Charles Ghoul-ba 🎃 ✡️

Welcome new followers! I'm a healthcare policy analyst, advocate & blogger who focuses primarily on the ACA. I’ve also gained some attention for my COVID19 data analysis. I also raise money online for Democratic candidates. You can follow my work (& even support it!) at ACASignups.net.

I couldn’t ask for higher praise.

JUST IN: Judge Gleason in Alaska sounds deeply skeptical of DOJ's 11th hour lawsuit there to halt certification if Sen. Dan Sullivan loses. She grants Dems' motion for expedited consideration and notes DOJ waited four months to sue over the ballot. s3.documentcloud.org/documents/28...

This midterm electorate is likely going to be the most diverse midterm electorate in U.S. history

Have you seen our NEW AD The choice this November is clear. Courtney will deliver for hardworking families and put the Upstate first, working to lower costs at the pump, grocery store, and doctor’s office. It’s time to Elevate the Upstate. Vote on or before Tuesday, November 3rd!

NOTE TO ANYONE TRYING TO COMPARE EARLY *OR* MAIL-IN VOTING IN MICHIGAN TO 2022: DON'T. Just don't. --In 2022 we didn't HAVE early in-person voting. --In 2022 only seniors & a limited number of other adults could vote by mail (absentee ballots) --we also didn't have drop boxes or pre-paid postage

#MeanwhileInMichigan: Over 1.21 MILLION ballots have been returned for the November 2026 election (16.4%). Based *purely* on county-level Trump/Harris results, the projected Dem portion of ballots cast so far are 1.8% more Dem than the *final* results from 2024.

FWIW, this poll is pretty close to where I expect the MI Senate margins to end up being: Benson by 12 El-Sayed by 2 ippsr.msu.edu/news/msu-pol...

Judiciary Dems report: “Above all, the actual evidence we have seen—as shared in the accounts and stories of 11 women, each described below—indicates that Trump abused, assaulted, and even raped numerous women alongside, and in coordination with, the most infamous sex trafficker in history.”

Vivek Ramaswamy’s 8th grade teacher.

My heart is heavy. Walter Koenig, our Ensign Pavel Chekov, passed away early today. Walter and I met on the bridge of the Enterprise in the 1960s, and we stayed friends for nearly six decades. When Brad and I married in 2008, Walter stood beside us as our best man.

Jon Ossoff’s closing argument went in for the kill.

Ummmmm…

secure.actblue.com/donate/eliza...

🚨The FL Republican state representative in HD 94, who eagerly accepted Trump‘s “complete & total” endorsement in May, is now desperately trying to make the contest about her Dem opponent. So far, > $100k in negative mail about the Dem challenger has been spent on behalf of “MAGA Meg”. Wonder why ?🤷🏽‍♀️

So GOP members of Congress are complaining their absurd defenses of the largest #Medicaid cuts in history still aren’t working (there are no cuts, they aren’t cuts because we’re only stopping fraud, ignore the cuts & look at the shiny new rural fund, & the new one here: they could have been worse).

At least 52 maternity wards have closed since Trump signed off on the largest Medicaid cut in history.   No mother should have to travel farther for lifesaving treatment because Republicans prioritized tax breaks for billionaires over healthcare.   They should be ashamed.

I don't know that there is a definitive line to cross that makes you say, "I live in a police state now" but when masked gunmen can routinely brutalize the public, citizen or immigrant alike, with impunity, you have reached that point.

This will go down as one of the most incredible screwups in recent campaign history, and it happened because brain-fried Republicans like Ramaswamy can't imagine that voters don't actually want politicians to be gigantic assholes. My latest at Public Notice: www.publicnotice.co/p/vivek-rama...

NEW: At least 18 voting centers in Alaska Native communities have not opened despite early voting having already started in the state last week. “There is no legal excuse for the failure to open these sites,” one state senator wrote to the Alaska elections chief.

They're dancing in the streets in Brazil and Serbia, what wonderful news about their elections. So, two down, two to go. Have you voted?

Let’s all pre-order @alexgibneyfilm.bsky.social ‘s MUSK documentary. It’s essential viewing and certain “powers that be” want it to disappear.

UNTIL Tuesday, however… Blue26.org ;)

See? There is no secret “defeat fascism once and for all” belief system. You just do the work, every election. Far left, center left, it doesn’t matter. Learn the lesson: Stop pretending you’re special and just fucking vote for Democrats.

