Adam Block I mean Leyla and Aleksey Chernobelskiy have done an incredible job shedding light on the opaque market of GPs who took wayy too much risk and now lps are 100% impaired

Demoralizing

It’s amazing how confidently people talk about “universal high quality care that saves lives and saves money” as if it’s a dessert your mean parents are withholding out of spite. A few reminders for the adults in the room: Government isn’t magic. CMS can’t run a website

Yup. I agree. It is the strongest template for a ‘universal’ structure because it preserves patient choice, keeps pricing transparent, and pushes patients to participate in the cost of routine care. It would still need meaningful adjustments for the United States. I do not

I’ve long been a fan of the Singapore system. We could do it even better in the US. Guarantee every American $10-15k in a yearly HSA for purchasing insurance, and for covering out of pocket costs. Use it for a DPC and a catastrophic plan and you’d have money left over. We

Day in the life of a syndicator bro: - wake up at 9:15am in a short-term rental - open Instagram DMs and pitch 12 strangers on a “co-GP opportunity” - hop on a Zoom titled “Capital Raise Mastermind” (it’s just four guys arguing about funnels) - tweet “Deals are STILL

I am so grateful to Jerry Z. Muller for an essay that changed the course of my thinking in 2004. He introduced me to the conservative intellectual tradition, which made it possible for me to write The Righteous Mind. Thank you Jerry. The essay is here: s3.us-east-2.amazonaws.com/craft-cdi/wp/u…

Mark Cuban Thanks for your attention to all of this. Your platform has brought much needed clarity to everyone on these issues. We physicians sign contracts with the insurers that give them multiple bites are the apple. Pre-authorization followed by filing a claim followed by request

Thirty Years of Ortho: What I’d Tell the Next Generation I’ve been an orthopedic surgeon for three decades. Long enough to see techniques come and go, implants rise and fall, and the pendulum of “standard practice” swing back and forth more times than I can count. What hasn’t

Ah yes my Christmas card this year.

Healthcare is Not a Right by Leonard Peikoff: “Observe that all legitimate rights have one thing in common: they are rights to action, not to rewards from other people. The American rights impose no obligations on other people, merely the negative obligation to leave you alone.

Although Elon Musk is brilliant, this is wrong. In people at average risk, anxiety from false positives as well as complications from biopsies would almost certainly outweigh the benefits. Happy to discuss further!

Seems relevant this week

guyfelicella🇨🇦🍁 Is he using his wealth to buy too many nice t-shirts and too much fast food? No one has proven more times than Musk that he employs nearly 100% of his capital for social benefit, both inside and outside the capitalist structure. Let him cook. Everyone wins.

Humans are hardware. Cultures are software. We have fundamentally the same hardware, but adopt very different software. Not all software is compatible. America's software is built on universal principles and respect for law. Developing countries often run software that

This is why J.K. Rowling is on my short list of influential voices on X who didn’t just use her platform — she risked it. A literary and entertainment empire built from nothing. She had far more to lose than most. But women’s rights — and truth — mattered more. She’s been bullied,

Feel Comfortable Feeling Uncomfortable

Surely the lesson is: the 90% AI can now do is what can be automated. So now those physicists can spend 100% of their time on the remaining 10% that can’t be. Yet. And as AI improves it’s like distillation until what was “1% inspiration” becomes 100% of the physicist’s work.

America’s political landscape is more complicated than it used to be. Here’s my attempt to depict what I see as the seven broad camps today. Most people I know fall pretty cleanly into one of these circles (each of which has some common ground with the two adjacent circles). Some

The autism epidemic is a myth: The increase is only in expansive overdiagnosis of kids "on the spectrum," e.g. "Would rather be alone than with others,” “Has difficulty making friends,” and “Is regarded by other children as odd or weird.” Severe cases (no language, socially