MD orthopedic surgeon. Health care policy. Circadian solutions to bone and joint conditions. Be for something bigger than yourself. Trauma-ortho 22 +years

Phoenix, AZ
Joined October 2022
Morning sunlight (the wavelengths you cannot see are the ones who will help sustain and heal you Morning mindset (the internal belief in yourself will set the stage for fulfillment and contentment) Morning breathwork (the training of your parasympathetic system will protect you against the emotional challenges of the day) Our connections to the world around us and each other form the real bonds we cannot see @AlpacaAurelius @FitFounder @mimikmorgan @MaxGulhaneMD @DrJackKruse @richardgordon22 @_AshleyRichmond @Mangan150 @RyanHoliday
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Eric Novack retweeted
The Case for Ben-Gvir and Smotrich Bill, let me start by saying that Israelis across almost the entire political spectrum share a deep appreciation for you. Standing up for Israel and confronting antisemitism as forcefully as you have takes real courage. We do not take it for granted. That is why your words carry particular weight here: we know you care about us. And that is why I want to offer a perspective that too often gets lost in discussions about Ben-Gvir and Smotrich. Full disclosure: I served as a communications adviser to Netanyahu for a year, until June 2024, including on October 7. I am a secular Israeli living in Tel Aviv. I have never voted for either Ben-Gvir or Smotrich, both of whom are religiously observant, and I do not intend to vote for either in the upcoming election. I have my own criticisms of both men. But much of the commentary about them abroad misses why so many Israelis support them. Consider the size of their constituency. In the final polls before the election, their parties—Smotrich’s Religious Zionism and Ben-Gvir’s Otzma Yehudit, or Jewish Power—averaged roughly 15 seats combined. That is one-eighth of the Knesset, representing roughly half a million voters or more. Together, they would be Israel’s third- or fourth-largest political force. They do not represent a majority, but they represent a substantial number of people whose concerns deserve to be understood. — Before getting to those concerns, though, we need to look at why these parties have so much leverage in coalition negotiations. Netanyahu did not always consider Ben-Gvir an acceptable partner. For years, he treated him as politically beyond the pale. Even today, Netanyahu generally avoids being photographed with him, much to Ben-Gvir’s frustration. Their alliance is not simply a matter of shared ideology. It also reflects the choices available to Netanyahu. Since 2019, refusing to join a Netanyahu-led government has become a defining position for parties in the center and on the left. There have been exceptions during the pandemic and in the emergency government formed after October 7. But the personal boycott of Netanyahu has become a central feature of Israeli politics, and opposition leaders say it will continue after this election. The result is straightforward. In Israel’s parliamentary system, governments depend on coalitions of parties that together command a majority. When centrist and left-wing parties rule out serving under Netanyahu—the leader of Likud, Israel’s largest party—they narrow his options and strengthen the hand of those willing to join him: Ben-Gvir, Smotrich and the ultra-Orthodox parties. What exactly is Netanyahu supposed to do? Tell his voters: “Our opponents refuse to govern with me, so I am giving up on forming a government and handing power to them”? For much of the Israeli right, Netanyahu remains its dominant figure and chosen leader. His voters reject the idea that their political opponents should get to decide who can lead them. Imagine Democrats demanding that Republicans replace their presidential nominee as a condition of working together—or the other way around. You can understand why voters would reject that demand. Opposition parties have every right to refuse to serve with Netanyahu. But that decision strengthens the very partners they want to exclude from power. So if you want Israel’s next government to exclude Ben-Gvir and Smotrich, your appeal should also—and perhaps above all—be directed at the center and left: bridge your differences, end the boycott and make a broader coalition with Netanyahu possible. To be clear, I personally support including Ben-Gvir and Smotrich in the government. But including them in a coalition and depending on them for its survival are two different things. Anyone who wants to reduce their leverage must be willing to make another coalition possible. Simply telling Netanyahu to do without them is not enough. — That brings us to why Israelis vote for them in the first place. I am not claiming to speak for all Israelis, or even for everyone on the right. Many agree with you. You are undoubtedly familiar with their arguments. I want to explain the other side. To understand these voters, try to see the country through the eyes of someone who lives here. You have heard that Israel is about the size of New Jersey. It can sound like a familiar talking point in Israel’s public diplomacy. For us, it describes our daily reality. We live in a tiny country surrounded by a vast Arab and Muslim