RÄJ

Interested in cats, food, running, sci-fi, physics, trains and making weired friends on the interweb. mostly cope.

[RÄJ @catdaddyissues]

if you’re i your 20s and you are healthy, you don’t have serious debt and you are able to read *this* it’s never really over for you. believe me, you can still get back on your feet.

[RÄJ @catdaddyissues]

@bythyag @ABiggerSpalash more funny**

[RÄJ @catdaddyissues]

makdee

[кєνín @notcee_fan]

What movie traumatized you as a kid?

[RÄJ @catdaddyissues]

@bythyag @ABiggerSpalash tatya vinchu was more than traumatising haha

[RÄJ @catdaddyissues]

we are the ones going to pay a price for ethanol overcapacity.

[RÄJ @catdaddyissues]

@kdeep last time i saw it, i was a kid.

[RÄJ @catdaddyissues]

@kdeep don’t have the book with me, is back home

[RÄJ @catdaddyissues]

@kdeep Whaat didnt know that

[TheLiverDoc™ @theliverdoc]

Dear friends, as promised, the citizens funded generics vs. branded drugs project is now published after 4 months in peer review. It was hardwork, but worth the effort because all of you helped us realize this important work.

You can read the full detaild paper here: https://t.co/jZhm8ZcPCq

Here is a simplified summary:
Do cheaper generic medicines work as well as expensive branded ones? It's a question that worries patients and even many doctors, who often quietly assume that a low price must mean lower quality. This doubt has real consequences in India, where medicines make up nearly two-thirds of what families spend out of their own pockets on healthcare — a burden that pushes millions into poverty and forces people to split doses or stop treatment altogether.

To put the question to a fair, independent test, our team at the Mission for Ethics and Science in Healthcare (MESH) carried out a fully citizen-funded study, paid for entirely by donations from ordinary members of the public, with no money or influence from any drug company.

We bought 131 samples of 22 commonly used medicines — covering heart disease, diabetes, infections, pain, acidity, and more — from seven different kinds of outlets across Kerala, including government stores like Jan Aushadhi, private generic chains, and premium branded pharmacies. Every sample was then coded, blinded, and sent to a top accredited laboratory for rigorous testing against the Indian Pharmacopoeia 2022 standards. What makes this study unusual is that very few before it have tested branded and generic versions from the same market side by side, included government-supplied medicines, and combined strict quality testing with a hard look at price — all at the same time.

The result was striking in its simplicity: every single one of the 131 medicines passed every quality test. 100%. It made no difference whether a pill was generic or branded, cheap or expensive — they were all equally good in their active ingredient content, their purity, and how they dissolve in the body.

Yet the prices told a completely different story. Generic medicines were, on average, 48.6% cheaper than their branded twins, and the most expensive brand cost up to 13.9 times more than the cheapest generic of the very same drug. Government Jan Aushadhi stores were the cheapest source for 18 of the 22 medicines tested, with potential savings running into thousands of rupees a year per medicine — for instance, over ₹16,000 a year on a single liver drug.

For doctors, this is reassuring, hard evidence that prescribing a quality-assured generic is not a compromise on care; it is the same medicine at a fraction of the cost. For patients, it means you can stay on your treatment without it draining your savings, which is exactly what keeps people healthier over the long run.

And this is precisely why independent, publicly funded projects like this matter so much for the future of healthcare in India: they answer the questions ordinary people actually have, free from commercial pressure, and they build the trust that programmes like Jan Aushadhi need to truly succeed. Affordable and high-quality are not opposites — in a well-regulated market, they go hand in hand.
More here: https://t.co/jZhm8ZcPCq

[RÄJ @catdaddyissues]

although with better institutions and policymaking i think we could do this faster. but we have challenges that these countries do not have, large population, democracy since day 1, ethnically very diverse.

[RÄJ @catdaddyissues]

thailand per capita of $8k
india it is $2.8k
i have a theory: a lot of these things depend on what is the per capita of that country, as more people are lifted out of poverty, people start caring about basic infra and facilities and things change.

[Devi @DefiantDevii]

Bangkok, not Bangalore.

[RÄJ @catdaddyissues]

there is a lesson about investing in here. anything you can easily sell or move around is also at the risk of being sold before long term gains come into the picture.

[Dhananjay Kadam @dsk4u]

Mother: Invested in gold and forgot

Father: Put money in FD and forgot

Grand Father: Bought land and forgot

Our generation: Checking portfolio every 10 minutes hoping for recovery
😍😍😍

[RÄJ @catdaddyissues]

@prayagdotde @99prixels $MU

[RÄJ @catdaddyissues]

This is very inspiring tbh

[Santosh Yadav @SantoshYadavDev]

How it started. How it's going.

2012 Vs 2026

[RÄJ @catdaddyissues]

@nishanth_who @dwarkesh_sp @ajay_shah haha let me schedule this for a long flight.

[RÄJ @catdaddyissues]

@nishanth_who @dwarkesh_sp @ajay_shah oh need to check, these episodes are treasure trove but need some time to sit down and listen.

[RÄJ @catdaddyissues]

@nishanth_who @dwarkesh_sp @ajay_shah same!

[RÄJ @catdaddyissues]

Living the dream, things i used to do in GTA.

[dubsea @dubseatv]

How does this even happen⁉️😭

A woman somehow drove her car onto Seattle’s elevated light rail tracks at Mount Baker Station on Wednesday evening, bringing train service to a halt. 😳🚆

Witnesses say the driver told people she was “following GPS” after ending up on the tracks and driving a significant distance before getting stuck. The vehicle had to be removed from the guideway, causing major delays for riders across the 1 Line. #DUBSEA

[The Ghost of Albert Camus @AlbertsGhost]

Marie Antoinette was guillotined for less.