!Uvmp!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F27590d13-a73d-4787-bb4e-6e6e68459066_1672x941.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!Uvmp!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F27590d13-a73d-4787-bb4e-6e6e68459066_1672x941.png" width="1456" height="819" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/27590d13-a73d-4787-bb4e-6e6e68459066_1672x941.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:819,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:1968598,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://newsletter.theranter.com/i/196940954?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F27590d13-a73d-4787-bb4e-6e6e68459066_1672x941.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!Uvmp!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F27590d13-a73d-4787-bb4e-6e6e68459066_1672x941.png 424w, https://substackcdn.com/image/fetch/$s_!Uvmp!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F27590d13-a73d-4787-bb4e-6e6e68459066_1672x941.png 848w, https://substackcdn.com/image/fetch/$s_!Uvmp!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F27590d13-a73d-4787-bb4e-6e6e68459066_1672x941.png 1272w, https://substackcdn.com/image/fetch/$s_!Uvmp!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F27590d13-a73d-4787-bb4e-6e6e68459066_1672x941.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Not &#8220;clinic.&#8221; Not &#8220;medical practice.&#8221; Hospital. And with it, a line item that was not there last time. A facility fee.</p><p>Nobody told you -- no sign on the door, no mention from the front desk, nothing from the doctor. You found out the same way everyone finds out -- weeks later, in an envelope, when the math had already been done without you.</p><p>Here is what happened. Your doctor&#8217;s practice was acquired by a hospital system. The physical location, staff, equipment, and doctor all stayed the same. What changed was the billing classification. Your doctor now works in a &#8220;hospital outpatient department.&#8221; That is a different billing category. And that category comes with an additional charge the previous category did not have.</p><p>This is not a new service. Nothing was added. The building did not gain a trauma center or a surgical suite. The visit you had was identical to the visit you had before. The only thing that changed was a code in a billing system.</p><p>Hospital systems have been acquiring physician practices at a significant rate for more than a decade. As of January 2024, hospitals and health systems owned 28.4% of U.S. physician practices outright, with another 30.1% owned by other corporate entities -- meaning 58.5% of all physician practices are now non-physician-owned, up from a small minority a decade earlier. (Physicians Advocacy Institute and Avalere Health, April 2024) Each acquisition is a business transaction. It is also a billing event. Every patient who walks into one of those newly acquired offices encounters a fee structure that did not exist before the acquisition closed.</p><p>The facility fee is legal. It is disclosed, technically, somewhere in the paperwork you signed when you became a patient of the new system. That paperwork arrived, in most cases, as part of a packet that also asked for your insurance card, your date of birth, and your emergency contact. The facility fee disclosure was in there.</p><p>You did not know it was in there. Neither did most people.</p><p>The fee is not small. A 2025 Health Care Cost Institute analysis of 2022 commercial claims found that a routine primary care visit costs 87% more in a hospital outpatient department than in an independent physician office -- $217 versus $116 -- with the difference driven entirely by the added facility fee. (Gordon and Martin, HCCI, May 2025) For a visit that previously cost you a thousand dollars between the doctor&#8217;s bill and your cost share, the same visit now costs closer to nineteen hundred. Same doctor, same forty minutes, same prescription at the end.</p><p>The insurance question is its own layer. Some plans cover the facility fee the same way they cover any outpatient visit. Some plans treat it differently, applying a separate deductible or a higher coinsurance rate. Some plans cover it partially. Some plans, for some patients, do not cover it at all. Whether your plan covers your specific facility fee at your specific newly-acquired practice is a question that cannot be answered by looking at your insurance card. It requires calling the plan, giving them the billing codes, and asking directly.</p><p>Most people do not know to do that before the visit. They find out after.</p><p>The acquisition wave did not happen because hospital systems wanted to improve your access to care. It happened because acquiring physician practices converts office-based billing to hospital-based billing, which reimburses at higher rates. The facility fee is built into the acquisition strategy. That is the financial model.</p><p>Tomorrow&#8217;s episode is about this. Where the fee comes from, what it costs, who collects it, and what the gap between what the acquisition promises and what it delivers actually looks like when you run the numbers. The diagnosis is in the episode. This is the symptom.</p><p>If you got a bill recently with a line item you did not recognize, and the bill said hospital when you did not go to a hospital, that is where we are starting.</p><p>Saturday. 8am ET.</p><div><hr></div><p><em>The Ranter is an animated investigative show mapping how extraction systems are designed. New episodes drop Saturday on YouTube.</em></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/p/the-bill-says-hospital?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/p/the-bill-says-hospital?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/subscribe?"><span>Subscribe now</span></a></p>]]></content:encoded></item><item><title><![CDATA[What 23% Buys]]></title><description><![CDATA[Pharma spent $134 million lobbying while TrumpRx was being built. The announcement didn't mention that.]]></description><link>https://newsletter.theranter.com/p/what-23-buys</link><guid isPermaLink="false">https://newsletter.theranter.com/p/what-23-buys</guid><dc:creator><![CDATA[TheRanter]]></dc:creator><pubDate>Thu, 07 May 2026 20:56:36 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!aLM1!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F97db1433-840f-4630-bb7a-b8a2093ca808_1672x941.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Drug companies involved in TrumpRx, the Trump administration&#8217;s new direct-to-consumer prescription discount program, increased their lobbying spending by 23% in the period before the program launched.*</p><p>They didn&#8217;t lobby against the program. They lobbied while the program was being built.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption"></p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p>That distinction matters. When a company lobbies to kill a bill, you can track which senators they called and how much they spent. When a company lobbies while an executive program is being designed, you are watching a different move. You are not fighting the regulation. You are writing it.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!aLM1!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F97db1433-840f-4630-bb7a-b8a2093ca808_1672x941.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!aLM1!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F97db1433-840f-4630-bb7a-b8a2093ca808_1672x941.png 424w, https://substackcdn.com/image/fetch/$s_!aLM1!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F97db1433-840f-4630-bb7a-b8a2093ca808_1672x941.png 848w, https://substackcdn.com/image/fetch/$s_!aLM1!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F97db1433-840f-4630-bb7a-b8a2093ca808_1672x941.png 1272w, https://substackcdn.com/image/fetch/$s_!aLM1!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F97db1433-840f-4630-bb7a-b8a2093ca808_1672x941.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!aLM1!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F97db1433-840f-4630-bb7a-b8a2093ca808_1672x941.png" width="1456" height="819" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/97db1433-840f-4630-bb7a-b8a2093ca808_1672x941.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:819,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:2221069,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://newsletter.theranter.com/i/196818374?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F97db1433-840f-4630-bb7a-b8a2093ca808_1672x941.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!aLM1!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F97db1433-840f-4630-bb7a-b8a2093ca808_1672x941.png 424w, https://substackcdn.com/image/fetch/$s_!aLM1!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F97db1433-840f-4630-bb7a-b8a2093ca808_1672x941.png 848w, https://substackcdn.com/image/fetch/$s_!aLM1!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F97db1433-840f-4630-bb7a-b8a2093ca808_1672x941.png 1272w, https://substackcdn.com/image/fetch/$s_!aLM1!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F97db1433-840f-4630-bb7a-b8a2093ca808_1672x941.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>TrumpRx launched as a way for patients to access lower prescription prices directly through participating manufacturers. The president announced it. The companies stood behind it. The framing was clean: the administration delivered, the industry cooperated, patients would save.</p><p>Here is the part that didn&#8217;t make the announcement. The administration used tariff threats on imported patented drugs as leverage to bring companies to the table. An April presidential proclamation imposed a 100% tariff on imported patented drugs from countries without a qualifying security agreement. TrumpRx participants got the carve-out: a 0% tariff rate through January 20, 2029. So the companies participated.</p><p>The discounts are real. GLP-1s that listed above a thousand dollars are available through the program at $150 to $350. Many of those prices were already available through the companies&#8217; own direct-to-consumer cash-pay programs before the announcement. What changed was the press conference. What the companies got in return was a tariff exemption worth billions and a presidential endorsement.</p><p>And while they were at the table deciding whether to participate, they spent $134 million on federal lobbying in 2025, up from $109 million in 2024. That is the 23%.</p><p>Think about what that means. These companies were being pressured into a program by one arm of the administration. They were lobbying the same administration with the other. The pressure and the access ran simultaneously. What came out the other end -- which drugs got included, at what discount, under what terms -- reflects both forces. The patient gets the coupon. The negotiation happened in a room they weren&#8217;t in.</p><p>Here is what the lobbying was for. The 17 companies in the OpenSecrets analysis were working the same policy levers TrumpRx sits on: drug pricing, Medicare Part B and D reimbursement, PBM reform bills, tariff carve-outs, obesity drug coverage. They were not lobbying abstractly. They were lobbying the specific terrain this program was being built on.</p><p>More than 60% of the 526 lobbyists hired by the participating companies previously worked in government -- against a 51% industry average. That 51% is not a reassuring number. It is the floor.</p><p>This pattern predates the current administration by a long way. The Non-Interference Clause, the provision that bars Medicare from directly negotiating drug prices, was a Republican project signed in 2003. Democrats campaigned against it for years while accepting pharma contributions every cycle. The Inflation Reduction Act, passed in 2022, added limited negotiation authority on a small set of drugs. The industry lobbied hard against it. After it passed, the lobbying shifted downstream to shaping the implementation rules. The pharma and health products sector spent $457 million on federal lobbying in 2025 alone.</p><p>The lobbying doesn&#8217;t stop when the vote happens. It moves to wherever the next decision point is.</p><p>TrumpRx is a new decision point. It is an executive program, not legislation. The design happens in conversations, not committee hearings. Those conversations are not subject to the same disclosure rules as a legislative markup. The companies being pressured into the program were also lobbying the program&#8217;s design. Whether that shaped which drugs got included, how deep the discounts run, or which cost structures stayed off the table is not in the announcement.</p><p>The patient sees the headline. The deal was made before it.</p><div><hr></div><p><em>The Ranter is an animated investigative show mapping how extraction systems are designed. New episodes drop Saturday on YouTube.</em></p><div><hr></div><p><em>* All lobbying data in this piece: OpenSecrets, May 6, 2026. <a href="https://www.opensecrets.org/news/2026/05/drug-companies-involved-in-trumprx-boosted-lobbying-by-23-ahead-of-programs-launch/">https://www.opensecrets.org/news/2026/05/drug-companies-involved-in-trumprx-boosted-lobbying-by-23-ahead-of-programs-launch/</a><br></em></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/p/what-23-buys?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/p/what-23-buys?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/subscribe?"><span>Subscribe now</span></a></p>]]></content:encoded></item><item><title><![CDATA[Not One Penny]]></title><description><![CDATA[He said not one penny of federal money. Six months later, $1 billion is buried in an immigration bill.]]></description><link>https://newsletter.theranter.com/p/not-one-penny</link><guid isPermaLink="false">https://newsletter.theranter.com/p/not-one-penny</guid><dc:creator><![CDATA[TheRanter]]></dc:creator><pubDate>Wed, 06 May 2026 16:30:22 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!KPQt!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc0047624-e8ee-4755-abc5-11351fb0ef44_1536x1024.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/p/not-one-penny?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/p/not-one-penny?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p>Last November, in the Oval Office, President Trump told reporters that the new White House ballroom would not cost taxpayers anything. &#8220;Not one penny,&#8221; he said, &#8220;is being used from the federal government.&#8221;</p><p>That was six months ago. This week, Senate Judiciary Committee Chairman Chuck Grassley released a $72 billion immigration enforcement bill. Tucked inside it: $1 billion in taxpayer money for security improvements tied to the ballroom project.</p><p>(Sources: NBC News, Roll Call, Politico, The Hill, Military.com, all May 5, 2026. The Trump quote is from his November 2025 Oval Office press availability, reported across multiple outlets.)</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!KPQt!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc0047624-e8ee-4755-abc5-11351fb0ef44_1536x1024.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!KPQt!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc0047624-e8ee-4755-abc5-11351fb0ef44_1536x1024.png 424w, https://substackcdn.com/image/fetch/$s_!KPQt!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc0047624-e8ee-4755-abc5-11351fb0ef44_1536x1024.png 848w, https://substackcdn.com/image/fetch/$s_!KPQt!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc0047624-e8ee-4755-abc5-11351fb0ef44_1536x1024.png 1272w, https://substackcdn.com/image/fetch/$s_!KPQt!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc0047624-e8ee-4755-abc5-11351fb0ef44_1536x1024.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!KPQt!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc0047624-e8ee-4755-abc5-11351fb0ef44_1536x1024.png" width="1456" height="971" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/c0047624-e8ee-4755-abc5-11351fb0ef44_1536x1024.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:971,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:2956144,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://newsletter.theranter.com/i/196677031?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc0047624-e8ee-4755-abc5-11351fb0ef44_1536x1024.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!KPQt!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc0047624-e8ee-4755-abc5-11351fb0ef44_1536x1024.png 424w, https://substackcdn.com/image/fetch/$s_!KPQt!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc0047624-e8ee-4755-abc5-11351fb0ef44_1536x1024.png 848w, https://substackcdn.com/image/fetch/$s_!KPQt!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc0047624-e8ee-4755-abc5-11351fb0ef44_1536x1024.png 1272w, https://substackcdn.com/image/fetch/$s_!KPQt!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc0047624-e8ee-4755-abc5-11351fb0ef44_1536x1024.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>The original announcement, in July 2025, said the structure would cost about $200 million, paid for by Trump and what the White House called &#8220;patriot donors.&#8221; The estimate climbed to $300 million in October. Then $400 million in December. On October 20, 2025, the East Wing was demolished. The donor list was released two days later. Thirty-seven names. Anonymous donation amounts. Tech giants, defense contractors, crypto founders, Cabinet families. Alphabet&#8217;s $22 million contribution came from settling a Trump lawsuit.</p><p>By the time the funding question reopened, the East Wing was already gone. The site was a hole in the ground.</p><p>Then the framing shifted. In court filings this spring, the administration argued the new structure was &#8220;vital&#8221; for security, would be built with materials that could withstand drone attacks, and would include underground medical facilities and a bomb shelter. The ballroom was no longer a venue. It was infrastructure.</p><p>The order matters. You don&#8217;t ask for public money before demolition. You ask after.</p><p>Grassley&#8217;s bill provides the $1 billion. It rides inside a $72 billion immigration enforcement package most Republicans want to vote yes on regardless. The ballroom security funding is the rider. The immigration spending is the carrier.</p><p>This trick is older than the building it&#8217;s running through. Both parties have used must-pass bills to bury items their members couldn&#8217;t defend on a clean vote. In December 2009, Senator Ben Nelson held up the Affordable Care Act vote until the bill carried a permanent 100 percent federal Medicaid match for Nebraska, alone. The &#8220;Cornhusker Kickback&#8221; was stripped out three months later in reconciliation. The ACA had already passed. In 2005, Senator Ted Stevens attached a roughly $223 million earmark for an Alaska bridge to a transportation bill. The &#8220;Bridge to Nowhere&#8221; became its own scandal. The transportation bill it rode in on was already law.</p><p>So riders themselves are not partisan. Stuffing things into bills nobody wants to vote against is just how trades work in this building.</p><p>The Republican framing on this one is that the $1 billion is Secret Service security infrastructure, not ballroom construction, and the bill explicitly bars the funds from being used on non-security elements. That distinction is real. Every president gets security upgrades. Every president gets them inside larger appropriations packages.</p><p>But the bait-and-switch is something else. The president said in November that not one penny of federal money would be used. He demolished the East Wing of the White House. He raised hundreds of millions from donors whose names are protected by a contract that excludes the White House from conflict-of-interest protections. And once the demolition was irreversible, the funding ask emerged in a category, security, that is harder to challenge than ballroom construction would have been on its own.</p><p>That sequence is one administration&#8217;s. Both parties run riders. Not both parties did this. Pretending otherwise to keep things tidy would be a lie.</p><p>If you want to do something with this, the move is the same as it was last week. Tomorrow&#8217;s news cycle will not cover the ballroom. It will cover the immigration bill. Your senator&#8217;s office is going to take calls about the immigration position, not the ballroom position. The two votes are the same vote. So when you call, ask this: &#8220;Does this bill include funding for the ballroom security project?&#8221; That&#8217;s the sentence. The staffer logs it. The aggregate is what gets reported up.</p><p>There is a version of this where none of that matters. The bill probably passes either way. The ballroom probably gets finished either way. I am not pretending a phone call breaks the trade.</p><p>What I am saying is that the next time you hear a major project will be paid for by private donors at no cost to the public, the question to ask is what the security supplement looks like in eighteen months. Watch for which must-pass bill it rides in. By the time the funding ask is public, what&#8217;s already irreversible is usually already irreversible.</p><p>That&#8217;s the pattern. The hole in the ground tells you the rest.</p><div><hr></div><p><em>New episodes of The Ranter ship Saturdays at theranter.com. If the framing was useful, forward this to one person who&#8217;s still mad about something they can&#8217;t quite name.<br></em></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/subscribe?"><span>Subscribe now</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/p/not-one-penny?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/p/not-one-penny?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p>]]></content:encoded></item><item><title><![CDATA[THE FRAUD THAT GETS ARRESTED]]></title><description><![CDATA[One gets the FBI. One gets an earnings call.]]></description><link>https://newsletter.theranter.com/p/the-fraud-that-gets-arrested</link><guid isPermaLink="false">https://newsletter.theranter.com/p/the-fraud-that-gets-arrested</guid><dc:creator><![CDATA[TheRanter]]></dc:creator><pubDate>Fri, 01 May 2026 18:01:10 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!4h3e!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff03ce362-5a36-47de-b573-1ccd881bda22_1122x1402.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>April 3, Covina, California. FBI agents arrested Gladwin and Amelou Gill outside their home. The charge: $7.45 million in fraudulent Medicare billing through a company called 626 Hospice, also registered as St. Francis Palliative Care. Enrollment records showed a five-year patient survival rate above 97%. The expected rate for hospice patients is below 20%. The patients billed as dying were not dying. The money moved anyway. It usually does. (Source: DOJ Central District of California; U.S. Attorney Bill Essayli, April 3, 2026.)</p><p>Oz told reporters that 49 states do not share the problems concentrated in LA County. He called the area the epicenter of the fraud and criticized California&#8217;s oversight publicly and repeatedly. (Source: ABC7; CMS; DOJ Central District of California press conference, April 3, 2026.)</p><p>One week later, California Attorney General Rob Bonta announced Operation Skip Trace: five more arrests across ten Southern California locations, tied to $267 million in Medi-Cal hospice fraud. Defendants had used dark web identity purchases to enroll out-of-state residents. The logistics were impressive. The press conference was well-attended.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!4h3e!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff03ce362-5a36-47de-b573-1ccd881bda22_1122x1402.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!4h3e!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff03ce362-5a36-47de-b573-1ccd881bda22_1122x1402.png 424w, https://substackcdn.com/image/fetch/$s_!4h3e!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff03ce362-5a36-47de-b573-1ccd881bda22_1122x1402.png 848w, https://substackcdn.com/image/fetch/$s_!4h3e!