Topher Spiro @TopherSpiro
Former White House Office of Management and Budget Washington DC Joined October 2011-
Tweets899
-
Followers77K
-
Following114
-
Likes4K
Medicaid already requires drug manufacturers to offer the best price they provide to any other purchaser. This is not the driver of high drug costs! This is not serious - especially in light of tariffs that jack up drug prices.
Medicaid already requires drug manufacturers to offer the best price they provide to any other purchaser. This is not the driver of high drug costs! This is not serious - especially in light of tariffs that jack up drug prices.
NEW from @amprog's @EmilyG_DC: Health Insurance Premium Costs Will More Than Double for Millions of Americans Unless Congress Acts americanprogress.org/article/health…
This is a lie. It is a violation of law for the ACA premium tax credits to go to illegal aliens. Total and complete fabrication.
This is a lie. It is a violation of law for the ACA premium tax credits to go to illegal aliens. Total and complete fabrication.
One of the greatest tricks Trump ever pulled off is getting the media to make his political bar support amongst Republicans, rather than the country or even independents.
Republicans have control of the House, Senate, and White House. If the government shuts down, it’s on them.
The Vice President knows that you know he's lying. For an authoritarian, that's the ballgame - to force you into submission to his reality.
The Vice President knows that you know he's lying. For an authoritarian, that's the ballgame - to force you into submission to his reality.
Here they confess to owning the government shutdown! Of course they do - they control all of government.
Here they confess to owning the government shutdown! Of course they do - they control all of government.
Regarding @ezraklein, @mattyglesias, and @neeratanden's commentary on red-state Democrats. They're right. We must moderate our stances on social issues if we ever want to have a chance to win down here again. Are you pro-choice? I assure you that having a pro-life Democrat…
This candidate for Senator in Texas is so incredibly talented. He gives me hope for a realignment.
This candidate for Senator in Texas is so incredibly talented. He gives me hope for a realignment.
The Republican position is we want to let your premiums spike and deal with after they spike. What logical sense does that even make.
The Republican position is we want to let your premiums spike and deal with after they spike. What logical sense does that even make.
Some National Weather Service staffers are working double shifts to keep forecasting offices open. Others are operating under a “buddy system,” in which adjacent offices help monitor severe weather in understaffed regions. Still others are jettisoning services deemed not…
It is absolutely disgusting to see an American write "Are you going to comply?" in reference to a president demanding that a company fire an employee for political reasons. This is reprehensible authoritarian nonsense.
Correct. Obama won 53 EVs in 2012 in states that we didn’t even contest in 2024. Dems won 7 US Senate races in states in 2012 that folks would laugh about playing in now. If we don’t address this, we will be a minority party for a generation or more. Period.
Correct. Obama won 53 EVs in 2012 in states that we didn’t even contest in 2024. Dems won 7 US Senate races in states in 2012 that folks would laugh about playing in now. If we don’t address this, we will be a minority party for a generation or more. Period.
Why would Dems make a budget deal with Republicans when Trump can just unilaterally tear it up later?
Why would Dems make a budget deal with Republicans when Trump can just unilaterally tear it up later?
VP Vance is completely making this up. The Democrat's CR proposal has nothing resembling a demand to give $1 trillion in medical benefits to illegal immigrants. It's not merely an exaggeration or misinterpretation. Rather, it is completely fabricated out of thin air.
Ossoff on @PodSaveAmerica: "There's a deeper story here about corruption in American politics which is something the Democratic Party needs to focus on. Trump in my view is a symptom of the deeper corruption in our politics. How is that we have a demagogue who promises to tear it…
Make no mistake - their strategy is to sabotage Obamacare, spike premiums, then go in for the kill. And they're willing to shut down government to do it!
Make no mistake - their strategy is to sabotage Obamacare, spike premiums, then go in for the kill. And they're willing to shut down government to do it!
These people think Americans are dumb.