region, facing enemies who have shown that they will spend years planning how to murder our children in the most horrific ways imaginable. Terrorism did not begin on October 7. But that day showed what happens when our enemies get the chance to act on their intentions. For many Israelis, Ben-Gvir and Smotrich’s tough stance sends an essential message: do not test us. We will not rely on your goodwill. We will not gamble our children’s lives again on the belief that you have become more moderate, that you are deterred or that you have too much to lose. Their supporters also see them as a counterweight within the government. They push Netanyahu from the right and challenge the security establishment’s assumptions—the same establishment that believed Hamas was deterred and could be contained through economic incentives and by managing the conflict. Ben-Gvir and Smotrich were in the government on October 7, and they bear responsibility too. But their presence in the government and later in the security cabinet gave Netanyahu the political backing to resist pressure to give in. Refusing to surrender is now a central message of Netanyahu’s election campaign. In their supporters’ eyes, the two men served as his political Iron Dome against enormous pressure, at home and abroad, to leave Sinwar and Hamas in power. — There is another part of this story that can be hard to grasp from abroad: the place of religious Zionists in Israeli society. This community combines commitments that many Israelis deeply admire: religious observance and Torah study alongside combat service, working for a living and taking responsibility for the country’s future. At a time when most ultra-Orthodox men do not serve in the military, religious Zionists demonstrate that devotion to Judaism and defending the country can go hand in hand. Ben-Gvir and Smotrich draw support from significant parts of this community, though they certainly do not speak for all of it. For some voters, supporting them also means supporting that combination of values. Dismissing these voters as religious fanatics means overlooking people whose faith inspires them to lead the charge on the battlefield. These are people who fight, risk their lives and bury their friends. They are not alone in doing so. Israelis from every political camp and every part of society fight and die for this country. But religious Zionists are disproportionately represented in combat units, among junior officers and, tragically, among the fallen. Many of those soldiers support Ben-Gvir and Smotrich. — Two specific policies also help explain their support. The first is Ben-Gvir’s overhaul of the prisons holding terrorists, which fall under his ministerial authority. Before Ben-Gvir took office, prisons holding security inmates had come to resemble holiday camps. Terrorist inmates enjoyed lavish meals, meat, hummus, drinks, access to prison stores and the freedom to prepare their own food. Smuggled phones allowed them to stay in touch with people outside, including terrorist operatives. The sense was that they were effectively running their own prison wings, with organizational hierarchies and power structures that prison authorities had learned to accommodate. All of this was tolerated to keep the prisons quiet. Before Ben-Gvir took office, the security establishment operated on a warped premise: prison unrest had to be prevented at any cost, lest it spark terrorist attacks outside. The treatment of Palestinian prisoners in Israel was considered too sensitive an issue to risk a confrontation. These inmates included convicted murderers who had killed civilians and destroyed families simply because their victims were Jewish. Yet they enjoyed conditions that left bereaved families—and Israelis more broadly—angry, sickened and humiliated. Terrorists were asserting their power inside the very prisons meant to punish them. The most appalling example was the scandal involving young female prison guards. Israeli women doing their compulsory military service in the prison system testified that they had been assigned to work around a convicted terrorist at his request and subjected to sexual abuse. One testified that he had raped her. The prisoner had been convicted of murdering an Israeli woman. Those in charge did not just fail to stop it; they enabled it to keep the prison quiet. Put yourself in an Israeli parent’s shoes. You send your daughter to serve her country, and she later testifies that the system accommodated a terrorist murderer’s demands instead of protecting her from him. It is hard to imagine a more shocking example of a system surrendering its authority to the people in its custody. Ben-Gvir made reversing that situation a priority. He stripped away privileges, restricted purchases and cooking, and imposed a much tougher regime in the security wings. Prisons went from places terrorists could look forward to entering to places they feared. From what had been seen as paradise to hell. There is a broad consensus, at least among Jewish Israelis, that terrorists should face harsh punishment and strict discipline in prisons firmly controlled by the state. A convicted terrorist murderer should not enjoy special status and creature comforts, dictate terms to guards or continue exercising organizational power from behind bars. There