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The tragedy in Ahmedabad has stunned and saddened us. It is heartbreaking beyond words. In this sad hour, my thoughts are with everyone affected by it. Have been in touch with Ministers and authorities who are working to assist those affected.

Direct Primary Care (direct care) is what healthcare should be. No billing codes. No prior auths. No middlemen. Insurance has a role—for catastrophic care. But not everything in medicine needs insurance. Post-ACA, insurers were forced to cover primary care. That legal

Underappreciated advice: Get friends who are significantly older than you. There's no mimetic competition. Just decades of wisdom they love to share. This was normal for most of your ancestors.

Adding some highlights to this gent.

Harbor

Is Healthcare a Right or a Rigged System? A DPC Discussion... When the New England Journal of Medicine publishes an op-ed arguing that direct primary care is a danger to the “common good,” what they really mean is: too many doctors are opting out of the game. This episode of

Those who know me personally understand my strong affinity for the teachings of Jesus. No, I’m not a Christian. And yes, I hold generally conservative views. But his words resonate—and I believe they hold value for all, regardless of belief. That’s why this modern notion of

If you are looking for a great family game for Father’s Day, you will love Ticket to Ride, a superb board game for ages 6-100. The best strategy board game I have played since I played Risk for the first time. Bear in mind that railroaders will have a competitive advantage.

Dutch Rojas As #DPC doc practicing in that model for ten years and a founding member of the DPC Alliance, I want to say to you 4 physicians, thank you for the support. Awesome discussion. The movement keeps going.

Shawn Martin Primary care dumped on again. The cavalry ain't coming folks. We go alone. Opt out. Drop insurance. Direct Pay. #DPC. DPC Alliance dpcnews Dutch Rojas

Billionaire Bacon Lettuce Tomato Sandwich

Weight loss isn’t a willpower problem. It’s a satiety problem. If you fail, it's not because you lack willpower. More likely, you’re eating food designed to defeat it (even if the package says "keto").

Yes. Yes, let’s hand over healthcare to the federal government, what could possibly go wrong? This is the same institution behind the Tuskegee Study, forced sterilizations, and the Phoenix VA scandal. Its track record in managing complex systems isn’t just flawed, it’s

Me every morning.

I grew up in farm country. We had borders we weren’t allowed to cross. Couldn’t go past the creek. Couldn’t cross a certain street. Couldn’t step onto the neighbor’s land because he’d complain. It was a close-knit neighborhood. Everyone knew everyone. We did plenty of dumb

"someday all of this will be sold to blackrock"

We will use Grok 3.5 (maybe we should call it 4), which has advanced reasoning, to rewrite the entire corpus of human knowledge, adding missing information and deleting errors. Then retrain on that. Far too much garbage in any foundation model trained on uncorrected data.

The physician shortage isn’t just about how many doctors we have. It’s about how much time we are forced to waste. Physicians in the U.S. spend an average of 16 hours per week on administrative tasks. Not optional work. Not inefficiency. But time we are required to spend—by

Keith Siau It's called lithopedion (Greek for "stone baby") and it's an extremely rare phenomenon in which a fetus dies during an abdominal (ectopic) pregnancy and is too large to be reabsorbed by the body. Instead, to protect the mother from infection, the body encases the dead fetus in

You don't become a legend with what you play, you become a legend when you're something like this. Hetfield speaks words of wisdom.