Note
The app for independent voices
Hey Friends, Iβm here of Substack, and here is why I decided to leave MSNBC and go 100% independent with all my content.
Hey guys. Sorry if you got a notification I had a video up. I opened a blaster of illusions and I somehow recorded it in slow motion making an 8 minute video 49 mins. I feel dumb. Iβll post βmy hitsβ as soon as my daughter wraps up her basketball season. They are currently 0-7. Will they win the final game? Iβm taking action on the game now. Iβll have a pod up later for my payers.
Substack is the only platform not currently owned by a billionaire, and I have full editorial control over my content.
Itβs why Iβm here. Thank you all for joining me.
Letβs redefine the future of media in America, together.
You made it, you own it
You always own your intellectual property, mailing list, and subscriber payments. With full editorial control and no gatekeepers, you can do the work you most believe in.
Great discussions
Join the most interesting and insightful discussions.
The problem with Social Security isn't "fraud."
The problem with Social Security is that as the rich have gotten richer, more of their income has escaped the cap on the SS payroll tax.
In fact, millionaires stop paying SS taxes today.
We can fix this by scrapping the cap.
How to brainwash your mind in next 7 days:
ο»Ώο»Ώο»ΏWake up and don't look at your phone for 1 hour.
ο»Ώο»Ώο»ΏDrink 3 litres of water every day.
ο»Ώο»Ώο»ΏDo your most important task in the morning.
ο»Ώο»Ώο»ΏExercise at least 1 hour per day.
ο»Ώο»Ώο»ΏReplace social media with knowledge books.
ο»Ώο»Ώο»ΏYou probably won't see this account again, so don't forget to follow us.
Grow your publication on Substack
With recommendations, referrals, and a powerful growth network, Substack creators spend less time on marketing and more time on their craft.
I just want to say thank you to everyone who has reached out with kindness and encouragement, both personally and in these social media streets. So very proud of The Reidout @joy.msnbc.com team, who are truly family, and all of our supporters & friends. See you tomorrow night at 7 ET, one more time βΌοΈ
WONDERUL NEWS!! Warren Buffett's son Howard has given $500M to Ukraine β he warns the US is making a historic mistake by pulling its support
You made it, you own it
You always own your intellectual property, mailing list, and subscriber payments. With full editorial control and no gatekeepers, you can do the work you most believe in.
Always great seeing @briantylercohen when he makes it to DC. Brian and I work every day doing episodes of The Legal Breakdown (fast approaching episode number 500), to bring you accurate, reliable, and 100% independent legal analysis.
World-class writing
The best stories, ideas, and culture right at your fingertips.
Podcast posting in the morning.
Weβll be covering a guy who reached out to me about 80 Boxes of cards he found.
Thoughts about Topps Series 1
What does βOld School Cardsβ mean to you when you hear that
Top athletes Iβm buying: Cam Ward, Paige Bueckers, Amen Thompson, Caleb Williams, Omarion Hampton, Chandler Simpson, Zion Williamson, Tiffany Stratton.
and any questions you guys have βΎοΈ
Democracy doesnβt die in darkness, it dies behind a paywall.
Thatβs why all of my news will ALWAYS be free. The more people are empowered with knowledge the better.
I canβt stand when news companies make people pay for news. My decision may not be the most business savvy, but times are too important to do anything otherwise.
Grow your publication on Substack
With recommendations, referrals, and a powerful growth network, Substack creators spend less time on marketing and more time on their craft.
A MUST WATCH! Sen. Jeff Merkley bravely asking what weβve all been thinking.
If you support the impeachment of Traitor Trump, please heart this post. π
Share it if you'd love to see him in prison for treason.
Grow Your Audience
Marketing isnβt all on your shoulders. More than 50% of all new free subscriptions and 25% of paid subscriptions come from within our network.
You made it, you own it
You always own your intellectual property, mailing list, and subscriber payments. With full editorial control and no gatekeepers, you can do the work you most believe in.
Regardless of RFK Jr being confirmed as HHS secretary, I will continue to provide evidence based health education on social media. We need more helpers now more than ever.
I think of excess health care spending as consisting of procedures with high costs and low benefits. *On average,* an MRI for back pain is not cost effective. Neither is a routine colonoscopy screening for colon cancer. Of course, your aunt Millie had these procedures and they saved her life, so we cannot say that the benefit is zero. To reduce spending on high cost, low benefit procedures you either need to have the government and/or insurance not pay for them, which gets people howling. Have a nice day.
Iβm not sure how you maintain this view and simultaneously hold that values are subjective. As a retired radiologist I can think of many times an MRI demonstrated the cause of low back pain and patients who had lived with months of pain were ecstatic I found something that was treatable. I also recall many patients whom I reported out as a negative MRI and they were ecstatic it wasnβt a severe (cancer) or surgical (slipped disc) problem MRI would have detected.
Would they have paid the price ofβ¦
When a procedure may or may not matter, you have to take probability into account. Cost per life saved is one measure. In the case of back pain, it might be cost per effective treatment. If a procedure costs $1K and successfully treats only 1 in 1000 then the cost per effective treatment is $1 million
I donβt understand that methodology. It seems if it were applied consistently, it would mean gambling should be shut down. Thatβs because the house always has an advantage, and the methodology does not include the enjoyment of gambling. Some people enjoy having a greater level of confidence in ruling in or out certain disease processes. I admit with third-party payment it is difficult to assess that in the current environment compared to an environment when people paid for the procedures they oβ¦
The simplest, most elegant solution is to just say after a certain age, the government isnβt paying for anything besides basic maintenance care, pills, and hospice. Everything else would be out of pocket or supplemental private insurance. Go ahead and pick the age: 75, 80.
Politically impossible though. Just try proposing this to an otherwise βfiscal conservativeβ Boomer. Even one 10+ years younger than whatever age you propose. They will interpret your proposal as a plan to rob and murder them.
The solution is a free market, where people choose to spend wisely or wastefully. American medicine is fascism in action. (Literally, not as an epithet.)
I think the benefits of routine colonoscopy far exceed the costs, especially given that the cases seem to be increasing at an unprecedented rate in younger age groups.. I donβt get why they have to be so damn expensive. Medical screening technology is getting better; the sooner that blood tests are able to offer early diagnosis of cancer or possible cancer, the better. One of the arenas where Iβm hopeful that AI can streamline and improve medical diagnosis. The delimited realm of βclinical condβ¦
Or high costs and negative benefits. (Or low costs and negative benefits, for that matter.)
Colonoscopy is administered to most once every ten years, and i recently learned of someone in their young 60βs who never got one and died recently. No family history of colon cancer. Shit happens. Now, Cologuard is here and if you wish to be more precise in unneeded procedure category i would agree that those past age 70-75 are much less likely to get colon cancer than younger people, so unless family history, or evidence of polyps a pass might be sensible
I really thought the β90 year olds are the bulk of our wasted moneyβ inference was pretty cute, myself.
Related notes
Here is Vinod Balachandran, the lead researcher on a team that just created an mRNA vaccine for pancreatic cancer, which has a 90% death rate. His study showed that within five years, 75% of patients were both alive and cancer free, a miraculous result. mRNA technology for covid was of course pioneered by Katalin KarikΓ³, a woman from rurβ¦
The fundamental problem with progressivism β and I say this as someone who was a leftist for my entire life, until maybe five years agoβis that progressives want there to be a different reality than the one that is, and become angered when confronted with reality, and blame whoever is presenting that reality to them for being the perpetrator of whatever unpleasant or imperfect reality presented.