is also a clear deterrent rationale. Someone considering an attack should know that being captured alive means long years of harsh imprisonment. They should not expect comfort, prestige among fellow inmates or the ability to keep operating from prison. The prospect of years in a prison they fear is meant to make them think twice. That is why even Israelis who have little affection for Ben-Gvir see his prison overhaul as a major achievement that saves Israeli lives, even if we may never know how many. His supporters want to reward him for changing a situation they found intolerable and that the establishment had accepted for years. — The second policy is the expansion of Jewish settlement in Judea and Samaria (the “West Bank”)—including the farms closely associated with Smotrich. In addition to serving as finance minister, he holds a ministerial position within the Defense Ministry. This is an issue on which many Israelis see things very differently from some of our friends abroad. Those friends see settlements as an obstacle to a future peace agreement. Many of us see them as essential to our security, and a Palestinian state as a potentially irreversible threat to that security. Many Israelis once supported territorial concessions because they sincerely hoped separation would bring peace. We were willing to give up places with deep historical significance so that our children would not have to keep fighting. But experience convinced many of us that withdrawal can bring the killers closer to our homes. We saw this in the terrorist attacks that followed the Oslo Accords in the 1990s and early 2000s, launched from areas of Judea and Samaria from which Israeli security forces had largely withdrawn. Then came Gaza. In 2005, Israel evacuated its communities and withdrew its permanent military presence. Terrorism and rocket fire predated that withdrawal. But in the years that followed, Hamas took over the territory, built a terrorist army and an underground network, and eventually invaded our communities on October 7. We can debate all the factors that led to the disaster. But you cannot expect Israelis to put that bitter experience aside when asked to accept another withdrawal—this time from the hills overlooking the heart of the country. I live in Tel Aviv. When I travel through Samaria and see the city’s skyscrapers, I can immediately understand what it would mean for hostile forces to control those ridges. Ben-Gurion Airport, the greater Tel Aviv area and critical infrastructure are close by—in some places, just a 15–20-minute drive away. Even a relatively small but persistent threat could disrupt life across central Israel. Smotrich and the current government have responded by establishing farms in Judea and Samaria, building on the original settlement movement. Under the current government, 104 new settlement sites have been established or officially recognized in Judea and Samaria. A small number of families can maintain a presence across a large area by living there, farming and herding livestock. Their supporters believe this strengthens Israel’s hold on the territory and makes a future Palestinian state harder to establish. That is exactly why the government, with Smotrich leading the effort, supports these farms. It is also why opponents of settlements, in Israel and abroad, are determined to stop them from expanding. The campaign over “settler violence” has also developed against this backdrop. Much of it relies on lies, selective presentation and casting aggressors as victims and victims as aggressors. It portrays the Jewish presence itself as the source of violence, while leaving out threats, theft and attacks against settlers and their property, including the systematic and horrific poisoning of settlers’ goats, sheep and other livestock. Footage often starts halfway through a confrontation, omitting what happened first and making a response to an attack look like an unprovoked assault. Of course, Jews who attack Palestinians or harm innocent people must be held accountable, as they are. But they are a tiny fringe of the settlement population. For many Israelis, including those of us who do not live in settlements, this presence is directly connected to our own security. When Smotrich strengthens it, they see an achievement worth rewarding at the ballot box—even when people abroad see it as a reason to condemn him. — And that brings me to the central point. You emphasize the positive message Israel would send the world by leaving Ben-Gvir and Smotrich out of the government. I understand the importance of public opinion, our alliances and American support. Losing any of those can carry serious security costs. But many Israelis are asking another question: what message would we send our enemies? What if we misjudge their intentions again, while throwing under the bus the representatives of a community that bears a disproportionate share of the burden on the front lines? We worry that the desire to appear moderate and reasonable to Western elites—whose deep hostility toward Israel will not disappear simply because Ben-Gvir and Smotrich leave the government—will push us to accept risks whose consequences the rest of the world will not have to live with. Your love for Israel is real, Bill, and we value it. But when a policy fails