Supporter of #DirectPrimaryCare & medicine independent of vertical integration. More govt is NOT the answer. Nature 4the win! 🍄/forager/creator of many things

Ferngully
Joined March 2009
Laffincrow retweeted
Are you a physician, NP or PA in Texas? Are you excellent clinically, tired of rushed medicine, and looking for a place where you can actually think, treat, and follow patients? We’re building the next James Clinic location around the right clinicians first. Once we find the people, we’ll plant the flag. Let's start a conversation---DM me!
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Someone is lazing in the sunshine.😻
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Laffincrow retweeted
Health care public dialogue in a sentence. (Well, two)
A system can be full of perfectly nice people and still produce terrible results. I don't know why people find this idea so difficult.
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Laffincrow retweeted
The ‘ole public good and community benefit sophistry is really taking it on the chin this week.
🤖 Made with AI
Don’t get fooled by hospitals “struggling financially” None of these people below should make $1-7 million per year Even 10% of their salary is too high, because they generate zero revenue. A business employee should generate 10x their salary
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Dutch is pro-free market, and this was a great article. Access to physicians will be a major issue if insurance companies are allowed to determine reimbursement for out-of-network doctors. Private practice physicians will drop hospital privileges and avoid these patients altogether. Patients will be harmed, and insurance companies will be more profitable. Remember, insurance companies have no incentive to pay for care, and if you can't access it, they don't have to pay.
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Laffincrow retweeted
The era of top-heavy, centralized, institutional systems is ending. Attribute the cause to whatever ideology, economic theory, or political philosophy makes you comfortable. The mathematics remain unchanged. As I’ve said repeatedly, math and physics are a thing. And they are fundamental to systems theory. Complexity has a cost; and centralization always creates fragility. Every system eventually confronts the limits of its own framework - entropy doesn’t care about your perception. I understand why this is difficult to recognize when your livelihood, identity, and understanding of the world are invested in the very institutions undergoing transformation. But it’s happening, and with a quickness, whether you are prepared or not. Agriculture, education, healthcare, finance, government/law…pick any one of the twelve foundational systems. Look closely and you will see the evidence of structural change is everywhere. The institutions themselves may survive, but their dominance over how society organizes, produces, distributes, and governs will not necessarily survive with them. And therein lies the great opportunity of our time - truly a generational opportunity!! The future doesn’t belong to those who defend the systems of yesterday. Let the friends of Job wring their hands and pound the sand. The future belongs to those who understand proximity to capital, decentralization, and community. Math will math and cycles will cycle. Carpe!
My school district is trying to pass a bond measure that will cost taxpayers $600M to build and repair some schools. Then I looked into what they are paying to build a basic small new elementary school. $93M.... Just the construction cost... 🙄 School districts are in for a reckoning over the coming years. -Parents will choose options as they become more readily available to the masses (cheaper Alpha schools). -Public school enrollment will drop. -Unions control public schools are so far, are anti-AI. They will refuse to adapt, digging the hole deeper.
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Frank Pallone thinks a surgeon who owns the operating room is a conflict of interest. A hospital that owns the surgeon is apparently a business model. In 2007, Pallone took the gavel of the House health subcommittee and cosponsored CHAMP, which would have frozen physician-owned hospitals in place. In 2008, he called those hospitals "overutilized." In 2010, Section 6001 of the ACA shut the door on new ones and froze the beds and operating rooms of the ones already built. Meanwhile, hospital systems kept buying physician practices. Prices for services from acquired physicians rose an average of 14.1%. Nobody in Washington froze anything. Ownership in one direction met a federal barrier; ownership in the other remained an ordinary business strategy. The conflict of interest Pallone described never disappeared. A hospital that employs the surgeon, owns the operating room and collects the facility payment holds every incentive he accused physicians of having. The difference is who gets to keep the money. New in The Rojas Report. Link below.
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Laffincrow retweeted
CMS wants Medicare lab rates about 16% lower on average for more than 1,100 codes. Direct care and transparent billing already cut many of the most common labs by 80% to 95%. 16% is a start. The market already knows the real price. Becker's rundown of CMS actions: beckershospitalreview.com/fi…
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Ghost snatcher glow in the dark nails.🤣
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If healthcare can’t be shopped, why do hospitals spend over a billion dollars on advertising every year?
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In 1979, a prime-time network news show aired a segment no network would dare air today. 46 million Americans had "obediently" taken the 1976 swine flu shot, and 4,000 were now suing. Then the CDC official tracking the shot's side effects admitted he'd warned his bosses about neurological disorders before the campaign began. His bosses claimed he never told them. His answer: "That's nonsense." This is what the news looked like before Pharma bought it. 🧵
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Lol, I seriously think I saw this lady at a stoplight driving a purring classic car while smoking a cig behind the wheel w a smile on her sweet wrinkled face. 😎
The oldest woman to ever live was Jeanne Calment, and she was lived 122 years and 164 days‼️ (21 February 1875 – 4 August 1997) of Arles, France. No one else has been verified past 119. IT IS POSSIBLE. What’s crazy? She smoked from about age 21 until 117, ate around 2 lb of chocolate a week, used olive oil generously in her food and on her skin, and drank port. Here I am trying to optimize my diet, exercise, not smoke, take supplements, peptides, medications that help with longevity and this lady basically did the opposite! Amazing!
