562 - Bruno Fernandes has created the most chances in the Premier League this season (24) - since his Man Utd debut in February 2020, he's created 115 more chances than any other player across Europe's big-five leagues (562). Orchestrator.
🇾🇪 Gary Neville's Double Standards: Brutal Media Pressure for Me, Excuses for Thee 🧵
Another day, another dismissive take from a Manchester United legend about the modern game. This time, Gary Neville has decided that media criticism is irrelevant to player performance, that anyone affected by it "shouldn't be playing for the club," and that discussing its impact is simply making excuses.
His comments came in response to Ruben Amorim addressing a legitimate concern. The manager stated: "My biggest problem is my players believing you guys [the media] when you say the problem of our team is the system. I get crazy about that. Is the media going to dictate what I'm going to do? It cannot be. It's not possible to sustain that."
Neville's response was characteristically blunt: "I've not got a lot of time for that. If pundits are getting into your heads then you shouldn't be playing for the club. Simple as that. I mean do people not remember Alan Hansen criticising us when we broke in as young kids that you can't win anything with kids? That was the greatest centre back of all time at that moment. Do they not think we didn't get criticised during our football careers?"
He continued: "I'm sorry you're playing for Manchester United. It comes with the territory. You've got to step up. I don't know I never blamed anybody else when we lost football matches. There was accountability. Why would you blame other people when you're losing matches? Excuse mentality, shortcuts, blaming other people. It's the worst thing you could do in life."
Perhaps Gary has forgotten his own experience as Valencia’s manager, where he spoke candidly about being overwhelmed by the demanding Spanish media and their tactical questioning: "You felt as though you were being questioned in terms of your understanding of the game and your tactical knowledge. They hit you exactly where you don't want it. It was brutal. There was no manager putting their arms around me to say you'll get through this. You’re on your own."
So when he himself faced intense media scrutiny without institutional support, he found it brutal and overwhelming. But now he dismisses current United players and manager who raise similar concerns as making excuses. Why was it a legitimate concern when he experienced it, but weakness when others do?
It seems our Gary certainly loves to preach tough love, but he clearly doesn’t appreciate it being applied to himself.
1/10
#MUFC #GaryNeville #ManchsterUnited
Even in our banter era, Manchester United are still the biggest club in England. Manchester United can still produce moments like this. Nights at Old Trafford like this.
Football, bloody hell.
Many people stagnate trying to change what they can't instead of growing by changing what they can.
We don't control how others treat us—we control how we treat them. We don't decide what happens to us—we decide how we respond.
Our reputation is not up to us. Our character is.
People who can’t handle criticism are unfit to lead.
Weak leaders silence their critics to shield their egos. They fear dissent as a threat to their power.
Strong leaders silence their egos to learn from their critics. They welcome dissent as an opportunity for growth.
What holds many people back from taking initiative is not laziness. It's fear.
Inaction breeds rumination and feeds anxiety. Action builds momentum and fuels confidence.
Some ideas won't work. Some people will say no. But in the long run, it's better to fail than to fail to try.
Summary of Mark Cuban's healthcare blog 👇
Key Problems:
1. Healthcare industry is unnecessarily complicated in pursuit of profits
2. Current system has excessive administrative costs (20-30%)
3. Additional 10% lost to fraud and upcoding
4. Capital expenditure arms race between healthcare systems
Proposed Solutions:
1. Transparency Reforms:
- Publish bill of materials at cost for all medical items/services
- Separate capital expenditures and overhead costs
- Show actual costs for consumables, staff, and direct patient care
- Publish provider markup rates
- Make all healthcare contracts public
2. Payment System Changes:
- Remove insurance companies completely
- Convert to cash-pay system
- Use Medicare payment processing infrastructure
- Reduce pharmaceutical costs through transparency
Financial Impact:
- Current costs: ~$5 trillion
- Potential savings: ~50% ($2.5 trillion)
- Current government spending:
- Medicare: $847 billion
- Medicaid: $570 billion
- Remaining to fund: ~$1.1 trillion for non-Medicare/Medicaid care
- Per-employee cost: $6,875/year (based on 160M employed)
Funding Options for Remaining $1.1T:
1. Employers pay premium equivalent to federal government
2. Convert employer premium to salary increases + higher taxes
3. Government reinsurance program with HSAs
4. Employer withdrawal from healthcare entirely
Key Points:
- Solutions require comprehensive system changes
- Doctors and nurses are considered underpaid
- Focus on reducing complexity and administrative costs
- Emphasis on true cost transparency rather than just price lists
- Pharmacy costs could be reduced by at least 20%
I felt like writing a post in defense of physicians. We seem to be getting a lot of crap recently.
But I don’t know really where to start or what say. There is so much cynicism and bad faith and really plain unhidden contempt these days.