Steven Dennis @StevenTDennis
158K Followers 16K Following Bloomberg reporter / Congress. Opinions mine. #FridayNightZillow #CheapZillow for fun. I'm @steventdennis elsewhere too. RTs ≠. Tips: [email protected]
Andy Slavitt 🇺🇦 @ASlavitt
536K Followers 1K Following Fr Biden/Obama Admins. Host of @inthebubblepod & author best-selling book “Preventable”. Find me on Postnews aslavitt.
Charles Gaba ✡️ @charles_gaba
49K Followers 4K Following Healthcare data analysis & snark 🦋 https://t.co/ouYwTXWvCw
Ronald Brownstein @RonBrownstein
116K Followers 3K Following Brownstein, a 2-time Pulitzer Prize finalist, is a Bloomberg Opinion columnist, senior CNN political analyst & author of NYT best-seller Rock Me on the Water
Matt McDermott @mattmfm
89K Followers 2K Following Democrat for Providence City Council • Democratic Strategist • @VictoryFund Board • Senior Vice President @ Whitman Insight Strategies
Dan Diamond @ddiamond
138K Followers 1K Following White House reporter @WashingtonPost. Focused on policy, politics and public health. Find me on Signal: dan_diamond.01
Benjy Sarlin @BenjySarlin
123K Followers 3K Following Assignment editor @postopinions. Send pitches, feedback, etc to [email protected].
Michael A. Cohen (NOT... @speechboy71
71K Followers 3K Following Do what the cool kids do and subscribe to my newsletter, Truth & Consequences, Columnist MSNBC, Senior Fellow @CSSfletcher NOT Trump’s lawyer, Proud Zionist
Indivisible Guide ❌... @IndivisibleTeam
230K Followers 3K Following Building progressive grassroots power & holding Members of Congress accountable. Check out our Guide to Defeating MAGA: https://t.co/w3dUdade5S
Adam Jentleson @AJentleson
79K Followers 5K Following President and Founder, @SearchlightInst | Author of KILL SWITCH and the forthcoming SUPERMAJORITY from @wwnorton
Eric Columbus @EricColumbus
38K Followers 2K Following Senior editor @lawfare. Obama appointee at DOJ/DHS. Litigator for @SpeakerPelosi @January6thCmte. @YankeeStadium 🌭 vendor. Wannabe historian. Dad joker.
Leah Greenberg ❌�... @Leahgreenb
56K Followers 3K Following Co-Executive Director, @IndivisibleTeam. She/her. If you find my headphones, let me know.
Jesse Ferguson @JesseFFerguson
45K Followers 9K Following Writes thoughts/Tweets feelings. Dem Strategist for causes, campaigns & candidates. Prev. Dep Press Sec. Clinton '16, DCCC IE Dir., DCCC Dep ED/CommDir. W&M'03
Larry Levitt @larry_levitt
32K Followers 1K Following Executive Vice President for Health Policy, @KFF. Cal Bear.
julie rovner @jrovner
34K Followers 3K Following Chief Washington Correspondent KFF Health News/horse person/corgi mom X 2. Host, KFF Health News's "What the Health?" podcast. #GoBlue!
Jeremy Konyndyk @JeremyKonyndyk
79K Followers 1K Following President of @refugeesintl. Former lead for COVID (46) & disaster relief (44) @USAID. Also, bread. Support our work at the link below!
Greg Dworkin @DemFromCT
20K Followers 2K Following Retired doctor. Personal account, reflecting my own view. https://t.co/MFW4T52r3U @demfromct.bsky.social
Paul Waldman @paulwaldman1
35K Followers 646 Following Formerly: Washington Post, The Week, American Prospect. MSNBC columnist, co-host of Boundary Issues. Author, The Cross Section: https://t.co/NcC1hMgD9J
Adrianna McIntyre (@a... @onceuponA
20K Followers 434 Following I study administrative burdens in health insurance coverage, strategies to reduce these barriers, and the politics of health reform also @adrianna.bsky.social
Jacquelyn Rugare @JacquelynRugare
62 Followers 401 Following
Toby Chaudhuri @TobyChaudhuri
2K Followers 5K Following Works to activate the public and motivate action through the power of story, experience and community
SandraPriestley @1S3004z8z86I5y
19 Followers 480 Following
Margaret N. Grayson @MargaretMarkets
20K Followers 12K Following Full-Time Trader | Christian | American 🇺🇸 | 16-Figure Portfolio | Mentor to 370+ Students | Believer in #Bitcoin | Helping People Grow Wealth