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Laffincrow retweeted
In America, it is perfectly fine for a doctor to assert that a 4-year old child can choose his gender. But if you assert that forcibly masking that child is useless and harmful, you can lose your medical license.
This is what insanity looks like. There is a man and a woman, a boy and a girl. Some of these doctors should lose their licenses.
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🤔...
Today, the calendar makes a right triangle, for the last time this century. This Saturday is October 24, 2026. Write it as 10/24/26 or 24/10/26, and the same beautiful relationship appears: 10² + 24² = 26² 100 + 576 = 676 But here’s what makes today special. There are infinitely many Pythagorean triples. Only a handful fit our calendar. Using the rule month² + day² = (last two digits of the year)², the month cannot exceed 12, and the day cannot exceed 31. Those small limits leave exactly 12 qualifying dates in this century. Today is the last. The next will be March 4, 2105: 3² + 4² = 5² That is a wait of more than 78 years. An infinite family of triangles. Just twelve appearances on a century’s calendar. Happy Pythagorean Triple Day.
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Those crazy poblanos still clinging to production. I suppose living things cling to life while resisting the inevitable. Yet strange miracles DO happen.
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Laffincrow retweeted
Want to have your mind blown? In 1971, the median household income was $9,030, or 220 ounces of gold. In 2025, it was $87,460, or just 25 ounces of gold. Your paycheck went up 10x. Measured in gold, it fell 88%. To earn what the median household earned in 1971, you’d need about $890,000 per year today. That’s what fiat debasement looks like.
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This small statue, only 34 centimetres tall, is one of the most mysterious objects in all of ancient history. This is the Snake Goddess of Knossos, found in Crete, Greece, and now kept in the Heraklion Archaeological Museum. She is 3500 years old. She was made by the Minoans, the first civilization of Europe. Look at her carefully. She is holding two snakes, one in each hand. She is wearing a long flounced skirt, with layers like a modern dress. Her chest is bare. And on top of her head, she is wearing a tall hat, and on top of that hat, there is a small cat sitting. Why snakes? Why a cat? No one knows for sure. That is what makes her so powerful. The Minoans did not worship gods like Zeus or Apollo, who came later. They worshipped a Mother Goddess. She was the goddess of nature, of fertility, of life and death. Snakes were sacred to them, because snakes shed their skin and are reborn. They are connected to the earth, to the underworld, to healing. The figurine is made of faience, a kind of glazed ceramic, not gold or marble. It was found in 1903 by Sir Arthur Evans, inside a small pit in the palace of Knossos, along with other sacred objects. Evans believed it was a goddess of the household, protecting the home. But the most interesting part is her dress. Look at the pattern. It is tight at the waist, flared at the bottom, with an apron. It is almost exactly like a dress a woman would wear in Paris in 1900. When Evans found it, people were shocked, because women in 1900 were wearing the same style. The Minoans were 3500 years ahead in fashion. Her face is calm, her eyes are wide, her arms are raised. She is not scared of the snakes. She is controlling them. In Minoan art, women were not in the background. They were the priests, the leaders, the main figures. Minoan women had more power than women in Egypt, Greece, or Rome at that time. Some historians say there were two Snake Goddesses. One is in Heraklion Museum, the other is in the British Museum and other museums have copies. This is why you have seen her in many places. The most important question is: why is she holding snakes? Was she a goddess, or was she a priestess doing a ritual? Was this a ceremony for fertility, or for protection from earthquakes? Crete has many earthquakes, and snakes were thought to predict them. Today, the Snake Goddess is the symbol of Crete. She is the symbol of the Minoans. She is the symbol of a civilization where women held snakes and men painted bulls. va Secrets of the Past #SnakeGoddess #Minoans #HeraklionMuseum #Goddess #HERstory
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I encourage everyone to read @DutchRojas, whose analysis of Massachusetts’ healthcare delivery and financing system is excellent. The great irony? One of America’s most contrived, least competitive healthcare markets is home to @SenWarren and @SenMarkey - two politicians perpetually tilting at the windmills of oligarchy. When a not-for-profit hospital has a chief investment officer, portfolio managers, and $19 billion under management, one might reasonably ask - Is this a hospital with a hedge fund, or a hedge fund with a hospital? Follow the money and you’ll find the mission.
My favorite is the “portfolio manager” who makes almost $3MM per year.
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Woa! At an estate sale. Looks like copper to me.🤩
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