Charles Tallack Profile picture
Aug 9 10 tweets 2 min read Read on X
When, on 12 June, Elon Musk made Likes on X private (so that only a post author can see who likes their post) this seemed like a small change. But small changes in complex systems like X can have big, unpredictable effects. 1/7 Image
What the change means is that if you like a post, no one can see that you've liked it (apart from the poster). This increase the likes posts get. 2/7 Image
Certain posts see bigger increases in likes. These will tend to be those that people wouldn't want others to see them liking. 3/7
Racist posts are likely to benefit. More likes for these posts means that X promotes them more. 4/7
In other words, the change Musk introduced means racist posts are now being liked more, which is giving them an extra boost. 5/7
This subtle change made by Musk seems likely to have fuelled the race riots which have erupted across England. I think it's also likely that Musk foresaw what the effects of his change could be. 6/7
So, just two months after the changes were made we may be seeing their horrific consequences. It seems incredible that we have allowed a billionaire owner of a social media platform to have such power. 7/7
This is speculation about the effects and consequences of the changes to Likes based on what I think is a plausible theory.
The theory needs testing with data, eg to understand whether certain types of tweets (eg offensive, racist ones) now get more likes than other types. 7+1
We also don't know to what extent X and engagement with racist posts fueled the riots. There's sure to be more research into this, helping fill gaps in our understanding. 7+2
And, to clarify, I'm not saying Musk foresaw the race-related riots in England. The change to Likes seems motivated by his belief in unrestricted free-speech. But he's a clever man who will have been aware that the change could have far reaching (if unknown) consequences. 7+3

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More from @CharlesTTHF

Jan 27, 2023
The argument that’s often made for why we need an alternative model to the NHS or radical reform is that the NHS is unsustainable. The latest to make the argument is Sajid Javid. But *is* the NHS unsustainable? A Friday🧵
The NHS is said to be unsustainable because (1) spending on it, as a share of our national income, is rising each year and (2) (obviously) that can’t continue forever.
(1) is true. NHS spending has risen from c3% in 1948 to c8% now and is projected to continue to rise. This is a pattern we see in almost all countries (exceptions - countries with totalitarian regimes or in economic difficulty)
Read 16 tweets
Jan 10, 2023
BBC reports that excess deaths in 2022 were among the worst in 50 years. This is based on a crude comparison with deaths in 2019 (9% more) – not adjusting for changes in population size and age.

But there are other (in my view better) ways of looking at excess deaths/mortality.
The respected Institute and Faculty of Actuaries' Continuous Mortality Investigation tracks excess mortality based on past mortality rates by age and sex. It has just published its latest update covering the whole of 2022. @COVID19actuary @ActuaryByDay
This shows that excess mortality in 2022 was 4.8% above that in 2019. 2022 mortality is about 1% worse than in 2017 and 2018, but better than 2012 – 2015.
Read 4 tweets
Jan 10, 2023
Yesterday the govt announced £200m to get 2,500 people who are medically fit for discharge out of hospitals into care homes. The policy has been criticised by social care experts. I’ve been trying to make sense of the numbers.
13k people on average are in hospital fit to be discharged. Policy aim is to provide alternative (care home) for 2.5k of these people between now & Mar. That’s 2.5k x 80 days = 200k days of care. £200m is therefore around £1000 per day of care. That’s a lot – even for a care home
Let's look at this another way. Each day c9000 people who have stayed more than 7 days are discharged from hospital. This money helps earlier discharge of around 1800 (20%) of these. Over 80 days that’s 144,000 earlier discharges. With £200m that’s £1,400 per earlier discharge.
Read 6 tweets
Dec 2, 2022
Overdue 🧵on social care charging reform. It's been more than 2 weeks since the govt announced delay, but I wanted to let my anger and frustration settle. I’ve spent much time & energy working on this issue so here are my thoughts. 1/22
The autumn statement delayed social care charging reform (the cap on costs & more generous means test) again. The Treasury, with cover from local govt, has again triumphed at the expense of vulnerable people.2/22
A re-cap. The cap & means test changes were recommended by the Dilnot Commission. The commission was set up by the coalition government in 2010 to solve a huge problem with the way to we pay for social care. I was chief analyst (hence my particular interest). 3/22
Read 22 tweets
Nov 5, 2022
Long ambulance response times and their devastating impacts on patients and families are frequently in the news. We wanted to get behind the stats and take a whole system view. A🧵based on our new analysis, which featured in a powerful ITV report last night . 1/13
First, a reminder of those response times stats. Category 1 incidents (life threatening): 7 mins pre-pandemic now 8.5 mins. But cat. 1 rightly prioritised so much bigger increases for other incidents. Cat. 2 emergency (e.g. stroke) up from 22 mins to 41 mins (target=18 mins) 2/13
Behind these statistics are patients in need of care, who are at increased risk of harm because of the length of time needed for an ambulance to respond (see CQC State of Care report) 3/13
cqc.org.uk/publication/st…
Read 13 tweets
Jul 28, 2022
The NHS/govt sees the independent (private) sector as a way of expanding capacity for the 6.5m (and growing) NHS patients waiting for hospital treatment. A🧵on what’s been happening and implications. 1/10
Let's focus on treatments requiring hospital admission (rather than outpatient treatments). First thing to note is that overall number of treatments is still 14% down on pre pandemic numbers (the govt aim is to be 30% higher). 2/10 Image
But share of treatments by independent sector providers (ISPs) is up from 9% to 12%. ISP treatments have increased by 9%, NHS down by 17%. 3/10 Image
Read 10 tweets

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