Happy Monday!

Happy Friday. I hope you find the happiness you are searching for.

Make no mistake, healthcare costs are out of control and we must find a way to slow the growth or even reverse….

I wonder where expensive meds are accounted? Yearly doses of biologic therapies can cost upwards of $250,000/y. Yet it’s a pharmaceutical… is this showing up on the hospitals bottom line or is Drug spending?

4.5 trillion? Number seems really high….. that would mean hospitals account for 1.5 trillion…. 😕

Santa has been hitting the samaglutide

Guy, I think I’m going to be wildly unrealistic about the Pouch era of USMNT and say, we’re now the greatest team in the world!

I am grateful for many things, but Sunsets are among the best.

God was having a good day when they created sunsets.

Right back at ya Gabe! 👋

Good thoughts.

Also, consider seeking to understand and ask for specific examples from ppl about how their positions specifically impact their lives…

This makes a lot of sense

Good morning, Bluesky. Today’s #GoodMorningNews: a trial at Washington University’s school of medicine has shown great results for a vaccine that would prevent recurrence for a particularly aggressive form of breast cancer. It’s a small trial, but 3 years later 16/18 participants remain cancer free

Book Rec
OUTLIVE, by Dr Peter Attia

This book has been practice changing for me.

I now talk with (most) of my patients about chronic disease prevention and healthy lifestyles on a +30y time horizon.

It’s well worth a read, especially if you want to manage your health in very unhealthy times.

The day Elon Musk Twitter I deleted my Twitter account. Peter Turchin’s work was a big part - I did not want to be in the battle of the elites as they seek control of the state.

I admit I missed the community. Much has changed, but it’s nice to be back on what feels v much like the old Twitter.