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff03ce362-5a36-47de-b573-1ccd881bda22_1122x1402.png 1272w, https://substackcdn.com/image/fetch/$s_!4h3e!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff03ce362-5a36-47de-b573-1ccd881bda22_1122x1402.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!4h3e!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff03ce362-5a36-47de-b573-1ccd881bda22_1122x1402.png" width="1122" height="1402" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/f03ce362-5a36-47de-b573-1ccd881bda22_1122x1402.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1402,&quot;width&quot;:1122,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:2752508,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://newsletter.theranter.com/i/196125462?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff03ce362-5a36-47de-b573-1ccd881bda22_1122x1402.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!4h3e!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff03ce362-5a36-47de-b573-1ccd881bda22_1122x1402.png 424w, https://substackcdn.com/image/fetch/$s_!4h3e!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff03ce362-5a36-47de-b573-1ccd881bda22_1122x1402.png 848w, https://substackcdn.com/image/fetch/$s_!4h3e!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff03ce362-5a36-47de-b573-1ccd881bda22_1122x1402.png 1272w, https://substackcdn.com/image/fetch/$s_!4h3e!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff03ce362-5a36-47de-b573-1ccd881bda22_1122x1402.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Both operations were real, documented, and staffed with the correct number of defendants for a press conference.</p><p>Here is what did not produce footage.</p><p>Medicare Advantage plans overcharge the federal government by an estimated $76 billion per year through risk adjustment upcoding, systematically adding diagnosis codes to patient records that increase reimbursement without increasing care. MA plans call it aggressive but lawful coding. MedPAC calls it $76 billion in annual overpayments. (Source: MedPAC March 2026 Report to Congress, medpac.gov.) The mechanism is not a strip-mall address in LA County. It is UnitedHealth, Humana, Aetna, and CVS Health submitting encounter data to CMS that systematically overstates patient complexity. More diagnosis codes. Higher risk scores. Higher per-member payments. The audit trail is inside the same companies writing the encounter data.</p><p>The DOJ and HHS OIG have documented this for over a decade. There are no pre-dawn arrests. There are audits, repayment negotiations, and appeals that outlast the news cycle every time.</p><p>The scale difference is not a matter of degree. The April 2026 hospice takedowns alleged a combined $274 million in fraud. The annual MA upcoding estimate is approximately 270 times that number. Not 270 dollars more. 270 times more. Every single year.</p><p>The LA County hospice problem is real. 1,800 hospices in one county, 89 sharing a single address, 700 triggering multiple fraud red flags per state audit. (Source: CBS News investigation; state audit data, 2025-2026.) The architecture that made this possible was built in 1982 and never redesigned. Congress set the incentive: $231 per patient per day regardless of how many times the nurse actually shows up. For-profit hospices with 16.1% operating margins figured out that enrolling patients who need fewer visits was the path to margin. The average for-profit hospice stay is 115 days. The average nonprofit stay is 72 days. Same Medicare benefit. Different extraction patterns. MedPAC has recommended cutting the aggregate cap by 20% every year since 2020. Congress has declined every year. Both parties. Every year. (Source: MedPAC; CMS FY 2026 data.)</p><p>Oz&#8217;s framing requires ignoring that the per-diem mechanism is federal. It was not invented by the California state legislature. California called its own registration moratorium. The fraud concentrates there because fifteen years of 1,500% registration growth went unaudited at the federal level, across administrations from both parties.</p><p>Enforcement theater has a specific shape. It requires defendants, arrests, footage, and a press conference with someone from the current administration standing in front of cameras. It also requires that the arrests be small enough to finish. You can arrest the Gill family in Covina. You cannot arrest a risk adjustment methodology that four publicly traded companies depend on to hit their quarterly earnings guidance.</p><p>The fraud that gets arrested has a Covina address. The fraud that does not has a stock ticker and a lobbying budget, and Congress has watched both run simultaneously since before most of the April defendants were in business.</p><p>Tomorrow, EP03 goes inside the billing system: the chargemaster, the code, the pipeline from claim to debt. The address is different. The design principle is the same.<br><br></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/p/the-fraud-that-gets-arrested?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/p/the-fraud-that-gets-arrested?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/subscribe?"><span>Subscribe now</span></a></p>]]></content:encoded></item><item><title><![CDATA[The Patient Is Not in This Fight]]></title><description><![CDATA[North Dakota and Washington passed similar laws. The DOJ sided with drugmakers in both. A federal judge struck the first one down yesterday. The patient pays the same price either way.]]></description><link>https://newsletter.theranter.com/p/the-patient-is-not-in-this-fight</link><guid isPermaLink="false">https://newsletter.theranter.com/p/the-patient-is-not-in-this-fight</guid><dc:creator><![CDATA[TheRanter]]></dc:creator><pubDate>Thu, 30 Apr 2026 12:03:38 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!XJ7u!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F56ed6b2d-5555-4e0e-a1e6-70aa2c7a1fdd_1168x784.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>On Monday, U.S. District Court Judge Daniel Traynor struck down North Dakota House Bill 1473, the state&#8217;s law expanding access to the federal 340B drug discount program. Traynor was appointed by Donald Trump and confirmed in 2020. His opinion did not read like a friend of the pharmaceutical industry.</p><p>He wrote that pharmaceutical manufacturers may have money and may love to litigate, but those facts do not justify &#8220;fleecing&#8221; them through state laws that primarily benefit hospital conglomerates. A paragraph later, he noted that the bill benefits hospital conglomerates while &#8220;Joe Paycheck sees no difference in the price of his meds.&#8221;</p><p>He struck the law down anyway, on Supremacy Clause and Dormant Commerce Clause grounds. The ruling permanently enjoined enforcement against AbbVie, AstraZeneca, and PhRMA. North Dakota HB 1473 had passed the state House 71-17 and the state Senate 41-4 in 2025. Republican Governor Kelly Armstrong signed it. The judge appointed by the Republican president struck it down. The drug industry won.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!XJ7u!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F56ed6b2d-5555-4e0e-a1e6-70aa2c7a1fdd_1168x784.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!XJ7u!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F56ed6b2d-5555-4e0e-a1e6-70aa2c7a1fdd_1168x784.jpeg 424w, https://substackcdn.com/image/fetch/$s_!XJ7u!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F56ed6b2d-5555-4e0e-a1e6-70aa2c7a1fdd_1168x784.jpeg 848w, https://substackcdn.com/image/fetch/$s_!XJ7u!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F56ed6b2d-5555-4e0e-a1e6-70aa2c7a1fdd_1168x784.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!XJ7u!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F56ed6b2d-5555-4e0e-a1e6-70aa2c7a1fdd_1168x784.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!XJ7u!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F56ed6b2d-5555-4e0e-a1e6-70aa2c7a1fdd_1168x784.jpeg" width="1168" height="784" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/56ed6b2d-5555-4e0e-a1e6-70aa2c7a1fdd_1168x784.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:784,&quot;width&quot;:1168,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:119198,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://newsletter.theranter.com/i/195936548?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F56ed6b2d-5555-4e0e-a1e6-70aa2c7a1fdd_1168x784.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!XJ7u!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F56ed6b2d-5555-4e0e-a1e6-70aa2c7a1fdd_1168x784.jpeg 424w, https://substackcdn.com/image/fetch/$s_!XJ7u!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F56ed6b2d-5555-4e0e-a1e6-70aa2c7a1fdd_1168x784.jpeg 848w, https://substackcdn.com/image/fetch/$s_!XJ7u!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F56ed6b2d-5555-4e0e-a1e6-70aa2c7a1fdd_1168x784.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!XJ7u!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F56ed6b2d-5555-4e0e-a1e6-70aa2c7a1fdd_1168x784.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>The same day Traynor issued his ruling, the Department of Justice filed a Statement of Interest in the Western District of Washington in a parallel case, <em>Novartis v. Brown</em>. Washington Senate Bill 5981, signed by Democratic Governor Bob Ferguson on March 25, takes effect June 10. It does substantially what North Dakota&#8217;s law did. The DOJ argued federal law preempts the Washington statute and sided with the drugmakers.</p><p>Two states. One red, one blue. Same legal architecture. Same federal preemption posture from the same Justice Department. The pharmaceutical industry is on track to win both.</p><div><hr></div><p>The 340B Drug Pricing Program was created in 1992 under President George H.W. Bush. Drug manufacturers participating in Medicare and Medicaid must offer steep discounts (often 50 to 60 percent off list price) to safety-net hospitals and clinics serving low-income patients. Manufacturers participate because they have to in order to access Medicare and Medicaid revenue.</p><p>The program has no charity-care minimum. A hospital can qualify for 340B based on its Medicare disproportionate share adjustment, generate hundreds of millions in 340B drug revenue, and face no requirement to spend any of that money on the low-income patients the statute was written to serve. Drug Channels analysis published April 23 found Minnesota nonprofit hospitals generated over one billion dollars more from 340B drug revenue in 2024 than they spent on uncompensated and charity care. The same week, seven Minnesota safety-net hospitals were reported at risk of closure from Medicaid funding pressure.</p><p>The hospitals making the billion are not the same hospitals facing closure.</p><p>The patient who gets a 340B-discounted drug typically gets billed at the insurer&#8217;s negotiated rate, not the discount. The 340B discount stays with the hospital. This is not a contested point in the litigation. It is the program&#8217;s design.</p><div><hr></div><p>So why the bipartisan state push to expand 340B?</p><p>Because drug manufacturers, after the number of 340B contract pharmacy arrangements grew from about 2,000 in 2010 to over 230,000 by January 2026 according to HRSA&#8217;s own data, started restricting which pharmacies could dispense their 340B drugs. AbbVie and Novartis adopted 40-mile rules limiting third-party pharmacies near covered hospitals. Hospitals lost revenue. Hospitals lobbied state legislatures. State legislatures passed laws.</p><p>In North Dakota, rural healthcare providers testified that 340B revenue funds keep small-town clinics open. That part is true. Some 340B participants are genuine safety-net hospitals that would close without the program&#8217;s revenue. Rural hospitals are closing across the country, and 340B revenue is part of the financing structure that keeps doors open in places no for-profit chain will operate.</p><p>The same federal program also funds Minnesota hospitals that generated a billion in 340B margin while their state&#8217;s actual safety-net hospitals face closure. The program funds the rural clinic and the conglomerate from the same statute. The litigation cannot hold both at once.</p><p>When North Dakota argued in court that HB 1473 helps low-income North Dakotans, Judge Traynor was openly skeptical. The state could not show that 340B savings reached patients. Neither could Washington. Neither can any state, because the program&#8217;s design does not require it. The state laws expanded 340B without fixing what 340B doesn&#8217;t do.</p><div><hr></div><p>The drug manufacturers will keep raising prices. Insulin still costs $274 per vial for a molecule that cost a dollar in 1920. The hospitals will keep collecting 340B margin without minimum charity-care thresholds. Federal preemption rulings will continue. State legislatures will keep losing the same case.</p><p>The patient will keep paying the insurer-negotiated price for the drug their hospital bought at a 60% discount. The drugmakers and the hospitals and the DOJ will keep filing briefs invoking that patient&#8217;s interests. None of those briefs result in the patient paying less.</p><p>This is what the program looks like after thirty-four years of expansion without a charity-care floor. Three institutions are arguing about who controls the discount. The patient is not in the fight. The patient is the receipt the parties hold up while doing other business.<br></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/p/the-patient-is-not-in-this-fight?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/p/the-patient-is-not-in-this-fight?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/subscribe?"><span>Subscribe now</span></a></p>]]></content:encoded></item><item><title><![CDATA[The Price Tag Watches You Back]]></title><description><![CDATA[Maryland just banned it. The federal investigation was killed in January. The state-by-state map now decides whether the price you see is the price your neighbor sees.]]></description><link>https://newsletter.theranter.com/p/the-price-tag-watches-you-back</link><guid isPermaLink="false">https://newsletter.theranter.com/p/the-price-tag-watches-you-back</guid><dc:creator><![CDATA[TheRanter]]></dc:creator><pubDate>Tue, 28 Apr 2026 23:35:02 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!AOT0!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feff87e92-2afe-41f6-8b61-781d05eb7882_1731x909.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Governor Wes Moore signed the Protection from Predatory Pricing Act into law today. Maryland is now the first state in the country to ban grocery stores from using personal data to charge different shoppers different prices for the same item. Penalties run $10,000 for a first offense and $25,000 after that. The law takes effect October 1, 2026.</p><p>The federal version of this fight ended fifteen months ago.</p><p>In July 2024, the Federal Trade Commission opened a Section 6(b) study into what it called surveillance pricing. The study issued subpoenas to Mastercard, JPMorgan Chase, McKinsey, Accenture, PROS Holdings, and others. The vote to open the study was unanimous, 5-0. Both Republican commissioners joined the Democrats and said in concurring statements that the practice deserved investigation even if it turned out to be legal, because consumers might experience it as manipulation. One of those Republicans was Andrew Ferguson.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!AOT0!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feff87e92-2afe-41f6-8b61-781d05eb7882_1731x909.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!AOT0!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feff87e92-2afe-41f6-8b61-781d05eb7882_1731x909.png 424w, https://substackcdn.com/image/fetch/$s_!AOT0!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feff87e92-2afe-41f6-8b61-781d05eb7882_1731x909.png 848w, https://substackcdn.com/image/fetch/$s_!AOT0!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feff87e92-2afe-41f6-8b61-781d05eb7882_1731x909.png 1272w, https://substackcdn.com/image/fetch/$s_!AOT0!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feff87e92-2afe-41f6-8b61-781d05eb7882_1731x909.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!AOT0!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feff87e92-2afe-41f6-8b61-781d05eb7882_1731x909.png" width="1456" height="765" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/eff87e92-2afe-41f6-8b61-781d05eb7882_1731x909.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:765,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:1808122,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://newsletter.theranter.com/i/195812842?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feff87e92-2afe-41f6-8b61-781d05eb7882_1731x909.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!AOT0!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feff87e92-2afe-41f6-8b61-781d05eb7882_1731x909.png 424w, https://substackcdn.com/image/fetch/$s_!AOT0!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feff87e92-2afe-41f6-8b61-781d05eb7882_1731x909.png 848w, https://substackcdn.com/image/fetch/$s_!AOT0!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feff87e92-2afe-41f6-8b61-781d05eb7882_1731x909.png 1272w, https://substackcdn.com/image/fetch/$s_!AOT0!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Feff87e92-2afe-41f6-8b61-781d05eb7882_1731x909.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>In January 2025, the FTC under outgoing Chair Lina Khan released initial findings. At least 250 businesses were using personal data to set individualized prices, including grocery stores, apparel retailers, hardware stores, and convenience chains. The findings called it an opaque ecosystem of pricing middlemen. The agency invited public comment through April 17, 2025.</p><p>Ferguson became chair on January 20, 2025. Within days, he closed the public comment window. The study was effectively shelved, and has produced no final report or enforcement action in the fifteen months since.</p><p>Eleven months later, in December 2025, four senators wrote to Ferguson asking him to reopen it. Mark Warner of Virginia, Ruben Gallego of Arizona, Richard Blumenthal of Connecticut, and Josh Hawley of Missouri. Three Democrats and one Republican, signing the same letter, asking the same Republican-led commission to do the work it had stopped. The letter cited Fetcherr, an AI pricing company that markets to airlines and pitches its product on the basis of what it calls customer lifetime value and real-time context of each booking inquiry. In plain English: how desperate the customer looks at the moment they click buy.</p><p>The letter did not produce a reopened investigation. State action did.</p><p>That brings us to JetBlue.</p><p>On April 18, 2026, a JetBlue customer posted on X that a $230 price increase had hit their fare in one day. They mentioned they were trying to make it to a funeral. The official JetBlue account replied with advice to clear browser cookies or book in incognito mode. The reply was deleted. The customer&#8217;s complaint was screenshotted first.</p><p>Five days later, on April 23, a New York resident named Andrew Phillips filed a proposed class action in the Eastern District of New York. The complaint alleges JetBlue used third-party tracking software (FullStory, an analytics platform) and PROS Holdings (a pricing algorithm vendor) to adjust airfares in real time based on customer browsing behavior. JetBlue denies it. The airline says fares are determined by demand and seat availability, and that the deleted tweet was a mistake by an individual employee. The case is now in discovery.</p><p>The federal lawmakers who could have acted on the FTC&#8217;s January 2025 findings did not. The state attorneys general who could have brought parallel actions under their own consumer protection statutes mostly did not. Maryland did, with a bill that cleared its legislature on April 11 and now becomes the first law of its kind on the books.</p><p>It is also a law with significant gaps. Loyalty programs are exempt, which means a grocery chain can route the same individualized pricing through a club card and call it a discount. Subscription pricing is exempt. Pricing for narrowly defined consumer segments (Consumer Reports gave the example of &#8220;shoppers over 70, who live alone, with no nearby competitor stores&#8221;) is not clearly banned. Maryland residents cannot sue companies under the law. Only the state attorney general can, and the AG must give companies 45 days to fix violations before any further action.</p><p>Consumer Reports, which lobbied for the bill, called the final version weakened by industry-friendly amendments. The Maryland Retail Alliance, which originally opposed the bill, dropped its opposition once the loopholes were added. That is how a first-in-the-nation law gets passed: by being watered down enough that the people it regulates stop fighting it.</p><p>What is left after today is a map. California, Colorado, Illinois, New Jersey, New York are considering similar bills. The federal investigation is closed. The class action against JetBlue will move at federal court speed. The technology that drives all of it (the data brokers, the pricing algorithms, the third-party trackers embedded in checkout flows) does not pause while the legal arguments work themselves out.</p><p>The price you see when you log in is the price the algorithm thinks you will pay. Maryland just made that illegal in one place, for one category of goods, with one enforcement office, after a 45-day grace period.</p><p>The rest of the country pays whatever the screen says.<br></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/p/the-price-tag-watches-you-back?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/p/the-price-tag-watches-you-back?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/subscribe?"><span>Subscribe now</span></a></p>]]></content:encoded></item><item><title><![CDATA[The Man Who Said It Out Loud]]></title><description><![CDATA[Martin Shkreli became the villain so the industry didn't have to.]]></description><link>https://newsletter.theranter.com/p/the-man-who-said-it-out-loud</link><guid isPermaLink="false">https://newsletter.theranter.com/p/the-man-who-said-it-out-loud</guid><dc:creator><![CDATA[TheRanter]]></dc:creator><pubDate>Fri, 24 Apr 2026 15:55:38 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!VgFN!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd5b96a98-9e4d-4aee-8a49-616e0ddc4124_1674x939.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>In August 2015, Turing Pharmaceuticals bought the U.S. rights to Daraprim for $55 million. Within weeks, the price of a single pill went from $13.50 to $750. Martin Shkreli was 32 years old. Daraprim was the only FDA-approved treatment for toxoplasmosis, a parasitic infection that is life-threatening for pregnant women, infants, and patients with HIV or compromised immune systems. Patients who had been paying around $1,000 a year for a full course of treatment now faced bills in the tens of thousands.</p><p>The public reaction is the part everyone remembers. Shkreli smirked at a congressional hearing and took the Fifth. Hillary Clinton tweeted at him. Bernie Sanders called him a symbol of greed. CNN put his face on the chyron as &#8220;the most hated man in America.&#8221; Vice gave him a television show. He bought the only copy of the Wu-Tang Clan album &#8220;Once Upon a Time in Shaolin&#8221; for $2 million and posted the receipt online like it was a trophy.</p><p>The industry reaction is the part to watch.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!VgFN!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd5b96a98-9e4d-4aee-8a49-616e0ddc4124_1674x939.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!VgFN!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd5b96a98-9e4d-4aee-8a49-616e0ddc4124_1674x939.png 424w, https://substackcdn.com/image/fetch/$s_!VgFN!