Ok, so Republicans just introduced a 900 page bill none of them have read. But my team is going through it line by line and on this 🧵you can see the hidden provisions we found. Will update all day.
1/ NEW Medicaid cuts, so now 17 million - instead of 16M - lose health care.
2/ It was bad enough they cut all the tax incentives for wind and solar energy - they added a NEW TAX on these projects to make sure America never builds any new renewables.
Remember, Trump promised the oil industry provisions like this in exchange for a $1B campaign donation.
3/ The bill BANS state regulation of AI - a stone cold giveaway to the tech companies who want to addict our kids, pollute our politics, and kill our jobs with zero guardrails.
Rumor is there's a new language coming, but it's still an effective ban. Just an outrage.
розуміючи скільки тут військових і аналізуючи зацікавленість у попередніх твітах про суглоби, хочу написати деякі рекомендації саме для військових, повністю розуміючи які там умови і можливості:
якщо ти носиш бронік, автомат, рюкзак щодня, тижнями, місяцями, то рано чи пізно суглоби (особливо колінні і г/стопні) почнуть давати збій. не тому що ти слабкий, а тому що ти не залізний
біль - це сигнал про те, що треба щось робити і по можливості не відтягувати
звісно в тих умовах не завжди є час і можливість на це, але якщо при мінімальній змозі не робити нічого взагалі, то ніхто за вас про ваше тіло не подумає, окрім вас самих, як би там не було
Microsoft claims their new AI framework diagnoses 4x better than doctors.
I'm a medical doctor and I actually read the paper. Here's my perspective on why this is both impressive AND misleading ... 🧵
What did they create? Two key innovations: 1. SDBench: A testing environment using 304 real medical mysteries from NEJM where AI starts with just "29yo woman with sore throat" and must decide what to ask/test next
2. MAI-DxO: An AI system that simulates 5 doctors working together as a team
How did they test the AI/Doctors?
They took 304 real cases from NEJM and turned them into an interactive game.
The setup:
Step 1: You (human doctor or AI) get a tiny intro like: "52-year-old man with fever and breathing problems." That's it. No test results, no detailed history - just like a patient walking into the ER.
Step 2: There's a "Gatekeeper" (another AI) that has the full case file but won't tell you anything unless you specifically ask.
Step 3: You can do three things: 1. Ask questions ("Any recent travel?" "Is there chest pain?") 2. Order tests ("CBC" "Chest X-ray" "CT scan") 3. Make your final diagnosis ("This is pneumonia")
Step 4: The Gatekeeper then answers the question. BUT it only reveals what you ask for. If you don't think to ask about travel history, you won't find out the patient just returned from a cave expedition (real case - histoplasmosis).
Step 5: Every test costs money (real US hospital prices). Every round of questions = $300 office visit.
🧵 “10 Causes of Unexplained Fever Every Clinician Should Think About”
When infection workup is negative, don’t assume it’s “just viral.”
Here are 10 real causes of fever of unknown origin (FUO) that can be autoimmune or rheumatologic 👇
#Rheumatology #InfectiousDisease #MedTwitter #ClinicalPearls @IhabFathiSulima
En France, la Clim est méprisée et combattue par certains écologistes.
Pourtant, elle permet de s’adapter au effets du changement climatique.
Il est temps de déconstruire toutes les idées reçues sur la climatisation.
THREAD (0/12)👇
❌ Idée reçue 1 : "La clim, c'est juste un confort pour les riches."
Cette affirmation, largement relayée dans les discours politiques et médiatiques, est fausse. La climatisation n’est pas un caprice de confort.
Les canicules constituent la forme la plus meurtrière du réchauffement climatique dans les pays industrialisés.
En France, l’été 2003 a entraîné près de 15 000 décès supplémentaires, principalement parmi les personnes âgées, isolées ou dépendantes (source : Inserm). Plus récemment, l’été 2022 a provoqué environ 2 816 décès liés à la chaleur selon Santé publique France, dont une part significative aurait pu être évitée par une meilleure protection thermique des lieux de vie.
