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My book bit.ly/3XXX5u8 is based on 6 years of interviews w patients, workers, nephrologists, plus economists, lawyers & policymakers et al. Voices of courage & clarity, who shine light on this little-known world, & give the US healthcare debate a scalpel-sharp edge. /4
Just reposting my conversation with @AbdulElSayed -- now US Senator for Michigan -- about the epidemic chronic kidney disease in America, and the crisis of Big Dialysis. Our full conversation, "Dialyzing for Dollars," is here: creators.spotify.com/pod/pro…
"37 million Americans have kidney disease and 9/10 don't even know it" - @tommuellerX joins @AbdulElSayed to discuss the growing dialysis industry.
#KidneyDisease #Dialysis
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Tom Mueller retweeted
According to an informed federal official, in the coming months the Trump administration plans to send a total of 40,000 Mark 84 and Blu-117 bombs to the government of Israel. Each bomb weighs 2,000 pounds. This appears to be the largest transfer of conventional explosive ordnance from the United States in modern history.
How big is this shipment? It amounts to 40,000 tons of bombs. For perspective, the largest American air raid of World War Two was the Eighth Air Force’s attack on Berlin in March of 1945. Combined, the 2,023 Allied aircraft involved dropped about 3,000 tons of bombs. That’s 7.5 percent of what Trump is sending to Israel. That same month, March of 1945, the US Army Air Forces began the single most destructive bombing raid in human history, Operation Meetinghouse over Tokyo. More than 100,000 Japanese civilians were killed. By the end of that operation, the US had dropped 1,600 tons of bombs. That’s four percent of what Trump is sending to Israel. World War Two ended five months later, when the US dropped an atomic bomb on the city of Hiroshima. The shipment Trump is sending to Israel amounts to more than three times the destructive power of that nuclear explosion. There is no precedent for what the Trump administration is doing.
Nor is there a justification. The government of Israel is not fighting World War Two, or even a war. It is engaged in periodic skirmishes with a guerrilla force in Lebanon, and it is working to exterminate an unarmed civilian population in Gaza. Neither front requires modern 2,000-pound bombs.
An American-made Mark 84 has a destruction radius of half a mile. It releases a thermal wave the temperature of the surface of the sun. Within 100 feet of the explosion, rock melts and human flesh turns to vapor. The bomb collapses apartment buildings and leaves craters thirty-five feet deep. Until the war with Iran, the US military generally avoided using the Mark 84 in urban areas. It kills too many civilians.
For the Netanyahu government, that’s been the upside. In the weeks after October 7, the IDF dropped nearly six hundred 2,000-pound bombs on densely populated areas in Gaza, including on more than 100 officially designated civilian evacuation zones. The slaughter was so grotesque and embarrassing that for a moment the Biden administration paused a shipment of Mark 84s. Those shipments quickly resumed under Trump. Now they’ve accelerated.
It’s hard to overstate the scale of the crime the Israeli government is committing in Gaza. Over the last three years, more than a quarter-million Palestinians have been killed or wounded by Israeli forces there. The majority of them have been noncombatants: women, the elderly and tens of thousands of children. Many thousands more remain missing, presumably entombed under the rubble of 200,000 collapsed buildings. So far the Israelis have destroyed 92 percent of all homes in Gaza, and 34 of the 36 hospitals. By comparison, the 1945 Allied bombings of Dresden, now acknowledged as a war crime, destroyed about half of the city’s inhabited buildings.
By any definition, what the Netanyahu government has done in Gaza is genocide. The 40,000 new bombs the Trump administration is sending will be used to do the same in Lebanon, and likely in other countries in the region. If you wanted to extend the Iran war into the indefinite future, this is exactly what you’d do.
So far none of this has received public scrutiny. At some point, inevitably, it will be described in media accounts as an “arms sale.” It is not an arms sale. It is a gift, funded by American taxpayers through the Foreign Military Financing program, an arrangement designed to disguise welfare as capitalism: Congress appropriates money to the executive branch, which transfers the cash to Israel to “buy” American-made weapons, in this case from General Dynamics. Politicians claim this is a win for America. Most voters have no idea they paid for it. The bill in this case is about $3 billion. Add that to the $352 billion the US Treasury has transferred to Israel since 1951.
How did this happen? The request for 40,000 new high-explosive civilian-killing bombs originated at the US Embassy in Jerusalem, which is run by Christian Zionist Ambassador Mike Huckabee and his aide David Milstein, who is the stepson of Fox News host Mark Levin. From there it moved to the State Department, where Marco Rubio enthusiastically approved it.
At this point, only four more people need to sign off before the bombs ship to Israel: Senators Jim Risch and Jeanne Shaheen, the chairman and ranking member of the Senate Foreign Relations Committee; and Congressmen Brian Mast and Gregory Meeks, the top two members of the equivalent House committee. All four are committed neocons. Collectively they’ve taken millions from the Israel lobby. In 2015, Brian Mast traveled to Israel to volunteer for the Israeli military. In 2023, Mast showed up in the House of Representatives wearing an IDF uniform.
