The difference, regarding the store checkout metaphor, is that the credit card doesn't work, the cash is mysteriously gone, the payment app is down, and now the customer has knifed the cashier, destroyed the register, and is in the process of burning the store to the ground. There are no winners here.

I learned a new term this morning that gave me both extreme clarity and conviction around our current direction as a progressive movement, while also providing a complete understanding of why MAGAs are still so angry after winning.

We are witnessing a psychological event unfold at the societal level that until this morning, I didn’t know…

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Enshittification of medicine.

I’m going to let you in on a secret:

Doctors are as fed up with the US healthcare system as patients are. We’re exhausted from fighting an uphill battle to get insurance companies to cover necessary care. We’re being threatened and bullied online by unhappy patients. We’re being “supervised” by hospital administrators with business degree…