Work alongside New York City's Strongest as we get through this historic storm.    Emergency shoveling pay is now $30/hour. Walk into any sanitation garage to sign up TODAY BY 8PM or TOMORROW from 9AM to 8PM.    Let's get NYC back on its feet— together. bit.ly/NYCShovel

Effective instruction is not “I tell, move on, and hope for the best.” It includes modeling, guided practice, active monitoring, feedback, and gradual release. When those pieces are missing, students don’t fail. The system does.

IT'S HERE: Finally, a direct to consumer website designed to find the lowest drug prices for YOU. TrumpRx.gov

Unpopular opinion: We need to pay for a higher percentage of our healthcare out-of-pocket! In 1960, almost half of all healthcare was paid out of pocket; now that share has decreased to 10%. In 1960, we paid 5% of GDP on healthcare, and now that percentage is approaching 20%! That means we are more reliant on health insurance and insuring events that are too cheap to insure. When the insurance company pays for 90% of care, the prices are hidden, and there is no incentive to shop for care. Health insurance should be like term life insurance, cheap and hopefully never used! @HeathVeuleman @DutchRojas @AtlasMD @mass_marion @notaproviderMD

Nearly 40% of new cancer cases worldwide in 2022 may be associated with modifiable risk factors, according to an analysis in Nature Medicine. go.nature.com/3O4v4jL

The following email is what I sent my team last night. I sent a similar version to my patients, also. *** You’ve put your trust, your credibility, and your hard work into what we have built together, and I take that responsibility seriously. You deserve a complete and honest account of what did and did not happen. I apologize that I did not get this out sooner, but I want to be thorough. The purpose of the DOJ releasing these documents is clear: to identify individuals who participated in criminal activity, enabled it, or witnessed it. I am not in any of those categories, and there is no evidence to the contrary. To be clear: 1. I was not involved in any criminal activity. 2. My interactions with Epstein had nothing to do with his sexual abuse or exploitation of anyone. 3. I was never on his plane, never on his island, and never present at any sex parties. That said, I apologize and regret putting myself in a position where emails, some of them embarrassing, tasteless, and indefensible, are now public, and that is on me. I accept that reality and the humiliation that comes with it. *** I want to start by directly addressing the email thread that I’ve been asked about the most. In June 2015, I sent Epstein an email with the subject line “Got a fresh shipment.” The email contained a photograph of bottles of metformin, a medication I had just received from the pharmacy for my own use. The subject line referred to the picture of the bottles of medication. He replied with the words “me too” and attached a photograph of an adult woman. I responded with crude, tasteless banter. Reading that exchange now is very embarrassing, and I will not defend it. I’m ashamed of myself for everything about this. At the time, I understood this exchange as juvenile, not a reference to anything dark or harmful. At that point in my career, I had little exposure to prominent people, and that level of access was novel to me. Everything about him seemed excessive and exclusive, including the fact that he lived in the largest home in all of Manhattan, owned a Boeing 727, and hosted parties with the most powerful and prominent leaders in business and politics. I treated that access as something to be quiet about rather than discussed freely with others. One line in that exchange, about his life being outrageous and me not being able to tell anyone, is being interpreted as awareness of wrongdoing. That is not how I meant it at all. What I was referring to, poorly and flippantly, was the discretion commanded by those social and professional circles–the idea that you don’t talk about who you meet, the dinners you attend and the power and influence of the people in those settings. What I wrote in that email reads terribly, and I own that. *** I met Epstein in 2014 through a prominent female healthcare leader while I was raising funds for scientific research. At that time, he was widely known in academic and philanthropic circles as a funder of science and moved openly among credible institutions and public figures. Between summer 2014 and spring 2019, I met with him on approximately seven or eight occasions at his New York City home, regarding research studies and to meet others he introduced me to. I never visited his island or ranch, and I never flew on any of his planes. When I was at his home, it was either meeting with him directly, meeting with small groups of scientists, doctors, or business leaders, and once at a dinner in 2015 with a number of guests including prominent heads of state. In retrospect, the presence and credibility of such venerable people in different orbits led me to make assumptions about him that clouded my judgment in ways it shouldn’t have. I was not his doctor, though several times I answered general medical questions and recommended other providers to him. Shortly after we met, I asked him directly about his 2008 conviction. He characterized it as prostitution-related charges. In 2018, I came to learn this was grossly minimized (more on this below). I was incredibly naïve to believe him. I mistook his social acceptance in the eyes of the credible people I saw him with for acceptability, and that was a serious error in my judgment. To be clear, I never witnessed illegal behavior and never saw anyone who appeared underage in his presence. *** In November 2018 I read the Miami Herald investigative article. I was repulsed by what I learned. Nauseated. It marked a clear and irreversible line between what I knew before and what I understood afterward. At that point, I told him directly he needed to accept responsibility for what he did. Hoping to provide the victims from the Herald piece with support, I contacted a residential trauma facility to understand what funding comprehensive care for many victims would require. (Those communications were between me and the facility and were therefore not part of the document release.) I spoke with him and shared that information and insisted that he fund their care, beginning with residential treatment and followed by lifelong therapy. In hindsight, even attempting to facilitate accountability was a mistake and once again reflected just how naïve I was at the time. Once the full scope of his actions was clear, disengagement should have been the only appropriate response. My intent does not change that, and I regret not drawing that boundary immediately. *** Nothing in this letter is meant to minimize the harm suffered by the young women Epstein abused. Their trauma is permanent. I am not asking for a pass from you. I am not asking anyone to ignore the emails or pretend they aren’t ugly. They simply are. The man I am today, roughly ten years later, would not write them and would not associate with Epstein at all. Whatever growth I’ve had over the past decade does not erase the emails I wrote then. I recognize that my actions and words have consequences for the people I care deeply about, including all of you. I regret the cost this has placed on you, and I take responsibility for it. I won’t ask anyone to defend me or explain this on my behalf. If you have questions or concerns, I’ll address them directly with you, my team.