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd5b96a98-9e4d-4aee-8a49-616e0ddc4124_1674x939.png 848w, https://substackcdn.com/image/fetch/$s_!VgFN!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd5b96a98-9e4d-4aee-8a49-616e0ddc4124_1674x939.png 1272w, https://substackcdn.com/image/fetch/$s_!VgFN!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd5b96a98-9e4d-4aee-8a49-616e0ddc4124_1674x939.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!VgFN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd5b96a98-9e4d-4aee-8a49-616e0ddc4124_1674x939.png" width="1456" height="817" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/d5b96a98-9e4d-4aee-8a49-616e0ddc4124_1674x939.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:817,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:2123987,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://newsletter.theranter.com/i/195357559?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd5b96a98-9e4d-4aee-8a49-616e0ddc4124_1674x939.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!VgFN!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd5b96a98-9e4d-4aee-8a49-616e0ddc4124_1674x939.png 424w, https://substackcdn.com/image/fetch/$s_!VgFN!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd5b96a98-9e4d-4aee-8a49-616e0ddc4124_1674x939.png 848w, https://substackcdn.com/image/fetch/$s_!VgFN!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd5b96a98-9e4d-4aee-8a49-616e0ddc4124_1674x939.png 1272w, https://substackcdn.com/image/fetch/$s_!VgFN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd5b96a98-9e4d-4aee-8a49-616e0ddc4124_1674x939.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Every drug company in America had teams running some version of the Turing playbook. Acquiring older drugs without therapeutic alternatives. Raising prices on medications patients could not substitute or delay. Shkreli&#8217;s actual offense against the industry was not the price hike. It was the press conference. He said it out loud. He defended the calculus on cable television. He made the mechanism visible. Everybody with a pharma portfolio that month needed to make the mechanism invisible again fast, and the fastest way was to let Shkreli absorb all the public heat and continue quietly.</p><p>This worked. It worked very well. Shkreli served roughly four years in federal prison for securities fraud tied to old hedge funds he ran before Turing. He was released from FCI Fort Dix in May 2022. The Daraprim scheme ran five years and generated tens of millions in excess profits. Shkreli served zero days of prison time for it.</p><p>What the industry learned in 2016 was not to stop. It was to stop smirking.</p><h2>The 2026 boardroom</h2><p>Merck&#8217;s Keytruda is the best-selling cancer drug in the world, with over $130 billion in cumulative revenue. Its core patents expire in 2028. At the J.P. Morgan Healthcare Conference in January 2025, CEO Rob Davis told investors Merck was accelerating a subcutaneous reformulation for end-of-year launch. Same compound, new delivery route, new patents. The exclusivity clock resets.</p><p>Bristol Myers Squibb and Pfizer extended Eliquis through patent term extension at the U.S. Patent and Trademark Office, then stacked follow-on patents for minor modifications on top. The extension is projected to collect over $50 billion in U.S. revenue that would otherwise have faced generics. Medicare Part D alone spent $16.4 billion on Eliquis in the 12-month window ending May 2023.</p><p>Novo Nordisk&#8217;s Ozempic files the longest runway. The core semaglutide compound patents date to the mid-2000s with standard 20-year terms. Novo has layered dozens of follow-on patents on top, covering formulations, delivery methods, and manufacturing processes, extending U.S. protection into the 2040s. In October 2024, Novo settled patent challenges with generic manufacturers Natco and Mylan on confidential terms. Whether generic entry arrives when the compound patent expires or only after the follow-on layers run out is not public. The compound is the same compound. The patent layer keeps growing.</p><p>None of these three companies raised a price overnight and dared Congress to stop them. They did not need to. They kept filing patents and kept the revenue flowing. The mechanisms are legal. The extraction is continuous. Between 2025 and 2030, roughly $300 billion in U.S. prescription drug revenue will lose patent exclusivity, about three times the size of the 2016 patent cliff. The industry&#8217;s response is not price competition. The response is reformulation, patent thicketing, M&amp;A, and a new kind of deal.</p><h2>The new kind of deal</h2><p>Between September 30 and November 6, 2025, the Trump administration announced pricing agreements with Pfizer, AstraZeneca, EMD Serono, Eli Lilly, and Novo Nordisk. Ozempic and Wegovy list prices drop from $1,000 and $1,350 per month to $350 through TrumpRx, a government-run direct-to-consumer platform that launched in January 2026. Zepbound drops from $1,086 to an average of $346. NovoLog and Tresiba insulin get capped at $35 per month. The Biden Inflation Reduction Act capped Medicare insulin at $35 per month through legislation starting January 2023. The Trump deals hit similar targets through executive negotiation tied to most-favored-nation language.</p><p>What the drug companies got in exchange: Eli Lilly announced $27 billion in new U.S. manufacturing investments. Novo Nordisk committed $10 billion. Both received tariff relief on imported branded and patented drugs. Both got guaranteed MFN pricing written into all future medications they bring to market. Faster FDA regulatory review timelines were part of the package.</p><p>A price cap on specific drugs. A photograph in the Oval Office. Patent thickets remain legal. The reformulation loop remains legal. Orphan drug exclusivity is still on the books. The off-patent acquisition playbook that Shkreli ran was never outlawed.</p><p>Shkreli went to prison for being loud. The rest of the boardroom got a better deal for staying quiet.</p><p>Tomorrow the show asks the question that the Shkreli decade and the MFN decade have yet to answer.</p><p>When the system works exactly the way it was designed to work, what is the citizen supposed to do about it?</p><p>See you Saturday.</p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/p/the-man-who-said-it-out-loud?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/p/the-man-who-said-it-out-loud?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/subscribe?"><span>Subscribe now</span></a></p>]]></content:encoded></item><item><title><![CDATA[Three Seats Opened in Eight Days]]></title><description><![CDATA[Three resignations, one leadership phone call, and a Florida Republican still in Congress this morning.]]></description><link>https://newsletter.theranter.com/p/three-seats-opened-in-eight-days</link><guid isPermaLink="false">https://newsletter.theranter.com/p/three-seats-opened-in-eight-days</guid><dc:creator><![CDATA[TheRanter]]></dc:creator><pubDate>Thu, 23 Apr 2026 15:05:38 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!B5iP!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0ca2d4ec-d04d-4c1d-b112-45a95d24cf5e_1456x816.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Eric Swalwell resigned on April 14. Tony Gonzales resigned the same day. Sheila Cherfilus-McCormick resigned on April 21, minutes before the House Ethics Committee was set to recommend her punishment.</p><p>Read the timelines side by side and the mechanism comes into focus.</p><p>Swalwell, Democrat of California, was gone inside 100 hours. CNN and the San Francisco Chronicle published allegations from four women on Friday April 10, including a former staffer who said he had sex with her when she could not consent. By Friday night, Nancy Pelosi had called him and told him to drop out of his governor&#8217;s race and resign the House seat. By Sunday, three California Democrats including Ro Khanna had publicly called for his resignation and 55 former staffers had signed a letter. By Monday, Hakeem Jeffries had pulled support, the House Ethics Committee had opened a formal investigation, and Swalwell had announced he was leaving. He denied the sexual assault and apologized for &#8220;mistakes in judgment.&#8221;</p><p>Gonzales, Republican of Texas, had admitted on a podcast in March that he&#8217;d had an affair with a former staffer who later died by suicide. He said he wouldn&#8217;t run for re-election. He did not resign. He resigned on April 14, the same day Swalwell did, and only after Democratic women in Congress phoned their Republican colleagues demanding that whatever happened to Swalwell happened to Gonzales too. CNN reported the calls. Democrats pushed for it; Republicans needed convincing.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!B5iP!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0ca2d4ec-d04d-4c1d-b112-45a95d24cf5e_1456x816.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!B5iP!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0ca2d4ec-d04d-4c1d-b112-45a95d24cf5e_1456x816.png 424w, https://substackcdn.com/image/fetch/$s_!B5iP!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0ca2d4ec-d04d-4c1d-b112-45a95d24cf5e_1456x816.png 848w, https://substackcdn.com/image/fetch/$s_!B5iP!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0ca2d4ec-d04d-4c1d-b112-45a95d24cf5e_1456x816.png 1272w, https://substackcdn.com/image/fetch/$s_!B5iP!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0ca2d4ec-d04d-4c1d-b112-45a95d24cf5e_1456x816.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!B5iP!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0ca2d4ec-d04d-4c1d-b112-45a95d24cf5e_1456x816.png" width="1456" height="816" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/0ca2d4ec-d04d-4c1d-b112-45a95d24cf5e_1456x816.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:816,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:110586,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://newsletter.theranter.com/i/195239081?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0ca2d4ec-d04d-4c1d-b112-45a95d24cf5e_1456x816.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!B5iP!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0ca2d4ec-d04d-4c1d-b112-45a95d24cf5e_1456x816.png 424w, https://substackcdn.com/image/fetch/$s_!B5iP!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0ca2d4ec-d04d-4c1d-b112-45a95d24cf5e_1456x816.png 848w, https://substackcdn.com/image/fetch/$s_!B5iP!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0ca2d4ec-d04d-4c1d-b112-45a95d24cf5e_1456x816.png 1272w, https://substackcdn.com/image/fetch/$s_!B5iP!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0ca2d4ec-d04d-4c1d-b112-45a95d24cf5e_1456x816.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Cherfilus-McCormick, Democrat of Florida, stole nearly $5 million in FEMA COVID-19 disaster funds through her family&#8217;s healthcare company and used some of it to finance her 2021 campaign. She was indicted in November 2025 and faces up to 53 years in prison. The House Ethics Committee found her guilty of 25 violations in March. She resigned on April 21 with minutes to spare before the committee&#8217;s sanctions vote, after Pelosi went on Fox News and said, on the record, &#8220;Let&#8217;s just get this over with.&#8221;</p><p>In the same Fox News interview, Pelosi named a second Florida member who should be removed from Congress. His name is Cory Mills. He is a Republican.</p><p>Mills has been under House Ethics Committee investigation since November 2025 for sexual misconduct, dating violence, campaign finance violations, improper gifts, and misuse of congressional resources. A Florida judge issued a restraining order against him in October 2024. An Office of Congressional Ethics report flagged potential federal-law violations tied to nearly $1 million in weapons contracts held through entities connected to him and his wife.</p><p>Speaker Mike Johnson, asked on April 21 whether Mills should be expelled, told CNN: &#8220;I&#8217;m not sure the status of the Ethics Committee investigation. That&#8217;s one of the things I&#8217;ll be looking into today.&#8221;</p><p>Donald Trump endorsed Mills for re-election in February.</p><p>Two Florida members. Same week. Same kind of Ethics finding. Two party leaders&#8217; responses, a world apart.</p><p>The pattern is older than this news cycle.</p><p>Al Franken was out 25 days after the Leeann Tweeden photo surfaced in November 2017. Thirty-six Senate Democrats publicly called for his resignation within 24 hours of a seventh allegation. Schumer told him he had until 5 PM to announce he was stepping down or face censure and committee stripping. Seven senators later told the New Yorker they regretted the rush. Patrick Leahy called his own vote &#8220;one of the biggest mistakes I&#8217;ve made.&#8221; The mechanism sometimes overshoots. It still operates.</p><p>Katie Hill resigned 9 days after RedState first published the affair story in October 2019. Pelosi called her conduct &#8220;errors in judgment that made her continued service as a Member untenable.&#8221;</p><p>Lauren Boebert vaped and groped her date in the Buell Theater in Denver in September 2023. Surveillance video made the initial denial impossible. She apologized after five days. No House Ethics investigation was opened. No Republican leader called for her to resign. She switched to a safer Republican district and won her 2024 election by five points with a Trump endorsement.</p><p>The only modern Republican expulsion ran through George Santos, and it required 23 federal criminal charges, a House Ethics report finding &#8220;substantial evidence&#8221; of theft from campaign donors, three separate expulsion resolutions, and even then Speaker Johnson and Majority Leader Scalise publicly opposed removing him. The final vote was 311 to 114. One hundred and five Republicans voted yes. One hundred and twelve voted to keep him seated.</p><p>Matt Gaetz was under House Ethics investigation for four years for sex trafficking, statutory rape, and $90,000 in payments to twelve women. The final report came out only after he resigned and withdrew from the Attorney General nomination. No expulsion attempt was filed during his tenure.</p><p>One party has a mechanism for removing its own. It sometimes overshoots. It sometimes operates on less evidence than the institution deserves. But, it operates.</p><p>The other party has a Speaker who is looking into the status. It has a President endorsing an accused member&#8217;s re-election. Its one modern expulsion required criminal indictments, Ethics findings, and a majority of its own caucus voting against expulsion anyway.</p><p>The leadership receipts drive the mechanism observation here. Pelosi picked up the phone and Schumer drew the line on Franken. Johnson is looking into the status and Trump endorsed the investigation target.</p><p>Cory Mills is still in Congress this morning. So is the Trump endorsement. So is the open investigation. The receipts are not being weighed differently because one side is partisan and the other isn&#8217;t. They are being weighed by two different machines.</p><p>One of them is running.<br></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/p/three-seats-opened-in-eight-days?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/p/three-seats-opened-in-eight-days?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/subscribe?"><span>Subscribe now</span></a></p>]]></content:encoded></item><item><title><![CDATA[The Three Most Expensive Words in American Healthcare]]></title><description><![CDATA[How one sentence in a 2003 law set every drug price you've paid since.]]></description><link>https://newsletter.theranter.com/p/the-three-most-expensive-words-in</link><guid isPermaLink="false">https://newsletter.theranter.com/p/the-three-most-expensive-words-in</guid><dc:creator><![CDATA[TheRanter]]></dc:creator><pubDate>Wed, 22 Apr 2026 10:54:58 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!4yvT!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6751a064-ea08-4521-93e0-2dca44bb3a4e_200x200.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<h1>The Three Most Expensive Words in American Healthcare</h1><h3>How one sentence in a 2003 law set every drug price you&#8217;ve paid since.</h3><p><strong>Apr 22, 2026</strong></p><p>The Department of Veterans Affairs negotiates prescription drug prices for its beneficiaries. It covers about 9 million people. Medicare covers about 67 million people and is prohibited by statute from negotiating. Per GAO report 21-111, the VA paid on average 54% less per unit than Medicare Part D across 399 brand-name and generic drugs in 2017, even after accounting for Medicare&#8217;s rebates and price concessions. For 106 of those drugs, the VA price was at least 75% lower.</p><p>The difference between those two outcomes is three words inside a law Congress passed in 2003.</p><p>&#8220;May not interfere.&#8221;</p><p>That is the rule. It lives inside 42 U.S.C. &#167; 1395w-111(i), the Non-Interference Clause of the Medicare Modernization Act. The Secretary of Health and Human Services, who runs the largest drug-buying operation in the country, &#8220;may not interfere&#8221; with the negotiations between manufacturers and the middlemen who run Medicare drug plans. The biggest single buyer in America, by federal law, does not negotiate.</p><p>President George W. Bush signed the MMA on December 8, 2003. The chairman of the House Energy and Commerce Committee that shepherded the bill through was Rep. Billy Tauzin of Louisiana. Tauzin had started his career as a Democrat and switched parties in 1995.</p><p>Tauzin left Congress in January 2005. He started at PhRMA that same month. According to a Public Citizen ethics complaint filed in January 2004 and CNN reporting from the same period, PhRMA had opened employment negotiations with Tauzin while he was still in Congress shepherding the MMA to passage. Contemporary reporting pegged his PhRMA starting salary around $2 million. By 2010, his final year at PhRMA, total compensation had climbed to $11.6 million per Bloomberg and National Journal data.</p><p>Candidate Barack Obama ran 2008 campaign ads attacking this exact revolving-door sequence.</p><p>Then Obama won. And what did a Democratic trifecta do about the three-word ban Tauzin had written?</p><p>They kept it.</p><p>During the Affordable Care Act fight in 2009, the Obama White House brokered an $80 billion cost-cutting deal with PhRMA, still led by Tauzin. The deal preserved the Non-Interference Clause intact. In exchange, PhRMA spent roughly $100 million on ads backing the ACA. The White House got its votes. Medicare kept its gag.</p><p>From 2003 to 2022, Democrats controlled the House for 8 of those 19 years and the Senate for 12 of them, with full trifectas in 2009-2010 and 2021-2022. The sentence stayed.</p><p>In August 2022, the Inflation Reduction Act finally chipped at it. Signed by Biden, passed via budget reconciliation without a single Republican senator&#8217;s vote. The law authorized Medicare to negotiate prices for ten drugs. On January 1, 2026, those negotiated prices took effect. CMS reported cuts ranging from 38% to 79% off 2023 list prices on Eliquis, Jardiance, Xarelto, Januvia, Farxiga, Entresto, Enbrel, Imbruvica, Stelara, and Fiasp/NovoLog.</p><p>Ten drugs.</p><p>Medicare&#8217;s Part D formulary covers thousands. The IRA schedule adds 15 more drugs in 2027, 15 more in 2028, 20 per year after that. By 2029, after 26 years of the sentence being federal law, roughly 60 drugs will be negotiable. The rest will not.</p><p>And Washington is already chipping the other way. The 2025 budget reconciliation (signed July 4, 2025 as the One Big Beautiful Bill Act) broadened the IRA&#8217;s orphan drug exclusion, narrowing which drugs qualify for negotiation. CBO estimates the change will add $8.8 billion to Medicare spending over the 2025-2034 decade. That is an 80% upward revision from CBO&#8217;s earlier $4.9 billion estimate. The Trump administration&#8217;s April 2025 Executive Order 14273 modified the program&#8217;s implementation further.</p><p>&#8220;May not interfere&#8221; still holds.</p><p>Every mechanism downstream of that sentence depends on it holding. The biggest single drug buyer in the country, by statute, is prohibited from doing what every other buyer of anything does when the price is too high. The VA does it. So do Walmart, Costco, Kaiser, and every commercial health insurer in America. The mechanism that most people assume protects them from paying too much for their prescriptions is the one mechanism the law explicitly forbids.</p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/p/the-three-most-expensive-words-in?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/p/the-three-most-expensive-words-in?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/subscribe?"><span>Subscribe now</span></a></p>]]></content:encoded></item><item><title><![CDATA[Every President Since 2008 Promised to Close the Carried Interest Loophole]]></title><description><![CDATA[Ron Wyden filed four tax bills in one week. The bills will not become law. That is not a reason not to file them.]]></description><link>https://newsletter.theranter.com/p/every-president-since-2008-promised</link><guid isPermaLink="false">https://newsletter.theranter.com/p/every-president-since-2008-promised</guid><dc:creator><![CDATA[TheRanter]]></dc:creator><pubDate>Sun, 19 Apr 2026 17:34:04 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!scBQ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7e5e692-5533-4d9e-aa3c-2b9c7c50d68f_1672x941.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Every president since 2008 has promised to close the carried interest loophole. Every president since 2008 has failed. Ron Wyden just introduced the bill to close it. Again.</p><p>Obama campaigned on it in 2008 and 2012. The loophole survived eight years of his administration. Trump said it was on the table in 2017. His tax law extended the required holding period from one year to three and called it reform. The preference itself stayed intact. Biden&#8217;s Inflation Reduction Act had carried interest reform written in. Kyrsten Sinema killed it in conference. Trump said in February 2025 he wanted to end it. It is April. The loophole is still there.</p><p>The loophole is the rule that lets hedge fund and private equity managers pay capital gains rates (about 20%) on money most workers would pay ordinary income rates on (up to 37%). The managers call it performance compensation. The tax code calls it investment income. That difference, on fund incomes that routinely run into nine figures, is the reason Wyden has been filing the same bill for roughly fifteen years.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!scBQ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7e5e692-5533-4d9e-aa3c-2b9c7c50d68f_1672x941.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!scBQ!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7e5e692-5533-4d9e-aa3c-2b9c7c50d68f_1672x941.png 424w, https://substackcdn.com/image/fetch/$s_!scBQ!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7e5e692-5533-4d9e-aa3c-2b9c7c50d68f_1672x941.png 848w, https://substackcdn.com/image/fetch/$s_!scBQ!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7e5e692-5533-4d9e-aa3c-2b9c7c50d68f_1672x941.png 1272w, https://substackcdn.com/image/fetch/$s_!scBQ!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7e5e692-5533-4d9e-aa3c-2b9c7c50d68f_1672x941.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!scBQ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7e5e692-5533-4d9e-aa3c-2b9c7c50d68f_1672x941.png" width="1456" height="819" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/e7e5e692-5533-4d9e-aa3c-2b9c7c50d68f_1672x941.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:819,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:2034851,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://newsletter.theranter.com/i/194709809?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7e5e692-5533-4d9e-aa3c-2b9c7c50d68f_1672x941.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!scBQ!