But why? Because we can’t fix you? And never could? Because you want us to be something we are not? A coach. A trainer. A knower of all things nutrition and all things non-pharmaceutical. A knower of every little niche thing you’re into. That isn’t how we are taught or trained. But that’s our fault somehow that the reality of us doesn’t meet with the expectation of you?
You’re mad about how we don’t have long periods of time for you and this can lead to less accurate or optimal diagnosis or treatment. You’re mad the drugs cost a lot. You’re mad you pay for health insurance and it seems like it never pays for much. Yet, none of those phenomena are the fault of physicians. We’re mad about those things too.
You’re mad about Covid. And vaccines. A pandemic we didn’t create. Nor other endemic viruses we had anything to do with. You blame us for the vaccines and policies put into place by politicians bureaucrats as if we are personally responsible.
You get mad we make a good salary. Tell us we only make this money because we did dirty tricks to prevent there from being enough doctors. Decisions made decades ago based on predictions that seemed reasonable then but turned out wrong now that those of us working currently had nothing to do with.
Our knowledge, experience and expertise downplayed. All that is needed out there is a smart teenager with an AI and access to any chemical they want.
I don’t even know how you even begin going after addressing all of it. It’s rather daunting. I’m not sure I can, so I won’t try.
The thing is I don’t owe anyone any explanations or apologies. I’ve showed up every gd of this job to be the best doc I could for the people the Lord put in my path. And I’ve manned the f*cking wall against the dragons and barbarians with honor for a decade. I run into the rooms of the sick when everyone else is running out. I’ve stood in the gaps between life and death and fought hard for everyone, even the ones I lost. And you never really ever forget the ones you lose. It’s been nights, weekends, holidays, birthdays, anniversaries, & kids sporting events. I’ve taken those hits to my health and to my family life for the same people who just want to sh*t all over me and my profession today and it’s so heartbreaking & disappointing.
I guess maybe you were disappointed by a doctor at some point. We clearly aren’t infallible. We have bad days too. You can see the burnout in the way they make many physicians in clinic practice.
I don’t know what to tell you about the guys that are really awful. They do exist. They also aren’t all or even most physicians.
Most of what everyone is mad about has nothing to really do with us. It’s policies and laws made bureaucrats, politicians & corps. We simply exist in it. Try to work inside the crazy nonsense ourselves.
We’ve never had a “lobby” and it might be interesting to see what things would look like if we actually did. There are people working in this now. But mostly physicians have been too busy just being docs to get all caught up in any of it. There is barely anything left after a week in clinic for my family and some working out let alone some cynical ploy or play to keep it hard for people to become physicians. I don’t know if enough people really understand that. How really taxing and exhausting the work is. I wouldn’t wish the responsibility on anyone either. Heavy is the white coat …
This post probably won’t change any minds of the bad faith actors but I do hope it in some way humanizes us to you if only in some small way.
I’m just one guy fighting the good fight. On tonight actually and holding down the fort. If any are in need of my expertise, and I hope not (no one meets me in a good day), I’m here.
MENTORS / ADVISORS
Leaders: when you move an employee into a role that necessitates new skills (eg: Individual Contributor to Manager, Manager to Manager-of-Managers, Engineer to Product Manager, etc), one of the biggest gifts you can give them is to simultaneously get them a mentor / coach for their first year. This coach is a person who has several years of experience with the skillset (eg: an experienced Engineering Manager, an experienced Product Manager, etc). The coach should definitely not be in the same team (maybe not even at the same company) as the employee, so the employee can get advice on sensitive topics without worry.
The first year in a new role is critical, and the right mentor can be the difference between success and failure.
For startups, these mentors can be angel investors in your company, or you can bring on a mentor as advisor for equity.
At Square, @BillCoughran and Greg Badros were mentors / advisors for eng managers (many of whom were battlefield promotions), and folks found sessions with them to be incredibly valuable. It really helped that neither worked at Square, so folks felt comfortable confiding in them.
tl;dr To help employees succeed when they change roles, strongly consider mentors.
Blaming physicians as ‘overpaid’ is not only misguided but also a blatant misunderstanding of reality.
Physician compensation has decreased in real terms over the years, even as their workloads and administrative burdens have skyrocketed.
Meanwhile, journalists and reporters, like Vox guy below, rarely go after the real culprits—insurance companies and health systems—because that’s where their bread is buttered.
Advertising revenue from these entities keeps their publications afloat, so instead of holding the true power players accountable, they target doctors.
It’s easier, it’s sensational, and it deflects attention from the inefficiencies and price gouging that make healthcare unaffordable.
Physicians aren’t the problem—they’re the ones keeping the system from collapsing entirely.
#healthcare
New research from the WHO found that investing an additional $0.24/patient/year in digital health interventions could prevent 2M deaths and 7M acute events within the next decade. Cents on the dollar can drive millions of lives saved...worth stopping to consider.