I just saw Nuremberg and it reminded me that we used to be a nation of ardent Nazi killers. Let’s make America great again.

You can’t make this shit up. 🎁 www.nytimes.com/2024/12/13/u...

Voters who supported Trump don’t understand —and won’t for years— that they voted against their economic self-interest. David Welch’s “Politics and Propaganda in the Third Reich” explains how the Nazi’s did the same. I wrote about it here.

Propaganda’s Power: Nazi Germany and the Trump MAGA Movement

Reinforcing Beliefs, Silencing Dissent, and Justifying Retaliation

open.substack.com

That's their playbook. It's disgusting, self-serving, and harmful to us all.

Nick Sawyer, MD, MBA, FACEP@nicksawyermd.bsky.social · 2y ago

This devastating news is worse because they’ll simultaneously propagandize the country, blaming Democrats and the “Deep State” for the nation’s problems. They’ll exact vengeance using non-existent events, rewritten history and problems of their own making as justification. We’ve seen this before.

I published this editorial November 2017. Title: In the U.S. “Healthcare” Is Now Strictly a Business Term 1/

In the U.S. “Healthcare” Is Now Strictly a Business Term

pmc.ncbi.nlm.nih.gov

“egregious blight”

a man with a beard and a black shirt that says jesus on it says chef 's kiss

Alt: a young man with a stylish beard gestures approval with a chef 's kiss

media.tenor.com

Nick Sawyer, MD, MBA, FACEP@nicksawyermd.bsky.social · 2y ago

#nailedit U.S. health insurance is one of the most egregious blights on American society. It’s immoral, unethical and inhumane. All major health insurance companies are publicly traded, for-profit entities. Their primary responsibility is to their shareholders, not to you.

It’s so frustrating! Honestly, I try to find any other way than to deal with the insurance company. Often times, it’s @costplusdrugs.com if they have it. These companies bank on us not having the time to do this. This creates more physician burnout than anything else I think

Want a specific example of the death by a thousand cuts that is #PriorAuthorization? Here is an example from yesterday in clinic A short 🧵 I get a note in my inbox that a patient of mine was denied inhaled budesonide for their asthma 1/

Good read by @walkerbragman.bsky.social. Nobody likes their health insurance company. Health insurers have a fiduciary responsibility to their shareholders, not policyholders, aka Americans. That's antithetical to any healthcare system.

Murder in the First World

The murder of a healthcare executive has many…cheering?

sunshine.optout.news

Do we really want a liar and conspiracy theorist as our next head of HHS? Great 30-minute video. Please repost far and wide.

The Real Truther@therealtruther.bsky.social · 2y ago

RFK, Jr. has spent the last 20 years speaking out against vaccines. But he claims he's not anti-vax. Is he right? Watch THE TRUTH ABOUT RFK JR.

seems like they are not aware of, or think $2 trillion in budget cuts — historically known as economic “shock therapy” — will not affect their social security and Medicare (and maybe Medicaid) benefits? Elon told them it’s going to lead to some “hardship.”

“Let it burn. That’s what people wanted.” This common explanation is untrue and requires us to step back and see the bigger picture. You can’t fight what you don’t understand. I’ll use an example to prove my point. Watch this short video then come back to this 🧵. x.com/HeartlandSig... 1/

@ruku9.bsky.social · 2y ago

Let it burn. That's what people wanted.

There is time to be silent & there is time to speak up. Sucking up to dictators will quickly turn the practice of medicine into Nazi-type medicine. Do academics recommend we stay silent, follow the orders & experiment on people just like German Medical Association did?

Nick Sawyer, MD, MBA, FACEP@nicksawyermd.bsky.social · 2y ago

Medical Science Under Dictatorship A warning by Dr. Leo Alexander chief medical advisor to the Chief of Counsel for War Crimes, Nuremberg, United States Zone of Germany, 1946-1947. restoringourheritage.com/articles/nej...

The other night in the emergency department, I saw a woman in her 30s who came in complaining of ongoing coughing. She explained that she had been diagnosed with pertussis (whooping cough) back in August and now wanted help managing her symptoms.

The Erosion of Empathy in the ER

Reflections on Preventable Illness in a Broken System

open.substack.com

Trump’s return to the White House w Republican control of Congress may end Affordable Care Act’s Medicaid expansion. Nine states—Arizona, Arkansas, Illinois, Indiana, Montana, New Hampshire, North Carolina, Utah, and Virginia—have trigger laws to end their expansion if federal funding decreases.

