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It is also terrifying to see how prescient Postman's Amusing Ourselves to Death was in pointing this out 40 years ago.

"Setting targets is not the same as solving problems, and good intentions and determination are not a substitute for having a method. ... Change on this scale, in a system this complex, cannot be commanded from the centre. nuffieldtrust.org.uk/news-item/has-…

I am struggling to understand the political rationale for the Planning and Infrastructure Bill amendments. I could understand sacrificing YIMBY support to win over nature groups (and their large membership). Short-termist, but there's a logic. Yet, these amendments don't do

Not inventing a new violin: 𒊓𒅂𒁓𒐗𒐕𒐗 Steve the skeptic challenges NHS England 's healthcare productivity pessimism, arguing that real gains lie not in expensive new tools but in overlooked process innovations hsj.co.uk/daily-insight/…

One thing I wish more people on social media understood: criticising a claim or argument for X doesn't mean you don't agree with X or that you adhere to not-X or Y.

% resources utilised vs Category 2 response time for all services 2018-2024. Target utilisation to meet C2M 18 mins <> 63% (LAS) - 54% (YAS). The Association of Ambulance Chief Executives Shaun Lintern Alison Moore @alijanemoore also on Bluesky 𒊓𒅂𒁓𒐗𒐕𒐗 Steve the skeptic Jason Killens KAM Neill Moloney Simon Weldon

A long but detailed argument about why AI is a dangerous bubble: "Look, the generative AI boom is a mirage, it hasn’t got the revenue or the returns or the product efficacy for it to matter, everything you’re seeing is ridiculous and wasteful..." wheresyoured.at/the-haters-gui/

Perpetually rising NHS costs are not inevitable: they are a product of an organisation that prefers to invest in shiny new stuff rather than process improvement: hsj.co.uk/daily-insight/…

𒊓𒅂𒁓𒐗𒐕𒐗 Steve the skeptic Interestingly, new or innovative tech does not have to incur rising cost. Its likely to be more cost effective & flexible than incumbent tech, particularly when it can be a conduit/catalyst for better process, broader productivity & operational efficacy.

𒊓𒅂𒁓𒐗𒐕𒐗 Steve the skeptic Tristan Lane JKM Care The NHS, in places, has dabbled with developing staff in process improvement skills, but has never corprately learnt/accepted that this is behaviour & cultural change which takes time, persistance and senior leadership support, and just loses interest and/or reorgs itself.

𒊓𒅂𒁓𒐗𒐕𒐗 Steve the skeptic Tristan Lane JKM Care The bitter irony is that the cost of shiny new tech is orders of magnitude greater than even multiyear people development programs. Once someone has the skills, they can teach others, effecting improved home grown productivity through process improvement.

Teachers should teach how to think Not what to think It's not going well if this site is anything to go by

Toyota is up +8% on the news of a 15% tariff. Why? It's simple. Ford, GM, Tesla, and all the other American manufacturers are going to be paying 50% more for their steel, 50% more for their copper, 25% more for their Canadian production, 25% more for their Mexican production,

𒊓𒅂𒁓𒐗𒐕𒐗 Steve the skeptic This is a very good point. Case in point, I costed a portable cardiac ultrasound machine (+3yr service contract) for a research project twice a few years apart. 1st time: £25k 2nd time: £50k Nicer pictures, but no evidence the new model is any better at diagnosing heart failure

𒊓𒅂𒁓𒐗𒐕𒐗 Steve the skeptic By contrast, outside of this price insensitive market (where key decision-makers aren't spending their own money) technological innovation (e.g. smartphones, computers) lead to falling costs.

This is how Giles Coren decides to respond to polite and evidence based challenge about him misleading men with inaccurate advice about PSA testing.

NEWS! Who amongst us hasn't accidentally invited a paedo sex trafficker to their wedding? insists Donald Trump newsthump.com/2025/07/24/who…

Very stable genius, indeed. "We're gonna get down, not 30% or 40%, which would be great, not 50 or 60, no. We're going to get them down 1000%, 600%, 500%, 1,500%, numbers that are not even thought to be achievable."

5. What’s dying isn’t revenue. It’s trust. Google is still a cash machine. But like Facebook before it, trust is eroding. And when that goes, revenue eventually follows.

Claire M Dee 💙 𒊓𒅂𒁓𒐗𒐕𒐗 Steve the skeptic apnews.com/article/ai-art…