Greg Matthews

REAL Physician Influence @HealthQuant. KOL Identification & Strategy. Social analytics pioneer. Advisor: @MayoClinic SMN, @SxSW.

[Greg Matthews @chimoose]

What an amazing #ESMO2026 it's been! The @HealthQuant team has been analyzing the physician conversations on X for a report we'll share next week ... but for now, check out these maps of doctor-to-doctor conversations over the first 3 days! Use the links to see the LIVE maps (and find own network!)
Day 1 Link: https://t.co/YYhUSp4j7H
Day 2 Link: https://t.co/IzviSW6q44
Day 3 Link: https://t.co/kp93BE1B5j
cc to the Most Mentioned Physicians: @tompowles1 @DrChoueiri @montypal @DrYukselUrun @HHorinouchi @PGrivasMDPhD @StephenVLiu @TiansterZhang @dr_yakupergun @nataliagandur

[Jeff Timmer @jefftimmer]

Do yourself a favor and read the comments. Seriously, all the comments. Right now. 😂

[Clue Heywood @ClueHeywood]

the bride requested Ella Fitzgerald but I thought she said Edmund Fitzgerald and boy this is a long, awkward first dance

[Greg Matthews @chimoose]

@fakenewsdetect3 @PatrickSvitek Having never been elected to public office, no. I am not aware of that.

[Greg Matthews @chimoose]

@Savsays This is great! Hope they’re playing tomorrow when I’m there.

[Rick Fine @fine_rick]

For the cost of a mere quarter-mile of light rail (a whopping $210 million!), you could instead put 3,000 Waymo vehicles on the road. Or 7,000 Cybercabs. Or add 200 brand new all-electric buses to CapMetro’s fleet. And you could run them all over town, anywhere and anytime the demand for public transit arises. And those numbers rely on the last cost estimate Austin Transit Partnership made public, which was over two years ago! Cheap, flexible, and quickly deployable alternatives, without relying on federal funding or 20% higher property taxes permanently.

[Greg Matthews @chimoose]

@JTaillon50 Godspeed, Jameson!

[Greg Matthews @chimoose]

@anannoyedtexan @PatrickSvitek I was talking to a Trump supporter at a rally recently, and he indicated that he was a strict post-structuralist who rejected Hegel's model. Then he shotgunned a beer and burped loudly.

[Greg Matthews @chimoose]

Wouldn't you like to be able to run GEO analysis on OpenEvidence to know what sources it's citing? Well, you can't do that, exactly but ... We should talk. This isn't as impossible as you think. #Pharma #Biotech #MedTech

[Joel Selanikio @jselanikio]

From @JAMA_current: 952,000 US clinicians have sent @OpenEvidence 271M questions. NPs and PAs ask more than physicians; 88% of ER docs' questions are outside their specialty.

The curbside consult is a chatbot now. And that chatbot is mostly OpenEvidence.

https://t.co/hRRNE2FeNs

#HealthcareAI

[Austin Reform @austinreforms]

Light rail to the airport sounds fun; we believed in it once. We voted for it.

We, like you, were also lied to, and had our taxes increased 30%.

Overall, we have seen that the city and its agencies are incapable of managing projects like this.

Case in point: taxpayer money is actively being taken from ATP and given to socialist organizations — in the millions.

The city and its stewards can’t be trusted. I wish they could be.

…in closing, do we really need to be investing in legacy transit projects — when we are leading the world in new transit innovation?

[Greg Matthews @chimoose]

Good piece from @sophiasandovall - I think she's right. A 24-team playoff devalues the wins in the regular season. #Longhorns #CFP

[Sophia Sandoval @sophiasandovall]

Well it looks like the 24-team playoff is a go for next season, and it just so happens that on Friday I wrote 600 words on my thoughts about the new format.

Here is the good, the bad and the ugly of the 24-team playoff:

https://t.co/PEYdu4SJCH

[Greg Matthews @chimoose]

Love this! I used to play hoops with Mike every day at the Bloomington YMCA when the band wasn’t touring. Great guy.

[Rick McGuire @RickMcGuire1]

Headline of the Day: Guitarist for John Mellencamp Nearly Loses His Career After Misdiagnosis https://t.co/OXvKTcys4g

[Greg Matthews @chimoose]

I see pictures of people praying around him all the time. Can it be that none of them told him how this actually works? THAT is really sad.

[Aaron Rupar @atrupar]

Trump: “In theory I go to heaven. I don’t want to go to hell.”

[Brian Solis @briansolis]

It is with a heavy heart that I share the loss of a great mind and even greater friend, @JohnNosta.

I, many of us, have known John for the better part of 15-20 years. He was one of the brightest, most provocative, and at times, controversial voices in the world of disruptive tech and science. He was a leading advisor to companies all around the world and a compelling keynote speaker.

His passing came as a shock to all of us. It's a reminder of just how precious life is, how precious people are, and how precious the gift of time and being present in it is to ourselves and each other.