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7e5e692-5533-4d9e-aa3c-2b9c7c50d68f_1672x941.png 424w, https://substackcdn.com/image/fetch/$s_!scBQ!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7e5e692-5533-4d9e-aa3c-2b9c7c50d68f_1672x941.png 848w, https://substackcdn.com/image/fetch/$s_!scBQ!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7e5e692-5533-4d9e-aa3c-2b9c7c50d68f_1672x941.png 1272w, https://substackcdn.com/image/fetch/$s_!scBQ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7e5e692-5533-4d9e-aa3c-2b9c7c50d68f_1672x941.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>On Thursday April 16, <a href="https://www.finance.senate.gov/ranking-members-news/wyden-whitehouse-king-lead-introduction-of-bill-closing-carried-interest-tax-loophole">he filed it again</a>. Whitehouse and Angus King led the introduction with him. Cosponsors: Warren, Sanders, Smith, Lujan, Reed, Hirono, Fetterman, Markey, Schatz, Blumenthal, and Van Hollen. The Joint Committee on Taxation scored the Wyden-Whitehouse version at $63 billion in revenue over ten years. Earlier bills that only re-characterized the income type without closing the deferral came in at $15.6 billion. The extra $47 billion is the piece every prior bill left on the floor.</p><p>Same week, Wyden filed three others. The Modernization of Derivatives Tax Act, which would tax derivatives each year on paper gains, the way wages are taxed. The Getting Rid of Abusive Trusts Act, co-sponsored with Angus King, which would tighten the Grantor Retained Annuity Trusts that Ray Madoff calls the ultra-wealthy&#8217;s favorite estate tax exit. The Protecting Proper Life Insurance from Abuse Act, aimed at the private placement structures the very rich use to park hundreds of millions tax-free.</p><p>Four separate mechanisms. Each one names an exit the code leaves wide open.</p><p>Ray Madoff, the Boston College tax law professor (no relation to the other one), has spent two decades studying the exits. Her new book, <em>The Second Estate</em>, argues the American tax code has effectively become two tax codes. One for wage earners, where taxes come out at source and there is nowhere to hide. One for the ultra-wealthy, where taxes are optional, deferral is structural, and the estate tax has been gutted to the point that the largest fortunes in history are now transferring intact between generations for the first time since the Gilded Age. Ezra Klein aired her interview Friday. The New York Times ran her video op-ed on Bezos&#8217;s effective tax rate the same day, titled &#8220;Salaries Are for Suckers.&#8221; The argument landed in a tax-filing week. The audience finally arrived.</p><p>Here is the part where cynicism matters, because the cynicism is the accurate read.</p><p>Wyden&#8217;s four bills will get press coverage for a week. Some may get committee hearings. None of them will become law this Congress. The carried interest loophole has survived Obama, Trump, and Biden. Nothing about the current Senate math suggests it survives any less well under a Congress whose majority donors include exactly the people these bills target.</p><p>That is why they keep getting filed.</p><p>Every time someone says &#8220;we should close the loopholes&#8221; in a campaign speech, the ones at the top of the list need to be named. Sitting in the Finance Committee. With cosponsors. With JCT scores. With a bill number. Ready for a vote that will not happen.</p><p>This is what functioning opposition looks like when the votes are not there. You name the exits. You file the bills. You put the score on the table. You make the people who vote it down do so on the record, not in the shadows. You write the thing the next administration will dust off when the political math temporarily changes, which it will, which is how the Inflation Reduction Act happened to contain most of the components of a 2009 climate bill that died.</p><p>None of that is satisfying. Satisfying is not what the work is. The work is keeping the exits named when almost nobody else bothers to.</p><p>Four bills this week. Same loophole. Same outcome. Same reason to file them anyway.</p><div><hr></div><p><em>The Ranter is also an animated investigative series on YouTube. New episodes drop Wednesdays. Subscribe at newsletter.theranter.com<br></em></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/p/every-president-since-2008-promised?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/p/every-president-since-2008-promised?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/subscribe?"><span>Subscribe now</span></a></p>]]></content:encoded></item><item><title><![CDATA[Why a Cartoon]]></title><description><![CDATA[The show starts Saturday April 18, 2026. Here is why it is animated, what it is about, and how it started.]]></description><link>https://newsletter.theranter.com/p/why-a-cartoon</link><guid isPermaLink="false">https://newsletter.theranter.com/p/why-a-cartoon</guid><dc:creator><![CDATA[TheRanter]]></dc:creator><pubDate>Fri, 17 Apr 2026 14:30:02 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/63c9df75-9a8e-4323-94eb-0346f83ada92_1920x1080.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>If this were a guy on camera, you would sort him in three seconds. Age, race, accent, haircut, the books on the shelf behind him. You would know which team he plays for before he finished his first sentence. And then everything he said would get filtered through that sort. Every receipt would land differently depending on whether you decided he was on your side or not.</p><p>Markus is a cartoon. You cannot figure out who he voted for by looking at him because there is nothing to look at. He is a drawing at a desk with a coffee cup and a stack of paper.</p><p>Which means you have to actually listen to what he says. That is the entire point.</p><div><hr></div><p>The British colonial government in Delhi had a cobra problem. Their solution: pay a bounty for every dead cobra. It worked. People brought in dead cobras. The numbers looked great. Then people started breeding cobras to collect the bounty. The government found out and cancelled the program. The breeders released the cobras. More cobras than before they started.</p><p>Nobody went back to check.</p><p>That is how most of the systems in this show work. We pass the fix. We declare victory. We move on. Nobody goes back to see what the fix actually did once it hit reality.</p><p>The ACA required insurers to spend 80% of premiums on care. Nobody went back to check. Insurers let costs rise because bigger costs mean a bigger 80%. The cost control rule made cost control unprofitable.</p><p>Prior authorization was supposed to prevent unnecessary procedures. Nobody went back to check. It is now used to deny necessary ones and bet that you will not appeal. A single doctor denied 121,000 claims in sixty days. Average review time per file: 1.2 seconds. That is not enough time to read a name.</p><p>Medicare fixed the coverage gap for seniors. Nobody went back to check. It paid doctors per procedure with no cost controls, so spending doubled in five years. The cost explosion created managed care. Managed care created the denial algorithm.</p><p>The fix bred the next machine. Every time.</p><div><hr></div><p>Before you fight about the solution, ask one question. Why does the other person see it differently?</p><p>Not &#8220;why are they wrong.&#8221; Why does it look that way from where they are sitting. What happened to them that makes this feel true. If you said what you are about to say, how would it land on someone who has had a completely different experience with the same system.</p><p>Most of the time, people are not lying. They are describing what the system looks like from their chair. The guy defending his employer health plan is not stupid. That plan kept his kid alive. The person screaming about insurance companies is not dramatic. That company denied her mother&#8217;s claim three times.</p><p>They are both right. They are both looking at the same machine from different seats. They will never figure that out if the first thing out of anyone&#8217;s mouth is &#8220;you are wrong.&#8221;</p><p>The show does not pick a chair. It shows you the machine.</p><div><hr></div><p>I have spent over a year on this.</p><p>Dossiers. Court filings. CMS data. SEC filings. Exposed lawsuits. Exposed internal documents. Congressional financial disclosures. Exposed internal algorithms. State insurance commissioner complaints. Exposed investor presentations where they brag about the thing they deny doing in public. A year of reading things that made my head feel like it was going to come apart.</p><p>At some point the information had nowhere to go. So it went to Reddit. Someone posts a six-figure hospital bill and I know exactly what happened and exactly what they should do and I cannot not answer. Someone asks why they cannot find out what anything costs before they walk into a doctor&#8217;s office and I write 400 words at midnight because the answer exists and nobody told them. A medical coder describes how their office stopped billing codes they know will get denied and I can see the mechanism underneath it. The denial disappears from the data but the cost shift does not.</p><p>That is how this started. Not a business plan. Not a content strategy. An overflowing head and a Reddit account.</p><div><hr></div><p>This stuff writes itself. That is not a figure of speech.</p><p>An egg company posted a 718% profit increase and blamed the chickens. A software company told every landlord in a city to raise rent at the same time and the Department of Justice had to get involved. The same drug costs $72,000 here and $800 in Canada. They filed 132 patents on it. None of them changed the molecule. They replaced your pension with a 401(k), charged you fees to manage it, and called it freedom. $27 million to Republicans. $25 million to Democrats. Same industry. Same cycle. Same spreadsheet.</p><p>You do not need a joke writer for that. You need someone to read it out loud and get out of the way.</p><p>Thirteen episodes. Healthcare, housing, food, student debt, labor, retirement, political money, and the media machine that turns the same receipts into two different stories depending on which channel you are watching. Every episode follows the same pattern. Here is the machine. Here is the fix they told you they made. Here is what happened when nobody went back to check. And here is what the research says would actually work.</p><p>One mechanism. One set of receipts. One thing you can actually do about it. A cartoon at a desk who keeps losing his train of thought and cannot find the off button on his microphone.</p><p>Comedy because you will actually sit through it. Nobody watches a 15-minute lecture from a stranger. But a rant from a guy with receipts who happens to be animated? You might.</p><div><hr></div><p>First episode drops Saturday, April 18 on YouTube. New episodes every Saturday for thirteen weeks. It starts with healthcare because that is where the money is the biggest and the paperwork is the thickest.</p><p>It is called &#8220;The House Always Wins.&#8221; Watch it here before anyone else.<br><a href="https://youtu.be/HPhriiVa91g">The Ranter Episode 01</a></p><div id="youtube2-HPhriiVa91g" class="youtube-wrap" data-attrs="{&quot;videoId&quot;:&quot;HPhriiVa91g&quot;,&quot;startTime&quot;:null,&quot;endTime&quot;:null}" data-component-name="Youtube2ToDOM"><div class="youtube-inner"><iframe src="https://www.youtube-nocookie.com/embed/HPhriiVa91g?rel=0&amp;autoplay=0&amp;showinfo=0&amp;enablejsapi=0" frameborder="0" loading="lazy" gesture="media" allow="autoplay; fullscreen" allowautoplay="true" allowfullscreen="true" width="728" height="409"></iframe></div></div><p>Every source, every document, every number is in the Case File at <a href="https://theranter.com/case-file/">theranter.com</a> What you do with them is your business.</p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/subscribe?"><span>Subscribe now</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/p/why-a-cartoon?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/p/why-a-cartoon?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p> </p>]]></content:encoded></item><item><title><![CDATA[The Other Things They Agree On]]></title><description><![CDATA[Same plumbing. Different mansions.]]></description><link>https://newsletter.theranter.com/p/the-other-things-they-agree-on</link><guid isPermaLink="false">https://newsletter.theranter.com/p/the-other-things-they-agree-on</guid><dc:creator><![CDATA[TheRanter]]></dc:creator><pubDate>Wed, 15 Apr 2026 01:45:26 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!0Ol0!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe553408a-7829-4c57-888a-d8390fbf05cc_1536x1024.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>By Markus Grant | The Ranter</p><p></p><p>Kelcy Warren co-founded Energy Transfer Partners, a Dallas pipeline company. In February 2021, Winter Storm Uri killed 246 Texans and left 4.5 million homes without power. Energy Transfer made approximately $2.4 billion in profits during the blackout by selling natural gas at unprecedented prices to desperate power generators.</p><p>Four months later, Warren donated $1 million to Greg Abbott&#8217;s campaign. It was four times his previous annual donations to the governor and the largest single contribution Warren had ever made to a Texas state politician. Abbott&#8217;s spokeswoman declined to comment on the specific donation.</p><p>University of Texas energy professor Michael Webber told the Texas Tribune that making a million-dollar political donation to reward a government for its light touch, while hundreds of people die, looked like a good return on investment.</p><p>Three months before the storm, Abbott&#8217;s appointees on the Public Utility Commission had discontinued the contract of the Texas Reliability Entity, the independent nonprofit that monitored electric providers&#8217; compliance with reliability standards.</p><p>JB Pritzker is worth approximately $3.9 billion. He self-funded two gubernatorial campaigns at a combined cost of $323 million, the all-time record for personal campaign spending in American history. He does not accept the governor&#8217;s salary.</p><p>His blind trust includes financial interests in at least 12 companies that collectively earned more than $20 billion in state contracts since he took office. Centene Corporation, the nation&#8217;s largest Medicaid managed care company, has been paid $20.6 billion through its Illinois subsidiary since 2019. Pritzker&#8217;s blind trust purchased Centene stock in 2020, after the company had already become one of Illinois&#8217;s most significant Medicaid vendors.</p><p>When reporters asked about the investment, Pritzker said he only learned of it &#8220;because a reporter called last week.&#8221;</p><p>One governor&#8217;s top donor made $2.4 billion from a storm that killed 246 people, then wrote a million-dollar check. The other governor&#8217;s trust bought stock in the company collecting $20.6 billion from the state he runs. Both arrangements were legal.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!0Ol0!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe553408a-7829-4c57-888a-d8390fbf05cc_1536x1024.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!0Ol0!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe553408a-7829-4c57-888a-d8390fbf05cc_1536x1024.png 424w, https://substackcdn.com/image/fetch/$s_!0Ol0!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe553408a-7829-4c57-888a-d8390fbf05cc_1536x1024.png 848w, https://substackcdn.com/image/fetch/$s_!0Ol0!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe553408a-7829-4c57-888a-d8390fbf05cc_1536x1024.png 1272w, https://substackcdn.com/image/fetch/$s_!0Ol0!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe553408a-7829-4c57-888a-d8390fbf05cc_1536x1024.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!0Ol0!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe553408a-7829-4c57-888a-d8390fbf05cc_1536x1024.png" width="1456" height="971" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/e553408a-7829-4c57-888a-d8390fbf05cc_1536x1024.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:971,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:2880067,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://newsletter.theranter.com/i/194249456?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe553408a-7829-4c57-888a-d8390fbf05cc_1536x1024.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!0Ol0!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe553408a-7829-4c57-888a-d8390fbf05cc_1536x1024.png 424w, https://substackcdn.com/image/fetch/$s_!0Ol0!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe553408a-7829-4c57-888a-d8390fbf05cc_1536x1024.png 848w, https://substackcdn.com/image/fetch/$s_!0Ol0!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe553408a-7829-4c57-888a-d8390fbf05cc_1536x1024.png 1272w, https://substackcdn.com/image/fetch/$s_!0Ol0!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe553408a-7829-4c57-888a-d8390fbf05cc_1536x1024.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><br></p><div><hr></div><p>Abbott has raised approximately $348 million over his political career, making him the most prolific fundraiser in Texas state political history. Texas has no contribution limits. The Associated Press reported that roughly 70 percent of his donations arrive in amounts of $10,000 or more.</p><p>A Texas Tribune analysis of 25 years of campaign finance records identified 39 donors who each contributed more than $1 million. That group contributed more than one fourth of his total haul. More than 43 percent of the 114 Abbott appointees to university and higher education boards have given more than $25,000 since he first ran for governor.</p><p>The mechanism is straightforward. The governor appoints people to boards that oversee universities, parks, utilities, and transportation. The people he appoints donate to his campaign. All but one of his 12 Parks and Wildlife Commission appointees donated, averaging $923,000 each.</p><p>A Lubbock developer named George McMahan told a reporter in 2018 how it works: &#8220;You make a large donation to the governor, and in turn you are eligible for appointment to the Board of Regents.&#8221; Abbott&#8217;s chief of staff called McMahan the next day. The donation was returned. McMahan was uninvited from a fundraiser. He told the Tribune his remarks had been taken out of context.</p><p>A September 2025 Public Citizen report found that donors to Abbott&#8217;s PAC received approximately $950 million in no-bid state contracts awarded under emergency declarations between 2020 and 2024. Eighty-nine contracts went to companies connected to Abbott donors. Public Citizen highlighted one example: Doggett Freightliners received two no-bid contracts totaling $1.6 million, the second finalized eight days after its CEO donated $500,000. The CEO had given $1.7 million total since 2014.</p><p>Public Citizen noted that the data does not indicate Abbott or his contributors broke the law.</p><p>Pritzker does not need donors. He is the donor. That is the structural difference, and it changes nothing about the mechanism.</p><p>In 2007, he and his wife purchased a 6,378-square-foot mansion adjacent to their primary Gold Coast residence for $3.7 million. In 2015, his wife directed a contractor to remove five toilets, reclassifying the property as uninhabitable. Cook County assessors dropped the mansion&#8217;s assessed value from $6.3 million to $1.1 million. The scheme saved the Pritzkers $331,432 in property taxes.</p><p>The Cook County Inspector General, a Democrat, concluded the toilet removal constituted a &#8220;scheme to defraud&#8221; taxpayers and found that false representations had been submitted in sworn affidavits about the mansion&#8217;s condition. The FBI opened an investigation in April 2019. No charges were ever filed.</p><p>Pritzker pledged to repay $330,000 the day after the report leaked, five weeks before the election. He fulfilled the pledge.</p><p>The governor worth $3.9 billion removed five toilets from a mansion to save $331,000. That is 0.008 percent of his net worth. The scheme was not about the money. At that level, it never is. It was about the habit.</p><div><hr></div><p>Both governors picked a fight designed for the highlight reel.</p><p>Abbott built a national brand on border security. Operation Lone Star, launched in March 2021, deployed the Texas National Guard and state troopers to the U.S.-Mexico border. The operation has cost Texas taxpayers more than $11 billion through 2025. Abbott bused migrants from Texas border towns to New York, Chicago, Denver, and Washington, D.C., generating sustained national media coverage.</p><p>The border fight drove small-dollar donations and cemented Abbott&#8217;s position as a national Republican figure. Oil and gas remained his top industry sector at $7.5 million in 2022. Real estate gave $4.2 million. Securities and investment gave $3.6 million. The culture war brand did not cost him his donor base. It amplified it.</p><p>Pritzker built a national brand as the progressive governor who does things. Cannabis legalization with expungement of 800,000 records. Assault weapons ban. Cash bail elimination. Minimum wage to $15. Each policy came with a signing ceremony and a national news cycle. After the graduated income tax amendment failed at the ballot box in 2020, Pritzker blamed &#8220;billionaires and special interests&#8221; for spending $54 million to defeat it. He had spent $56 million of his own money promoting it.</p><p>The progressive brand generates national visibility and presidential speculation. It costs him nothing from his donor base because he is his own donor base. The $323 million in self-funding makes him structurally immune to the donor pressure other governors face. And that structural immunity makes the blind trust intersection more difficult to explain, not less. Nobody forced Pritzker&#8217;s trust to buy Centene stock. There was no donor to please. The structural incentive was sufficient: the state was sending Centene $20.6 billion.</p><p>Abbott wears Fighter Identity armor. If you are always deploying the National Guard, nobody scrolls down to the $950 million in no-bid contracts or the $1 million check from the pipeline CEO whose company profited from 246 deaths.</p><p>Pritzker wears Business Credential armor. &#8220;I spent $56 million trying to raise my own taxes&#8221; absorbs every question about the $20.6 billion in Centene contracts, the stock purchase, and the toilets. The progressive record makes the business conflicts invisible because the credential is louder than the receipt.</p><div><hr></div><p>Both governors have done real things that cut against the mechanism.</p><p>Abbott signed mandatory weatherization requirements for power generators and natural gas infrastructure after the storm. Fines of up to $1 million per violation. His own energy donors bear compliance costs. He directed the PUC to investigate CenterPoint Energy after Hurricane Beryl and the attorney general opened a criminal investigation. He signed three rounds of property tax relief totaling over $30 billion, constraining local government revenue in ways some of his real estate donors would not prefer.</p><p>The weatherization law had a loophole. Natural gas companies could opt out if regulators did not designate their facilities as &#8220;critical,&#8221; and companies had input on that designation. The timeline allowed compliance to be delayed until 2023. No legislation clawed back Energy Transfer&#8217;s $2.4 billion in storm profits. But the law existed, the fines were real, and the compliance burden was imposed on the industry that funds his campaigns.</p><p>Pritzker signed a minimum wage increase to $15 that directly raised labor costs for Hyatt Hotels, the family business. He spent $56 million promoting a tax increase on himself. He legalized cannabis with social equity provisions that generated no documented personal financial benefit. He does not take the governor&#8217;s salary. He achieved the first credit rating upgrades for Illinois in over 20 years.