ex-libris-craux

[ex-libris-craux]

Commissions are open!

🗡️ 7 slots!

✨Forms here!✨

🗡️ToS and Patreon

Now you can get access to everything i make, including spice, on Patreon! If you want commission perks, it's there too >:3c

I will ALWAYS reply the submission. Please check your email and Spam box.

[ex-libris-craux]

[ex-libris-craux]

[ex-libris-craux]

Also, if you'd rather watch than read, the Granada series is *phenomenal*.

[ex-libris-craux]

[ex-libris-craux]

pride month!!!

[ex-libris-craux]

[ex-libris-craux]

Living: Some days you wake up and immediately start to worry (1980-82) by Jenny Holzer

[ex-libris-craux]

Fairy Tales are a necessity because they dare speak the truths that the world never wants to hear;

That adults are cruel to children.

That you will suffer injustice, but that doesn't give you the right to be unjust to others.

That there are negative consequences to indulging vices.

That upholding moral principles is always the better path, even in the face of hardship.

That you will die someday.

And that inspite of all the bad in the world, it is worth persevering and finding the love and joy that is out there.

[ex-libris-craux]

Oregon bans the corporate practice of medicine

I'm in the home stretch of my 20+ city book tour for my new novel PICKS AND SHOVELS. Catch me in PDX TODAY (June 20) at BARNES AND NOBLE with BUNNIE HUANG and at the TUALATIN public library on SUNDAY (June 22). After that, it's LONDON (July 1) with TRASHFUTURE'S RILEY QUINN and then a big finish in MANCHESTER on July 2.

Private equity firms are the demon princes of the hellspace that is the imploding, life-destroying, plutocrat-generating American economy. Their favorite scam, the "leveraged buyout" is a mafia bustout dressed up in respectable clothes, and if you mourn a beloved, failed business, chances are that an LBO was the murder weapon, and PE was the killer:

https://pluralistic.net/2024/05/23/spineless/#invertebrates

(Despite simplistic explanations and bad-faith apologestics, a leveraged buyout is nothing like a mortgage – it is a sinister, complex, destructive form of financial fraud:)

https://pluralistic.net/2024/08/05/rugged-individuals/#misleading-by-analogy

As bad as this is, it's ten quintillion times worse when applied to healthcare. When PE buys your hospital, people die. A lot of people:

https://pluralistic.net/2024/02/28/5000-bats/#charnel-house

PE doesn't even have to buy the whole hospital – for a long time, PE groups bought out anesthetist practices affilated with hospitals and pulled them out of the hospital's insurance affiliation. Unsuspecting patients who went in for routine surgical care at a hospital that was in-network for their insurer would get a rude awakening from their sedation: "surprise bills" running to tens or hundred of thousands of dollars. PE groups did the same thing with emergency rooms, so that people experiencing serious medical emergencies who had the presence of mind to insist upon being brought to an in-network ER nevertheless got hit with life-ruining surprise bills:

https://pluralistic.net/2022/03/14/unhealthy-finances/#steins-law

Donald Trump sometimes panders to anti-elitist elements in his base by threatening the private equity racket. For example, Trump has frequently railed against the "carried interest" tax loophole that allows PE bosses to pay half as much tax as you or I would on their vast takings. "Carried interest" is a tax law that gave 16th century sea-captains a break on their "interest" in the cargo they "carried." It is both weird and fantastically unjust that richest, worst financiers in America are able to take advantage of this Moby Dick-ass-law:

https://pluralistic.net/2021/04/29/writers-must-be-paid/#carried-interest

But while Trump sometimes talks a good line about fighting private equity looters, he does not, has not, and will not lift a finger to them. He dares not. The carried interest tax scam is preserved in the Big Beautiful Bill, joined with many other giveaways the least productive, most guillotineable looters America has produced:

https://www.pillsburylaw.com/en/news-and-insights/no-changes-carried-interest-big-beautiful-bill-so-far.html