John, Dave Wright, and I were recently on @DisrupTVShow with @rwang0 and @ValaAfshar. Though we were on different segments, he joined our part to share his thoughts on the book ∞. He didn't have to do that. But more so, he later expanded his thoughts in Psychology Today as a gift. He was so gracious...it's just who he was!

John, we, will miss you. The world was better with you in it. Thank you for your thinking, for pushing us forward, and most importantly, thank you for your friendship.

John's work and thinking: https://t.co/PcLUrRacQi

His appearance on DisrupTV: https://t.co/3CMM9mhpgv

His article on infinite: https://t.co/FDX0tCAW6V

[Greg Matthews @chimoose]

@Scaramucci Narrator: “He doesn’t.”

[Greg Matthews @chimoose]

@johnpgarrett Same! Surprising, but I am relieved.

[Greg Matthews @chimoose]

@LoewyLawFirm For #Austin, the worst thing about the election results is that we lose the accountability the state provided on the unchecked lunacy of the city council and the DAs. We as citizens are going to have to work that much harder to call out their BS.

[Greg Matthews @chimoose]

@LoewyLawFirm @granitewinger Wonder if it was fear or arrogance that drove that decision - or something else? I understand why Paxton wouldn't debate; JT would have mopped the floor with him. But Abbott should have easily done well vs GH.

[Greg Matthews @chimoose]

@scottbraddock It is actually a good start.

[Greg Matthews @chimoose]

I was wondering whether election night would get some of the GOP to turn on Trump. I figured it’d take a few weeks. But sniveling worm Ted Cruz, who never saw a fight he couldn’t run away from, has already started. The rest of the dam is likely to burst now.

[Ted Cruz @tedcruz]

History was made last night.

For months, we were saying that 2026 was the most consequential midterm election of our lifetimes.

Unfortunately, we were right. Sometimes history is to be celebrated; other times, it is to be mourned. Always, it must be reckoned with.

2026 was not simply a blue wave; it was a blue tsunami. It was an ass kicking. It was not simply a bad 2006 midterm election. It was a Watergate-level repudiation. What happened, and why? What are the consequences, and where on earth do we go from here?

When all the votes were counted, the problem wasn’t turnout. Instead, our voters, Republicans, Libertarians, Independents, showed up and voted, and rejected our candidates, voting Democrat instead. We’ve lost the House. We’ve lost the Senate. When all is said and done, we will have lost eight to 10 Senate seats.

We lost in historically red states, like South Carolina and North Carolina, Kansas and Iowa. We lost in purple states, like Michigan, and New Hampshire, and Georgia. And we just barely won by just a single point in bright red states like Florida and Louisiana, and then there’s Texas.

Nowhere are the consequences of this election greater than Texas. In the Lone Star State, we lost every single statewide election. For weeks, I had been publicly warning on this podcast that we were in very real danger of losing everything in Texas. Far too few believed that was possible. I am very, very sorry that it came to pass. Texas has not had a Democrat governor since 1994. We haven’t had a Democrat senator since 1993. Now we’ll have both.

Why were the results so overwhelming? Pundits and analysts will break down the results for weeks or months or even years to come, but several things are already evident today.

Years ago, the very best political advice I ever got was from Heidi. She said, “It’s not about you. It’s about them. It’s about their kids, their families, their hopes, their dreams, their futures.” Too many politicians forget that.

Take the state of Kansas, for example, a state that has not elected a Democrat senator since 1932. It just did. Here’s what exit polling showed were the top issues in Kansas.

Number one, cost of living, energy, and groceries. That was listed as number one by 30.6 percent of voters.
Corruption. Number two, 18.5%.
The cost of the Iran war, 10.1%.
The candidates are terrible, 7.9%.
The Canada trade war, 7.6%.
The GOP didn’t do enough to support Trump, 6.6%.
Republicans didn’t pass the Save America Act, 5.6%.
Trump’s focus on monuments, 5.5%, and data centers and AI, 3.8%.

The top issue, cost of living, is very real. Too many in politics dismissed it. They didn’t understand. They pointed to the macro numbers showing the stock markets soaring, median income at record highs, and poverty at record lows. Those data are true, but they don’t tell all of the story.

Here are some stats that are a lot more real and personal. Spam, Hormel’s processed meat substitute, broke record sales, selling 113 million cans last year. That is nearly as much spam as was sold during the entirety of World War II. 29 percent of Americans have used buy now, pay later for groceries this year. That’s double the share just two years ago.

In August, banks repossessed 42% more homes than they did last year. In 2024, car repossessions topped 2.3 million, above the 2009 peak in the middle of the Great Financial Crisis. In 2025, 6% of 401k holders took hardship withdrawals, paying penalties. That is a record, and triple the norm.

And here’s one that’s really stunning. Americans made more than 75 million paid plasma donations in 2026. That’s another record. That means 200,000 Americans every single day, with a needle in their arm, just to pay for groceries.

That is very real pain from real Americans, and too many Republican politicians seem like they didn’t understand or they didn’t care. Food is too high, gas is too high, diesel is too high, insurance is too high, life is too high.