</p><p>The Centene stock purchase happened after he took office. His administration approved a Centene acquisition that required gubernatorial review. His trust had no formal policy against investing in state contractors. He signed his annual ethics disclosures listing the holdings under penalty of law, then told reporters he did not know the holdings existed until a reporter asked. But the minimum wage cost Hyatt real money, the tax amendment cost him $56 million, and the credit upgrades required fiscal discipline that his progressive base did not always reward.</p><p>The mechanism is not total capture. It is selective alignment. Both governors choose which fights to have. Abbott fights the border. Pritzker fights for progressive policy with his name on it. The fights are real. The structural conflicts are also real. They coexist, and the fight absorbs the attention that would otherwise land on the conflict.</p><p>A $1 million check from a pipeline CEO after a storm kills 246 people does not trend the same week as a border bus to Chicago. A $20.6 billion Medicaid contract with a company the governor&#8217;s trust owns stock in does not compete with a cannabis legalization signing ceremony. A $950 million no-bid contract portfolio does not fit in a campaign ad. A toilet scheme worth $331,000 does not define a $3.9 billion governor who spent $56 million trying to raise his own taxes.</p><p>The other things they agree on are the things that never make the highlight reel.</p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/subscribe?"><span>Subscribe now</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/p/the-other-things-they-agree-on?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/p/the-other-things-they-agree-on?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><div><hr></div><p><strong>SOURCES</strong></p><p><strong>Energy Transfer / Winter Storm Uri:</strong> Energy Transfer $2.4B profits: Reuters, May 2021; Bloomberg, May 2021; S&amp;P Global, May 2021. Death toll (246 official): Texas Tribune, January 2022; NPR, January 2022. BuzzFeed News excess mortality analysis (702 estimated): BuzzFeed News GitHub, May 2021.</p><p><strong>Warren Donation / PUC:</strong> Warren $1M donation, 4x prior, largest to a Texas state politician: Texas Observer, July 2021; Texas Tribune, August 2021; Business Insider, August 2021. Webber quote: Texas Tribune, October 2022. PUC discontinued Texas Reliability Entity: Texas Standard/Houston Chronicle, February 2021; RTO Insider, October 2020.</p><p><strong>Abbott Fundraising / Appointments:</strong> $348M career total, 39 million-dollar donors, 43% university/higher ed appointees, Parks &amp; Wildlife averages, McMahan quote: Texas Tribune, October 2022. 70% of donations $10K+: AP via Texas Standard, February 2019. OpenSecrets 2022 industry breakdown.</p><p><strong>No-Bid Contracts:</strong> $950M in no-bid contracts, 89 contracts, Doggett example: Public Citizen &#8220;Awarding Influence,&#8221; September 2025 (press release and full PDF report).</p><p><strong>Pritzker Wealth / Self-Funding / Blind Trust:</strong> $3.9B net worth: Forbes. $323M self-funded: Illinois Policy Institute, April 2023; NPR, October 2018. Governor&#8217;s salary declined: Chicago Tribune, November 2018. 12 companies/$20B+ state contracts: BGA/WTTW, August 2022; Illinois Policy Institute, August 2022. Centene $20.6B and stock purchase: BGA, February 2022; Illinois Answers Project, February 2022; ABC 7 Chicago. Centene CEO meeting/Wellcare: Illinois Answers Project, August 2022. &#8220;Because a reporter called last week&#8221;: BGA, February 2022.</p><p><strong>Toilet Scheme:</strong> Mansion purchase: Chicago Tribune, October 2018. Five toilets, assessment drop, $331,432 savings, &#8220;scheme to defraud&#8221;: Cook County IG via NPR, October 2018; Chicago Tribune, October 2018; Business Insider/AP. FBI investigation: WTTW, April 2019; WILL Illinois Radio, April 2019; Illinois Policy Institute, July 2020. Repayment: Chicago Tribune, October 2018.</p><p><strong>Operation Lone Star:</strong> More than $11B: Texas Tribune, January 2025 (Abbott reimbursement request); ILRC report, February 2025; El Pa&#237;s, March 2025. Migrant busing: NBC News, December 2023; Fox News, February 2024; Texas Tribune, December 2023. Industry contributions 2022: OpenSecrets.</p><p><strong>Pritzker Progressive Record:</strong> Cannabis/800K expungements: WTTW, June 2019; CNN, June 2019. $56M vs. $54M graduated income tax: CNBC, September 2020; WTTW, November 2020; Jacobin, November 2020.</p><p><strong>Counter-Evidence (Abbott):</strong> SB 3 weatherization, fines up to $1M/violation: NPR, June 2021. Loophole: Texas Tribune, September 2021; News4 San Antonio, October 2021. CenterPoint investigation: Texas Tribune, July 2024; Washington Examiner, August 2024. Property tax relief $22.7B + $10B: Texas Senate press, June 2025; FOX 4 Dallas; KSAT San Antonio.</p><p><strong>Counter-Evidence (Pritzker):</strong> $15 minimum wage: PBS NewsHour, February 2019. Credit upgrades first in 20+ years: ABC 7 Chicago, June 2021; Illinois Senate Democrats.</p><p><strong>Appointments / Zalewski / Madigan:</strong> Zalewski ICC appointment and resignation: RTO Insider, March 2023; Chicago Tribune, March 2023; NPR/WBEZ, July 2020; Illinois Policy Institute, July 2020. Madigan appointment list: Courthouse News, December 2024; Illinois Policy Institute/WBEZ, November 2020; Yahoo News, December 2024.</p>]]></content:encoded></item><item><title><![CDATA[The Things They Agree On]]></title><description><![CDATA[Ron DeSantis and Gavin Newsom disagree on everything except the parts that pay.]]></description><link>https://newsletter.theranter.com/p/the-things-they-agree-on</link><guid isPermaLink="false">https://newsletter.theranter.com/p/the-things-they-agree-on</guid><dc:creator><![CDATA[TheRanter]]></dc:creator><pubDate>Sat, 11 Apr 2026 03:12:10 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!HCKP!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa13d3c1a-d411-4f53-b7bd-c5b9ebc11cfa_1024x1536.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>By Markus Grant | The Ranter</p><div><hr></div><p>Ron DeSantis appointed all five members of the Florida Public Service Commission. In November 2025, those five commissioners approved a $6.9 billion rate hike for Florida Power &amp; Light, widely described as the largest for a single utility in American history. Twelve million Floridians will pay an average of $175 more per year starting in January 2026, climbing to $289 more by 2028. The Office of Public Counsel (the state&#8217;s official consumer advocate) opposed FPL&#8217;s proposal and was excluded from the final settlement. Twenty-nine elected officials from both parties wrote a letter asking DeSantis to intervene. He did not.</p><p>Gavin Newsom appointed all five members of the California Public Utilities Commission. In July 2019, those five commissioners watched him sign Assembly Bill 1054, creating a $21 billion wildfire liability fund for investor-owned utilities, including PG&amp;E, which was in bankruptcy at the time for killing 85 people. The law changed the liability standard so that utilities are presumed to have acted responsibly after obtaining a safety certificate. Ratepayers pay $10.5 billion of that fund through monthly surcharges. In 2022, state regulators approved PG&amp;E&#8217;s safety certification. PG&amp;E then accessed over $609 million from the ratepayer-funded wildfire fund to cover damages from the Dixie Fire, which PG&amp;E&#8217;s own equipment had started.</p><p>One is a Republican in Florida. The other is a Democrat in California. They agree on one thing that neither will say out loud: the governor appoints the regulators, and the regulated pay the governor.<br></p><div><hr></div><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!HCKP!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa13d3c1a-d411-4f53-b7bd-c5b9ebc11cfa_1024x1536.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!HCKP!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa13d3c1a-d411-4f53-b7bd-c5b9ebc11cfa_1024x1536.png 424w, https://substackcdn.com/image/fetch/$s_!HCKP!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa13d3c1a-d411-4f53-b7bd-c5b9ebc11cfa_1024x1536.png 848w, https://substackcdn.com/image/fetch/$s_!HCKP!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa13d3c1a-d411-4f53-b7bd-c5b9ebc11cfa_1024x1536.png 1272w, https://substackcdn.com/image/fetch/$s_!HCKP!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa13d3c1a-d411-4f53-b7bd-c5b9ebc11cfa_1024x1536.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!HCKP!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa13d3c1a-d411-4f53-b7bd-c5b9ebc11cfa_1024x1536.png" width="1024" height="1536" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/a13d3c1a-d411-4f53-b7bd-c5b9ebc11cfa_1024x1536.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1536,&quot;width&quot;:1024,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:3566422,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://newsletter.theranter.com/i/193854344?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa13d3c1a-d411-4f53-b7bd-c5b9ebc11cfa_1024x1536.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!HCKP!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa13d3c1a-d411-4f53-b7bd-c5b9ebc11cfa_1024x1536.png 424w, https://substackcdn.com/image/fetch/$s_!HCKP!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa13d3c1a-d411-4f53-b7bd-c5b9ebc11cfa_1024x1536.png 848w, https://substackcdn.com/image/fetch/$s_!HCKP!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa13d3c1a-d411-4f53-b7bd-c5b9ebc11cfa_1024x1536.png 1272w, https://substackcdn.com/image/fetch/$s_!HCKP!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa13d3c1a-d411-4f53-b7bd-c5b9ebc11cfa_1024x1536.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>DeSantis received over $3 million from FPL and a network of business front groups and dark money nonprofits that FPL helps fund, per the investigative newsletter Seeking Rents. FPL&#8217;s parent company, NextEra Energy, and its subsidiaries poured nearly $6 million into Florida state campaigns during the 2022 cycle alone, per the Energy and Policy Institute. Before the rate hike, DeSantis signed legislation that forced the resignation of J.R. Kelly, the longtime head of the Office of Public Counsel who had fought previous FPL increases. Kelly&#8217;s replacement was a former utility lobbyist. DeSantis also signed a bill granting FPL permission to charge customers tens of billions for burying power lines, signed legislation preventing local gas bans that benefited FPL&#8217;s sister company Florida City Gas, and gave the company $2.75 million in tax breaks on speculative green hydrogen projects.</p><p>Four years before the $6.9 billion approval, DeSantis&#8217;s PSC approved a separate $5 billion rate hike for FPL. All four of his appointees voted for the deal. Consumer groups appealed to the Florida Supreme Court. FPL&#8217;s lawyers argued the deal should stand because the Office of Public Counsel supported it. The same Office of Public Counsel whose director DeSantis had replaced.</p><p>Newsom&#8217;s utility math runs through his wife. PG&amp;E&#8217;s corporate foundation donated $358,000 to Jennifer Siebel Newsom&#8217;s nonprofit, The Representation Project, between 2011 and 2018. The Washington Post found that Newsom, his wife, and various political causes received upward of $700,000 from PG&amp;E over approximately two decades. The most recent cycle added another $700,000 through direct contributions and funding for Siebel Newsom&#8217;s film ventures, per California Courier News. PG&amp;E employees gave $58,400 directly to his 2018 campaign. Blue Shield of California gave nearly $23 million to his campaigns and associated causes over sixteen years, per California Healthline.</p><p>In 2018, 979 state vendors gave Newsom $10.5 million in campaign donations across his various election cycles. Those same companies received $6.2 billion in state payments. Open the Books, the nonprofit that compiled the data after filing 442 public records requests, noted that pay-to-play is legal in California because no statewide prohibition exists.</p><p>The governor appoints the regulators. The regulated pay the governor. The mechanism does not require a party.</p><div><hr></div><p>Both governors married well for the job.</p><p>Casey DeSantis founded the Hope Florida initiative, a welfare program operating through the Florida Department of Children and Families. The Hope Florida Foundation, its fundraising arm, received $10 million from Centene Corporation in September 2024. Centene is Florida&#8217;s largest Medicaid managed care contractor, operating under state contracts worth hundreds of millions.</p><p>Within days, the Foundation granted $5 million each to two 501(c)(4) dark money organizations. Both organizations had submitted grant proposals promising the money would not be used for political activity. Both redistributed the funds to Keep Florida Clean, a political committee chaired by James Uthmeier, DeSantis&#8217;s Chief of Staff. Keep Florida Clean sent $10.5 million to the Republican Party of Florida and $1.1 million to the Florida Freedom Fund, DeSantis&#8217;s personal PAC. Uthmeier chaired both.</p><p>DeSantis had also made Hope Florida a condition for Medicaid managed care operators selected to receive over $165 billion in contracts, the largest procurement in Florida history, per Politico. If you wanted one of those contracts, supporting the First Lady&#8217;s initiative was part of the application.</p><p>A Republican state representative, Alex Andrade of Pensacola, stated publicly that he was firmly convinced Uthmeier and Foundation attorney Jeff Aaron engaged in a conspiracy to commit money laundering and wire fraud. A Florida grand jury heard evidence in October 2025. The Florida House investigation halted after the Foundation refused to cooperate. The Republican-controlled legislature defunded Hope Florida in June 2025.</p><p>Jennifer Siebel Newsom runs The Representation Project, a nonprofit, and Girls Club Entertainment, a for-profit film production company. The nonprofit has paid the for-profit $1.64 million since 2012 for film production and licensing rights, disclosed as related-party transactions on IRS Form 990 filings. California public schools have paid approximately $1.5 million in licensing fees for her documentaries. The standard license is $270.</p><p>The shared donors between Newsom&#8217;s campaigns and his wife&#8217;s nonprofit include AT&amp;T, Comcast, PG&amp;E, and Kaiser Permanente. Companies regulated by agencies whose commissioners the governor appoints, donating to the governor&#8217;s wife&#8217;s organization, which then pays the governor&#8217;s wife&#8217;s company.</p><p>Nobody has been charged in either state. Everything documented here was legal at the time it happened.</p><div><hr></div><p>Both governors also picked a fight they could not lose.</p><p>DeSantis went to war with Disney over the company&#8217;s criticism of the Parental Rights in Education Act. He signed legislation revoking Disney&#8217;s self-governing status in the Reedy Creek Improvement District, appointed a new oversight board, and spent over a year in litigation. The board budgeted $4.5 million for legal fees in 2024 alone. Disney canceled a planned $1 billion employee campus in Orlando.</p><p>Then it ended. Disney settled in March 2024, conceding the old development agreements were null and void. DeSantis replaced two Disney critics on the board with Disney supporters the day before the settlement. The Parental Rights Act had already been largely overturned by a court two weeks earlier. The fight was over. The fundraising content it generated was permanent.</p><p>DeSantis&#8217;s 2022 reelection raised $166.5 million. The culture war machinery, including the Disney fight, drove small-dollar contributions and Republican Governors Association transfers totaling $14.35 million. The fight did not cost him Disney&#8217;s money. Lodging and tourism remained his second largest contributing sector at $10.3 million in 2022, behind only Republican ideological organizations.</p><p>Newsom campaigned for governor on single-payer healthcare. The California Nurses Association endorsed him. They toured the state with a bus bearing his image and the slogan &#8220;Nurses Trust Newsom.&#8221; In January 2022, Assemblymember Ash Kalra introduced AB 1400, the California Guaranteed Health Care for All Act. The bill cleared the Assembly Health Committee 10 to 1. Then it died without a floor vote.</p><p>Newsom told reporters the bill had not been presented to him. CalMatters reported that as the bill marched toward defeat, the governor remained mum.</p><p>Blue Shield of California, which had given nearly $23 million to Newsom&#8217;s campaigns and causes over sixteen years, had $27.4 billion in annual revenue. A single-payer system would restructure every dollar of it. Every major health insurer with a California Medicaid contract had donated to Newsom. Centene gave $121,600 in 2018. UnitedHealth gave $63,400 plus subsequent contributions. The industry that would be eliminated by the policy Newsom promised spent millions ensuring he stayed in office. The bill never reached his desk. He expressed no objection to that outcome.</p><p>The fight he could not lose was the fight he never had. Disney cost DeSantis a year of litigation and a billion-dollar campus cancellation. Single-payer cost Newsom nothing. He kept the campaign promise on his website and the industry contributions in his account, and the bill died in a chamber his party controlled by a supermajority.</p><p>DeSantis wears Fighter Identity armor. The permanent appearance of combat. If you are always at war with Disney, nobody asks about the $6.9 billion rate hike his appointees approved five months later. The fight absorbs the attention. The utility math happens in the background.</p><p>Newsom wears Business Credential armor. PlumpJack, the wine empire co-founded with a billionaire heir, is estimated at over $400 million by Forbes. The blind trust. The $13 million reelection. The &#8220;pro-business progressive&#8221; who signs 31 housing bills and launches a state-branded insulin program. The credential makes the donor alignment sound like competence rather than capture. &#8220;I believe in markets AND government&#8221; is unfalsifiable, even when 979 vendors have receipts.</p><div><hr></div><p>Both governors have done real things that cut against the money.</p><p>DeSantis fought Disney when the donor class wanted him to stop. Republican senators confirmed his PSC picks 40-0 and 36-0 and 35-1, but the Disney battle drew open criticism from members of his own party and from Trump&#8217;s campaign operation. He spent political capital on a culture war fight that his donor base in lodging and tourism had every reason to oppose. The fight was real, even if it was also useful.</p><p>Newsom launched CalRx and released state-branded insulin at $11 per pen, bypassing commercial pharmaceutical supply chains. He signed an oil well setback law banning new drilling within 3,200 feet of homes and schools. The oil industry spent over $20 million on a referendum to repeal it. They withdrew before voters could decide. He expanded Medi-Cal to cover 1.6 million undocumented immigrants at a cost of $9.5 billion per year, a program commercial health insurers had financial reason to oppose. He signed the most aggressive corporate climate disclosure laws in the country, covering over 5,300 companies, including many of his own donors.</p><p>The mechanism is not total capture. Governors retain selective independence. They choose which fights to have, and the selection is not random. DeSantis picks culture wars. Newsom picks consumer-facing policy with his name on it. The fights they choose are visible. The fights they avoid are where the money sits.</p><p>A $6.9 billion rate hike does not fit on a bumper sticker. A dead single-payer bill does not make the highlight reel. A $21 billion wildfire fund with $10.5 billion in ratepayer surcharges does not generate small-dollar donations. A First Lady&#8217;s charity routing $10 million through dark money organizations does not trend on the same timeline as a Disney lawsuit.</p><p>The things they agree on are the things neither one talks about.<br></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/p/the-things-they-agree-on?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/p/the-things-they-agree-on?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/subscribe?"><span>Subscribe now</span></a></p><div><hr></div><p><strong>SOURCES</strong></p><p>DeSantis PSC/FPL: Florida Phoenix, November 2025 (PSC approval of $6.9B rate hike). Food &amp; Water Watch, November 2025. Jason Garcia/Seeking Rents, September 2022 ($3M+ from FPL network, $5B rate hike, all DeSantis appointees voted yes, Public Counsel replacement). Energy and Policy Institute, 2022 (~$6M NextEra state-level contributions). Florida Phoenix, February 2026 (new PSC commissioners, $945M base-rate increase 2026). Food &amp; Water Watch, April 2026 (PSC denied reconsideration, case to FL Supreme Court). WUSF, November 2025.</p><p>Casey DeSantis/Hope Florida: Tampa Bay Times/Miami Herald campaign finance records review, April 2025 ($10M flow). NYT, April and October 2025 (investigation, grand jury). Politico, April 2025 (Medicaid settlement origin, $165B contract condition). CBS Miami (House investigation halted, Andrade quote). WUSF (timeline). ProPublica Nonprofit Explorer (Foundation Form 990). Florida Politics (defunding).</p><p>Newsom CPUC/PG&amp;E: Washington Post, November 2019 ($700K over two decades). California Courier News, 2025 ($700K recent cycle). OpenSecrets, 2018 ($58,400 direct). California Healthline, March 2021 (Blue Shield $23M over 16 years). Open the Books/Substack ($10.5M from 979 vendors, $6.2B in state payments, 442 CPRA requests). Nossaman law firm analysis, July 2019 (AB 1054 structure). KQED, August 2019. PG&amp;E Application No. A.2511001/CPUC filing, November 2025 ($609M Wildfire Fund reimbursements for Dixie Fire). Office of Energy Infrastructure Safety, December 2022 (2022 safety certification).</p><p>Siebel Newsom: IRS Form 990 filings via Open the Books ($1.64M to Girls Club Entertainment, $150K salary). Washington Post ($358K PG&amp;E Foundation donations). L.A. Times (shared donors).</p><p>DeSantis/Disney: Wikipedia/Disney v. DeSantis (timeline, settlement March 2024). CNBC, April-May 2023 (lawsuit filing, expansion). AllEars, September 2023 ($4.5M litigation budget). NPR, March 2024 (settlement). Axios, November 2023 ($40.3B economic impact). Transparency USA ($166.5M raised, $10.3M lodging/tourism 2022).</p><p>Newsom/single-payer: CalMatters (AB 1400 timeline, &#8220;governor remained mum&#8221;). NYT, 2018 (campaign positioning). California Healthline (CNA endorsement, bus tour). OpenSecrets (Centene $121,600, UnitedHealth $63,400).</p><p>Newsom counter-evidence: Governor&#8217;s office/Civica Rx, October 2025 (CalRx $11 insulin). CalMatters (oil industry withdrew $20M referendum). Governor&#8217;s office, 2022 (Medi-Cal expansion, 1.6M covered, $9.5B/year). Crowell &amp; Moring analysis (SB 253, SB 261 climate disclosure). Forbes, October 2025 (PlumpJack valuation).</p><p>DeSantis counter-evidence: Disney fight drew intra-party criticism. Lodging/tourism sector continued donating ($10.3M, 2022). AP News, March 2024 (settlement terms).</p>]]></content:encoded></item><item><title><![CDATA[The Field Guide to Political Armor]]></title><description><![CDATA[Every shield has a pattern. Here is the field guide.]]></description><link>https://newsletter.theranter.com/p/the-field-guide-to-political-armor</link><guid isPermaLink="false">https://newsletter.theranter.com/p/the-field-guide-to-political-armor</guid><dc:creator><![CDATA[TheRanter]]></dc:creator><pubDate>Tue, 07 Apr 2026 22:30:54 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!vnNk!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7be6e893-6b3f-4f69-ace9-f3fb5fed3e78_2440x2434.