Newsom Myālgía MD, PhD (formerly Virál Myālgía)
@contrarian4data
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Practicing MD 25+ y, PhD in statistical computing & optimization. Animal welfare. Walk gently on Gaia. Anti-stupid Virál to Newsom 2y ago. Reason now clear?
Any Trader Joe’s
Joined May 2020
Striking but unsurprising. In the exchange, @drsanjaygupta doesn't understand the accurate numerical equivalency being presented. You can see him struggle to understand the point while sensing that Joe is confident in the claim creating self-doubt. 🤦♂️.
WATCH THIS: Joe Rogan annihilates @drsanjaygupta over vaccinating children. Sanjay seems utterly lost here; almost as if he's never been challenged on this outside of the imploding television medium of 30 sec scripted sound bites and groupthink circle jerks. #FreedomFlu
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@DrEricDing You’re an immoral, innumerate, attention-seeking opportunist whose policy recommendations and advocacy supported unsustainable measures. You, like so many, promoted harm being heaped on top of harm. That you have your name on any COVID publication is an absolute farce.
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I can tell you that I’ll be out. Zero immunologic basis. Zero clinical basis. Zero epidemiological basis. Done with the rank stupidity.
BREAKING: California will require healthcare workers to get their booster. With Omicron on the rise, we’re taking immediate actions to protect Californians and ensure our hospitals are prepared. More to come in our official announcement tomorrow.
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A brush with death . Please pray for him.
I asked her nicely to pull up her mask. She got annoyed but did. 10 minutes later, it was down again. After waiting, I asked again. She glared and pulled it up. Cabin lights dimmed. And now I couldn't see. We sat inches apart for a 5 1/2 hour flight with her variably masked.
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The cynicism here is stunning. A weekly test is not a hurtful measure . but that's not the point. As we know vaccination will not stop transmission (, weekly testing becomes a performative measure whose main purpose is harassment.
Very Good. San Francisco schools will require teachers and other staff to be vaccinated or face weekly testing via @sfchronicle.
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I don't really care if someone worked at McDonald's or not. It's just pathetic to see low-IQ reporting on it. At I can see summer earnings after my freshman year in '88. I did stats work at a hospital during the day and food service at night. Not hard.
The New York Times did a “fact-check” on Kamala Harris working at McDonald’s and were unable to verify any of her claims. So what’d they do? They just quoted her campaign and pronounced Trump a liar based on their word. Wild.
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1/n. Yes, it’s fascinating we’re still debating masking … . … because it’s brutally obvious that the RWE confirms the majority of what’s in the literature pre and post COVID. Let’s review quality evidence we knew and what we’ve learned.
It's fascinating that we're still debating masks. Though I wonder how relevant the setting of Bagladeshi rural life really is to people taking a half hour trip on the District Line at rush hour?.
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After 26y of respiratory virus seasons, I can tell you that some years in the ED are physically exhausting. This year’s a bit tougher as it’s been a bit continuous from late summer and a late 21/22 Influenza season end. What’s new is physicians preening for attention on SM. 🛑.
I just got a note from a friend that many of their pediatrician colleagues are in tears from exhaustion. They do not see the way out of this thing. Please do all you can to stay home if you’re sick and mask indoors. We have to take care of each other this winter.
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Gentle reminder that we are dealing with people who:. 1) have no problem rewriting history. 2) have no problem openly lying. 3) refuse to acknowledge their poor understanding of the data extending from February 2020 . 2 years and running. This is sociopathic behavior.
With respect, @SenRonJohnson, science HAS changed. 1) We didn't have vaccines for children 5-11 until Nov. 2) We now know vaccines protect well against Omicron. 3) 1-way masking with N95/KN95 protects wearer. Change based on science doesn't mean scientists were wrong before.
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@eekymom I wish you and Aiden the best. Most large follow Twitter MDs are clueless. I know you’ve witnessed my clashes with them. The worst part of your story is how society was denied better guidance. I occasionally reflect on this thread — now more than a year old:.
This is a thread discussing Pediatric COVID-19 vaccination. Contents:. 1) Detailed review of Vaccine Adverse Events Reporting System (VAERS) for the 16yo-17yo age group. 2) Examine Pediatric mortality estimates & compare to adverse event rate. 1/n.
