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Dec 8 24 tweets 10 min read Read on X
Thread of some surprising things that are older than other things

Notre Dame predates the Maori settlement of New Zealand Image
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Oxford is older than the Aztecs Image
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The Great Pyramid of Giza was completed before Woolly Mammoths went extinct Image
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The University of Bologna is quite literally older than "Time Immemorial" (1189, the beginning of the reign of King Richard I) Image
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A bridge still in use in Trier is nearly a thousand years older than the Inca Empire Image
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Socrates is about as old as the oldest Nazca Lines Image
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Polynesians started settling the Hawaiian Islands about 500 years after the fall of Rome Image
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Nintendo is older than sliced bread Image
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The Taj Mahal is younger than Shakespeare Image
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The Cherokee Alphabet postdates the U.S. Constitution Image
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Alexander the Great got to India about 600 years before Bantu speakers got to South Africa Image
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Cleopatra lived closer to the creation of the iPhone than to the construction of the Great Pyramid Image
Harvard is older than Hasidic Judaism Image
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The fax machine predates the telephone Image
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The start of the Great Wall of China predates Islam Image
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The Sámi identity postdates Protestantism Image
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You can probably think of a lot more than these examples. There really are so many things that feel modern, or dated to a particular era, that just aren't.
Göbekli Tepe was coextensive in time with the giant sloth Image
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The grandson of the tenth U.S. president, John Tyler (born 1790), is still alive (born 1928). Image
The Last Samurai died twelve years after Abraham Lincoln Image
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Order of these Supreme Court cases:

Katz 1967: electronic microphone placing outside a phonebooth needs a warrant

Kyllo 2001: thermograms of a residence need a warrant

Jardines 2013: dog sniffs on curtilage need a warrant

Ramos 2020: juries in criminal cases must be unanimous
The first vending machine might have been for holy water:

The Battle of Hastings occurred after the Viking settlement of Greenland and before the Inuit arrived there.

h/t @ElonBachman

@ElonBachman Correction on the Hawaii arrival date.

Apparently that happened later than I was led to believe, so they arrived closer to 800 years after the fall of Rome.

pnas.org/doi/10.1073/pn…

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More from @cremieuxrecueil

Dec 7
Healthcare in the U.S. is more expensive than in peer countries primarily because Americans consume so much more care, not because the number of administrators is out of wack

One way we know this is through private equity

When PE firms buy hospitals, they drastically cut admin: Image
PE acquisition leads to a momentary decline in the numbers of core workers (nurses, physicians, pharmacists, etc.), but this fizzles out in the long run. Image
By cutting a massive part of the administrative bloat (they also cut admin wages!), PE firms are able to turn hospitals around without sacrificing anything for patients or providers.Image
Read 7 tweets
Dec 7
Americans consume so much healthcare that they don't need.

As it turns out, this is true in a lot of places, and we have excellent evidence that's the case.

Thread. Image
Britain has universal healthcare via their National Health Service.

In this system, the doctors are paid very poorly. Junior doctors—known as "resident doctors" since September of this year—have gone on strike about this several times in recent years.Image
In 2016, a dispute between the government and medical unions about new junior doctor contracts came to a head and the junior doctors didn't like the terms they were offered.

So, five strikes took place across all English public hospitals between January and April of that year. Image
Read 22 tweets
Dec 6
Today the American Society of Anesthesiologists won a fight to continue defrauding Americans by overcharging them for care.

So let's talk anesthesiologists.

They are notorious for "surprise billing", where they charge an out-of-network rate at an in-network facility.

Thread. Image
Anesthesiology was one of the medical specialties that was the most likely to cause a surprise bill, because patients usually don't select their anesthesiologist.

This meant lots of patients got saddled with out-of-network care, even at an in-network facility. Image
This has, to some extent, been reduced recently thanks to state-level protective legislation, and also to the federal No Surprises Act that went into effect in January of 2022.

Unfortunately, there are still exceptions aplenty, so surprise bills still exist. Image
Read 24 tweets
Dec 5
When people report an excess of '5s' and '0s' for quantities like 'IQ', 'height', 'age', etc., it indicates error and lying

Anesthesiologists report an excess of anesthesia times ending in increments of 5. As it just so happens, the ones who do this the most profit the most too Image
A given anesthesia case generates compensation units based on self-reported time providing patient care.

One unit is 15 minutes of care, and insurers like to pay to the exact minute, so they usually require unrounded time reporting.

And yet, some anesthesiologists round a lot.
The anesthesiologists who report the most rounding to times ending in increments of 5 (95th percentile '5-reporters'+) end up costing the healthcare system much more than expected.

They bill for significantly longer anesthesia times than they ought to without extreme rounding: Image
Read 8 tweets
Dec 5
The vast majority of crime is done by just a few individuals.

The vast majority of crime is also done in just a few locations.

For example, in New York City, 75% of the violent crime happens on less than 10% of the streets. Image
When it comes to property crime, there's less concentration than there is for violent crimes.

This makes sense, because property to harm should be more spread out more than violent people are. Image
If you throw different crimes together to look at the geographic concentration of 'all crimes', the concentration is reduced even further, because different types of crime occur in imperfectly overlapping places. Image
Read 6 tweets
Dec 4
The results of a new large-scale international educational assessment just came out.

This one focuses on student mathematics and science achievement and, once again, America came in near the top of the chart!🧵

First up, here are mean scores for fourth-graders: Image
Next, here are fourth-graders' mathematics scores.

This is, theoretically, the most trainable test, and we see that Americans do well, but Asian countries take the cake. Image
What about the science side of things?

This is less trainable than mathematics, and Americans end up doing quite a bit better, with even American Whites managing to outperform some Asian countries.

Highly impressive! Image
Read 12 tweets

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