here, our children are the first to pay. That shapes how Israelis weigh risks, even when our conclusions make our friends abroad uncomfortable. I do not want Israel to be isolated. I want a prosperous, open country with strong alliances. Like Trump and Netanyahu, I also believe that peace through strength can improve Israel’s standing in the world over time. If, a decade or two from now, Israel’s ability to project strength has helped it secure peace agreements with more countries in the region, it may no longer need to fight major wars that tragically claim so many lives. Children being born today, who will have no memory of this war, may grow up knowing a different Israel—one that remains vigilant, but no longer finds itself in a violent conflict every few years. But if the choice is between enduring a difficult period of international pressure, including dealing with an extremely hostile Democratic administration, and accepting demands we believe put our lives at risk, many of us are prepared to bear the cost. In that respect, I believe Netanyahu himself moved closer during the war to the approach Ben-Gvir and Smotrich represent: a greater willingness to stand up to our friends when he believes a vital security interest is at stake. You can criticize Ben-Gvir and Smotrich. Their rhetoric and past conduct do not always sit well with Western audiences (although, contrary to false claims, they have never called for the ethnic cleansing of civilians). But to understand why people support them, you have to understand how many Israelis feel they have already lost loved ones because reassuring assumptions proved disastrously wrong. For all our desire to remain close to our friends, we will not commit national suicide to win approval at a fashionable cocktail party in Paris or New York. In May 2024, for example, as the Biden administration opposed expanding the operation in Rafah and threatened to restrict weapons supplies, Netanyahu said: “If we have to stand alone, we will stand alone.” And he told Secretary of State Blinken: “If we need to, we will fight with our fingernails.” Many Israelis believe that without Ben-Gvir and Smotrich, Netanyahu would not have had the political backing to take such a firm stand against Blinken’s pressure. And that is why roughly half a million Israelis are expected to vote for them in the upcoming election.
I said I wasn’t going to weigh in on who should be prime minister of Israel as that is a decision for Israeli citizens. I did, however, want to share one point of view from the perspective of someone who has an understanding of how Israel is perceived in America. Itamar Ben-Gvir and Bezalel Smotrich have caused Israel enormous reputational damage with their statements and actions which are presented in the global media as representing the voice and will of all Israelis. As such, a government formed without Ben-Gvir and Smotrich will send a message to the rest of the world that Israel is turning a new page. This will allow Israel to rebuild lost credibility, increase the opportunity for an expansion of the Abraham Accords, and enjoy a better relationship with Democrats and Republicans and Americans at large.
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Eric Novack retweeted
I felt this on a deeply maternal level. Those of us who have eyes to see will celebrate them. I’ve met them both. They are both exceptionally engaging speakers & just overall great well rounded guys. Thank you, President TRUMP! We appreciate you. Mike Rogers is exceptional, too.
Two black men on course to become the very first black governors of their states. The media has been silent because they are both Republicans
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people outside of medicine have no idea the reality that nearly every doctor over 50- and maybe 45 would quit medicine tomorrow because of what it has become. consider that @brian_blase this is THE 'canary in the coal mine' (the canaries are already dropping like flies) -- maybe you can bring this up during the panel you are moderating soon...?
The average age in my medical speciality is 54 and 35% are over 65 years old. Younger physicians increasingly do not practice clinical medicine, aren’t practicing full-time, or are retiring early. Doctors practicing beyond 65 are enabling a failed system. Time to pull the rug on the charade that our government has created.
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Eric Novack retweeted
The University of Pittsburgh (@PittTweet) is hiring an H-1B Residence Life Area Coordinator Salary: $49,000 Nobody in Pennsylvania was qualified for this job.
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Eric Novack retweeted
Remember in 2013 when he said families would get good healthcare for less than the cost of their cable bills and then the cost of insurance skyrocketed? That was awesome.
Barack Obama: "They are running scary ads to make you think Democrats are radicals, communists, jihadists, or the woke police. What is radical about wanting everybody to have healthcare? How is that radical?"
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Eric Novack retweeted
And $1.7 B could have been used in America for American citizens - he even could have put it into Obamacare. But liberals will never put that on a poster.