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Lol. His authorities: . A psychiatrist who parades around as a "suicidologist" with no notable publication history who misrepresents lags in data reporting. A neurologist who advocated for early intubation to "stop the spread" in New York's March '20 wave. Stellar.
COVID contrarians claim that closing schools was a mistake, in part because of the impact on their mental health. But that’s not what the data says at all. @mehdirhasan speaks to @tylerblack32 about one of the most pervasive myths about COVID, kids and remote learning.
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🧵 1/n. Quantitatively review a national test and vaccine provider’s ongoing test positivity data. Sources: Walgreen’s, 2020 US Census, Our World in Data. Yes, I’m embarrassed that @Walgreens has more comprehensive testing data than the @CDCgov, but that’s not my fault.
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1/. This Nobel Laureate can't download a CSV file and run a 30 minute analysis. Let's do it for him. To isolate the effect of NPIs looking at a June 2021 case nadir, this This is what "lockdowns" did after correcting for baseline 2019 death rates across states. No correlation.
Can Ron DeSantis effectively challenge Trump? I have no idea. But one thing I hope doesn't get forgotten in the horse-race coverage is DeSantis's major achievement as governor: the unnecessary death of around 20,000 Floridians 1/.
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She says unmasked to an unmasked audience of reporters sitting shoulder-to-shoulder and who regularly travel the country . Each and every adult in that room expressing "horror" at @GovRonDeSantis's position is an innumerate and incurious embarrassment. @ChristinaPushaw.
Psaki says it’s “greatly concerning” that Florida Gov. DeSantis won’t enact mask mandates for children.
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Still boggles my mind that any data-literate person is saying things like this 18 months into the pandemic. 🤦🏽.
“We had hoped to see the new statewide masking mandate make a difference in flattening the rate of infection, but we’re not seeing that yet,” said Peter Graven, Ph.D., lead data scientist in OHSU’s Business Intelligence unit.
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Serially wrong “expert” was “very careful”, vax’d, & masked religiously. She was infected (gasp! … post-vax sniffles), but is certain that her mask stopped her from infecting others. It’s a cult. Virions in aerosols don’t obey “air traffic rules”. Flow is “bidirectional”.
We wore masks the whole time - v few others were. Mainly tbh, to protect ourselves (obv too late by then), but also cos we thought it's right to do even tho we thought we were fine. I am so so glad we did - I hope it means that we didn't give Covid to anyone that weekend. 4/8.
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@DrJBhattacharya I suspect the usual suspects will make this about Ivermectin … because of Ukraine or something something. It obviously has nothing to do with Ivermectin specifically.
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“Whenever I discussed the possibility that SARS-CoV-2 was a laboratory release, Hotez strongly rejected that possibility, but never explained to me or to the Lancet Commission that he actually had a grant that was based on that very kind of risk,”. -Lancet Commission Chair Sachs.
Peter Hotez, critic of congressional probe into gain-of-function research, helped fund Wuhan gain-of-function study. Via @emilyakopp @USRightToKnow .
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1/5. Nobody ever cites relative-risk reduction without also citing absolute-risk reduction while being transparent and intellectually honest. There is no doubt that this claim is either a data-crime or intentional obfuscation.
If you're 50+ & it's been more than 4 months since your 1st booster, now is the time to get your 2nd booster to prevent severe disease. Data shows that 2nd boosters decrease the risk of #COVID19 death by 4-fold. Boosters can be lifesaving for those 50+:
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As @JoeBiden asks Americans to blame the unvaccinated for the spread of a respiratory virus, the Gibraltarians hunted down the <1% who caused a "summer wave" that was larger than in '20. That <1% may cause more problems this winter. If this makes sense to you, you are <insert>.
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Absolutely idiotic. Exempting teachers is idiotic. Comparison to Measles, Mumps is idiotic. Diktat with less than a year of data is idiotic. There is no emergency need in healthy slim kids and they do not drive transmission. If you believe otherwise, you’re an idiot too.
BREAKING: CA will require our kids to get the COVID-19 vaccine to come to school. This will go into effect following full FDA approval. Our schools already require vaccines for measles, mumps and more. Why? Because vaccines work. This is about keeping our kids safe & healthy.
