I came across this MidWeek Memory while thinking about upcoming school reunions. 40, 45, and 50th coming up soon. What will we remember of ourselves? A Random Thoughts "classic": https://t.co/iKMpbIKmiz
Hot take: Every hospital that says they "can't afford to pay physicians more" has an EVP of Patient Experience making $400K.
The budget isn't a constraint. It's a series of choices about who gets paid first.
This is one of the most persistent myths about Medicare: it has low overhead.
Medicare offloads all the billing, coding, compliance, quality metrics, EHR costs… all of it on private doctors and hospitals.
Of course their numbers look pretty.
Meanwhile, doctors spend 2h on the computer for every 1h of patient care time. That’s not captured in the Medicare overhead metrics. The median hospital employs 7 people full time just for quality metric compliance. That’s also not captured.
Those are just a few examples.
For the real story, talk to doctors that have dropped Medicare. They report a reduction in compliance costs of 90%.
That’s a massive burden on our healthcare system.
So spare me the low compliance cost tall tale. It’s a myth.
@CoffeeBlackMD We ran a version of CF Strength Bias (assumption: of the 10 essential attributes of fitness most people are under-strong). Most days included a strength session (DL, squat, clean, etc) followed by a 5-12 min HIIT workout.
@Policy_Solution@brian_blase@johnrgraham Late to the evaluation phase but great, welcome aboard.
Now tell us how we can change this. Provide actionable advice. Tactics. 3-2-1...GO!
Someone built the largest library in human history, and the publishing industry has spent years trying to erase it.
It's called Anna's Archive.
This got 64 million books and 95 million academic papers, every one of them free, sitting in one searchable place.
Here's what it actually is.
For centuries, knowledge had a gatekeeper. A $200 textbook. A $40 paywall on a research paper your tax dollars already funded. A journal that charges a student in Lagos the same price as a professor at Harvard, knowing one of them can't pay.
Anna's Archive tore that wall down.
It pulls together Sci-Hub, Library Genesis, and Z-Library into a single mirror and makes the entire thing downloadable for free. You search a title, you get the file.
The code and data are 100% open source. Anyone can mirror the whole archive in bulk over torrents, which is exactly why no single takedown can kill it. Knock down one domain and three more are already running.
The academic publishing industry makes billions reselling research it didn't write, didn't fund, and didn't pay the authors for.
Anna's Archive is the answer to a question they hoped nobody would ask out loud.
🚨Anthropic just showed a 24-minute workshop on how to actually do prompts for Claude.
Taught by the people who built it.
Free. No registration. No paywall.
I've seen $300 courses that don't cover what they teach in the first 8 minutes.
Watch it and bookmark it now!
🚨 Anthropic just showed a 27-minute workshop on how to actually do prompts for Claude.
Taught by the people who built it.
Free. No registration. No paywall.
I've seen $300 courses that don't cover what they teach in the first 8 minutes.
Watch it and bookmark it now.
Tom wants single payer.
That means, as a doctor, my only option for employment will be the government.
Would @MarkRuffalo take that deal? No contract from Disney for playing the Hulk. Only option is whatever the state of CA wants to pay you.
The blurbs for Kakistocracy are finally out.
See what the best people are saying about my new book.
“American elites are and have been greatly underrated. Whatever their flaws, we turn away from them at our peril. Populism, in turn, is a danger. Richard Hanania’s Kakistocracy makes this case better than anyone else and provides a fresh new perspective on what is happening in America and the rest of the world today.” —Tyler Cowen
“Richard Hanania is the world’s greatest living essayist. While I’m personally deeply prone to both-sidesism, he’s gradually convinced me that modern-day populists are objectively worse than the elite midwits they’re replacing. Kakistocracy—‘rule by the worst’—defends this thesis with grim aplomb.” — Bryan Caplan
“Richard Hanania has written a bracing examination of the populist age. Rejecting both romantic defenses of ‘the people’ and reflexive elite self-congratulation, Kakistocracy is a serious, data-grounded account of why movements that begin as corrections to genuine elite failures often end in something worse than what they replaced.” — Rob Henderson
“Only the man who helped create the online right could diagnose it this ruthlessly. Hanania shows how the fringe left accelerated the worst tendencies of the right, while the rest of us can only watch in horror. The result is a painfully accurate diagnosis of everything stale and deadening in American politics.” — Brianna Wu
The release is July 7. You can preorder here. There's no charge until the book is shipped, and preordering is the best way to support my work. https://t.co/UkXWcvEwpn