Addy @addyadellyn3
584 Followers 796 Following Life is like a camera; focus on what’s important and capture the good times.
Elizabeth West @elizabeth_42041
2 Followers 294 Following
Dee Hustle @DeeHustle8
2 Followers 38 Following I always dream about great things despite being in not so great situtations.
Trirneg @Trirneg976
53 Followers 2K Following
Lîșa_Μelódÿ°® @melodylisa121
233 Followers 669 Following Into models fashion designer/Real Estate Investment🏡 additional to my job
莫雷蒂琳瑜 @mlidlny171412
1 Followers 5 Following
Rediviva @RedivivaW
45 Followers 256 Following As democracy fades fast I'll focus on surviving (and spend more time on true crime🤷♀️). You can help cold cases: https://t.co/eDRcaQy7Yc
Sami Kally @opensayssami
3K Followers 7K Following Healing massage & bodywork at your home in greater Los Angeles + energy medicine / somatic coaching at a distance (video call)
Joan Detz #MediaCoach... @JoanDetz
3K Followers 6K Following How To Write & Give A Speech, "A how-to classic" (Washington Post) Books translated into Chinese, Spanish+ #libraries #literacy #HTWGAS #CanYouSayAFewWords?
Marsha Johnson @met_johnson
0 Followers 301 Following
William Jonathan @WJonathan1267
791 Followers 393 Following William Jonathan #MSOGang Follow for current Cannabis News
Stephanie Winston Wol... @SWinstonWolkoff
93K Followers 5K Following Author of MELANIA AND ME: The Rise & Fall of My Friendship with the First Lady. #1 NYT Best Seller. https://t.co/4DNYMBWgXp
Are YOU on the list? ... @JENNStheMANN
3K Followers 6K Following A blue dot in a sea of red insanty. Not all my tweets are real. I AM ANTIFA! #nondelusionalAthiest #prochoice #ally2All #freePalestine #freeUkraine 🏳️🌈🌊
Emilia Eckhart @UnrealChaos030
186 Followers 2K Following
Telvin Griffin @TelvinGriffin
17K Followers 6K Following Faith, Family, Film | Proud Black Hebrew Jew | Descendant of Judah | Reggie in the @TheAcademy Nominated @BabylonMovie | Arkansas Bred🐗 | Yeshua is King 🤴🏾