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Every person in this series has a public record. Exposed money. Exposed votes. Exposed connections. And none of it matters, because each has armor that prevents the receipts from reaching the person underneath. You cannot question their integrity because the armor answers the question before you ask it. You cannot question their motives because the armor provides a more acceptable one.</p><p>The armor takes different forms. Some wear plate mail: ancient, visible, heavy. Everyone can see it. Nobody dares swing at it. Some wear a bulletproof vest under the suit: invisible until you check the filings. Some wear chain mail: flexible, layered, shifting to fit whatever shape the news cycle demands. Some wear camouflage: you cannot target what you cannot distinguish from the noise.</p><p>Here is the catalog.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!vnNk!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7be6e893-6b3f-4f69-ace9-f3fb5fed3e78_2440x2434.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!vnNk!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7be6e893-6b3f-4f69-ace9-f3fb5fed3e78_2440x2434.png 424w, https://substackcdn.com/image/fetch/$s_!vnNk!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7be6e893-6b3f-4f69-ace9-f3fb5fed3e78_2440x2434.png 848w, https://substackcdn.com/image/fetch/$s_!vnNk!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7be6e893-6b3f-4f69-ace9-f3fb5fed3e78_2440x2434.png 1272w, https://substackcdn.com/image/fetch/$s_!vnNk!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7be6e893-6b3f-4f69-ace9-f3fb5fed3e78_2440x2434.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!vnNk!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7be6e893-6b3f-4f69-ace9-f3fb5fed3e78_2440x2434.png" width="1456" height="1452" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/7be6e893-6b3f-4f69-ace9-f3fb5fed3e78_2440x2434.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1452,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:2816228,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://newsletter.theranter.com/i/193507804?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7be6e893-6b3f-4f69-ace9-f3fb5fed3e78_2440x2434.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!vnNk!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7be6e893-6b3f-4f69-ace9-f3fb5fed3e78_2440x2434.png 424w, https://substackcdn.com/image/fetch/$s_!vnNk!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7be6e893-6b3f-4f69-ace9-f3fb5fed3e78_2440x2434.png 848w, https://substackcdn.com/image/fetch/$s_!vnNk!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7be6e893-6b3f-4f69-ace9-f3fb5fed3e78_2440x2434.png 1272w, https://substackcdn.com/image/fetch/$s_!vnNk!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7be6e893-6b3f-4f69-ace9-f3fb5fed3e78_2440x2434.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h6 style="text-align: center;">Image: Equipment Manifest. Armor illustrations generated with AI. All data from public records.<br></h6><div><hr></div><h5><strong>The Faith Shield</strong> <em>(Plate Mail)</em></h5><p>This is the one that locks the door.</p><p>Mike Johnson told reporters that if they wanted to understand his worldview, they should pick up a Bible. His oil and gas contributions are the largest of any sector in his portfolio. His lifetime League of Conservation Voters score is 2 percent. [1] He is also the Speaker of the House. Nothing reaches the floor without his consent. His Super PAC, the Congressional Leadership Fund, has received more than $10 million from fossil fuel interests, including Chevron, Valero, Koch Industries, Occidental Petroleum, ConocoPhillips, Devon Energy, and the American Petroleum Institute. [2] His first act as Speaker included cutting energy efficiency rebates from the Inflation Reduction Act.</p><p>When a reporter asks why a bill died or why a vote was never scheduled, the available answer is not &#8220;because his top donors fund the fossil fuel industry.&#8221; The available answer is that the Speaker prays on these decisions. Johnson described himself as a &#8220;reluctant&#8221; Speaker, placed in the role by God&#8217;s design. [3] The gavel and the Bible occupy the same hand. If the Speaker was placed there by divine authority, opposing his agenda requires opposing God&#8217;s plan.</p><p>The shield works across the aisle. It works across religions.</p><p>Hakeem Jeffries is the House Democratic Leader. First Black person to hold the top leadership position in either chamber. Lead Democratic sponsor of the First Step Act. AFL-CIO score: 100 percent. [23] That is the armor.</p><p>His top career contributor is AIPAC, at $933,415. [24] Career total from pro-Israel organizations: $1.74 million, among the highest of any current House member. [25] Career total from securities and investment: $3 million. He told a WNYC radio host that AIPAC &#8220;can contribute, in a given election cycle, $5,000 or $10,000 per cycle, that&#8217;s it.&#8221; [27] That was the direct PAC maximum. It did not account for the conduit operation: AIPAC&#8217;s earmarking website has delivered more than $1 million to his campaign through donations that appear in FEC filings as individual contributions. [26]</p><p>He rejected calls for a ceasefire in November 2023. He voted for the $26.38 billion Israel military supplemental and the IHRA antisemitism definition in April 2024. [28] He met with Netanyahu in April 2025. Palestinian activists confronted him at Harvard in June. By July, he called for restoration of the Biden ceasefire deal. By August, he accepted a J Street endorsement for the first time. The contributions came first. The positions shifted after the protests. He met with Progressive Caucus leaders who asked him to keep AIPAC out of Democratic primaries. He took no action afterward. Johnson&#8217;s shield is Scripture. Jeffries&#8217;s shield is that the question sounds like something an antisemite would ask. Different material. Same function.</p><p>He broke with AIPAC once, on the Iran nuclear deal in 2015. That was eleven years ago. His pro-Israel contributions have more than tripled since. The $26.38 billion military supplemental vote came nine years later. The armor does not require total capture. It requires that the question cannot be asked without triggering a defense that has nothing to do with the money.</p><p>Bob Menendez tried the same shield in front of a federal courthouse. He told reporters he had faith in God and the jury. Menendez was not widely known for public displays of faith before the indictment. He found God around the same time investigators found the gold bars and the cash in the jacket. To be fair, his situation may have genuinely required divine intervention. The jury was not moved. Sixteen counts. Eleven years. [4] Johnson faces an electorate that already agrees with the Bible. Lucky for Menendez, the courts moved past the Old Testament.</p><div><hr></div><h5><strong>The Populist Brand</strong> <em>(Chain Mail)</em></h5><p>The outsider identity that absorbs financial scrutiny by redirecting it. &#8220;I fight the system&#8221; is the brand. The money comes from the system.</p><p>JD Vance wrote a memoir about poverty in Appalachia. It became a bestseller, then a movie. The memoir is the armor. Underneath it: Vance co-founded Narya Capital, a venture firm backed by Peter Thiel, and retains 56.4 percent carried interest rights on the fund&#8217;s first $7 million in profits. [5] That is the same carried interest loophole this series has tracked across three articles. Thiel invested $15 million in Vance&#8217;s 2022 Senate campaign, the largest individual contribution to any Senate race that cycle. [6] Thiel also co-founded Palantir Technologies. When the Trump-Vance administration took office, Palantir was worth approximately $170 billion. By April 2026, it had grown past $350 billion, driven by expanding federal contracts in defense, immigration enforcement, and AI. [7]</p><p>The memoir is on the bookshelf. The carried interest is in the financial disclosure. The Palantir contracts are in the federal procurement database. All three are public. The memoir is the one people have read.</p><div><hr></div><h5><strong>The Fighter Identity</strong> <em>(Camouflage)</em></h5><p>A variant of the populist brand, stripped down to pure combativeness. The fighter does not need a cause. The fighter needs a camera.</p><p>Jim Jordan received $1.89 million from the Republican/Conservative ideological sector in a single cycle without chairing a committee with jurisdiction over any industry that benefits from a specific vote. [8] Chip Roy holds a 98 percent lifetime score from Heritage Action while Americans for Prosperity defended his seat in a competitive primary. [9] Lauren Boebert received $236,895 from oil and gas and introduced a bill to block BLM lease reforms on federal land. [10] Three members. Three different funding structures. The same armor: if you are always fighting on camera, nobody stops to read the donor filings.</p><div><hr></div><h5><strong>The Business Credential</strong> <em>(Bulletproof Vest)</em></h5><p>&#8220;I vote my principles, not my donors&#8221; is the defense. The principles happen to align perfectly with the donor portfolio.</p><p>Ted Cruz of Texas has received $6.5 million in career contributions from the securities and investment sector and $5.5 million from oil and gas. His wife, Heidi Cruz, is a managing director at Goldman Sachs. [11]</p><p>In 2024, Cruz led the Congressional Review Act resolution to overturn the Department of Energy&#8217;s energy efficiency standards for residential gas furnaces. The standards, finalized in 2023, would have cut household utility costs by an estimated $1.5 billion annually and $24.8 billion over 30 years, according to the DOE. The Senate passed the resolution 50 to 45. The American Gas Association and the gas appliance manufacturing lobby supported the rollback. Cruz framed it as protecting consumer choice. [12]</p><p>The business credential makes the alignment sound like philosophy. &#8220;I believe in free markets&#8221; is unfalsifiable as a motive claim even when the PAC money is documented and the wife works at the investment bank. The $5.5 million from oil and gas is Texas. Nobody blinks. It is so expected it functions as camouflage for the $6.5 million from securities and investment, which is the sector his wife&#8217;s employer belongs to. Both numbers are public record. One of them is a bumper sticker. The other one requires a search on OpenSecrets.</p><div><hr></div><h5><strong>The Catalog</strong> <em>(Deflector Shield)</em></h5><p>Johnson quoted Scripture while his Super PAC cashed checks from Chevron. Jeffries told a radio host AIPAC can only give $10,000 while FEC records show a million. Menendez invoked God outside the courthouse. Vance holds 56.4 percent carried interest from the fund that made him. Cruz&#8217;s wife works at Goldman while he campaigns against Wall Street elites. Jordan&#8217;s top donor category is ideology itself. Tuberville missed 130 disclosure deadlines and called restrictions &#8220;ridiculous.&#8221; Booker reversed on pharma. Sinema removed the carried interest fix and left. Hawley published the op-ed seven weeks before the vote. Tauzin collected $11.6 million to defend the law he wrote. Toomey, Bayh, and Manchin all landed at Apollo. Gottlieb joined Pfizer&#8217;s board 83 days after leaving the FDA.</p><p>Thirty-three names across four articles. Both parties.</p><p>None of them broke a law.</p><p>You have read that sentence three times now. It has not stopped being true.</p><div><hr></div><p>Two questions belong at the end of every armor assessment. They were banked at the start of this series. Here they are.</p><p><strong>What would have to be true for this to be wrong?</strong></p><p>For the armor to be genuine rather than functional, every financial relationship would have to be coincidental. Every contribution that matched a committee assignment. Every post-office hire that matched a regulatory portfolio. Every carried interest provision that survived every Congress. The $11.6 million Tauzin earned at PhRMA would have to be unrelated to the law he wrote. The $15 million from Thiel would have to be philanthropy. The $10 million in CLF oil money would have to be unrelated to the Speaker&#8217;s floor schedule. The $933,415 from AIPAC would have to be unrelated to the $26.38 billion supplemental vote. All of it. Every time.</p><p><strong>Has this person ever paid a price for being wrong?</strong></p><p>Menendez got 11 years. One name out of thirty-three. Tauzin was never charged. Daschle was never penalized. Gottlieb joined two boards. Toomey got $750,000 in his first year. Sinema left without registering as a lobbyist. Tuberville&#8217;s 130 violations produced no removal, no fine, no committee reassignment. Bresch retired with $18.9 million after the $465 million settlement. Scott ran for Senate after the largest healthcare fraud in American history.</p><p>One out of thirty-three paid a price. And the price required gold bars in a jacket.</p><div><hr></div><p>Four articles. Three types of money: contributions before the vote, compensation after the exit, and personal financial interests during the term. Thirty-three names. Both parties. Same mechanism.</p><p>The system does not need villains. It needs participants. It needs the armor to be real, because real armor is the kind you cannot take off someone else.</p><p>The behavior is documented, the incentive structure is visible, and the mechanism now has a name.</p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/p/the-field-guide-to-political-armor?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/p/the-field-guide-to-political-armor?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/subscribe?"><span>Subscribe now</span></a></p><div><hr></div><p><strong>SOURCES</strong></p><p>[1] League of Conservation Voters, Lifetime National Environmental Scorecard, Mike Johnson (R-LA), 2% lifetime score. <a href="https://www.lcv.org/moc/mike-johnson/">https://www.lcv.org/moc/mike-johnson/</a></p><p>[2] Congressional Leadership Fund FEC filings, confirmed via Sludge (February 2024) and Pennsylvania Independent (May 2024). Chevron ($1.5M), Valero ($1.25M), Koch Industries ($1.25M), Occidental ($1M), ConocoPhillips ($1M), Devon Energy ($1M), API ($1M). <a href="https://readsludge.com/2024/02/01/oil-and-gas-companies-donate-big-to-gop-super-pacs/">https://readsludge.com/2024/02/01/oil-and-gas-companies-donate-big-to-gop-super-pacs/</a></p><p>[3] Associated Press, October 2023. Johnson first press conference as Speaker, divine design remarks. <a href="https://apnews.com/article/mike-johnson-house-speaker">https://apnews.com/article/mike-johnson-house-speaker</a></p><p>[4] DOJ conviction, United States v. Robert Menendez (S.D.N.Y., 2024). 16 counts. 11 years. <a href="https://www.justice.gov/usao-sdny/pr/senator-robert-menendez-found-guilty">https://www.justice.gov/usao-sdny/pr/senator-robert-menendez-found-guilty</a></p><p>[5] Vice Presidential financial disclosure, 2025. 56.4% carried interest, Narya Capital. </p><p>https://www.oge.gov/</p><p>[6] FEC filings, 2022. Thiel $15M to Protect Ohio Values PAC. <a href="https://www.politico.com/news/2022/05/03/jd-vance-win-ohio-primary-00029881">https://www.politico.com/news/2022/05/03/jd-vance-win-ohio-primary-00029881</a></p><p>[7] Palantir market cap: ~$170B January 2025 (StockAnalysis year-end 2024: $172.29B); ~$355B April 2026. U.S. Army $10B Vantage contract. <a href="https://stockanalysis.com/stocks/pltr/market-cap/">https://stockanalysis.com/stocks/pltr/market-cap/</a> and <a href="https://public.com/stocks/pltr/market-cap">https://public.com/stocks/pltr/market-cap</a></p><p>[8] OpenSecrets, Jim Jordan 2024 cycle, Republican/Conservative sector ($1,894,802). <a href="https://www.opensecrets.org/members-of-congress/jim-jordan/industries?cid=N00029020&amp;cycle=2024">https://www.opensecrets.org/members-of-congress/jim-jordan/industries?cid=N00029020&amp;cycle=2024</a></p><p>[9] Heritage Action scorecard, Chip Roy (TX-21), 98% lifetime. <a href="https://heritageaction.com/scorecard/members/R000614">https://heritageaction.com/scorecard/members/R000614</a></p><p>[10] OpenSecrets, Lauren Boebert career oil and gas ($236,895). H.R. 6009 via govinfo.gov. <a href="https://www.opensecrets.org/members-of-congress/lauren-boebert/industries?cid=N00044720&amp;cycle=CAREER">https://www.opensecrets.org/members-of-congress/lauren-boebert/industries?cid=N00044720&amp;cycle=CAREER</a></p><p>[11] OpenSecrets, Ted Cruz career: securities/investment ($6.5M), oil and gas ($5.5M). <a href="https://www.opensecrets.org/members-of-congress/ted-cruz/industries?cid=N00033085&amp;cycle=CAREER">https://www.opensecrets.org/members-of-congress/ted-cruz/industries?cid=N00033085&amp;cycle=CAREER</a></p><p>[12] DOE, &#8220;Energy Efficiency Standards for Residential Furnaces,&#8221; September 29, 2023. $1.5B annual, $24.8B over 30 years. Senate vote S.J. Res. 58: 50-45, May 21, 2024. <a href="https://www.energy.gov/articles/doe-finalizes-energy-efficiency-standards-residential-furnaces">https://www.energy.gov/articles/doe-finalizes-energy-efficiency-standards-residential-furnaces</a></p><p>[23] AFL-CIO scorecard, Hakeem Jeffries: 100% (2023). First Step Act (Public Law 115-391), lead Democratic sponsor. <a href="https://aflcio.org/scorecard/legislators/hakeem-jeffries">https://aflcio.org/scorecard/legislators/hakeem-jeffries</a></p><p>[24] OpenSecrets, Hakeem Jeffries career 2011-2024. AIPAC: $933,415 (top contributor). Securities/Investment: $3,000,052. <a href="https://www.opensecrets.org/members-of-congress/hakeem-jeffries/summary?cid=N00033640&amp;cycle=CAREER">https://www.opensecrets.org/members-of-congress/hakeem-jeffries/summary?cid=N00033640&amp;cycle=CAREER</a></p><p>[25] OpenSecrets, pro-Israel industry all-time recipients, 1990-2024. Jeffries: $1,742,105. <a href="https://www.opensecrets.org/industries/recips?cycle=Career&amp;ind=Q05">https://www.opensecrets.org/industries/recips?cycle=Career&amp;ind=Q05</a></p><p>[26] Sludge, Q1 2025 FEC filing analysis. Jeffries Victory Fund ~$1.2M from hedge fund/PE donors. Henry Laufer (Renaissance Technologies): $300,700. </p><p>https://readsludge.com/</p><p>[27] Sludge, November 25, 2025. Jeffries WNYC statement on AIPAC limits. AIPAC conduit via Democracy Engine, $1M+ earmarked. <a href="https://readsludge.com/2025/11/25/jeffries-misleads-on-aipac-pac-money/">https://readsludge.com/2025/11/25/jeffries-misleads-on-aipac-pac-money/</a></p><p>[28] House Clerk Roll Call 152, April 20, 2024 (H.R. 8034, $26.38B, 366-58). House Clerk Roll Call 172, May 1, 2024 (H.R. 6090, 320-91). Ceasefire rejected November 9, 2023 (Wikipedia, multiple outlets). Met Netanyahu April 24, 2025 (ABC News). Harvard protest June 16, 2025 (Mass Peace Action). Ceasefire call July 25, 2025 (jeffries.house.gov official statement). J Street endorsement August 2025 (Wikipedia, J Street). JCPOA counter-evidence 2015. <a href="https://clerk.house.gov/Votes">https://clerk.house.gov/Votes</a> and <a href="https://jeffries.house.gov/2025/07/25/leader-jeffries-statement-on-the-humanitarian-crisis-in-gaza/">https://jeffries.house.gov/2025/07/25/leader-jeffries-statement-on-the-humanitarian-crisis-in-gaza/</a></p>]]></content:encoded></item><item><title><![CDATA[The Check Arrives Before the Vote]]></title><description><![CDATA[How the money finds the committee chair, and what happens next.]]></description><link>https://newsletter.theranter.com/p/the-check-arrives-before-the-vote</link><guid isPermaLink="false">https://newsletter.theranter.com/p/the-check-arrives-before-the-vote</guid><dc:creator><![CDATA[TheRanter]]></dc:creator><pubDate>Sat, 04 Apr 2026 02:17:38 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!BqMU!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09709ce0-15e5-4b0d-a75f-b81f5013e68f_1024x1536.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>By Markus Grant | The Ranter</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!BqMU!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09709ce0-15e5-4b0d-a75f-b81f5013e68f_1024x1536.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!BqMU!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09709ce0-15e5-4b0d-a75f-b81f5013e68f_1024x1536.png 424w, https://substackcdn.com/image/fetch/$s_!BqMU!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09709ce0-15e5-4b0d-a75f-b81f5013e68f_1024x1536.png 848w, https://substackcdn.com/image/fetch/$s_!BqMU!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09709ce0-15e5-4b0d-a75f-b81f5013e68f_1024x1536.png 1272w, https://substackcdn.com/image/fetch/$s_!BqMU!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09709ce0-15e5-4b0d-a75f-b81f5013e68f_1024x1536.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!BqMU!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09709ce0-15e5-4b0d-a75f-b81f5013e68f_1024x1536.png" width="1024" height="1536" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/09709ce0-15e5-4b0d-a75f-b81f5013e68f_1024x1536.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1536,&quot;width&quot;:1024,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:1776388,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://newsletter.theranter.com/i/193126301?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09709ce0-15e5-4b0d-a75f-b81f5013e68f_1024x1536.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!BqMU!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09709ce0-15e5-4b0d-a75f-b81f5013e68f_1024x1536.png 424w, https://substackcdn.com/image/fetch/$s_!BqMU!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09709ce0-15e5-4b0d-a75f-b81f5013e68f_1024x1536.png 848w, https://substackcdn.com/image/fetch/$s_!BqMU!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09709ce0-15e5-4b0d-a75f-b81f5013e68f_1024x1536.png 1272w, https://substackcdn.com/image/fetch/$s_!BqMU!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F09709ce0-15e5-4b0d-a75f-b81f5013e68f_1024x1536.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>The last article followed the people. Where they went after they left office. Who hired them. What they were paid. This one follows the money in the other direction. Not what happens after. What happens before.</p><p>The check arrives before the vote. You can look it up. It is a filing.</p><div><hr></div><p>Brett Guthrie represents Kentucky&#8217;s Second District. He has served in Congress since 2009. For most of that time, nobody outside of Bowling Green had heard of him. He did not generate headlines. He did not appear on cable news. He did not tweet anything that went viral.</p><p>What he did was climb the committee ladder.</p><p>Guthrie joined the House Energy and Commerce Committee. He became chair of the Health Subcommittee. In January 2025, he became chair of the full committee. Energy and Commerce oversees pharmaceutical regulation, Medicare, Medicaid, and drug pricing. It is the committee that decides which bills reach the floor and which die in markup.</p><p>His pharmaceutical industry contributions tracked almost exactly with each step up.</p><p>As a backbencher, the numbers were modest. As Health Subcommittee chair, they grew. As full committee chair, they reached $507,000 from pharmaceutical and health product interests in a single cycle. His career total from the sector now exceeds $1.8 million, among the highest of any currently serving Republican House member. [1]</p><p>His first major act as chair was introducing H.R. 7174, the Ensuring Pathways to Innovative Cures Act. The name alone is doing a lot of heavy lifting. The bill would extend the exclusion period for small-molecule drugs from Medicare price negotiation, pushing it from 7 years to 11. If it had been in effect when the Inflation Reduction Act passed, more than half the drugs currently being negotiated would not have been eligible. CMS projected the negotiation program would save Medicare beneficiaries billions in 2026 alone, with additional multi-billion-dollar savings from the next round of negotiations in 2027. [2]</p><p>PhRMA lists that timeline extension as a lobbying priority. The man who chairs the committee that controls the bill received more pharmaceutical PAC money than anyone else in Congress that cycle. [3]</p><p>The money does not follow the vote. The money finds the committee seat, and the vote follows.