Imagine being privileged enough to have been born into a situation that allowed for a stable income with no food insecurity, free of the scourge of addiction, being provided a good education and arguing that paying people 7.25 an hour is enough. 1/
Imagine sitting there in your nice house and thinking that you’re there SOLELY because of your smarts, your grit. And thinking that the child that was born to a heroin addicted mother in a trailer in rural America, or in section 8 housing in the inner city should just 2/
“Pull themselves up by their bootstraps “or whatever. Because that is so easy to do without guidance, or mentorship or MONEY. (Sarcasm font)So “easy” that when you see it happen, it’s rare enough that people write books about those who manage to escape the cycle of poverty. 3/
Just unimaginable to me that people think that working full time and making 290 bucks a WEEK, or 400 at 10 bucks an hour whatever is sufficient. Sure some of these are kids getting some extra cash. But many are moms, dads, grammas struggling to keep the bills paid and 💡 on. 4/
The “bootstrap” meme permeates the American self-told narrative, but the nasty secret is is that for the vast majority, that narrative is a LIE. A lie that keeps people from voting directly against their own interests see: Kentucky, et al. 5/
So how will we change that narrative? How can we start to recognize and correct the inequities built into our system to keep the rich rich, and the poor subjugated to them? I don’t know the answer, This is just heavy on my mind today. As you were.
6/6
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More from @Supermansings

12 Jan
Found online:
Huge numbers of our population believe in a complete alternate reality. Alternate facts as it were.

But just as intensely as I believe they are deluded, they think I am the one who is deluded. So how can I be confident in my perception? Here's a tip:

1/x
I have found that in times of political confusion, particularly when emotions are running high and creating tunnel vision, THE PRESENCE OF NAZIS can be an extremely helpful indicator.

If I am attending a local demonstration or event and I see Nazis…neo-Nazis, casual Nazis, 2/x
master race Nazis, or the latest-whatever-uber-mythology-Nazis, I figure out which side they are on.

And if they are on my side of the demonstration? I am on the wrong side.

It is tough to argue moral equivalence when I am standing next to a Nazi. 3/
Read 7 tweets
10 Dec 20
Thread:
Dearest trolls of the interwebs. . If you post online on your page or in a comments section and tell people the vaccine:
1. Will alter your genetic code
2. Can cause infertility
3. Is more dangerous than COVID

1/
4. Will not help because , flu, or something, without the basic understanding of antigenic drift/shift and how that affects the search for the vaccine.
5. That this technology was just invented and cannot be trusted.

2/
6. That you have done your “research”, when you know good and damn well that your bullshit research consists of message boards, Facebook memes and YouTube videos...

You are:

3/
Read 6 tweets
10 Sep 20
College 2020. My daughter went to school, moved into sorority house. Next day, many girls go to frat party (not my kid). Within 4-5 days she has to quarantine back here. Within 3-4 more days, her whole house is on quarantine. 1/
She is banned from campus due to contacts. We move her into an apt off campus with 3 other negative friends. Finally she gets to go back to campus for her ONE in person class. Day 1 AFTER class, a kid walks up to the prof and tells him that she has been feeling poorly. 2/
She has a headache, fatigue and has lost her sense of smell/taste. And oh- all her roommates have the same. Professor was like 👀. Of course she was at the closest desk to my kid. And yes, she tested positive. So now my daughter awaits her second ban from campus. 3/
Read 4 tweets
17 Jun 20
Thread-
it is unfortunate that easy to say slogans can wipe out an entire movement. “Defund the police” does not mean “eliminate the police”, but unfortunately, it can be used as a weapon against reform since the vast majority Americans don’t read beyond slogans and headlines.
I wish it was “re-think the police”, “re-imagine the police” or something like that.
I see police’s problems much like the problems nationwide in emergency medicine since EMTALA made emergency departments nationwide the dumping ground for all of society’s ills.
I’ve always identified with cops more than even other doctors, because i see the same frustrations with our jobs and our “clients”. Let me explain-
Both of our professions are trained in a particular skill set. Mine is identifying and stabilizing immediate life threats.
Read 13 tweets
6 Mar 20
Ladies and gentlemen of the Twitterverse. I am an emergency physician. COVID has not hit where I live yet, but it is coming. Because of people needlessly hoarding N-95 masks, my ER has 2 boxes, with no estimate as to refill date. I will be literally covered in virus. 1/
We are the only ER in a small city. The virus is highly transmissible. If my partners and I go down, we will be unable to care for patients for 2 weeks. There is no backup. There is no plan to be made to replace us if more than 1 go down at a time. 2/
Care of heart attacks, delayed. Care of your momma’s pneumonia,delayed. People will suffer, I will have 2 weeks off with a bad cold, unable to help. Give us our fucking PPE back. If you’ve hoarded masks, donate them to your local ER. They will not help you. 3/
Read 4 tweets
4 Jan 20
1/
I’ve been to war, twice. Iraq in ‘09 and Afghanistan in 2011. I am just a fucking ER doc. But it was there, in the deserts far,far from home, that I made my bones as a newly board certified ER doc. It is around that time, I think that I lost my capacity to feel joy.
2/
Being in war is a strange place. As an ER doc, I wasn’t out kicking doors or taking small arms fire. I was back in base at the level 1 trauma center, waiting for the wounded to pour in. As far as safety went, I was about as safe as you can get there.
3/
Safety is relative. Because we were frequent targets of mortar fire in Iraq, mostly rockets in Afghanistan. My base in Iraq got shelled so often, it was dubbed Mortaritaville. In fact 1 missed me and my buddy by just a couple of minutes of us standing right where they landed.
Read 23 tweets

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