Richard Hirth

Professor of Health Management & Policy, U of Michigan @MichiganHMP, Head Coach @UM_ClubSoftball. Opinions are my own, retweets don't imply endorsement.

[Jordan Abbott MD @JordanAbbottMD]

The influencer telling you to distrust your doctor has no liability if they are wrong.

Your physician does.

That asymmetry matters. It should factor into who you listen to.

[Amelia 🇺🇸 @amelia_tweetz]

Imagine if a woman president crashed the economy and started a war with no end in sight, and her biggest, seemingly ONLY concern was building a ballroom and redecorating the White House.

[Aaron Rupar @atrupar]

BURGUM: When the sun goes down, solar produces zero electricity

HUFFMAN: I want to enter into the record this amazing new technology that apparently the secretary is unaware of -- it's a battery

[Richard Hirth @RichardHirth]

https://t.co/YreoSN3yFD

[AJKD @AJKDonline]

Hemodialysis Facilities, Vascular Access Surgeons, and Central Venous Catheter Use: A Retrospective Cohort Study

https://t.co/FRUGInP02m #OpenAccess

@MKOerline @RichardHirth @dorkstweet @UMichKidney

[Richard Hirth @RichardHirth]

@jscotthitting Schwarbs

[Acyn @Acyn]

Buttigieg: And my word of warning to my own political party is that we would make a terrible mistake if we thought that our job was to just take power somehow and then put everything back the way it was. That’s not what we’re here to do.

We’re not out to go around and just find all the little bits and pieces of everything that they smashed and tape it together and say, “Here you go, I give you the world as it looked in 2023.” That’s not going to work. It’s not what we need.

So much has changed, and the truth is they are destroying things right and left. They’re destroying a lot of good, important things. They’re destroying some useless things too, because they’re destroying everything. So now we get a chance to put things together on different terms.

[Richard Hirth @RichardHirth]

@SangilloJohn If we don’t have tires, could we replicate these ideas with a tee? Set up, check points, coaching points? Thanks!

[Brad Stulberg @BStulberg]

The best performers in the world aren't fearless.
They're curious.

When you're standing at the edge of something hard—a big project, a difficult conversation, a new challenge—the default is to tense up. But if you can shift from What if I fail? to I wonder what will happen next? everything changes. Watch how young kids move through the world. They tinker, stumble, and get right back to exploring. Nobody taught them this. It's in their nature, which means it's in our nature, too. The problem is that somewhere along the way our focus shifts from exploring to safeguarding our egos. Research shows that curiosity and fear compete for the same neural networks.

You literally cannot be curious and scared at the same time. Next time you feel the fear creeping in, try replacing How am I going to do this? with It’s a new day, let’s find out.

[ESPN @espn]

Michigan is the first team in NCAA tournament history score 90+ points in five-straight games in a single tournament 🤯

Unreal consistency and scoring from the Wolverines 🔥

[Michigan Men's Basketball @umichbball]

WE'RE GOING TO THE NATIONAL CHAMPIONSHIP!

[Richard Hirth @RichardHirth]

@dehenau_ Be well and take good care of yourself. Sounds like you’re doing what you need to do 🙏

[Richard Hirth @RichardHirth]

@TJHannam10 3

[Brad Stulberg @BStulberg]

We’re at a point in history—not nearing it, but here—where everyone is going to have to decide if we are content to numb ourselves with an endless stream of fentanyl-like digital slop or if we are going to fight for our humanity and touch grass and challenge ourselves and create and contribute and love.

Lawsuits like this are setting an interesting precedent.
But no one is coming to save you, at least not any time soon. Protecting your attention is a radical act. Don’t let the internet turn your brain turn to sawdust.

My decade-plus researching and reporting for The Way of Excellence taught me that people are most satisfied and fulfilled when they care deeply about meaningful projects. When they have mastery and mattering. When they do good work and love good people. Nobody told me they feel or perform their best when they are mindlessly scrolling.

The greatest risk of the modern world is we go wherever the current takes us, like automatons floating along an algorithmic conveyor belt.

The only thing that separates us from this dystopia is ourselves. Our agency—our attention, our capacity to think, create, and love—must be fought for.

Read a book. Play a sport. Make art. Garden. Go on a date. Coach a team. Meet new people. Have IRL conversations.

Don’t be a zombie. Do cool shit. Live.

[Leora Horwitz @leorahorwitzmd]

Heard from @AHRQNews that the entire grants staff has been let go. They are unable to issue funds for grants already funded, let alone fund new grants. This will make Americans poorer and sicker. Why? A brief thread about just some recent AHRQ-funded research:

[Leora Horwitz @leorahorwitzmd]

The Agency for Healthcare Research and Quality has just officially canceled nearly all of its grant mechanisms, and awarded only ONE new grant last year. Congress, you appropriated $202M in FY26 for #AHRQ research grants - tell HHS to act as you directed! https://t.co/JZ4Ha1JsID

[Brad Stulberg @BStulberg]

The White House posted a video on social media that shows Team USA hockey player Brady Tkachuk saying: “They booed our national anthem, so I had to come out and teach those maple-syrup-eating-f**ks a lesson.”

The only thing—the video wasn’t real, it was AI generated.

Count on people who have never been in the arena to display pathetic behavior that completely misunderstands excellence and competition.

Tkachuk immediately distanced himself from the video: “It’s clearly fake. It’s not a thought that would ever happen in my head. I would never say that. It’s not who I am,” he explained.

I can’t make assumptions about why the White House did this. I can only say it’s typical trolling behavior of insecure punks who are on the sidelines and long for greatness but have never come close.

Actual competition fosters great respect for your rivals. Sure, when the clock is ticking you want to destroy them. But you also appreciate how hard they’ve worked and how much they’ve poured into the pursuit. You can’t not. This is why it’s always immature people who have never even been close to the arena who get it totally wrong.

Pseudo, punk-ass competition is about disrespecting your opponents. The real thing is the opposite.

It’s not just sport either. Anyone who has tried to be great at anything knows this.

Only unserious people who are clueless about true excellence would post an AI-generated video of an American star badmouthing his opponent in such a distasteful way.

To those who tell me “stay in your lane”—at least now I’m squarely in it; I literally wrote the book on excellence.

To those who say “this post will cost you book sales”—two of my core values are truth and integrity. A part of how I define excellence is values. Here I am.

To those of you who say “why are you being so political?”—I’d write the same exact post if the other party did this unbelievably stupid shit too.

[AJKD @AJKDonline]

Hemodialysis Facilities, Vascular Access Surgeons, and Central Venous Catheter Use: A Retrospective Cohort Study

https://t.co/FRUGInP02m #OpenAccess

@MKOerline @RichardHirth @dorkstweet

[Health Affairs @Health_Affairs]

How states implement new Medicaid cost-sharing rules created by the OBBBA will have significant impact on program efficiency and enrollee health. | Forefront

@betsyqcliff and @RichardHirth | @UChicagoPHS, @MichiganHMP

https://t.co/YNfMckrEBY

[Richard Hirth @RichardHirth]

@Codie_Sanchez “Homes” or “houses”? Big difference. 5-12 homes (maybe rented part time but bought for personal use) is way more decadent and implausible than 5-12 houses (smallish RE investor, not bought for personal use)