</p><div><hr></div><p>This is not one party&#8217;s problem.</p><p>In the 2024 election cycle, the pharmaceutical and health products industry gave $82.83 million in political contributions. The split: 57.88 percent to Democrats. 41.45 percent to Republicans. [4]</p><p>The American Hospital Association spent $32 million on lobbying in 2025. The American Medical Association spent $24.8 million. PhRMA spent $27.5 million. [6] Their priorities do not always overlap, but their method is identical: fund the committee members who control your legislation, and fund them proportionally to their influence over your bottom line.</p><p>The industry does not pick sides. It picks committee chairs. It picks swing votes. It picks the person whose signature appears on the markup. And when that person moves to a new committee, the money adjusts.</p><p>Scott Peters, a Democrat from California, sat on the Energy and Commerce Committee. In the 2023-2024 cycle, he received $343,640 from pharmaceutical and health product interests. He co-wrote a letter with Guthrie warning against the most aggressive drug pricing provisions in H.R. 3. He co-sponsored the MINI Act, which would delay certain drug negotiations. [5]</p><p>A Republican and a Democrat on the same committee, co-signing the same letter, funded by the same industry.</p><div><hr></div><p>Max Baucus chaired the Senate Finance Committee during the Affordable Care Act negotiations. From 2003 to 2008, his health and insurance sector contributions totaled $3.4 million, nearly one-fourth of everything he raised during that period. [7] That part of the story was told in the last article. Here is the part that was not.</p><p>As a senior Finance Committee staffer, Forbes worked on the 2003 Medicare Part D legislation that included the provision banning Medicare from negotiating drug prices. Forbes left the Senate and registered as a lobbyist for PhRMA. During the 2009 ACA debate, he lobbied to defend the very provision he had helped write. [8]</p><p>A Sunlight Foundation investigation found that 37 former Baucus staffers had become lobbyists, second only to Mitch McConnell&#8217;s office. Five of them represented 27 health and insurance organizations during the ACA negotiations. None appeared on Baucus&#8217;s official meeting schedule. [9] They did not need to. They operated through their client organizations&#8217; CEOs, who did. You could sit in the hearing room and watch the senators ask questions that their former employees had written the talking points for, on the other side of the table.</p><p>The staff member writes the provision. The chairman collects the contributions. The staffer crosses over to defend the provision from the industry side. The chairman moves on. The provision remains.</p><div><hr></div><p>Marsha Blackburn of Tennessee introduced a bill in 2016 that the DEA&#8217;s own chief administrative law judge later warned would weaken enforcement against drug distributors. The agency&#8217;s internal assessment described it as the greatest reduction in the Attorney General&#8217;s drug enforcement authority in decades. The bill passed both chambers unanimously. President Obama signed it without a photo op. [10]</p><p>Blackburn had received $1.38 million from pharmaceutical interests over her career. An additional $120,000 came specifically from opioid manufacturers and distributors between 2013 and 2017, including McKesson, Cardinal Health, and AmerisourceBergen. [11]</p><p>When asked whether she would return the money, she called the suggestion &#8220;completely absurd.&#8221; To be fair, $120,000 spread across four years is not a lot of money for a law that reshaped federal drug enforcement. If anything, it was a bargain.</p><p>The bill was bipartisan. Democrats co-sponsored it. Nobody voted against it. The only people who objected were the DEA agents who could no longer use their primary enforcement tool. Their objection was documented in an internal memo. The memo was leaked to the Washington Post and 60 Minutes. Congress did not revisit the law.</p><div><hr></div><p>Pat Tiberi served as a Republican congressman from Ohio for 17 years. He sat on the House Ways and Means Committee, where he chaired both the Health Subcommittee and the Tax Policy Subcommittee. In October 2017, he resigned from Congress. His last legislative act was helping pass the Tax Cuts and Jobs Act. [12]</p><p>By January 2018, he was President and CEO of the Ohio Business Roundtable, an advocacy organization representing Ohio&#8217;s largest corporate CEOs. His 2023 compensation, per the organization&#8217;s Form 990: $979,304 in base salary, $1,033,835 total. [13] Down to the dollar. On a form anyone can download from the IRS. In 2024, he publicly urged Ohio&#8217;s congressional delegation to extend the tax provisions he had helped write. [14]</p><p>The tax-writing committee member now runs the organization that lobbies the tax-writing committee.</p><p>Collin Peterson served as a Democratic congressman from Minnesota for 30 years. He chaired the House Agriculture Committee. After losing his seat in 2020, he started the Peterson Group, his own consulting and lobbying firm. He also joined Combest, Sell and Associates, the largest agriculture lobbying operation in Washington. [15]</p><p>Peterson told the Red River Farm Network: &#8220;I&#8217;m not wild about being a lobbyist. I will be giving them strategies and consulting with them on ideas.&#8221; [16] By 2025, OpenSecrets listed him as a registered lobbyist with nine clients. He named the firm after himself.</p><p>Two committee chairs. Two parties. One designed the tax code, the other regulated the farm bill. Both now work for the industries their committees oversaw.</p><div><hr></div><p>This is what the pipeline produces. Not corruption in the traditional sense. Nobody passes an envelope under a table. The contribution is filed with the FEC. The vote is recorded in the Congressional Record. The committee assignment is posted on the House website. The lobbying registration is searchable on OpenSecrets. Every piece of it operates in daylight, and you can pull the receipts from your phone while you are standing in line at the grocery store.</p><p>The system still produces the same outcome every time: the industry that funds the committee chair gets the legislation the committee chair controls. Nothing that happened was illegal. The rules were written to make sure of that.</p><p>The next article is about who writes the rules.</p><div><hr></div><p><em>The final article in this series catalogs the armor. Every shield. Every pattern. Every mechanism that protects the people who built this system from the people who pay for it.</em></p><div><hr></div><p><strong>SOURCES</strong></p><p>[1] OpenSecrets, Brett Guthrie career contributions, pharmaceutical and health products industry. STAT News, February 2025. Sludge, December 2024. $507,000 figure represents 2024 cycle total from pharma/health products PACs.</p><p>[2] Families USA analysis of H.R. 7174 impact. CMS estimates for Medicare Drug Price Negotiation Program savings, 2026-2027. Guthrie press office, H.R. 7174 text.</p><p>[3] STAT News, &#8220;Claims of Pharma PAC Contributions to Sanders, Warren Overblown,&#8221; February 2025. PhRMA lobbying disclosure filings.</p><p>[4] OpenSecrets, pharmaceutical and health products industry contributions, 2024 cycle. Split: 57.88% Democratic, 41.45% Republican.</p><p>[5] OpenSecrets, Scott Peters (D-CA) contributions 2023-2024. Jacobin, March 2024. Peters-Guthrie joint letter on H.R. 3 pricing provisions.</p><p>[6] OpenSecrets, lobbying spending totals 2025. AHA $32M, AMA $24.8M, PhRMA $27.5M.</p><p>[7] Montana Standard, June 2009 (Lee Newspapers State Bureau, sourced from Center for Responsive Politics / OpenSecrets). Democracy Now, June 16, 2009. Figure covers Baucus campaign committee and Glacier PAC, January 2003 through 2008. Breakdown: $853,000 pharma, $851,000 health professionals, $784,000 insurance, $467,000 hospitals/nursing homes, $466,000 health services/HMOs.</p><p>[8] Sunlight Foundation, &#8220;The Legacy of Billy Tauzin,&#8221; February 2010. ProPublica, &#8220;Medicare Drug Planners Now Lobbyists,&#8221; October 2009. Forbes registration as PhRMA lobbyist confirmed via OpenSecrets and National Review.</p><p>[9] Sunlight Foundation, June and July 2009. OpenSecrets, April 2013 (37 Baucus staffers became lobbyists). Meeting schedule analysis confirmed five named staffers absent from official logs.</p><p>[10] Washington Post / 60 Minutes joint investigation, October 2017. DEA internal assessment. Congressional Record (unanimous passage).</p><p>[11] Washington Post / 60 Minutes joint investigation, October 15, 2017. Blackburn donations from opioid industry 2013 to June 2017: $120,000. OpenSecrets, Marsha Blackburn career pharmaceutical contributions ($1.38M). Individual confirmed figures: $17,500 from Cardinal Health, $15,000 from McKesson (American Bridge PAC / USA Today reporting, 2018).</p><p>[12] Wikipedia, Pat Tiberi. Ballotpedia. Governor&#8217;s Office of Workforce Transformation biography.</p><p>[13] ProPublica Nonprofit Explorer, Ohio Business Roundtable Form 990, filed November 2024 (2023 fiscal year). CEO compensation: $979,304 base, $1,033,835 total.</p><p>[14] Ohio Business Roundtable press release, &#8220;Pat Tiberi Urges Ohio Congressional Delegation to Support Bipartisan Tax Package,&#8221; January 2024.</p><p>[15] Agri-Pulse, &#8220;Peterson joins Combest Sell firm,&#8221; March 2021. Park Rapids Enterprise, March 2021. The Peterson Group website.</p><p>[16] Red River Farm Network, March 2021. Park Rapids Enterprise, March 2021.</p><p>[17] OpenSecrets, Collin Peterson lobbying profile, 2025. Nine clients listed.<br></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/p/the-check-arrives-before-the-vote?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/p/the-check-arrives-before-the-vote?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/subscribe?"><span>Subscribe now</span></a></p>]]></content:encoded></item><item><title><![CDATA[They Left Through the Front Door]]></title><description><![CDATA[The revolving door is not a metaphor. It is a career plan.]]></description><link>https://newsletter.theranter.com/p/they-left-through-the-front-door</link><guid isPermaLink="false">https://newsletter.theranter.com/p/they-left-through-the-front-door</guid><dc:creator><![CDATA[TheRanter]]></dc:creator><pubDate>Wed, 01 Apr 2026 00:58:39 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!4yvT!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6751a064-ea08-4521-93e0-2dca44bb3a4e_200x200.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>By Markus Grant | The Ranter</p><p>The last article asked why we do not chase villains. This one shows where the villains go after they leave.</p><p>Not to jail. Not to retirement. To the industry they just finished regulating.</p><p>The path is so well worn it has a name. Washington calls it the revolving door. That makes it sound like an accident, like somebody got turned around on their way out. Nobody gets lost. They leave through the front door with a job offer in hand.</p><p>Washington calls it public service. K Street just calls it onboarding.</p><p>---</p><p>Billy Tauzin represented Louisiana&#8217;s Third Congressional District for 25 years. In his final term, he chaired the House Energy and Commerce Committee. That committee wrote Medicare Part D, the prescription drug benefit that passed in 2003. Built into the law was a single provision that would shape pharmaceutical pricing for the next two decades: Section 1860D-11, which prohibited Medicare from negotiating drug prices. [1]</p><p>The Congressional Budget Office later estimated that allowing Medicare to negotiate would have saved more than $450 billion over ten years. [2]</p><p>Tauzin left Congress in January 2005. The same day his term ended, he started his new job as president and CEO of PhRMA, the pharmaceutical industry&#8217;s trade association. [3] His salary was reported at $2 million per year. In 2010, his final year at PhRMA, his compensation reached $11.6 million. Bloomberg confirmed it made him the highest-paid lobbyist among groups involved in the healthcare debate. [4]</p><p>Between those two jobs, Tauzin brokered one more deal. During the 2009 Affordable Care Act negotiations, he sat across from White House Deputy Chief of Staff Jim Messina and secured a cap: the pharmaceutical industry would contribute $80 billion in cost reductions to the ACA. In exchange, two provisions would stay off the table. Drug reimportation from Canada. And Medicare price negotiation. [5]</p><p>The man who wrote the law banning negotiation became the man who defended it. And he was paid $11.6 million in a single year to do so.</p><p>They are not selling access. They are selling memory. Committee memory. Regulatory memory. All the phone numbers you collect in the name of serving the public.</p><p>---</p><p>That is one door. Here is a hallway full of them.</p><p>Don Nickles served as a Republican senator from Oklahoma for 24 years. He sat on the Senate Finance Committee. He helped shape Medicare Part D alongside Tauzin. After leaving the Senate in 2005, he founded the Nickles Group, a lobbying firm. Its clients include pharmaceutical companies. Between 2018 and 2025, the firm reported $59.2 million in total lobbying income, with $7.87 million in 2023 alone. [6]</p><p>John Breaux served as a Democratic senator from Louisiana. He also sat on the Finance Committee. He also helped shape Part D. He also left the Senate and became a lobbyist. His firm, the Breaux Lott Leadership Group, received $300,000 from pharmaceutical clients in 2009 while lobbying on the Affordable Care Act. ProPublica documented that at least 25 former members or staffers who helped write Part D later registered to lobby for the pharmaceutical industry during the ACA debate. [7]</p><p>Two parties. Same committee. Same law. Same exit.</p><p>Richard Burr served as a Republican senator from North Carolina for nearly 28 years. For much of that time he sat as either Chair or Ranking Member of the Senate Health, Education, Labor, and Pensions Committee: the committee that controls pharmaceutical and healthcare legislation. Burr left the Senate in January 2023. By February, he was at DLA Piper as Principal Policy Adviser and Chair of their Health Policy Strategic Consulting Practice. [20] DLA Piper&#8217;s confirmed healthcare clients include Genentech, Braun Medical, Biohaven, and Intra-Cellular Therapies. He is barred from lobbying his former colleagues for two years. He does not actually need to. &#8220;Strategic consulting&#8221; on health policy for pharmaceutical clients is not lobbying. It is the same expertise with a different business card. The Washington Examiner called it the Great 2023 Cashout. [21]</p><p>Louisiana sent four members through the door in one decade. Tauzin, Breaux, Landrieu, Vitter. Both parties. Both chambers. Pharma, energy, environment, finance. Louisiana ranks near the bottom in education, healthcare, and median income. It currently holds both the Speaker of the House and the Majority Leader. In most states that record would be a scandal. In Louisiana it is a parade. Huey Long said every man a king. He was off by one word. Every chairman a consultant.</p><p>Kevin Brady chaired the House Ways and Means Committee for six years. In that role, he was the chief architect of the 2017 Tax Cuts and Jobs Act, the first major rewrite of the federal tax code since 1986. [27] The law cut the corporate tax rate from 35 percent to 21 percent, restructured the treatment of pass-through income, and created new deductions for specific industries. Many of its provisions were written with built-in expiration dates, set to sunset in 2025. Brady left Congress in January 2023. In May 2024, Akin Gump announced he was joining as a Senior Consultant in their Lobbying and Public Policy practice. [28] His focus: advising clients on the extension and modification of the tax law he wrote. The Hill called the hire a strategic move &#8220;ahead of the tax fight.&#8221; [29] The man who designed the expiration dates is now paid to influence what replaces them.</p><p>The Lobbying Disclosure Act was supposed to slow this down. It requires registration for anyone who spends more than 20 percent of their time on lobbying activities. The result was not compliance. The result was &#8220;strategic adviser.&#8221; Tom Daschle, the former Senate Majority Leader, proved how well the workaround works. After losing his seat in 2004, he joined Alston and Bird at $2.1 million per year and advised healthcare companies for eleven years without registering as a lobbyist. The loophole became so notorious that Politico ended up naming it after him: the Daschle Loophole. [8] [9] Burr uses it. Sinema uses it. Manchin uses it. The title changes. The function does not.</p><p>---</p><p>Sometimes they write the law and cash out. Sometimes they skip the word &#8220;lobbyist&#8221; and cash out anyway. Sometimes they regulated the industry for two years and joined the board before the chair was cold.</p><p>Now watch what happens when the door swings from the regulatory side.</p><p>Scott Gottlieb led the Food and Drug Administration for two years, from May 2017 to April 2019. During that time, the FDA regulated every major pharmaceutical manufacturer in the country. Eighty-three days after leaving the agency, Gottlieb joined Pfizer&#8217;s board of directors. [11]</p><p>In November 2025, he joined UnitedHealth Group&#8217;s board as well. The nation&#8217;s largest health insurer. A former drug regulator now sits on the boards of both a pharmaceutical manufacturer and a health insurance company. [12]</p><p>Evan Bayh served as a Democratic senator from Indiana. He sat on the Banking, Housing, and Urban Affairs Committee and the Armed Services Committee. In the Senate, he voted against a procedural motion to advance carried interest reform. Seven months later, he joined Apollo Global Management as a senior adviser. [13]</p><p>Apollo, through its LifePoint and ScionHealth platforms, controls approximately 71 rural hospitals.</p><p>Pat Toomey served as a Republican senator from Pennsylvania. He sat on the Banking and Finance Committees. During the 2017 Tax Cuts and Jobs Act negotiations, Toomey helped preserve the carried interest loophole. Industry lobbyists called him an &#8220;all-star&#8221; in that fight. [14] In February 2023, less than a month after leaving the Senate, Toomey joined the board of Apollo Global Management. His first-year compensation included $600,000 in restricted stock and a $150,000 cash retainer. [15]</p><p>Joe Manchin served as a Democrat, then an independent senator from West Virginia. He chaired the Senate Energy and Natural Resources Committee. He left the Senate in January 2025. On February 6, Apollo announced that Manchin would serve as an adviser to the firm and join the board of Athene Holding, Apollo&#8217;s insurance subsidiary. [30] His advisory focus: energy markets. While Manchin was in the Senate, his daughter Heather Bresch was CEO of Mylan Pharmaceuticals. Between 2007 and 2016, Mylan raised the price of the EpiPen from roughly $100 to more than $600. Bresch&#8217;s compensation rose from $2.4 million to $18.9 million over the same period. [24] Manchin received $127,000 in campaign contributions from Mylan executives. [25] His wife, Gayle Manchin, led the National Association of State Boards of Education and pushed to require schools to stock EpiPens. [26] Manchin sat on committees with jurisdiction over pharmaceutical pricing. He did not move to cap the price. Mylan later paid $465 million to settle federal claims that it had overcharged Medicaid by $1.27 billion. Nobody went to jail. Bresch retired in 2020. Manchin left the Senate in 2025 and joined Apollo.</p><p>Three senators. Three different political affiliations. The same firm. Bayh arrived in 2016. Toomey in 2023. Manchin in 2025. Apollo does not have a political preference. It has a hiring pattern.</p><p>---</p><p>Eric Cantor served as House Majority Leader from 2011 to 2014, the second-ranking position in the House. He controlled which legislation reached the floor: financial reform bills, derivative regulations, capital rules. What advanced and what died quietly in committee was, for years, largely his call. Cantor lost his primary in June 2014 and left Congress on August 18th. Within weeks, Moelis and Company announced he was joining as Vice Chairman and Managing Director. His package: a $400,000 base salary, a $400,000 signing bonus, $1 million in stock options, a minimum $1.2 million cash incentive in year two, and a New York City apartment paid for by the firm. Reported total: $3.4 million. [22] Dennis Kelleher, CEO of financial reform group Better Markets, said Cantor would now be fighting against the same capital rules and carried interest reforms he had helped block in Congress. [23] Cantor did not object. He took the job.</p><p>Kyrsten Sinema of Arizona left the Senate in January 2025. By March, she was a senior adviser at Hogan Lovells, a global law firm with $2.96 billion in annual revenue. She does not register as a lobbyist. Emails subsequently surfaced showing local lobbying activity for an AI data center in Chandler, Arizona. Her former Senate aide, Daniel Winkler, registered as a lobbyist at the same firm. [16]</p><p>The door swings both directions. And nobody bothers to lock it behind them.</p><p>---</p><p>Public Citizen studied the 115th Congress. They found that nearly two-thirds of former members who took private sector jobs went into roles designed to influence federal policy. [19] The revolving door is not an individual scandal. It is a staffing pipeline. The system trains people in government, seasons them with committee assignments and regulatory knowledge, and then the private sector comes back to hire them for exactly the expertise they picked up on the public payroll.</p><p>This is not corruption after the fact. It is deferred compensation.</p><p>That is why your pharmacy bill survives every election. Why the tax loophole outlasts the congressman who wrote it. The staff changes. The incentive package does not.</p><p>The problem is not that the door exists. Every democracy has people who move between public and private life. The problem is that the door is the compensation plan. The congressional salary is the internship. The real paycheck comes after.</p><p>Tauzin: $11.6 million. Brady: hired to lobby on the tax law he wrote. Toomey: $750,000 in his first year at Apollo. Cantor: $3.4 million before the first performance review. Gottlieb: board seats at Pfizer and UnitedHealth. Bresch: $18.9 million in the same year her father&#8217;s committees declined to act.</p><p>These are not exceptions. These are the top performers.</p><p>---</p><p>They do not leave government despite what they did there. They leave, very specifically, because of it.</p><p>The next article in this series follows the money from the other direction: the contributions that arrive before the votes, the committee assignments that determine who gets paid, and the legislative pipeline that connects the check to the chairmanship.</p><p>---</p><p>**SOURCES**</p><p>[1] Social Security Act, Section 1860D-11(i): &#8220;the Secretary may not interfere with the negotiations between drug manufacturers and pharmacies and PDP sponsors.&#8221; Medicare Modernization Act of 2003.</p><p>[2] Congressional Budget Office, H.R. 3 (Elijah E. Cummings Lower Drug Costs Now Act) scoring, December 2019. Projected $456 billion in savings over 10 years.</p><p>[3] Sunlight Foundation, &#8220;The Legacy of Billy Tauzin: The White House-PhRMA Deal,&#8221; February 12, 2010. OpenSecrets Revolving Door profile.</p><p>[4] Bloomberg, &#8220;Tauzin&#8217;s $11.6 Million Made Him Highest-Paid Health-Law Lobbyist,&#8221; November 29, 2011.