To clarify, yes, aware there is a legislative battle going on. When at work, need to be effective in a team - be careful on escalating “us v them” narrative. Outcomes are driven by systems & culture. Neither newer entrants nor old guard have full answer to access or quality.
No matter what I tweet, also, am sure some term or phrasing will offend. Am in b-school right now so using b-school terms. Medicine and nursing are both old and noble professions but also fraught with scandal and controversy, sexism and racism. No one has moral superiority here.
Access has a lot to unpack, as does quality. Does patients (us all) a disservice when these bandied about for escalating emotional reactions as trigger words as opposed to being thoughtful on policy, frameworks, systems
Sadly politicians respond to the so-called “Karen” approach
We have a fragmented system without coordination or whole person care. We all are burnt out. So much of healthcare is about 💴 power, turf, ego, false narratives. The main divisions I see on access and quality are by race, disability, LGBTQ, insurance status, undocumented, etc.
As a former CMO of 14 center, $100m FQHC, was a daily struggle to staff for safe care & access. I had grandiose ideas of building community programs, addressing burnout & morale, writing grants. Instead, daily fire drill of just keeping centers open and not canceling appts.
I was coming from Boston, @harvardmed@HarvardChanSPH and also @The_BMC and @EBNHC but was massively unprepared for the difference between FQHCs in #Boston vs #NYC and different culture of healthcare. At EBNHC was still working with former colleagues from @BostonChildrens
It changed my ideas on what is needed for staffing. If you are NOT living the daily fire drill, literal at times (manhole explodes in Harlem & smokes out adjacent buildings, including a clinic), if you are not doing the work, stop talking down to the WOC clinicians doing the work
It is easy to sit in your ivory tower or private practice & issue “commandments” or proclamations or create an army of online warriors or play mind games with “optics” as to who is a victim. Just get in the trenches. Get your hands dirty. Get bloodied. Accept liability. Be real.
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@ErinMarieMHCMEd@danpreston@JoshuaMZeitz@AmandaMarcotte All of this was already tested out vs American Muslims - the country was just fine with it. Regardless of what you think of the dad, killing/executing American citizen children by drone, along with father, should have been a big red flag on due process.
@ErinMarieMHCMEd@danpreston@JoshuaMZeitz@AmandaMarcotte ~Half of Americans approve of/support torture. The idea is you can use profiling/bias to assume someone is a terrorist or sympathizes with terrorists, assume has information, torture them first, then retroactively justify violation of human rights.
pandemic killed >1 million dead but CDC has removed mask mandate & FL just refused to order vaccines=no interest in saving lives/prevention 9/11 killed 3K➡️police state
I think I need to go to law school. It might be a bit late to be #RBG & make it to SCOTUS… but seriously, it is all about the courts, the law, legal precedents.
Or maybe I just need to make myself small/silent enough to be able to fit into a government job again?
As hard as it is for me to stay in government long term given all the regulations that box you in/tie you up
plus needing to be a public servant to serve every taxpayer, even the ones you don’t agree with/like
Despite that, you *can* have an impact…small things at scale matter
There are times like this I want to be a cat & have 9 lives because there SO too many things I want to do…
…even though other times I am like, okay, how long exactly am I supposed to serve in this life because I am exhausted. (Albeit I did just recover from anemia.)
For the first time in my life I felt unsafe doing #GOTV & got personally targeted & my photo posted on a QAnon type site.
More appalling was how many on #healthcare & #academia, if you are connected on social media like FB, are pro-violence & anti-rule of law & support J6.
We *need* the ppl who typically enjoy more safety to step up. It feels “ick” to report, like you are an informant in Nazi Germany or something, but it is opposite: being “nice” & “not controversial” & “let’s all get along”
➡️empowers bullies
Anyone who did not see this coming does not understand #tech…(which includes people who design #AI).
“Important nuances were lost in translation when a rule commonly used to measure disparate impacts on protected groups in hiring was codified for easy-to-use tools…AI fairness”
Every time I see “our #AI will solve bias! Give us your #DEI budget!” win an #innovation award, accelerator, #hackathon I feel exhausted…
institutions would rather purchase ineffective & worsening-the-problem #tech than hard work of holding ppl accountable or change culture
And this is how #DEI - how currently approached - is ineffective & wastes money because a small amount of money is thrown at it with zero/minimal real hard work & unwillingness to be uncomfortable. Hence these bills: amp.cnn.com/cnn/2022/01/19…
When will we admit that “clash of civilizations” of Islamophobia narrative is not only false but dangerous. “War on Terror”=waging war vs Muslims but #J6 & #BuffaloMassacre reveal terror is not one religion. When Muslims are “legit” targets…that supremacist hate spreads further.
The “Great Replacement” is an extension of “Clash of Civilizations” that conflict/war is “inevitable” between “different” humans defined by race or religion. It dehumanizes some humans as “less than” or “threat.” Once you label as such, violence follows. vox.com/science-and-he…