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Replying to @BillAckman
Dear Bill There is little i do not agree with when you post. Today i do; not because i do not see the logic of what you write, but because i have lived through the diaspora's decades long vision on what Israel should be vs what it must be to survive. An Israel without Judaism is the end of Israel. In a geographical landscape where Political Islam rules, liberal Jews from the diaspora have believed that ensuring an Israel with a strict separation of Church and State, is what the world demands, and must happen for Israel to be supported, In a region where religion literally is the only political system. Historical pressure on Israel have given us: Oslo, giving back the Sinai, ripping Jews out out of Gaza, rolling over when Jordan ethnic cleansed Judea Samaria, occupying East jerusalem and murdering the jews. Hebron, the burial site of the patriarchs and matriarchs. The temple mount, with a fake link to Islam and an ignored Dome of the Rock until KGB realized links had to be created. The list of Israel bending are beyond and where has it gotten Israel? Oct 7th, surrounded by Iranian terror. UN lying on all. Sorry Bill, your take makes sense from the diaspora, and it is another example of the diaspora thinking it understands what will enable Israel to survive, forgetting one critical point. The hate has nothing to do with Bibi, in fact the hate is because Bibi is the best person to stand up for the truth. The truth that it is critical for evil to destroy israel and the Jews links to it. Bibi is hard to take, i know, and he needs to finish and free Iran and then the entire region changes. God always sends flawed messengers to do the impossible. I believe we are fighting a war of good vs evil, the evil does not play by the rules, where Jews are hunted. Bending again for a peace that never comes from capitulation and wanting to be loved, is Einstein's theory of insanity and the history of the Jews. The thoughts coming from the left at this time, will not change how the west feels about Israel long term; they have funded and supported Iran because they knew it means the end of Jews in the area, Bibi beat them and that is why they hate him. Using Bibi is only to justify their antisemtism now enrobbed by antizionism. Inside the state dept of USA lies many holdovers, and they are now out in full force. Obama muslim brotherhood sympathizers and puppets. Why do so many globalists fund the undermining of Israel. Why does Soros fund Jstreet which tells Jewish youth religion is not good? Has nothing to do with Bibi, and everything to do with eradicating the Jews from a homeland as step 1. thank you for reading this if you do
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Eric Novack retweeted
Focus WYOMING #16 #HireAmericans @GovernorGordon Intent to hire a foreign Electrical Engineer in Laramie, WY See this information as they are involved in GOVERNMENT projects: WSP USA (part of the global WSP engineering and professional services firm) provides multi-disciplinary engineering, environmental, and construction-management services. In the Laramie area it has been involved in municipal projects for the City of Laramie, including: Design and construction management for the Wyoming Avenue improvement project (street paving, water-line upsizing, curb/gutter/sidewalk, and related stormwater work). City-wide storm drainage master study and surface-water drainage utility consulting. Broader environmental remediation work in Wyoming (e.g., underground storage tank sites for the Wyoming Department of Environmental Quality).
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colleges and universities should be cosigners on the loans... start there
Do you think @POTUS should sign an executive order to cap federal student loan interest at 2.5%?
74%Yes! Explain below
26%No! Explain below
5,253 votes • 6 hours
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fact check- true
One of the greatest crimes of our lifetime.
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Eric Novack retweeted
Two breakfasts with the same calories don't keep a person full for the same amount of time. In a randomized crossover study, overweight women ate either an egg breakfast or a bagel breakfast with identical calories and weight, and after the eggs they felt fuller and ate about 160 fewer calories at lunch without being told to eat less. Their intake stayed lower for the next 36 hours. A bagel is mostly fast carbohydrate, so insulin spikes and hunger returns sooner, but eggs bring protein and fat that keep a person satisfied, and that matters more than the calorie count.
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Eric Novack retweeted
If physicians can't own a hospital, hospitals shouldn't own physicians!!
The shift from hospitals to independent medical facilities can’t happen fast enough. $1300 difference for one occurrence of one procedure that’s an ongoing procedure that will likely happen ~100 times to this one patient. From the patients perspective the switch in setting would be getting the same drug in a better location.