</p><p>[5] Sunlight Foundation, February 2010. Bill Moyers, &#8220;The Lobbyist Who Made You Pay More at the Drugstore,&#8221; March 2016. ProPublica, &#8220;Obama&#8217;s Deal,&#8221; 2009.</p><p>[6] OpenLobby, Nickles Group annual revenue 2018-2025. CBS News, &#8220;Health Care Lobbyists&#8217; Rise to Power,&#8221; 2009.</p><p>[7] ProPublica, &#8220;Medicare Drug Planners Now Lobbyists, With Billions at Stake,&#8221; October 19, 2009. Breaux Lott Leadership Group pharmaceutical client revenue.</p><p>[8] Center for Public Integrity, 2009 ($2.1M, Alston and Bird). Tom Daschle financial disclosure filings, 2008.</p><p>[9] Politico, &#8220;Tom Daschle finally registers as a lobbyist,&#8221; March 2016. Public Citizen, &#8220;Revolving Congress,&#8221; June 2019.</p><p>[11] CNBC, &#8220;Former FDA Commissioner Scott Gottlieb joins Pfizer&#8217;s board of directors,&#8221; June 27, 2019. FDA departure: April 5, 2019. Pfizer board: June 27, 2019. 83 days.</p><p>[12] Healthcare Dive / Fierce Pharma, November 2025. UnitedHealth Group board appointment.</p><p>[13] Associated Press, October 2016. Mother Jones, May 2022. Politico, September 2016. OpenSecrets, Bayh revolving door profile.</p><p>[14] The Lever, &#8220;Private Equity&#8217;s Senator Gets Big Payout,&#8221; February 22, 2023.</p><p>[15] Jacobin, &#8220;Former Senator Pat Toomey Has Walked Through the Revolving Door,&#8221; February 27, 2023. Bloomberg, Apollo director compensation structure.</p><p>[16] Reuters/Politico, 2025. AZFreeNews, 2025. Hogan Lovells 2024 revenue: $2.96 billion.</p><p>[19] Public Citizen, &#8220;Revolving Congress: The Revolving Door Class of 2019 Flocks to K Street,&#8221; June 2019.</p><p>[20] Bloomberg Law, &#8220;Ex-Senator Richard Burr Joins DLA Piper as Health Policy Leader,&#8221; February 2023. DLA Piper press release, February 7, 2023. STAT News, &#8220;Richard Burr to join health care practice at law and lobbying firm,&#8221; February 7, 2023.</p><p>[21] Washington Examiner, &#8220;The Great 2023 Cashout begins with Richard Burr joining lobbying giant DLA Piper,&#8221; February 2023.</p><p>[22] TIME, &#8220;Eric Cantor Joins Wall Street Investment Bank Moelis and Company,&#8221; September 2014. Newsweek, &#8220;Eric Cantor Lands $3.4 Million Investment Banking Job,&#8221; September 2014.</p><p>[23] Fortune, &#8220;What&#8217;s really outrageous about Eric Cantor&#8217;s Wall Street gig,&#8221; September 4, 2014.</p><p>[24] Washington Post, &#8220;Senator&#8217;s daughter who raised price of EpiPen got paid $19 million salary, perks in 2015,&#8221; August 24, 2016. NBC News, &#8220;Mylan CEO&#8217;s Pay Rose Over 600 Percent as EpiPen Price Rose 400 Percent,&#8221; August 2016.</p><p>[25] The Intercept, &#8220;Heather Bresch, Joe Manchin&#8217;s Daughter, Played Direct Part in EpiPen Price Inflation Scandal,&#8221; September 7, 2021. NRSC, &#8220;Mylan executives open up wallets for Manchin,&#8221; April 2018.</p><p>[26] The Intercept, September 7, 2021. Washington Free Beacon, &#8220;Government Funds to Mylan Spiked After Manchin&#8217;s Daughter Became CEO.&#8221;</p><p>[27] Tax Foundation, &#8220;The Tax Cuts and Jobs Act,&#8221; December 2017. Joint Committee on Taxation scoring.</p><p>[28] Akin Gump press release, &#8220;Former Ways and Means Committee Chairman Kevin Brady Joins Akin&#8217;s Lobbying and Public Policy Practice,&#8221; May 2024.</p><p>[29] The Hill, &#8220;Lobbying World: Akin snags former Ways and Means chair ahead of tax fight,&#8221; May 2024.</p><p>[30] Athene Holding / GlobeNewsWire, &#8220;Former U.S. Senator Joe Manchin to Serve as Adviser to Apollo and Appointed to Athene Board of Directors,&#8221; February 6, 2025.</p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/subscribe?"><span>Subscribe now</span></a></p>]]></content:encoded></item><item><title><![CDATA[Why We Don't Chase Villains]]></title><description><![CDATA[You already know who to blame. That is the problem.]]></description><link>https://newsletter.theranter.com/p/why-we-dont-chase-villains</link><guid isPermaLink="false">https://newsletter.theranter.com/p/why-we-dont-chase-villains</guid><dc:creator><![CDATA[TheRanter]]></dc:creator><pubDate>Fri, 27 Mar 2026 17:28:01 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!8kLZ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2969fc94-443e-4bf8-a276-232f61f94afd_1200x628.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>By Markus Grant | The Ranter</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!8kLZ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2969fc94-443e-4bf8-a276-232f61f94afd_1200x628.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!8kLZ!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2969fc94-443e-4bf8-a276-232f61f94afd_1200x628.jpeg 424w, https://substackcdn.com/image/fetch/$s_!8kLZ!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2969fc94-443e-4bf8-a276-232f61f94afd_1200x628.jpeg 848w, https://substackcdn.com/image/fetch/$s_!8kLZ!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2969fc94-443e-4bf8-a276-232f61f94afd_1200x628.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!8kLZ!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2969fc94-443e-4bf8-a276-232f61f94afd_1200x628.jpeg 1456w" sizes="100vw"><img 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srcset="https://substackcdn.com/image/fetch/$s_!8kLZ!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2969fc94-443e-4bf8-a276-232f61f94afd_1200x628.jpeg 424w, https://substackcdn.com/image/fetch/$s_!8kLZ!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2969fc94-443e-4bf8-a276-232f61f94afd_1200x628.jpeg 848w, https://substackcdn.com/image/fetch/$s_!8kLZ!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2969fc94-443e-4bf8-a276-232f61f94afd_1200x628.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!8kLZ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2969fc94-443e-4bf8-a276-232f61f94afd_1200x628.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><br>Every time you read something, or hear someone make an argument, there is a set of questions running underneath it whether you realize it or not. Who is this person. What do they actually believe. Who do they work for. Why are they saying this now. What are they really trying to accomplish. Who benefits from you believing it. And what are they not saying.</p><p>Those seven questions are the only tools that matter. Every con, every extraction system, every political maneuver that has ever worked on a large number of people worked because it interrupted that sequence before question three.</p><p>The interruption has a name. Call it armor.</p><p>It does not have to be false. That is the part that takes a minute to sit with. The church attendance is real. The philanthropy is documented. The op-ed was published. The reversal was genuine. None of that matters for the mechanism. Armor only has to answer question one loudly enough that questions three through seven never get asked.</p><div><hr></div><p>In 1993, Bain Capital acquired a steel mill in Kansas City, Missouri, for $8.3 million. [1] The firm merged it with another plant to form GS Industries, loaded the new company with debt, and began collecting consulting fees. Over the life of the deal, Bain pulled in more than $4.5 million in fees alone. When the company filed for bankruptcy in 2001, 750 workers lost their jobs, their severance was denied, their health insurance disappeared, and the pension fund came up $44 million short &#8212; covered in the end by the federal Pension Benefit Guaranty Corporation. [2]</p><p>Bain still made money. The firm received $12 million on its $8.3 million investment, plus the consulting fees. The workers received a federal bailout of the pension their employer had underfunded while paying advisory fees to the firm that owned it.</p><p>At the time of the acquisition, Mitt Romney was running Bain Capital.</p><p>After leaving Bain, Romney ran the Salt Lake City Olympics, became governor of Massachusetts, ran for president twice, won the Republican nomination, and served in the United States Senate. His tax returns along the way showed he gave $7 million to charity over two years, roughly $4.1 million of it to the Church of Jesus Christ of Latter-day Saints. [3] Over a twelve-year period, more than $9 million went to the church. He tithed at or above the expected 10 percent, established a charitable foundation bearing his family&#8217;s name, and gave $1 million to Brigham Young University to create an institute of public management named after his father. [4]</p><p>None of that is fake. The giving is real. The faith is documented. The foundation files its taxes.</p><p>And none of it changes what happened at the steel mill. But it changes whether anyone can make the steel mill stick. That is the function of armor. Not to disprove the record. To make it irrelevant.</p><p>Some armor goes further. Speaker Mike Johnson has stated publicly that the Bible is his worldview and that he runs legislative decisions through Scripture. Oil and gas has been his top contributing industry since he entered Congress, and his lifetime League of Conservation Voters score is 2 percent. [24] When his constituents ask why he votes the way he does, the answer available to them is God. Technically, God did create the oil. Bob Menendez stood outside a Manhattan federal courthouse in July 2024, while a jury deliberated on 16 counts of bribery, extortion, and obstruction, and told reporters: &#8220;I have faith in God and the jury.&#8221; He was convicted on all 16 counts and sentenced to 11 years. [25] The armor did not prevent the verdict. That is not what armor is for. It is for the people who were never going to read the indictment anyway.</p><div><hr></div><p>In May 2025, Senator Josh Hawley of Missouri published an opinion piece in the New York Times under the headline &#8220;Don&#8217;t Cut Medicaid.&#8221; He argued that slashing health coverage for the working poor was &#8220;both morally wrong and politically suicidal,&#8221; and he called on Republicans to ignore the Wall Street wing of the party pushing for cuts. [26]</p><p>Seven weeks later, Hawley voted for the One Big Beautiful Bill Act.</p><p>The Congressional Budget Office estimated the bill would cut federal Medicaid spending by $1.02 trillion over ten years, the largest rollback of the program in its history. [27] Two weeks after casting that vote, Hawley introduced legislation to undo some of the Medicaid cuts he had just helped pass. [28]</p><p>The op-ed is still on the Times website. The vote is in the congressional record. Both exist simultaneously because they serve different audiences. His career total from the Republican and conservative ideological donor network is $5.8 million. [20]</p><p>The op-ed and the vote do not contradict each other. They complete each other.</p><div><hr></div><p>Now do the same exercise on the other side of the aisle.</p><p>In January 2017, Senator Cory Booker of New Jersey voted against an amendment co-sponsored by Bernie Sanders and Amy Klobuchar that would have allowed Americans to import prescription drugs from Canada. [5] The amendment failed.</p><p>Booker&#8217;s stated reason was safety concerns about imported pharmaceuticals. It was the same argument the Pharmaceutical Research and Manufacturers of America had been making for years.</p><p>Over the six years before that vote, Booker received $267,338 from pharmaceutical manufacturing companies, more than any other Democratic senator who voted against the amendment. [6] His career total from pharmaceutical and health product interests, including his leadership PAC, reached approximately $468,000. [7]</p><p>That is the behavior. Here is the armor.</p><p>Booker later reversed his position, co-sponsored a drug reimportation bill with Sanders, and stopped accepting pharmaceutical PAC money. In 2019, during a presidential debate, he claimed he did not take money from the pharmaceutical industry. When it surfaced that he had recently accepted a donation from a pharma executive, he returned it on the spot. [8]</p><p>The reversal itself became the shield. He listened. He evolved. He grew. That is the language his supporters used, and it worked. The vote was reframed as a learning moment, not a data point. The $267,338 became backstory. The new position became the story.</p><p>You can prove the math. You can prove the behavior. You can prove the incentive structure. What you cannot do is get past the personal brand someone has built to insulate themselves from accountability. The church attendance. The philanthropy. The foundation with their name on it. The public evolution. That is armor. And the system is designed so that proving motive does not matter anyway, because everything they did was technically legal, technically rational, technically within the rules of the game they wrote.</p><div><hr></div><p>You do not have to believe that Romney wanted 750 steelworkers to lose their pensions. You do not have to believe that Hawley published a piece calling Medicaid cuts morally wrong and then voted for them anyway because the donor math said to. You do not have to believe that Booker voted against drug importation because a pharmaceutical company wrote him a check.</p><p>Motive is speculation. Behavior is documented.</p><p>Romney&#8217;s firm collected consulting fees from a company while its pension went unfunded. Hawley wrote in the New York Times that cutting Medicaid was morally wrong, then voted to cut it by a trillion dollars seven weeks later. Booker voted the same way as the industry that paid him more than any other Democrat in the room. Three documented records. Three different armor types. The same result each time.</p><p>Neither of them broke a law. Neither of them violated a rule. The rules were already written to make what they did legal. That is the system working as designed.</p><div><hr></div><p>If you need proof that this is not about individuals, look at the one tax loophole that connects both sides of this equation.</p><p>Carried interest is the provision that allows private equity managers to pay capital gains tax rates on their income instead of ordinary income rates. Three presidents promised to close it. Barack Obama called it a loophole. Donald Trump called it unfair. Joe Biden put it in his budget proposal. [9]</p><p>It survived all three.</p><p>In 2017, Senate Republicans passed the Tax Cuts and Jobs Act. Senator Pat Toomey of Pennsylvania helped preserve the carried interest provision during negotiations, with private equity lobbyists calling him an &#8220;all-star&#8221; in that fight. [10] Less than a month after leaving the Senate, in February 2023, he joined the board of Apollo Global Management, with first-year compensation that included $600,000 in restricted stock and a $150,000 cash retainer. [11]</p><p>In 2022, the Inflation Reduction Act included a partial fix. Senator Kyrsten Sinema of Arizona removed it from the bill during final negotiations, having received more than $500,000 from private equity interests that cycle. Senate Majority Leader Chuck Schumer, who said there was &#8220;no choice&#8221; but to accept the change, had received $1.2 million from the same sector. [12]</p><p>In the years before all of this, Senator Evan Bayh of Indiana voted against a procedural motion on carried interest reform, then joined Apollo Global Management as a senior advisor seven months later. [13]</p><p>Two senators. Two parties. The same firm.</p><p>Private equity firms gave $83 million to Democrats and $62 million to Republicans over two election cycles. [14] When House Republicans wrote their reconciliation bill in 2025, they left carried interest untouched as well. [15]</p><p>Three presidents. Both parties. Two decades. The loophole outlasted every one of them.</p><p>Apollo Global Management, through its LifePoint and ScionHealth platforms, controls approximately 71 rural hospitals. You have been reading about those hospitals for three articles.</p><div><hr></div><p>And those hospitals are one thread. The system is the whole cloth.</p><p>Scott Gottlieb spent two years as FDA Commissioner, regulating every major drug company in the country, then joined Pfizer&#8217;s board 83 days after his last day in office. [16] Rick Scott ran the hospital chain that committed the largest healthcare fraud in American history: $1.7 billion in fines, $9.88 million in personal severance, and 75 invocations of the Fifth Amendment in a civil deposition, before going on to serve as governor of Florida and then as a United States senator who votes on healthcare legislation. [17]</p><p>Joe Manchin of West Virginia blocked drug pricing reform in the Senate while his daughter, as CEO of Mylan, oversaw a 400 percent increase in the price of the EpiPen. Mylan settled with the Department of Justice for $465 million. [18] Marsha Blackburn of Tennessee introduced a bill in 2016 that the DEA&#8217;s own internal memo called the greatest reduction in the Attorney General&#8217;s drug enforcement authority since 1970, having received $1.38 million from pharmaceutical interests over her career. [19]</p><p>Max Baucus of Montana chaired the committee that shaped the Affordable Care Act while collecting $3.4 million from the health and insurance sector. His former staffer Jeff Forbes helped write the provision banning Medicare from negotiating drug prices, then registered as a lobbyist for PhRMA and defended it. [20]</p><p>Five names. Both parties. Not one of them broke a law.</p><div><hr></div><p>This is why we do not chase villains.</p><p>Not because there are no bad actors. There are. Not because accountability does not matter. It does. But because the system does not need villains to function. It needs participants. It needs consulting fees that are legal. Votes that are funded. Tax provisions that survive every election. It needs the armor to be real, because real armor is the kind you cannot take off someone else.</p><p>The receipts do not require you to prove that anyone meant to do what they did. They require you to document that they did it, that it was legal, and that the rules were written to make it that way.</p><p>The behavior is documented. The incentive structure is visible. The mechanism has a name now.</p><p>That is what this publication does. Not chase the people who play the game. Map the game. Name the interruption. And give you back the seven questions armor is designed to stop you from asking.</p><div><hr></div><p><em>The next article in this series follows the political money directly: who funded the campaigns, who wrote the legislation, and what the legislation did to the hospitals in the districts of the people who voted for it.</em></p><div><hr></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.theranter.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.theranter.com/subscribe?"><span>Subscribe now</span></a></p><p></p><p><strong>SOURCES</strong></p><p>[1] Reuters, &#8220;Special Report: Romney&#8217;s steel skeleton in the Bain closet,&#8221; January 2012. Washington Post, &#8220;Romney&#8217;s Bain Capital record shows mixed record on bankruptcies,&#8221; 2011. American Bridge PAC compiled court documents and SEC filings.</p><p>[2] Reuters, January 2012. Federal Pension Benefit Guaranty Corporation records. PolitiFact fact-check of Obama campaign ad, May 2012.</p><p>[3] TIME, &#8220;Tax Returns and Tithing: How Mitt Romney Gives Away 16% of His Income,&#8221; January 2012. Christian Science Monitor, January 2012.</p><p>[4] Boston Globe, &#8220;For Mitt Romney, charity centers on Mormon church,&#8221; February 2012. Inside Philanthropy, Romney profile. Huffington Post review of IRS documents.</p><p>[5] The Intercept, &#8220;Cory Booker Joins Senate Republicans to Kill Measure to Import Cheaper Medicine from Canada,&#8221; January 2017.</p><p>[6] The Intercept, January 2017. MapLight, pharmaceutical manufacturing industry contributions to Booker, 2011-2016.</p><p>[7] OpenSecrets, Cory Booker career contributions from pharmaceutical and health product interests, including leadership PAC ($411,948 direct + $56,000 leadership PAC).</p><p>[8] PolitiFact, The Hill, ABC News. Coverage of Booker&#8217;s reversal on reimportation, pharma PAC decision, and 2019 debate exchange.</p><p>[9] CNBC, NPR, NBC News. Coverage of Obama, Trump, and Biden proposals on carried interest.</p><p>[10] The Lever, &#8220;Private Equity&#8217;s Senator Gets Big Payout,&#8221; February 22, 2023. Industry lobbyist quote on Toomey as &#8220;all-star&#8221; in carried interest fight.</p><p>[11] Jacobin, &#8220;Former Senator Pat Toomey Has Walked Through the Revolving Door,&#8221; February 27, 2023. Bloomberg reporting on Apollo director compensation structure.</p><p>[12] Jacobin, &#8220;Kyrsten Sinema Got $500K From Private Equity, Then Killed the Carried Interest Tax,&#8221; August 2022. OpenSecrets, Sinema and Schumer PE contributions. Truthout, August 2022.</p><p>[13] Associated Press, October 2016 (Bayh vote record and Apollo timeline). Mother Jones, May 2022. Politico, September 2016. OpenSecrets, Bayh revolving door profile.</p><p>[14] OpenSecrets, private equity industry contributions across 2020 and 2022 election cycles.</p><p>[15] NOTUS, May 2025. Reporting on House Republican reconciliation bill omitting carried interest reform.</p><p>[16] CNBC, &#8220;Former FDA Commissioner Scott Gottlieb joins Pfizer&#8217;s board of directors,&#8221; June 27, 2019. FDA departure date April 5, 2019; Pfizer board appointment June 27, 2019 (83 days). Pfizer press release, June 27, 2019.</p><p>[17] DOJ press release, December 14, 2000 ($840M settlement). DOJ press release, June 26, 2003 ($631M second settlement; total $1.7B confirmed). PolitiFact, &#8220;Rick Scott took the 5th Amendment 75 times,&#8221; June 2014 (75 invocations confirmed, Nevada Communications Corp. civil deposition, July 27, 2000). Wikipedia/settlement records ($9.88M severance per board settlement).</p><p>[18] Truthout/The Intercept, 2021 (Manchin/Mylan connection). DOJ settlement ($465M). Congressional testimony, Heather Bresch.</p><p>[19] Washington Post / 60 Minutes, October 2017 (DEA internal memo). OpenSecrets, Blackburn career pharma contributions ($1.38M). USA Today, October 2017.</p><p>[20] Montana Standard, June 2009 ($3.4M health/insurance sector). Sunlight Foundation (Forbes/PhRMA lobbying registration). Democracy Now, 2009.</p><p>[24] League of Conservation Voters, Mike Johnson member page (2% lifetime score confirmed): <a href="https://www.lcv.org/moc/mike-johnson/">https://www.lcv.org/moc/mike-johnson/</a>. Inside Climate News, &#8220;League of Conservation Voters&#8217; Take on Speaker Mike Johnson&#8217;s Voting Record,&#8221; November 4, 2023 (LCV official confirms 2% lifetime score, 4 pro-environment votes out of 160+). OpenSecrets, Mike Johnson career industry contributions (oil and gas top industry): <a href="https://www.opensecrets.org/members-of-congress/mike-johnson/industries?cid=N00039106&amp;cycle=CAREER">https://www.opensecrets.org/members-of-congress/mike-johnson/industries?cid=N00039106&amp;cycle=CAREER</a>. E&amp;E News, &#8220;Republican speaker candidates flush with fossil fuel cash,&#8221; October 2023.</p><p>[25] New York Post, &#8220;Sen. Bob Menendez &#8216;has faith&#8217; as jurors deliberate,&#8221; July 12, 2024. Wikipedia, Bob Menendez conviction and sentencing. [SOURCE VERIFIED &#8212; Florida Phoenix and Common Dreams both confirm quote and outcome]</p><p>[26] Hawley, Josh. &#8220;Don&#8217;t Cut Medicaid.&#8221; The New York Times, May 12, 2025. Hawley.senate.gov press release, same date.</p><p>[27] Center for American Progress, &#8220;The Truth About the One Big Beautiful Bill Act&#8217;s Cuts to Medicaid and Medicare,&#8221; July 2025. CBO, &#8220;Estimated Budgetary Effects of Public Law 119-21,&#8221; July 21, 2025 ($1.02T confirmed). Signed into law July 4, 2025.</p><p>[28] MSNBC/MaddowBlog, &#8220;GOP&#8217;s Josh Hawley pushes to undo the Medicaid cuts he just voted for,&#8221; July 16, 2025. NBC News reporting on Hawley legislation introduced July 15, 2025.</p><div><hr></div>]]></content:encoded></item></channel></rss>