When fear is high, we’re offered false choices: pick a side or be the enemy. That may feel safe, but it isn’t true. The work of healing lives beyond the binary.

Intermountain Health doesn't make headlines like UPMC or Sutter. That's by design. → $15+ billion revenue → $7+ billion cash reserves → 300+ days cash on hand → 50-60% Utah market share The quiet expansionist.,,

A new meta-analysis on the impact of goal setting on performance found: 1. Process goals had a large effect on performance 2. Performance goals had a moderate effect 3. Outcome goals had a negligible effect

ObamaCare: Consumer Deception and Taxpayer Fraud ObamaCare subsidy fraud occurs because government agencies care little when spending taxpayers’ money, and insurers and brokers have every incentive not to stop it. As Americans wake up to ObamaCare subsidy fraud, we should remember: the root problem is the unaffordable, low value ObamaCare itself. Fraudsters are stealing from subsidies that feed this hungry, rapidly growing “dragon.” ObamaCare was originally sold to the American people as affordable. President Obama promised that premiums would go down by $2,500. Even then, many economists and analysts already predicted unaffordability we see today. Through numerous regulations, ObamaCare damaged both the insurance market and the provider market. Consolidation, stagnation, high price, and high premiums followed. Some people blamed private companies, but they are simply responding to the bad incentives created by ObamaCare. Others blamed the FTC for market consolidation, but by the time mergers and acquisitions reach the FTC, it’s already too late: ObamaCare has made the soil so toxic that only large entities can survive. That’s why ObamaCare is both taxpayer fraud and consumer deception. The Covid-era enhanced subsidy used taxpayer dollars to lure consumers into unaffordable plans they would not have bought otherwise. This, too, is consumer deception and taxpayer fraud. ObamaCare defrauds taxpayers three times: paying for expensive premium subsidies, paying fraudsters, and paying higher price and premiums for their own employer-sponsored healthcare—caused by ObamaCare. Except for a small group of people who benefited politically or financially from ObamaCare, all Americans lost. Patients were deprived of affordability and access that free markets would bring. Physicians, entrepreneurs, innovators, and American workers couldn’t achieve their full productivity potential. Our jobs, economy, and global leadership suffered. @JHUCarey @JohnsHopkinsSPH @BSPH_HPM