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@shvetaraju @davidzweig @kerpen Her positions (@ebennett74 can verify):. 1) Head of the Pfizer Pediatric COVID vaccine committee. 2) 1 of 2 Infectious Disease physicians advising the American Academy of Pediatrics. And yes that's quite a quote for one's collegial circle at a hospital -- even multiple hospitals.
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@Keggs719 @TwitterSafety So Pfizer is allowed to advertise. Nobody is allowed to satire the “ad”. And yes, Pfizer slow-clapped mandates while knowing that it did not trial for transmission reduction. They didn’t even trial for severe disease reduction. @pfizer trialed for profit maximization.
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Crowdsourcing effort:. can we memorialize a thread of the most ridiculous @nytimes COVID articles?. It's easy to forget what was peddled with the imprimatur of credibility while shouting down serious conversation. I'll start with my favorite:.
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The face, laugh, and body language of a pathological liar and sociopath. As far as .@GavinNewsom is concerned, you, the plebe, are not worthy of authenticity, honesty, or accountability.
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@erdocAA Most dove in and can't extract themselves . their egos won't allow it. >90% of doctors believe that most of what we do is steeped in evidence. They struggle with being challenged because they don't know the limitations of the evidence or how to critically analyze it.
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Award winning "science journo" with ~250k followers cannot figure out why border crossing counties, high obesity reservation areas, and areas with the highest rates of obesity and baseline death rates had the highest COVID deaths. Lancet enables this innumeracy. It's 2023 .
This chart says it all -- #Arizona had the highest #COVID19 death rate and opposed most mandates and epidemic control measures. Policies & politics matter.
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@RepRoKhanna @JoyAnnReid Thank you for speaking for all Indian-Americans . while castigating someone for speaking for all Indian-Americans. Who inspired MLK, or does your knowledge of history stop at 1965?. You're pandering . and doing so poorly.
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I want to support my colleagues, but I can’t get support attention seeking that possibly twists the truth. I don’t understand it. Unless she has a transplant, her risk of severe C19 is very low. For the nth time on my feed, these are the main risk modifiers for severe C19:
Hi, I’m Sarah. I’m 35 and a doctor. I also have a heart condition that puts me at an increased risk for serious complications from covid. #IHaveAPreexistingCondition - Does the face of #chronicIllness look different than you thought?
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@TheNickFoy 2/236. I’m so tired of selfish people who keep breathing and eating and moving around like that have some right to live life and eat and breathe and move and when they talk on top of it all it’s really too much unless they shout “mask up!” In which case it’s not enough and ….
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@tedlieu @davidzweig Dear Ted,. Deleting your tweet and reposting to avoid the ratio is a fun social media game, but you (and Bloomberg) still don’t have any clue what you’re talking about. You were/are/likely-always-will-be wrong on matters COVID. Keep digging that hole.
@KelleyKga @tedlieu @davidzweig Ted:. 1) doesn’t understand C19 risks to an immune naive vs non-naive person. 2) maybe thinks vaccines don’t utilize our immune system?. 3) doesn’t understand C19 risk👇🏽. 4) speaks as if circulating RVs infect us as “one and done” in general. Don’t be like Ted.
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A dangerous fool spreading dangerous lies that undermine trust in Public Health. His data-detached takes promote vaccine hesitancy in those who truly need and benefit from a COVID vaccination. This man breeds ignorance and division.
Roger Marshall from Kansas thinks the country should officially recognize prior COVID infection as the equivalent of being vaccinated when considering a vaccine requirement. He’s not alone but he’s wrong in so many ways. 2/.
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I’ve been saying this for a while: most “experts” abdicated their responsibility to read the primary documents and understand trial endpoints. That’s ok … I guess. But to then beat people over the head for “hesitancy” with a CNN-level understanding is inexcusable.
Walensky: “When the CNN feed came that it was 95% effective, the vaccine, so many of us wanted it to be helpful, so many of us wanted to say, ‘Ok this is our ticket out.’”. Ok… But then you got millions fired and excluded from society for not taking it.
