Charles Gaba's blog

But actually, he thought as he re-adjusted the Ministry of Plenty’s figures, it was not even forgery. It was merely the substitution of one piece of nonsense for another. Most of the material that you were dealing with had no connexion with anything in the real world, not even the kind of connexion that is contained in a direct lie. Statistics were just as much a fantasy in their original version as in their rectified version. A great deal of the time you were expected to make them up out of your head.

For example, the Ministry of Plenty’s forecast had estimated the output of boots for the quarter at 145 million pairs. The actual output was given as sixty-two millions. Winston, however, in rewriting the forecast, marked the figure down to fifty-seven millions, so as to allow for the usual claim that the quota had been overfulfilled. In any case, sixty-two millions was no nearer the truth than fifty-seven millions, or than 145 millions.

Via the Virginia State Corporation Commission:

Virginia’s Insurance Marketplace is proud to announce that more than 388,000 Virginians successfully enrolled in health care coverage during the Marketplace’s Open Enrollment Period, which ran from November 1, 2024, to January 22, 2025. 

Among the 388,856 Virginians who secured health insurance plans through Virginia’s Insurance Marketplace, 69,000 were new enrollees. This is a 21% increase in new enrollments from last year’s Open Enrollment Period, marking a significant milestone for the Marketplace.  

New enrollments may be up 21%, but overall enrollments are down 2.8% vs. last year, which is a bit of a head-scratcher since there doesn't seem to be any specific reason for enrollment to drop in VA this year (as opposed to NY, OR & NC which each had cannibalization of exchange enrollees by their Medicaid or Basic Health Plan programs this year).

Since my Internet Archive indexes of both CDC.gov and FDA.gov seem to have gotten a lot of positive responses, I'm following up by tackling a much larger federal healthcare department website: The Centers for Medicare & Medicaid Services (CMS).

Unlike the FDA's website, which has around ~5,800 public-facing pages, or the CDC's site which has ~7,200, CMS.gov has a whopping ~75,000 pages.

Needless to say, it's going to take some time to index them all, so bear with me.

So far I have every page starting with A - MD.

No, I don't plan on posting every press release issued by the Centers for Medicare & Medicaid Services during the Musk/Trump Regime any more than I did under previous adminstrations, but this one attempts to directly address the single biggest Constitutional crisis going on at this very moment.

Here's what the press release claims verbatim (under the heading "Leadership"):

Feb 05, 2025

CMS Statement on Collaboration with DOGE

CMS has two senior Agency veterans – one focused on policy and one focused on operations – who are leading the collaboration with DOGE, including ensuring appropriate access to CMS systems and technology. We are taking a thoughtful approach to see where there may be opportunities for more effective and efficient use of resources in line with meeting the goals of President Trump.

Earlier this week I gained a lot of attention for generating (with the help of others) an index of the entire CDC.gov website, with direct links to all ~7,200 pages archived by the Internet Archive on or before 1/27/25.

At the time, I was scrambling to slap together something in light of the news that the Musk/Trump Regime had begun purging thousands of pages of critical public health information from federal websites, so I wasn't very sophisticated about how I did it: I simply broke all ~7,200 links into chunks of 500 apiece and pasted them into 15 pages.

A few days later we did something similar with FDA.gov, except this time I took the time to set it up with a drop-down menu with each page covering a different major topic.

As a follow-up to my index of links to archived versions of every CDC.gov page available prior to the Musk/Trump purge, I (with the help of others) have created a similar index of direct links to the Internet Archive's most recent mirrored versions of every public-facing web page on the Food & Drug Administration's website (FDA.Gov) prior to content being purged.

At least...as far as I know...the links are from on or shortly before January 27, 2025. It's possible that they were already tinkering with and/or deleting pages/data prior to then.

I've significantly improved the interface for the FDA links: Instead of simply lumping all the links together, 500 to a page the way I did for the CDC, this time I've broken all of the links out into major topics as well as creating a drop-down menu for the topics to make it easier to navigate. 

 

via Liz Essley Whyte and Betsy McKay of the Wall Street Journal:

The White House is working on an executive order to fire thousands of U.S. Department of Health and Human Services workers, according to people familiar with the matter.

Under the order, the Food and Drug Administration, Centers for Disease Control and Prevention and other health agencies would have to cut a certain percentage of employees. 

...The agencies are responsible for a range of functions, from approving new drugs to tracing bird-flu outbreaks and researching cancer. A loss of staff could affect the efforts depending on which workers are cut and whether they are concentrated in particular areas.

...Agency officials have been told to prepare lists of probationary workers who have essential roles and must be retained, and of employees who don’t, according to people familiar with the instructions.

Federal employees must decide today whether to take the administration’s buyout offer. More than 40,000 federal workers to date have said they would resign under the deal. 

It was in early 2021 that Congressional Democrats passed & President Biden signed the American Rescue Plan Act (ARPA), which among other things dramatically expanded & enhanced the original premium subsidy formula of the Affordable Care Act, finally bringing the financial aid sliding income scale up to the level it should have been in the first place over a decade earlier.

In addition to beefing up the subsidies along the entire 100 - 400% Federal Poverty Level (FPL) income scale, the ARPA also eliminated the much-maligned "Subsidy Cliff" at 400% FPL, wherein a household earning even $1 more than that had all premium subsidies cut off immediately, requiring middle-class families to pay full price for individual market health insurance policies.

Here's what the original ACA premium subsidy formula looked like compared to the current, enhanced subsidy formula:

(Yes, I'm aware Elon Musk is a naturalized citizen, but given the Musk/Trump Administration's obsession with demonizing immigrants it seems like an appropriate headline)

via the Wall Street Journal:

Representatives of Elon Musk’s Department of Government Efficiency have been working at the Centers for Medicare and Medicaid Services, where they have gotten access to key payment and contracting systems, according to people familiar with the matter.

The DOGE representatives have been on site at the agency’s offices this week, the people said, and they are looking at the systems’ technology as well as the spending that flows through them, with a focus on pinpointing what they consider fraud or waste. DOGE representatives are also examining the agency’s organizational design and how it is staffed, the people added.

via Reuters:

Feb 4 (Reuters) - A medical advocacy group on Tuesday sued the main U.S. health agencies over the sudden removal of websites containing public health information in response to an executive order by President Donald Trump targeting what his administration deemed to be "gender ideology extremism."

Doctors for America said in the lawsuit, filed in Washington, D.C. federal court, that the U.S. Centers for Disease Control and Prevention has removed "numerous" longstanding websites since the order.

Those include a page on behavioral health risks among youth, which the lawsuit says is important for understanding health challenges faced by young people, including bullying and vaping; pages with data on the prevalence of HIV and associated risky behaviors; and a page on getting tested for HIV, which the lawsuit called "an important communication tool for physicians."

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