Beep! @Beep19761515
672 Followers 970 Following Interested in photography, native plants and animals & basic human decency. chuxpix on iNat.
EP @elpear444
2K Followers 7K Following Old white hippy. LA Native. RIP America. CA Vote YES on Prop 50 Redistrict CA. MAGA is destroying America 😡
Debra Morland @debramarizona
134 Followers 702 Following Work way too hard as a mgr. for a doctors office. Fighting for our democracy (Good Trouble) anyway I can. I cuss a lot but will try to keep it under control. 😁
Lara Hartzenbusch @Lhartzenbusch
468 Followers 5K Following Indie Journalist/📺 TV🎙Pod Producer 🎥 Doc Filmmaker #OnBeyondFences @BBCWorld Ex: @BloombergTV @CNBC @Washingtonpost
Bogar Alonso @Bogar__Alonso
129 Followers 4K Following
Susan ☆ Whitney ☆... @SMBWhitney
4K Followers 5K Following Passionate about Being. Respect, Fact-based Truth, Inclusiveness, & Our Democratic Freedoms. #TeamPatriot Madly in Love w Love https://t.co/ostAwuUapR
Bibi @GilesBid91902
551 Followers 649 Following
Lex 🌐🗽 @templBite
2K Followers 5K Following Analista | Divulgador | Liberal | OTAN | Anti chairos | Antipopulista | Antisocialista 🇲🇽🇺🇸🇨🇦🇬🇧🇪🇺🇨🇭🇺🇦🇮🇱🇭🇰🇹🇼🇯🇵🇦🇺🇳🇿📜⚖️🏛️🌐🗽🏗
Julia Fierro 🎡 @JuliaFierro
9K Followers 7K Following Novelist, most recently THE LAST PARTY, out April 26th as @casslucasauthor; founder of @SackettStreet - 10,000+ writers since 2002; nightknitter
. @jargonpain
59 Followers 400 Following ‘Standards of thinking are being imposed on people at a time when the distinction between genuine/fake seems to have been abolished’ - Pope Benedict
Suzanne Duffy @ZannFlute
440 Followers 5K Following
Numa Pompilius @Pompilius4216
34 Followers 1K Following
Summit Singh Dhaliwal... @_SSDhaliwal97
845 Followers 7K Following 26🐣 ⚡️☬ FCC alumnus ‘21 (AA-T PST)📚🧑🏻🏫👨🏻💻🧑🏻💻 UCD '25 (BAPS) 🗳✏️🖋📝📥🗳️ Fresno CA 🚜🧑🌾 🌳🌲🌳 🐎🌹 📎 ✊🧦 🗽🚀🧢 🚄🚍🌈🏳️🌈🇺🇦
. @RH9263124386849
656 Followers 3K Following
Peter Billerbeck @PeterJBX
1K Followers 3K Following Current @HouseForeign | Fmr @TeamMoulton Sr Advisor | Fmr @TimKaine Defense & Foreign Policy | @GeorgetownMSFS @CFR_org | Democratic rights & original thinkers
David Campbell @DavidatTanteo
496 Followers 2K Following
JustSearchin @AndreasBoos
3K Followers 7K Following Commentator on matters GREAT and small. (followers welcome but not required) Retired DOD 💙💙💙
RainierAvenuePilot @RustingTown
208 Followers 957 Following Madrid. London. Support unions, refugees, & immigrants. Tax the rich. “Steal a little & they throw you in jail, steal a lot & they make you King.”
A Digital Neomorph �... @mathepi
3K Followers 8K Following Digital collab | e/acc | Techno-optimist 🇺🇸 | Stats, science, and freedom | Inspired by Franklin, Jefferson & the open frontier. Opinions personal. *NO* DMs!
Holly 🇺🇸🦅✨ @Msdesignerlady
39K Followers 29K Following Pro-Democracy #HumanRights #climate 🌎 #LGBTQAlly 🌈 #DemVoice1
CCResists @resists_cc
2K Followers 5K Following "The only thing necessary for the triumph of evil is for good men to do nothing"- Edmund Burke #TaxBillionaires50sStyle #ForensicAuditNOW #TrumpCheated
Dan Diamond @ddiamond
138K Followers 1K Following White House reporter @WashingtonPost. Focused on policy, politics and public health. Find me on Signal: dan_diamond.01
Adam Jentleson @AJentleson
79K Followers 5K Following President and Founder, @SearchlightInst | Author of KILL SWITCH and the forthcoming SUPERMAJORITY from @wwnorton
Larry Levitt @larry_levitt
32K Followers 1K Following Executive Vice President for Health Policy, @KFF. Cal Bear.
Bharat Ramamurti @BharatRamamurti
44K Followers 1K Following Former Deputy Director of the White House National Economic Council. Now posting here: https://t.co/6sCXYkt8MA
Martha Gimbel @marthagimbel
14K Followers 1K Following Executive director @the_budget_lab, former @whitehousecea, @indeed, @jecdems, @USDOL, among others. Personal opinions.
Colin Seeberger @CMSeeberger
4K Followers 4K Following sr advisor comms @CAPAction @amprog, host @TheTentPod // Views are my own & RTs ≠ endorsements
National Health Law P... @NHeLP_org
4K Followers 752 Following National Health Law Program protects & advances the health rights of low income & underserved individuals. Retweets & links are not endorsements.