Contrairement à une idée reçue, ce ne sont pas les ménages les plus aisés qui souffrent le plus de la chaleur, mais les plus vulnérables : personnes âgées en perte d’autonomie, nourrissons, malades chroniques, travailleurs manuels exposés ou habitants de logements sociaux mal isolés, souvent situés dans des zones urbaines denses.
Dans ces contextes, la climatisation ne relève pas du confort mais de la survie.
Aucune mesure passive comme le brassage d’air, l’isolation ou l’occultation ne permet de maintenir durablement une température intérieure compatible avec la santé humaine lors d’un épisode caniculaire prolongé.
1/12
❌ Idée reçue 2 : "On peut travailler sans problème quand il fait chaud"
La température ambiante est un facteur déterminant de productivité.
Selon l’Organisation internationale du travail, l’Organisation mondiale de la santé et l’Institut national de recherche et de sécurité, au-delà de 32 °C, chaque degré supplémentaire entraîne une baisse de productivité comprise entre 2 et 5 %.
Cette dégradation concerne aussi bien les environnements scolaires que professionnels.
Dès 26 °C maintenus dans la durée, les capacités cognitives déclinent. La concentration, la mémoire et les performances scolaires sont affectées, comme l’a démontré une étude de la Harvard Kennedy School publiée en 2018.
Dans les environnements industriels ou logistiques, la chaleur excessive augmente les accidents, les erreurs humaines et les arrêts maladie.
Même en environnement de bureau, les performances mentales chutent nettement au-delà de 30 °C, y compris en position sédentaire.
Au-delà des chiffres, certains exemples concrets illustrent l’impact économique majeur de la climatisation sur le développement.
Le cas de Singapour est emblématique. Ce micro-État, situé en zone équatoriale, a bâti en quelques décennies l’une des économies les plus performantes du monde, dans un climat où les températures et l’humidité rendent le travail sans rafraîchissement quasi impossible.
Lee Kuan Yew, son fondateur et ancien Premier ministre, le résumait ainsi : « La climatisation est la clé du progrès. Elle a changé la nature de la civilisation. »
Sans climatisation, il n’y aurait pas eu de services administratifs efficaces, pas de marchés financiers dynamiques, pas d’éducation de masse, pas de tourisme ou d’industrialisation moderne dans un tel climat.
Ce constat vaut aussi pour la France face aux nouvelles réalités climatiques.
Une salle de classe à 34 °C ou un open space sans climatisation est un obstacle au bon fonctionnement de l’économie et à l’efficacité des institutions.
How do you attack a NATO country without firing a shot?
For the last two years, Russia has been giving a masterclass in the Baltic Sea. The Kremlin utilized ghost ships, anchor-dragging, spy drones.
🧵Here is how the West is starting to fight back.
The campaign began in October 2023. The Balticconnector gas pipeline between Finland and Estonia suddenly lost pressure. A Chinese-flagged ship with Russian ties, the Newnew Polar Bear, dragged its anchor for miles along the seabed. news.err.ee/1609161313/anc…
One year later, it happened again. In October 2024, another Chinese-flagged ship, the Yi Peng 3, severed two more undersea cables using the same anchor-dragging method. European intelligence sources suspected the crew had been bribed by Russian services.
The UN Special Rapporteur’s 27-page report shows, in granular detail, how Israel’s war economy has mutated from “occupation” to an “economy of genocide,” powered by a tight-knit web of global corporations and investors.
The document names more than 60 firms, among them Google, Amazon, Microsoft, Palantir, Lockheed Martin, Elbit Systems, Caterpillar, HD Hyundai, Volvo, Chevron, Drummond and Glencore, as direct beneficiaries and enablers of the destruction of Gaza and the entrenchment of West-Bank settlements.
It stresses that these companies are “just the tip of the iceberg,” drawn from a database of roughly a thousand entities compiled for the investigation.🧵
Israel’s defence budget jumped 65% between 2023 and 2024, to $46.5 billion, creating windfall profits for domestic giants Elbit Systems and Israel Aerospace Industries and for foreign suppliers such as Lockheed Martin, whose F-35 and F-16 fleets delivered many of the 85,000 tons of ordnance dropped on Gaza.