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While “sucking on this graph”, notice the use of CFR rather than IFR to visually amplify risk. Compounding this, it seems that @DrEricDing doesn’t know that using a log scale further misrepresents the risk to children from Delta … or does he? 🤔.
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12/n. @Cleavon_MD has been a doctor for fewer months than my number of years in the ER. He’s mostly about his media profile and politicizing the pandemic. Play along if you want to sacrifice the well being of children for another year. Alternatively, reject this cynical game.
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CDC updates guidance to more closely align with recommendations from @urgencyofnormal . There … I fixed it.
CDC is updating its guidance to help you better understand how best to protect yourself and others from #COVID19. Learn more:
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@paulkrugman Since it was primarily a media construct on top of disorganized small group of unhappy instigators, it died the death of most media constructs.
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The only thing more shocking than the initial innumerate and clinically ignorant COVID response was each subsequent escalation of low IQ measures. This “post-mortem analysis” is so biologically, numerically, and ethically unintelligent, that it can’t even qualify as gaslighting.
🧵Like climate change denial, the movement against public health has moved from fringe to mainstream. "This is an organized political movement and the health & science sectors don't know what to do" said @PeterHotez . My latest @CBSNews / @KFFHealthNews
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@kathygriffin @daniela127 I don’t know your history, but it appears you may have been misled into thinking you’re “high risk”. If you’re under 60, slim, & transplant free, you’ve been gaslit. Who did this to you? . Twitter “Experts ™️”? .@CDCgov?.Fauci?.
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A dangerous and innumerate fool. It’s difficult to know if he is this ignorant or this afraid. But it’s clear, that he is uninformed about transmission reduction. Your vaccine is for you. This is not a Measles, Polio, or Small Pox vaccine. Only fools draw those comparisons.
If regulators approve that 5-11 year olds can be safely and effectively vaccinated against COVID, let's not repeat the mistake of allowing space and time to anti-vax extremists. States should immediately make anti-COVID vaccination a requirement for school, sports leagues, etc.
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Says a guy wearing loose fitting glasses and a floppy cloth mask. That zipper to his neck is more air-tight than his Moggle Complex.
I don’t give a damn what some grossly unqualified Donald Trump judge said, I’m double masked and wearing goggles on this Nashville to DC flight. I had COVID in December. Y’all can KISS MY ASS about me not wanting it again. And any fool saying they don’t matter is a damn liar.
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Pushing the vaccines as "pandemic enders" when they were never trialed to do so was a mistake. People who are still perpetrating this fraud and sewing division are, at this point, ethically bankrupt.
New in @CMAJ @CMA_Docs with @AshTuite and @AfiaAdofo . “ Impact of population mixing between vaccinated and unvaccinated subpopulations on infectious disease dynamics: implications for SARS-CoV-2 transmission”.
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Getting COVID is not a respiratory infection. Even when mild, it transcends nasal congestion, sore throat, or bronchitis. It’s a fall from Biblical Grace. It’s abdication to sin. Will “experts” help us find redemption? What must we care about for redemption?. @NahasNewman ?
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1/2. It's shocking that any serious person, let alone an Infectious Disease physician guiding national COVID policy, would be so unfathomably naive. Who else "leading the response" was this shockingly vapid?.
In her 2022 book, Birx—one of the three most influential people behind US lockdowns—expresses her horror at seeing all those videos of Wuhan residents collapsing and falling dead in Jan 2020, and praises the “courageous doctor” who shared them online. Someone oughta tell her…
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The slow awakening begins. These 3 things are simultaneously true:. 1) the vaccine ⬇️ risk of severe C19 & hospitalization. 2) ⬇️ of transmission is marginal. 3) for some demographics, risks may outweigh benefits. This is not controversial. Your vaccine is for you.
I've been thinking a lot about why the latest surge has hit me so hard and I think it's because I have been fooling myself -- to some extent -- for the last 18 months 🧵.
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@VPrasadMDMPH I stood my ground on the California booster requirement in Feb '22 (2w after my Omi infection). I lost my clinical privileges at my academic facility for this in Sep '22. Between Feb '22 and Sep '22, 80%+ of the single & double boosted faculty had symptomatic infection.