9 States Poised To End Coverage for Millions if Trump Cuts Medicaid Funding - KFF Health News

About 3.7 million people are at immediate risk of losing health coverage should the federal government cut funding for Medicaid expansions, as some allies of President-elect Donald Trump have proposed...

kffhealthnews.org

Medical Science Under Dictatorship A warning by Dr. Leo Alexander chief medical advisor to the Chief of Counsel for War Crimes, Nuremberg, United States Zone of Germany, 1946-1947. restoringourheritage.com/articles/nej...

Medical Science Under Dictatorship

A Stark Warning Against the Perils of Politicizing Medicine and the Erosion of Ethics

open.substack.com

Our system fails patients regularly. I believe it’s due to corporations and private equity firms buying the majority of physician groups, especially recently. Their policies strip physicians of our autonomy, violate the AMA Code of Medical Ethics and Corporate Practice of Medicine state laws.

“…according to the message sent by Catherine Su, a radiation oncologist married to Jay Bhattacharya, the Stanford professor of medicine leading the study. the study came under fire… it was based on a heavily flawed data analysis that ignored questions about the antibody test’s false positive rate”

Arghavan Salles, MD, PhD@arghavansallesmd.medsky.social · 2y ago

The research misconduct here is also disturbing www.buzzfeednews.com/article/step...

Outside of the US our scientific colleagues see things a lot more clearly. It’s time to get our heads out of the sand. End/ www.bmj.com/content/387/...

Evidence abandoned: Trump’s cabinet and the fallout for science

Trump’s presumptive cabinet raises fears for population health given its anti-science bias. Christina Pagel and colleagues argue that the UK scientific establishment should practice solidarity and res...

bmj.com

RFK Jr. was a key figure in protests over California vaccine laws. He could set U.S. health policy in the Trump administration. cal.news/3Va2DSd 📝 Ana B. Ibarra

RFK Jr. was on the losing side of California vaccine fights. Now, Trump wants him in his cabinet

Robert F. Kennedy Jr. was a key figure in protests over California vaccine laws. He could set U.S. health policy in the Trump administration.

cal.news

The Third Reich Politics and Propaganda by David Welch

My tweets from 2017 are currently being ported from Twitter to BlueSky. This is a great way to uncover buried gold from years past. Too bad nothing’s changed. No wait, it’s changed. It’s worse now.

Nick Sawyer, MD, MBA, FACEP@nicksawyermd.bsky.social · 9y ago

If you really want want to know what's wrong w/ American #healthcare - follow the money. http://www.marketwatch.com/story/aetna-obamacare-and-health-insurers-10-dirty-secrets-2016-08-19

People think emergency doctors can successfully intubate their unvaccinated, let’s say, 4 year-old, with vaccine preventable Hib induced epiglottis/critical airway. They’re wrong. That’s on the parent, not the doctor. Vaccinate your kids or face the consequences of harming your own child.

Have the American Medical Association and the American College of Emergency Physicians devised plans to safeguard doctors from parents who opt not to vaccinate their children? What are the psychological consequences for doctors when children die preventably under their care? What about legal?

“You, Elon, appear to believe you can act with impunity and are attempting to silence your critics. I’m not intimidated,” he added. Alexander Vindman is a true American hero. 🇺🇸

Kara Swisher@karaswisher.bsky.social · 2y ago

I have covered both Musk and Alex a lot, and only one of them is a useful idiot for Putin and also a heinous person. The other is a patriot who did his job with distinction and is a very good man. Guess which is which: thehill.com/policy/techn...

Thinking about this, it’s hard to believe that it’s been almost three years since I wrote this post on how far right the antivax movement has become. www.respectfulinsolence.com/2022/01/28/w...

Why is there now such an affinity between antivaxxers and fascism?

Increasingly, the antivaccine movement has become allied with fascism, including openly fascist groups marching in their rallies. Why?

respectfulinsolence.com

I wrote this in April 2020, during the first wave of the COVID pandemic in NYC. Weeks later, I volunteered at Elmhurst Hospital in Queens, NY, in a COVID ICU. I’m now certain that America’s healthcare system is on the brink of collapse. You should see what I see at work in the ER everyday.

Nick Sawyer, MD, MBA, FACEP@nicksawyermd.bsky.social · 6y ago

I wrote this back on April 3rd but it feels more true now than ever. https://www.kevinmd.com/blog/2020/04/the-heart-of-americas-health-care-system-is-failing.html

Pulled this out of a patient. This is what a taser barb looks like.

This service is legit. It won’t migrate every post from Twitter to BlueSky, but it’s better than losing them all when you delete your Twitter account. 5 ⭐️ | would recommend

BlueArk Global@en.blueark.app · 2y ago

With BlueArk, you can migrate your tweets from X/Twitter to Bluesky quickly, securely and with the original date of each post. We preserve your stories, your media and your most relevant content on a new platform, without losing anything along the way. 🪽 blueark.app/en-us/