Working people cannot rely on Trump's federal government and the Republican Congress to protect us from these vampires. But this is America: when the feds fail, that creates an opportunity for state legislators to step in and act. And that's just what's happened in Oregon, where the state legislature has passed sweeping, bipartisan legislation that bans corporations from owning or operating a medical practice in the state:

https://prospect.org/health/2025-06-13-united-health-care-oregon-corporate-medicine/

This is called the "corporate practice of medicine" (CPOM) and it's already banned. The American Medical Association has a longstanding, absolute prohibition on medical practices that are run by anyone except a doctor. Oregon has had a CPOM ban on the law-books since 1947. Private equity meets this prohibition with a very transparent ruse indeed: they get a "rent a doc," often out of state, to serve as the nominal owner of their practices, and the doctor takes orders from the PE firm, and hires the PE firm's outsource agencies to actually operate the clinic or hospital, absorbing the entirety of the practice's profits.

The Oregon bill closes this loophole, and not a minute too soon. Giant healthcare monopolists – most notably groups associated with Unitedhealth, the largest health corporation in America – have embarked on a statewide buying spree, buying and shutting down rural hospitals and clinics, and transforming the remaining facilities into understaffed charnel houses that hemorrhage doctors.

The bill took several tries to get through the legislature. As Oregon House Majority Leader Representative Ben Bowman told Matt Stoller and David Dayen on their Organized Money podcast, the statehouse was crawling with lobbyists hired by out of state private health-care firms who were worried about "contagion" if Oregon's bill passed and spread to other states:

https://www.organizedmoney.fm/p/how-oregon-is-ending-corporate-run

But the bill passed anyway, thanks to a combination of two factors. First, during the bill's legislative adventure, Unitedhealth's Optum bought out the Oregon Medical Group and made working conditions so terrible that dozens of doctors quit, leaving thousands of rural patients (from predominantly Republican districts) without medical care. Optum "fired" thousands of patients, including some who were undergoing cancer treatment, on the basis that they weren't profitable enough to care for:

https://www.thebignewsletter.com/p/private-equity-unitedhealth-take

In the midst of all this, another Unitedhealth monopolist, Change Health, got hacked and virtually no one in America could get a prescription filled – worse, the hack exposed the health records of almost everyone in America, the largest health-related breach in US history:

https://pluralistic.net/2024/06/28/dealer-management-software/#antonin-scalia-stole-your-car

Then, as icing on the cake, Unitedhealth's Oregon operation screwed over multiple, cancer-fightin lawmakers who were serving in the state-house as the bill was under debate. Combine this with testimony from doctors who described how they were unable to practice medicine after leaving Unitedhealth's terrible facilities because they had been trapped with noncompete clauses in their contracts, nor could they warn other doctors away from falling prey to this trap because they were also bound by nondisparagement clauses.

The new bill, SB 951, passed out of the legislature and was signed by the governor earlier this month. It is now good law in Oregon, which means that corporations can't operate medical practices, and that medical personnel can't be subjected to noncompete clauses (fun fact: every noncompete clause is written by a lawyer, but the American Bar Association prohibits noncompetes for lawyers).

Now it's time for those out-of-state healthcare looters' worst fears to be realized. It's time for the contagion to spread to other states.

The US federal system is a big, gnarly mess, but by design, it leaves a lot of power in local hands. That's bad news when local power is being used to ban trans people from peeing, or to attack school librarians, or to ban masking. But it's good news when states and cities can use the American system to create sanctuary systems that welcome asylum seekers and treat them with dignity (which is why the American right, the standard bearer for "states' rights" when it came to school segregation and voter suppression, is now all-in on sending armed soldiers to terrorize their fellow Americans with assault rifles).

Another reason to like state and local politics: local Democrats often suck way less than the necrotic federal Dem establishment. Some of them are even good! In Philly, Mayor Cherelle Parker just signed the Protect Our Workers, Enforce Rights (POWER) Act, which protects 750,000 workers from wage theft:

https://prospect.org/labor/2025-06-18-how-philadelphia-secured-basic-rights-for-750-000-workers/

The POWER Act shifts the burden of proof for wage theft allegations from workers to their bosses and allows them to recover their stolen wages plus $2,000 in statutory damages per violation; it sets up a new fund (replenished with employer fines) that gives money to victims of retaliation, and it creates a public "bad boss" database of repeat offenders.