Tariffs have made everything too expensive, and the Iran war has dragged on too long. It should have been brief, decisive, and over. It needs to end, and we should never, under any circumstances, give the Ayatollah billions of dollars.

There’s a very real economic disconnect. Our K-shaped economy is a yawning divide. Last year, we saw the world’s very first trillionaire, a modern-day Thomas Edison, at the very same time that millions were struggling to feed their families. Data centers being constructed were turning billionaires into centibillionaires, while simultaneously the average American’s electricity bill went up 30% in the last five years.

Understandably, people were pissed off, and elected Republicans didn’t do enough to address their very real pain.

So, what do we do now? We need to listen and respond. We need to champion economic policies that make a real difference in working people’s lives, and we need to deal with the consequences.

Texas is blue. That is a hard sentence to utter. But Texas, today at least, is blue. As we sit here today, I am the only statewide elected Republican who remains in Texas. That’s not something I ever thought I would say.

We can be certain that the Democrats in Austin and in Washington will overshoot. In Texas, they will try to raise taxes dramatically. They may even try to adopt a state income tax, or even a California wealth tax. They will try to shut down the energy industry, destroying jobs across our state. They will embrace the radical transgender agenda. They will persecute those they perceive to be enemies, especially Elon Musk.

And in Washington, they will attack Trump every single day, constantly. Impeachment hearings, subpoenas, his family, cabinet members, business leaders, open persecution, and nonstop retaliation. Make no mistake. Nationally, the radicals are in charge. The communists and the Islamists who have taken over the Democrat Party have now taken over the United States Congress. They will be unleashed.

Sadly, that means many Americans will be hurt. Texans will be hurt. Their assault on business will make Texas a much less attractive place to start or grow a small business. Texas will become more like California if they succeed in halting all new investment into AI.

The economic results will be dramatic. Over $700 billion in new projects are scheduled to start in the next year. If the Democrats shut them all down, our country will very likely go into a recession. That will suit the Democrats just fine. They’ll just blame it all on Donald Trump.

In the next two years, we need to do two things.

One, fight the madness. I will work with Democrats when they’re willing to be reasonable. Last night, I called James Talarico. I congratulated him on his very impressive victory. It was a pleasant conversation, and I told him that I looked forward to working with him to try to benefit Texas.

So, if there are things like flood relief for the Hill Country, or trying to get the space academy to Texas, he and I will work together. But if the newly elected radicals push policies that hurt Texas, raising taxes, destroying jobs, opening the border, releasing violent criminals, threatening our children, undermining our constitutional rights, I will fight with all of my strength to defend Texas and to defend the Constitution.

And number two, we need to rebuild, getting behind policies that directly benefit the constituents we lost.

There’s a complicated story, no doubt, of what happened on Election Day, but as I see it, the key constituencies we lost were blue-collar voters, what had rightly become the core base of our party, Evangelical Christians, who didn’t show up with the same numbers and fervor as prior elections, farmers and ranchers. Tragically, we alienated rural America. Young people, who excitedly had voted Republican in 2024, and who shifted hard blue this cycle. And of course, Hispanics.

For Hispanics, there’s a strong overlap with young people and blue-collar workers. In 2024, just two years ago, I was proud to carry Hispanics statewide in Texas by six points, and we swung the Rio Grande Valley red for the first time in a century. It can be done, but in this election, those Hispanic voters overwhelmingly went back Democrat. We have got to turn that around.

And for young people, we need to be the party of the future. We need to champion policies that expand their future. Our two single biggest legislative accomplishments of the past two years, Trump Accounts and the school choice tax credit, which will unleash tens of billions of dollars in new scholarships for kids, are generationally powerful. I was proud to author both of those transformational policies, and yet too few candidates all across the country ran on that record.

Too few voters were even aware of what we’d accomplished for their kids and their future. But we need to build. We need to expand to continue creating a new investor class for hundreds of millions of Americans, help everyone, every American, become an owner, to have real skin in the game, to create new generations of capitalists ready to reject socialism.

People voted as they did because they were angry. Ironically, the Democrats that they elected are going to advance policies that will make affordability worse. The Democrats want gas prices higher. They want to ban gasoline engines altogether. Their extreme environmental mandates will drive up food prices and the prices of everything else.

But hear me now: we will bring Texas back. I am filled with hope and optimism. Texas will be red again. We have not suddenly become a bunch of tofu-eating, gun-banning, tutu-wearing pinko commie liberals. That ain’t us. Texas is still Texas.

We will rebuild as a true blue-collar party, not by embracing socialism, but by being real free-market conservatives. The way we built the Texas economic miracle in the first place, and we will build and rebuild America as well.

When the zealots overreach, and they will, we will stand ready to lead in the direction of freedom, of prosperity, of safety, and security, and common sense. We will return to a new dawn of freedom in America.

It is dark right now, but it is always darkest before the dawn, and morning is coming. That is my fervent prayer, and that is my commitment to you.