Led Zeppelin News @ledzepnews
44K Followers 5 Following The latest unofficial Led Zeppelin news and rumours
Searchlight Institute @SearchlightInst
1K Followers 0 Following Disrupt rigidity. Think Big. Spark a Realignment.
James Talarico @jamestalarico
216K Followers 6K Following Texas State Representative, former middle school teacher, and Presbyterian seminarian running for the U.S. Senate to take power back for working people.
Janeese Lewis George @Janeese4DC
15K Followers 2K Following No longer using X follow me on @bluesky @janeese4dc.bsky.social
Andy Beshear @AndyBeshearKY
151K Followers 308 Following Father · Husband · Son · Governor of the Commonwealth of Kentucky · Committed to setting a positive tone and fighting for all our families.
Eat DC @eat_dc
43K Followers 205 Following Food news and mini reviews. Looking high and low for delicious eats. Contact: [email protected] Decent pictures of carbs: https://t.co/ls1sKiz8C2
Kenneth Baer @KennethBaer
5K Followers 824 Following Founder Crosscut Strategies, LLC and @DemJournal, former Associate Director at WH OMB, author of Reinventing Democrats, reformed speechwriter.
The Lab @ DC @TheLab_DC
3K Followers 390 Following Generating timely, relevant, and high-quality evidence to inform the District's most important decisions in @mayorbowser's administration.
Andrei Cherny @AndreiCherny
31K Followers 5K Following Dad, husband, citizen. Fighting for Truth, Justice, and the American Way.
Michael Tomasky @mtomasky
29K Followers 1K Following Editor, The New Republic (https://t.co/p5uYcEn10x), Democracy journal (https://t.co/ebHnxGYn0G).
Graham Platner for Se... @grahamformaine
48K Followers 7 Following Combat veteran (Marines + Army). Friend of the working Mainer, foe of the oligarchy. Husband. Candidate for U.S. Senate.
Graham Platner @GrahamPlatner
123 Followers 43 Following
Jerry Parshall @jparsh13
612 Followers 1K Following Keanu enthusiast. Thinking about podcasts. Prev @amprog @petebuttigieg @jenniferwexton @SenatorJohnBell. “Smooth” is a great song...stay for more hot takes.
Alex Wall @AlexBWall
12K Followers 4K Following Chief Strategy Officer at Resonate. Formerly: @CAPAction @ClimatePower @BarackObama @HillaryClinton @ObamaWhiteHouse @SierraClub. Politics, puns, and NY sports.
Ben Noll @BenNollWeather
86K Followers 170 Following Global weather writer and meteorologist for @washingtonpost | Weather and climate analysis and visuals | #HudsonValley snow days
Lakshya Jain @lxeagle17
88K Followers 3K Following head of political data @TheArgumentMag, co-founder @SplitTicket_, a machine learning engineer in SF, and @cal alum. ✉️ [email protected]. i hate sports
Zeke Emanuel @ZekeEmanuel
29K Followers 568 Following MD, PhD, Oncologist. Vice Provost @Penn Ex-Biden Transition COVID Task Force, Obama advisor, @NIH Latest book: "Which Country Has the World's Best Health Care?"
David A. Kessler MD @DavidAKesslerMD
19K Followers 195 Following Prof @UCSFPediatrics @UCSF_Epibiostat. My "formers" - Chief Science Officer, Covid Response @HHSGov @POTUS; Commissioner @US_FDA; Dean @YaleMed & @UCSFMedicine
Anne Caprara @anacaprana
12K Followers 1K Following Chief of Staff for nation’s best gov @JBPritzker. Called a “discerning Philadelphia Ear” by @nytimes. Dubbed "comedy gold" by IL political blog commenter.
