Joe Colucci

EM doc, acrobat, @bidmcem @bumedicine and @lowninstitute alum. Interested in evidence-based medicine & policy, #FOAMed, EM, harm reduction, palliative care.

[Joe Colucci @docrobat]

If you don't want to treat people who use drugs, get out of medicine. It is not the field for you.

[Nauseam (in sf!) @ChadNauseam]

scott alexander makes a good point here:

[Jeremy Kauffman 🦔🌲🌕 @jeremykauffman]

@Jiankui_He so true king

[Jeremy Kauffman 🦔🌲🌕 @jeremykauffman]

Prepare for news stories about "evil insurers" that don't tell the whole story.

Proposition 103 in California makes it illegal to accurately price fire insurance. Insurers can only use historical data, not projections.

So insurers did the rational thing: they dropped customers

[Adam Rossi @rossiadam]

I once owned a home in Virginia Beach. Its elevation was 8ft above sea level. It was across the street from the ocean.

The only insurance I could get was from Lloyds of London. It was very expensive. I was glad to have the option.

Why was it expensive? Because the house was always one big storm away from being destroyed. Homes across the street HAD been destroyed and were then never rebuilt.

Insurance is a market. Its pricing and availability communicates so much information about the risk for that location.

Inevitably people don’t want to listen to the signals from the market. They say “this insurance is too damn expensive! Government should do something!”

So you get intervention in the market from Government, which destroys the linkage between risk and price.

Which eventually…forces every insurer out of the market.

Then we have no options at any price.

Then the taxpayer becomes the insurer.

It is a sick spiral. Government should never, ever get involved in the insurance market.

[Jakeup @myhandle]

translation: the state of California got 6 month's advance warning from the best risk-assessment professionals that the risk of fire in this specific area is too high and proceeded to do nothing at all with this information

[Dr. Glaucomflecken @DGlaucomflecken]

Well that explains a lot

[Foster @foster_type]

I have a friend who is a serious sports bettor who cannot get action from any legally registered book in his state. Literally each and every one has banned him, and even more interestingly, they had him banned from the start. *So they were tracking his illicit bets pre-legalization*.

[Sonny Bunch @SonnyBunch]

The fact that gambling sites are legally allowed to limit/block smart bettors while soaking rubes dry is the best case for nuking them all from orbit. It’s just completely predatory. (Forcing them to take any bet offered is a good compromise, I guess.)

[Noah Smith 🐇🇺🇸🇺🇦🇹🇼 @Noahpinion]

Housing supply works in Austin.

Housing supply works in Minneapolis.

Housing supply works.

[Damian Caraballo MD @813JAFERD]

2) United is being sued for making an auto-denier AI program "known by the company to have a 90% error rate, overriding determinations made by the patients' physicians that the expenses were medically necessary." This directly resulted in multiple elderly deaths in midwest

[Steve Vladeck @steve_vladeck]

This is an important reminder in both directions: the candidates are each going to out-perform prior races in specific geographic areas; the key is how those add up on statewide levels—which will be hard to extrapolate just from the isolated data points.

[Laura Bassett @LEBassett]

Russia calling in bomb threats to polling places in liberal districts across the country should be bigger news right now. They’re interfering for Trump right in the open, right in front of our faces

[Blue Georgia @BlueGeorgia]

Three polling locations in major blue areas of Fulton, Cobb, and Gwinnett counties are going to stay open later because of bomb threats originating from Russia.

MAGA clowns were celebrating the disruption until they found out folks will now be able to vote even later. #gapol

[Tyler Austin Harper @Tyler_A_Harper]

I wonder—just hear me out—if Biden should’ve resigned when it became apparent to the entire country that the sitting U.S. president was not mentally capable of doing his job, an act which would have also given Harris an incumbency bump while removing the albatross from her neck?

[Grace Panetta @grace_panetta]

To defeat Florida's abortion rights measure, the DeSantis admin influenced the fiscal summary that appeared on the ballot, spent millions of dollars in state funds opposing it, launched a wide-ranging petition fraud investigation, and threatened TV stations airing pro-Amendment 4 ads https://t.co/uIYInacqW2

[Richard Yeselson @yeselson]

Super majority requirement is the only reason. 58% is a near landslide.

[Susan Rinkunas @susanrinkunas on Bluesky ☁️ @SusanRinkunas]

Worth repeating: The Florida amendment is sitting at 57% approval, which is enough to pass in any other state. It only failed because of the threshold.

[Cliff Reid @cliffreid]

Through

- rigorous QI

- feedback

- sharing of videolaryngoscopy footage

- and a massive investment of effort in emergency doctor and resus nurse training

We have achieved incremental improvements in first pass success rates

2/14