TopherSpiro's profile picture. Senior Fellow @amprog. Former White House Office of Management and Budget. Opinions my own.

Topher Spiro

@TopherSpiro

Senior Fellow @amprog. Former White House Office of Management and Budget. Opinions my own.

Topher Spiro hat repostet

I know we're all consumed by the Lizza-Nuzzi drama but underneath this incredibly tawdry stuff is some alarming and damaging accusations and revelations about the man who runs our nation's health agencies. And it feels like he's skirting by all of it.


Topher Spiro hat repostet

I got shot at serving our country in combat, and I was there when your boss sent a violent mob to attack the Capitol. I know the difference between defending our Constitution and an insurrection, even if you don’t.

Democrat lawmakers are now openly calling for insurrection.



Trump's big announcement on obesity drugs was really what manufacturers would have done anyway.

Novo just cut self-pay price of Ozempic to $349, down 65% from launch. It stands out bc most drugs get pricier over time and shows the effect when patients, rather than third parties, see costs directly. Patients having more skin in the game is a way to lower healthcare costs.…



Get ready. Trump plans to release an ACA repeal bill and to use reconciliation to pass it.

TopherSpiro's tweet image. Get ready. Trump plans to release an ACA repeal bill and to use reconciliation to pass it.

Topher Spiro hat repostet

This is a poison pill and we will block it.

News: House Republican leaders are searching for a legislative vehicle they could attach language to that would effectively ban state regulation of artificial intelligence. More from @JakeSherman, @BenBrodyDC and @Dareasmunhoz: punchbowl.news/article/tech/h…



Topher Spiro hat repostet

The enhanced ACA tax credit can be used to purchase the plan that you decide is best for your family. This would require you to increase your exposure to high deductibles to receive the benefit. So much for consumer choice…

This would only subsidize high deductible plans. And in doing so, cherry pick young, healthy people. Premiums for older, sicker people would skyrocket.



Topher Spiro hat repostet

NEWS: Epstein Alleged in Emails That Trump Knew of His Conduct In a message obtained by Congress, the convicted sex offender Jeffrey Epstein wrote that Donald J. Trump spent hours at his house with one of Mr. Epstein’s victims. nytimes.com/2025/11/12/us/…


Topher Spiro hat repostet

BREAKING: Democrats most vulnerable Senator Jon Ossoff just voted no because he won’t stand for Republicans driving up Americans’ healthcare. That’s real leadership.


Topher Spiro hat repostet

That doesn’t make any fucking sense


Topher Spiro hat repostet

The politics are not what the Republicans (and some Democrats) think they are. In this environment, Ossoff is smart to be fighting like hell for affordable health care

Wow — Sen. Ossoff, the most vulnerable Senate Dem, is a no



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