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This sort of revisionism is rampant right now. It’s part of the flailing retreat. When someone is consistently prescient and data driven in their approach, that’s a product of careful thought — not fortunate happenstance. Suppressing substantive conversation was/is the danger.
Purposefully contrarian (and often dangerous when said) COVID takes from much earlier stages of the pandemic that by happenstance become closer to accurate months later during an entirely different variant are not wins.
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A fascinating paper confirming the main reason I was not afraid. I've been practicing for 25y now: highly symptomatic patients (30% Pediatric) in acute care settings at volume. I've also had 3 kids and many fur babies. I've never had symptoms or seroconverted for SCoV2.
A significant proportion of healthcare workers (HCWs) in the UK exposed to SARSCoV2 during the 1st wave of COVID19 never tested positive for PCR or antibodies. Instead, they controlled infection through expansion of pre-existing X-reactive T-cells. 1/.
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It’s surprising that data competent intellectually curious folks with an internet connection are still doing this “crushed Influenza” take when Influenza was “crushed” everywhere regardless of stringency. Please find the masking and hand-hygiene signal in Asia post-SARS1 2003 👇🏽
Kind of amazing that our COVID countermeasures have been so much more effective at stopping the Flu than at stopping COVID:
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1/n. Please do not harass this person, but this tweet struck me. I'm incredibly disappointed in my colleagues who, over the last 2.5+ years, for reasons that remain unclear to me, promoted a false narrative about the lethality of C19 and the potency of our mitigations.
Really disappointed with the number of doctors on here claiming masks cause speech delay in children with zero evidence. If you have something to back up your claims, show it. #Pediatrics #MedTwitter.
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@houmanhemmati @VPrasadMDMPH @Zoom About to be suspended at my academic medical center -- had an SCoV2 infection 4 weeks ago.
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@VPrasadMDMPH When was the last time someone cited relative-risk reduction without also citing absolute-risk reduction while being transparent and intellectually honest?. I'm sincerely asking because I have no recollection of such an instance.
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.@GavinNewsom:. 1) stated he would mandate the COVID vaccine for children for school in 2021. 2) made CA the only state to require a COVID booster for HCWs exacerbating chronic labor shortages. 3) signed AB2098 to enjoin physicians from disagreeing with “official COVID guidance”.
Newsom's so-called COVID pandemic-handling regrets are purely political, intentionally vague because he doesn't care enough to understand what he is apologizing for, and I don't care if he regrets/says "so sorry" when he terrorized California for years.
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1/n 🧵. I usually stick to numerical threads, but this one's mostly about toxic social dynamics and C19. The emerging mandate conversation is about hubris, tribalism, and ideology trumping data and personal agency. QT: "This the only way to get vaccines up".
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@DFisman So what you're suggesting is that, in your personal case, your mask helps protect those you interact with from fecal-oral spread?. That seems like an accurate assessment.
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@DrLeanaWen @shefalil You are such a massive fraud — and yet there are so many like you. I’m happy to say that many TLs have permanently documented your innumerate and politically motivated nonsense over the last 18 months. It seems worthy of a book @ianmSC.
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Not a single honest person who cared for kids didn’t acknowledge this. Everyone else? -> frauds and attention seeking clinically ignorant voices. These voices were elevated and promoted through censorship of the opposition, but they were always data deprived and ignorant.
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@davidemccune @VPrasadMDMPH More than a year ago, I said this ends when people stop complying. Stop complying.
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He supported politics that fomented hatred, resentment, and a culture of victimhood. He’s sad right now, but can’t connect the dots. “Hard times create strong [people], strong [people] create good times, good times create weak [people], and weak [people] create hard times.”.
In nearly 50 years of @Harvard affiliation, I have never been as disillusioned and alienated as I am today.
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The constant refrain of “[we had imperfect information]” is a steaming pile. All information is imperfect, but we had compelling information by mid-April ‘20 at the latest and could have focused efforts on narrowing uncertainty. Instead, we got 3y of viral kabuki .@billmaher.
"I was on the board of my kids' school during COVID. I wanted a harsher lockdown policy. In retrospect: I was wrong. The damage to kids of keeping them out of school longer was greater than the risk. But here's the bottom line: We were doing our best. But let's give a little
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