When the Israeli military cloud collapsed under the data load in October 2023, Microsoft Azure and the Google-Amazon Nimbus consortium “stepped in with critical cloud and AI infrastructure,” providing real-time targeting capacity and shielding the data inside Israel-based servers.
On the ground, Caterpillar D9 and HD Hyundai or Volvo excavators, often fitted with Israeli remote-control kits, have razed homes, mosques, hospitals and farmland, preventing any return of displaced communities.
Civilian infrastructure has been weaponised too: the state water monopoly Mekorot throttled supply to 5% of normal flow in large parts of Gaza, and Israel’s control of fuel and electricity lines pushed desalination plants, pumps and hospitals to the brink of total collapse.
International energy majors feed that system: Chevron’s Leviathan-Tamar consortium supplies more than 70% of Israel’s gas and paid the government $453 million in royalties in 2023, while Drummond and Glencore kept coal ships sailing even after Colombia’s export ban, ensuring Israel’s power stations never stopped.
Need to correct some bad info going around about Gavin Newsom. I'm absolutely not one to give him a pass, but he did not grow up in the lap of luxury. His dad was a judge before managing the Getty Trust and didn't always pay child support etc on time. From a 2002 SF Gate article (archive link in reply)
Any time I talk about a wealthy person's outfit, someone in the comments is quick to reply: "They're rich, you think they care?" No one has to care about my opinions or clothes, regardless of net worth.
But let's talk about the connection between wealth and aesthetics 🧵
About a year ago, Tucker Carlson told Chris Cuomo that "postmodern architecture" is intentionally designed to deaden the spirit. The clip was widely circulated online by people such as Benny Johnson, who seemingly agreed.
Postmodern architecture was actually a very brief movement that emerged in the 1960s as a counter-reaction to modernism's austerity and uniformity. Examples of postmodernism include Michael Graves's Portland Building and Guild House. Also Phillip Johnson's PPG Place.
"Was the Roman empire similar or different from Han China, and in what ways?" is another. (Scheidel of course has written a book on the latter).
Classics, which is first about philology, and secondly about literature and philosophy, does not provide the tools or tenure lines for integrating evidence in the historical record with ancient DNA or climatic data...
Brutally taken out of context by Latin schismatics. Aside from my post yesterday, here is further evidence of him explicitly saying they do not worship God, but serve Satan:
“They have turned away from the true light and embraced a shadow, calling it God, but it is not He whom we worship. They think they are pleasing God by their works, but they are far from the truth.”
Patrologia Graeca Vol. 151
> “As for Muhammad, we do not see that the Prophets bear witness of him, nor do we have the witness of him performing any miracles and noteworthy works. It is true that Muhammad started from the East and came to the West, as the sun travels from East to West. **Nevertheless, he came with war, knives, pillaging, forced enslavement, murders,** **__and acts that are not from the good God but instigated by the chief manslayer, the devil.__**”
`— St. Gregory Palamas, Against Islam: Letter to His Church While in Turkish Captivity.`
> “Another disciple writes, ‘Even if an angel from heaven preach any other gospel to you than that which we have preached to you, let him be accursed’ (Gal. 1:8). **The Evangelist says, ‘Every spirit that does not confess that Jesus Christ has come in the flesh is not of God’ (1 Jn. 4:3).** **__How shall we accept a book (the Qur’an) that says there shall come one (Muhammad) from God, who is not actually the Lord, when the Evangelist declares, that one is not from God, if he does not confess that Jesus, who has come in the flesh, is the Lord?__** **__This is not possible to do — no, it is not.__**”
`— St. Gregory Palamas, Against Islam: Letter to His Church While in Turkish Captivity.`
There were 31 church leaders & christian school employees who were arrested, pled guilty and/or were sentenced to prison for child sex crimes in the month of June.