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  "cid": "bafyreic4rweocxx3g6lfgvy6pmhmdywvnfbsm6t6gouglixg2yaqsprptm",
  "value": {
    "text": "Quite a lot more complicated than that though as the \"unnecessary middleman\" aka private insurers are presently the preferred payor in the system and acting as the ration-boogeyman.\n\nIf your local hospital was exclusively reimbursed for care at Medicare or Medicaid rates it'd close its doors.",
    "$type": "app.bsky.feed.post",
    "langs": [
      "en"
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    "reply": {
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        "uri": "at://did:plc:eernnjdfxx77jg5atshgmfga/app.bsky.feed.post/3lo3bczdssc2z"
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        "uri": "at://did:plc:znji5qyptq3ywgprgiwhaf3n/app.bsky.feed.post/3lo5qcvxyj22y"
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    "createdAt": "2025-05-02T02:45:46.396Z"
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}