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How to reconcile my 4 areas of posting- in spite of the fact that the algorithm punishes me 1. Health - victimhood is incompatible with being healthy 2. The lifeblood of leftism/marxism/socialism/fascism is victimhood and resentment 3. The USA has been the greatest force for good since before the Declaration of Independence through today. It represents the Judeo-Christian ethos and ethics of inalienable rights and liberty and individual possibility 4. The modern US welfare state has been exploited to the near extinction of the country - where fraud and entitlement has become the biggest economic sector 5. No place is this more present than both illegal and “legal” immigration- which is why the success on the border must be applied with equal tenacity to the fraud and exploitation ridden legal immigration system 6. Maintenance of military supremacy in a changing world, where merit outweighs patronage and leftist ideals is required to back up borders and limits both internally and externally - including ownership and control of supply chains that both directly and indirectly support this mission and the economy 7. That includes not pretending the death cult of Islamist movements is anything but just that- a death cult with whom no ‘compromise’ is possible 8. Israel is the bulwark against this in the Middle East and for Jews worldwide— we shall never ‘carry our own bags’ to the slaughter again— we shall not be victims @X should be amplifying this - not suppressing it @CynicalPublius @DataRepublican @ChiefEngineerCE @MarinaMedvin
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Insanity SCOTUS is going to have to weigh in
California to the Ninth Circuit: "Because we have already begun tabulating mail in ballots and there might be illegal ballots among those already cast that we can't segregate, we are obligated to finish this election out by continuing to count illegal ballots for consistency."
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Obscene how the ama is as self serving as the teachers unions
A $103,000 visa fee could have very real repercussions in healthcare and impact whether some communities can access quality care from a doctor. That’s why the AMA is urging the Administration to exempt physicians from the proposed H-1B fee. 🧵 1/4
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If anyone believes this nonsense, here are the facts he is counting on you not knowing. The deal did not end Iran's nuclear program. It rented a pause. Iran kept its centrifuges, kept Fordow buried in a mountain, kept enriching to 3.67%, and the key restrictions came with expiration dates. The sunset clauses began lifting in 2025. Obama's own answer at the time was that breakout time "would have shrunk almost down to zero" as the deal expired. His deal scheduled the problem for his successors. The regime lied its way into the deal. The JCPOA was premised on Iran coming clean about past weapons work. In 2018 Israel pulled Iran's own nuclear archive out of a Tehran warehouse: tens of thousands of documents on the Amad Project, a crash program to build nuclear weapons, preserved and hidden while Iran certified it had no such program. The IAEA later found uranium traces at undeclared sites Iran never explained. The deal paid for terror. Sanctions relief unfroze roughly $100 billion and the US delivered $1.7 billion in cash. That money flowed to the IRGC, Hezbollah, Hamas, and the Houthis. Diplomacy with a regime at war with you is financing, not peace. And the result? By 2025 Iran was enriching to 60%, a short technical step from weapons grade, with enough material for multiple bombs and the IAEA declaring it in violation of its obligations. That is what required military force this year. Iran marched to the threshold under the deal's cover and after it. "I didn't have to fire a missile" is true. He handed the regime money, legitimacy, and a timetable, and left the missiles to be fired a decade later by someone else. Appeasing a dictatorship doesn't buy peace. It buys the dictatorship time.
OBAMA: Iran didn't have nuclear weapons because I had put a deal in place and I didn't have to fire a missile to do it. I just had to engage in diplomacy.
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BREAKING: The average cost of a family’s annual health insurance premium in the US is up +$1,303 YoY, or +5%, to a record $28,303. This marks the 4th consecutive annual increase of at least +$1,300. Over this period, the average annual premium for family coverage has surged +$5,884, or +26%. To put this into perspective, CPI inflation has risen +13% over the same period, or half as much. Since 1999, the average health insurance premium for a family has soared +$22,494, or +387%. This represents an average annual growth rate of +6.1%, well above CPI inflation at +2.6% over the same period. Health insurance has never been more expensive.
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Eric Novack retweeted
Get rid of these programs that bring in foreign workers at the expense of young Americans. We stopped H-1Bs at our universities in Florida and other states should follow suit.
The tech job market is collapsing for young grads Yet universities continue to lobby to flood the job market with OPT and H-1B entry-level workers to undercut their own grads chronicle.com/article/the-co…
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This is insane @VP The talk has been great The actions a start but too slow The blob adapts to slow change Whole of govt ending of this abuse and a 100% credential confirmation for all work visa holders is desperately needed @SecRubio
Crucial high tech job no American could do found in last week's Dallas Morning News: Liquor store manager in Frisco Texas! Must have GED and 6 months experience as a liquor store cashier! Paper mail apps only of course
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Eric Novack retweeted
THIS 👇🏻💯
Replying to @JayCampbell333
It’s the desire to ‘gamify’ everything as attention spans get shorter and shorter And Combine that with the existential vacuum (to quote Viktor Frankl)- the lack of higher purpose and meaning in people’s lives- So they need to find validation and purpose from outside themselves
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