Tim Miller @Timodc
428K Followers 4K Following Host of The Bulwark Podcast | MSNBC analyst | Author “Why We Did It” | Jokic обожавалац | Weak and Gay | Never Trump
Natasha Sarin @NatashaRSarin
10K Followers 423 Following Professor @YaleLawSch & @YaleSOM. Former Counselor (tax policy and implementation) at @USTreasury; Professor @PennLaw & @Wharton.
Larry K. Hailsham Jr. @LarryHailsham
2K Followers 1K Following @GovernorShapiro Alum: @JoeBiden | @ObamaWhiteHouse | @SenBobCasey| @AlleghenyCol | Views/tweets my own.
Jonathan V. Last @JVLast
36K Followers 397 Following For DMs use Signal, not Twitter. Only auto-tweets from the Life Model Decoy of JVL. Writing: @bulwarkonline Podcast: https://t.co/D1r9APUrco
Logan Phillips @LoganR2WH
14K Followers 1K Following I track the latest polls, and forecast the Presidential, Senate and House elections at RacetotheWH. @ColumbiaSIPA Alum
Ian Sams @IanSams
59K Followers 2K Following Former White House and presidential campaign spokesman. Tours of duty on the Hill, Sen/Gov races, DNC and HHS COVID Response team. Appalachian expat. Bama alum.
Randy Clarke @wmataGM
25K Followers 260 Following Proudly leading the @wmata team (America’s Metro System) as General Manager & CEO. Also on IG, https://t.co/8PwI1yqwrj
Matthew Yglesias @mattyglesias
549K Followers 2K Following Slow Boring, cohosting https://t.co/wxUj3JFSFf, Bloomberg columnist
Meagan Flynn @Meagan_Flynn
6K Followers 3K Following Covering D.C. government and politics for @washingtonpost. send tips: [email protected]
Lawrence H. Summers @LHSummers
375K Followers 712 Following Charles W. Eliot University Professor and President Emeritus at Harvard. Secretary of the Treasury for President Clinton and Director of NEC for President Obama
Mark Zandi @Markzandi
45K Followers 149 Following Chief Economist @economics_ma. Host of Inside Economics podcast https://t.co/ONmSCQ65Ib. Co-founder of https://t.co/ZAo6ME72qu. Views expressed here are my own.
Bobby Kogan @BBKogan
10K Followers 1K Following Sr Director of Federal Budget Policy, @amprog/@CAPAction. Before: OMB46, Transition46, @SenateBudget (Murray & Sanders). CBO & OMB’s biggest fan! Personal acct.
Brian Deese @BrianCDeese
24K Followers 763 Following MIT Innovation Fellow; former NEC Director for President Biden and senior advisor to President Obama.
DOGE HHS @DOGE_HHS
24K Followers 0 Following
Ruben Gallego @RubenGallego
196K Followers 3K Following Senator from Arizona. Iraq War Veteran USMC 0311/0341. Hispanic/Latino. Father of Michael, Isla & Cooper. Husband to @syd_gallego
Jeff Stein @JStein_WaPo
162K Followers 3K Following Chief economics reporter for The Washington Post. John Brown podcast @ https://t.co/fcYKyU9RMG. Founder @ithacavoice. Signal: 9178872891
Chris Hayes @chrislhayes
2.2M Followers 1K Following Dad to Ryan, David and Anya. Proud husband of @kateashaw1 Host: @allinwithchris on MSNBC, weeknights 8pm. #WITHPod Host Bronx boy; Cubs fan gram: chrislhayes
Pete Buttigieg @PeteButtigieg
3.8M Followers 3K Following Husband, dad, veteran, writer, and proud Midwesterner. 19th US Secretary of Transportation and former Mayor of South Bend.
Jason Furman @jasonfurman
177K Followers 2K Following Professor at Harvard. Teaches Ec 10, some posts might be educational. Also Senior Fellow @PIIE & contributor @nytopinion. Was Chair of President Obama's CEA.
The Budget Lab @The_Budget_Lab
6K Followers 10 Following The Budget Lab at Yale is a non-partisan policy research center dedicated to providing in-depth analysis of federal proposals for the American economy.