It’s hard to imagine any of them hesitating before sending more free bombs to Israel. Only public outrage can stop this.
Tom Mueller retweeted
Dialysis provider Fresenius paid its CEO $4.8 million in 2024—then fired nurse Alan Faustino for speaking out about working conditions.
@Fresenius, @DaVita, @USRenalCare, @SatelliteHealth: Union-busting has no place in health care. Bargain in good faith. Reinstate him.
Tom Mueller retweeted
We caught up with Senior Fellow @tommuellerx about his latest book, How to Make a Killing, which covers the profit-driven dialysis industry. We spoke with Tom about the book, the broken American healthcare system, and how it can change for the better. #HumansOfTheInstitute series
Tom Mueller retweeted
Institute Senior Fellow @tommuellerX’s latest book diagnoses a sickness in the American healthcare system: financial conflicts of interest.
We spoke with Tom about his book and how he’s addressing systemic issues in the healthcare industry.
Tom Mueller retweeted
Institute Senior Fellow @tommuellerX joined @Trevornoah for a conversation on @WhatNowPodcast about his latest book, How to Make a Killing, and the profit-driven sickness in American healthcare.
▶️ Watch the podcast episode
youtube.com/watch?v=62d9iBDf…
My appearance on Trevor Noah's podcast "What Now?" just aired:
youtube.com/watch?v=62d9iBDf…
We go deep & then broad -- an in-depth exploration of America's dialysis disaster, then outwards into our larger healthcare drama & the neoliberal drivers behind it all.
Thoughts?
Tom Mueller retweeted
Kicking patients out of facilities.
Sabotaging opportunities for kidney transplants. Ending treatments early.
Corruption runs deep in the for-profit dialysis industry.
Watch Senior Fellow @tommuellerX break it down on @MorePerfectUS
nitter.cf/MorePerfectUS/status/1…
Tom Mueller retweeted
The fact that every doctor thought “I’m sure this is related to denying access to care” after hearing about the shooting of United Health Care’s CEO shows how bad our system is
Thanks for the nudge @kidney_boy . I've done the same, with the same handle.
Received this text today
So in the name of transparency, here’s the deal:
I’m moving to Bl**Sk*
I’m Kidneyboy over there
See you over there.
Try it, you’ll like it.
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Tom Mueller retweeted
Replying to @kidney_boy @tommuellerX
Here is an interesting thought exercise: if you could change one aspect of dialysis in the US, what would have the most positive overall impact for the patients?
Tom Mueller retweeted
Tom Mueller @tommuellerX on the corrosiveness of conflict of interest. overcast.fm/+AARuTnPGs3I/19:…
Thank you and well said @kidneyrebel ! I hope the next book about dialysis tells how the spirit of Scribner and Kolff returns to the industry, and how patients, not profits, come first once again.
It is time to return Nephrology to the mountaintop upon which people like Drs. Kolff and Scribner lit the fire that became the then revolutionary dialysis.
May @tommuellerX’s well researched expose of today’s dialysis be the last of its kind.
Thank you @alunieczka ! My main hope is that those words lead to real change in the industry. As one veteran RN at one of the LDOs said to me after reading the book, "We can do better. We MUST do better."
Some time after the ASN but just finished reading Tom Mueller’s How to make a killing and I must say it’s a powerful and wonderfully written book. I loved all the facts - I read more on goals gone wild - amazing. @tommuellerX @NephJC
Tom Mueller retweeted
I truly do not think anybody loves the organ they specialize in more than nephrologists love the kidney
Unedited love song for the kidneys during #nephjc party #kidneywk
All the applause go to @Maximal_Change
Tom Mueller retweeted
7/ #nephjc party was epic
We had it all: an interview with @tommuellerX - eye-opening, even for ppl not working in the US healthcare, @maximal_change singing, @freely_filtered recording, fire vibes, and perfect company
🎤nitter.cf/NephroSeeker/status/18…
Unedited love song for the kidneys during #nephjc party #kidneywk
All the applause go to @Maximal_Change
Tom Mueller retweeted
Replying to @tommuellerX @FerArceAmare
Can you please sign and (if you can) redistribute? 😊It’s the International Society’s of Nephrology’s petition to recognize Chronic Kidney Disease as a non-communicable disease
👇See more details here
nitter.cf/nephjc/status/18512956…
Let’s make the @ISNkidneycare campaign #KidneyHealth a global priority a success!
nephjc.com/news/isn-who-peti…
#NephJC #KidneyWk
Likewise! It was a great honor for me to be included in this conversation -- and took real leadership to do so. A constructive (though not always easy) conversation throughout. Extremely impressed.


