As Brock Hrehor writes for The American Prospect, the POWER Act was passed after Trump gutted the National Labor Relations Board and left it unable to protect American workers. The POWER Act tackles one of the most pernicious forms of crime in America: wage theft, which accounts for more losses than all property crime in America combined, with losses overwhelming borne by Black and brown workers, especially women. Wage theft is notoriously hard to police, thanks to fear of retaliation and the precarity of victims of this crime.

The POWER Act passed as a result of the combined efforts of unions (SEIU, AFL-CIO) and the Working Families Party. Along with the Oregon Corporate Practice of Medicine ban, it shows how local, grassroots activism can protect everyday, working people from even the worst corporate criminals, even in Donald Trump's America.

If you'd like an essay-formatted version of this post to read or share, here's a link to it on pluralistic.net, my surveillance-free, ad-free, tracker-free blog:

https://pluralistic.net/2025/06/20/the-doctor-will-gouge-you-now/#states-rights

[ex-libris-craux]

As it was becoming clear the US was headed into trade war territory, I got really interested in farming and the logistics of keeping people fed. I turned that interest into "your cool city needs a food supply," available now!

it's a hack of "i'm sorry did you say street magic" and "Microscope," two gold-standard worldbuilding games. It was polished by Nico MacDougall, who gave me some great advice on how to make this game really align with the themes and ideas I had in the draft.

I've always been a sicko about logistics and agriculture (growing up in the US midwest will do that to you), and I hope this game helps people think about how great a privilege it is to eat.

[ex-libris-craux]

really everyone you love has something miserably wrong with them or an obvious flaw that won't ever be fixed but like it's up to you what kind of person you can and cannot deal with. someone in my family has anger issues which I can handle and diffuse with no problem, but a person who can't tolerate yelling could not be close to him. another person I know is very anxious & needs constant reassurance and she gets along famously with gentler and more straightforward people than myself, but I can't handle being second guessed all the time. someone who is loosey goosey with their morals wouldn't bother me, but a person with a profound sense of justice makes me feel afraid of getting on their bad side. none of these traits actually make someone a bad person & just because there are personalities I can't handle doesnt mean I'M a bad person either. litany against callout posts for stupid shit and simple incompatibilities we all have to live on this earth together & need to learn how to deal with each other

[ex-libris-craux]

Pizza Index strikes again.

Trump is trying to play this like he and his administration had no knowledge of Israel's attack on Iran, but the Index never lies.

[ex-libris-craux]

cooking with trauma

[ex-libris-craux]

You know what I've never really seen realistically depicted in fiction? The way that people in places that get a huge amount of snow deal with said snow. Specifically in the cities. I get that it's probably not exactly an intuitive thing to think about if you've never lived in a place that gets a lot of snow, and even if you do, you probably figure that they must have some really sophisticated infrastructure systems specifically for this purpose. It's not like they'll just scoop the snow off the streets and gather it into huge piles, and then just climb over the progressively larger and larger snow piles every single year for months while waiting for the piles to melt in the spring.

We do. There's no point in planning more sophisticated systems to get rid of something that'll eventually just go away on its own. So they just pile the snow into randomly designated spaces that cars or people aren't supposed to go through, and let it pile up. There's significantly less street parking available in the winter because some spots where you could otherwise park a car are currently the parking spot of a snow pile three times taller than a car.

You get used to it. And if you grow up around here, it never even occurs to you to think of it as something strange in the first place.

[ex-libris-craux]

Triple J's holding an Australian Music Hottest 100, lets gooooooo

https://www.abc.net.au/triplej/countdown/hottest100

[ex-libris-craux]

A helpful explanation of why Cabin Pressure is awesome and everybody and their cat should listen to it. Art by the amazingly talented tealin (used with permission)