🚨 9 DAYS TO GO! 📣 #NEWHAMPSHIRE Democrats need your help! This is an #UnlikelyHeroes page *deliberately* featuring Dems running in RED districts to boost statewide turnout & force Republicans to defend their turf. Donate today! #Blue26 #NoKings secure.actblue.com/donate/nh26h...

🚨 9 DAYS TO GO! 📣 #NEWHAMPSHIRE Democrats need your help! --Donations go directly to the candidates --Nothing donated via this page goes to me --Opt out of sharing email/phone w/the campaigns This page lists COMPETITIVE DISTRICTS. Donate today! #Blue26 secure.actblue.com/donate/nhblu...

🚨 9 DAYS TO GO! 📣 #NEVADA Democrats need your help! --Donations go directly to the candidates --Nothing donated via this page goes to me --Opt out of sharing email/phone w/the campaigns This page has COMPETITIVE & LONG SHOT DISTRICTS. Donate today! #Blue26 secure.actblue.com/donate/nvblu...

🚨 9 DAYS TO GO! 📣 #NEBRASKA Democrats need your help! --This page has COMPETITIVE and LONG SHOT races --Donations go directly to the candidates --Nothing donated via this page goes to me --Opt out of sharing email/phone w/the campaigns Donate today! #Blue26 secure.actblue.com/donate/neblu...

🚨 9 DAYS TO GO! 📣 #MONTANA Democrats need your help! This is an #UnlikelyHeroes page *deliberately* featuring Dems running in RED districts to boost statewide turnout & force Republicans to defend their turf. Donate today! #Blue26 #NoKings secure.actblue.com/donate/mt26h...

🚨 9 DAYS TO GO! 📣 #MONTANA Democrats need your help! --Donations go directly to the candidates --Nothing donated via this page goes to me --Opt out of sharing email/phone w/the campaigns This page lists COMPETITIVE DISTRICTS. Donate today! #Blue26 #NoKings secure.actblue.com/donate/mtblu...

🚨 9 DAYS TO GO! 📣 FLIPPING THE SENATE BLUE IS MORE URGENT THAN EVER. --No donations through this page go to me. --Opt out of sharing your email/phone w/campaigns Donate today. #Blue26 secure.actblue.com/donate/senat...

🚨 9 DAYS TO GO! Flipping the House blue is an ABSOLUTE MUST this year. Donate today. #Blue26 NOTE: This is an #UnlikelyHeroes page *deliberately* featuring Dems running in RED districts. secure.actblue.com/donate/house...

🚨 9 DAYS TO GO! Flipping the House blue is an ABSOLUTE MUST this year. Donate today. #Blue26 --Nothing donated via this page goes to me. --Opt out of sharing your email/phone # w/the campaigns secure.actblue.com/donate/house...

🚨 9 DAYS TO GO! 📣 EDUCATION OFFICES get overshadowed by higher-profile races, but they have a major impact on society. Help keep & flip STATE SUPERINTENDENT & SCHOOL BOARD seats blue! #Blue26 --Donations go to the candidates listed --Nothing goes to me secure.actblue.com/donate/educa...

🚨 9 DAYS TO GO! 📣 Elections for state Treasurer, Auditor, Comptroller, etc. don't get much attention, but they're vitally important (and are often stepping stones to higher-profile offices). Donate today to help keep & flip STATE EXECUTIVE seats blue! #Blue26 secure.actblue.com/donate/other...

🚨 9 DAYS TO GO! 📣 ATTYS GEN & SECS OF STATE are vital to protecting our elections and civil rights! Donate today to help keep & flip them blue! #Blue26 --Opt out of sharing your email/phone w/the campaigns. --Nothing donated through this page goes to me. secure.actblue.com/donate/agsos...

🚨 9 DAYS TO GO! 📣 Democratic GOVERNOR and LT. GOVERNOR candidates need your help! Donate today to help keep & flip STATE EXECUTIVE seats blue. #Blue26 --Opt out of sharing your email/phone w/the campaigns. --Not a dime of donations through this page go to me. secure.actblue.com/donate/govsl...

🚨 9 DAYS TO GO! 📣 Recent court decisions should make it clear how vitally important JUDGES are. --Donations go directly to the candidates --Nothing goes to me --Opt out of sharing your email/phone w/the campaigns Donate today! secure.actblue.com/donate/state...

!!! www.nytimes.com/2026/10/25/w...