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D. S. Nelson Profile picture
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22 Sep, 4 tweets, 2 min read
Welcome to the algocracy. The social credit system in the West is anything but "soft" and our healthcare system has a big role to play.

#Algocrats

thehill.com/opinion/financ…
"A parallel system is developing in the United States, in part as the result of Silicon Valley and technology-industry user policies, and in part by surveillance of social media activity by private companies."

fastcompany.com/90394048/uh-oh…
"...the challenge posed by China goes beyond the question of who will maintain dominance in the data industry; it asks whether the United States will also choose to test the maximum power of data technology to control and rationalize society."

jpia.princeton.edu/news/social-cr…
"...For one thing, a significant amount of the surveillance technology used by China’s communist government was developed and provided by American companies."

minotdailynews.com/opinion/nation…

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More from @process_x

D. S. Nelson Profile picture
23 Jul
Ever wonder how eugenics gained hegemony in 20th century Germany? THIS is how. Over 100 million people in the US have 1 or more chronic illnesses. Amazing people think they have a right to shame others for deciding against a medical treatment. Also, Darwin was a eugenicist.
"Eugenicists felt that they were able to justify prejudiced and immoral actions under Darwin’s theories (Wiker, 2000). The segregation, sterilization, and murder of various groups was justified by some as being done for the greater good of evolution..."

eugenicsarchive.ca/discover/tree/…
"...- those groups were considered to be ‘less fit’, and by preventing their reproduction, advocates argued that the human race would improve and evolve into a better species..."
Read 9 tweets
D. S. Nelson Profile picture
19 Jun
"Many embedded research studies are granted a waiver of consent from patients, with the requirement that personal health information be protected from disclosure."

This means embedded pragmatic clinical trials (ePCTs) via NIH don't need patient consent.

rethinkingclinicaltrials.org/chapters/disse…
There are NIH ePCTs taking place in regard to pain and (conflating) addiction. There is also medication sparing programs for post-operative patients and for chronic pain through the HEAL initiative.

heal.nih.gov
The Pragmatic and Implementation Studies for the Management of Pain to Reduce Opioid Prescribing (PRISM) is the main ePCT taking place via the HEAL initiative. Meaning, patients are studied within the delivery model (EHR) and consent requirements likely waived via data protection
Read 14 tweets
D. S. Nelson Profile picture
3 Apr
This study could benefit people with #ChronicPain by helping round out the science for the safety/efficacy of LTOT. This could influence future research trajectories based on patient reports. See thread.
Some raised concerns that we don't know what the results will be, but that's how science is supposed to work. If people knew what the results would be, there'd be no reason to study. Because millions have likely been force-tapered, this could contribute to an end to the practice.
The ethical issues surrounding forced tapering stand on their own. However, having science that proves opioids aren't as dangerous or inappropriate for chronic "non-cancer pain" as some claim is also important because public policy is informed by it, whether we like it or not.
Read 5 tweets
D. S. Nelson Profile picture
29 Mar
Kognito simulations "allows PCPs to learn through role-play conversations with emotionally responsive virtual patients how to build trust, collaborate on a treatment plan, and address the patient's request for antibiotics." Except for this pitch, it'd be simulations for #opioids.
Also from LinkedIn: "Ron was the Co-Founder, CEO, and Chief Simulation Strategist of Kognito, a virtual human health simulation company acquired by Blackstone Private Equity."
Blackstone Private Equity: "As of 2020, the company's total assets under management were approximately US$619 billion."

blackstone.com/wp-content/upl…
Read 15 tweets
D. S. Nelson Profile picture
28 Mar
.@MaaShealth This response to Pat Anson's request is telling. See thread.

static1.squarespace.com/static/54d50ce…
"We located 1,449 pages of responsive records and two Excel workbooks (108 pages released in full; 103
pages disclosed in part; 1,238 pages withheld in full). After a careful review ... some information was withheld from release pursuant to 5 U.S.C. §552 Exemptions b5 and b6."
"EXEMPTION 5
Exemption 5 protects inter-agency or intra-agency memorandums or letters which would not be
available by law to a party other than an agency in litigation with the agency. Exemption 5 therefore
incorporates the privileges that protect materials from discovery ...
Read 8 tweets
D. S. Nelson Profile picture
19 Feb
You know what? I DID ALMOST DIE. Everything is NOT fine. I still cant get essentials for my family. I am still in shock and trying to process what we are STILL going through. Dont DM my FRIENDS to talk shit about me. More than just meds went wrong, EVERYTHING DID. #Austin
I havent had much of a chance to write anything about it yet because I'm STILL IN THE MIDST OF AN EMERGENCY and I'm still processing all of this. I also havent taken charity so I dont see HOW you think you're entitled to tell me how I should or shouldnt respond.
I'm still having anxiety attacks.

PLEASE DO NOT MAKE IT WORSE.
Read 15 tweets

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