MarkH
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markhoofnagle.medsky.social
MarkH
@markhoofnagle.medsky.social
Trauma Surgeon. Basic Scientist. UVA/UMD/UPenn. Now WashU/STL. Blocking is curating.
That doesn’t mean the supreme example of the democratic process gets to murder at will. GWB, Obama, Biden, the Idiot, I don’t care. No extrajudicial murder is allowed.
December 2, 2025 at 5:55 AM
If he killed noncombatants sithout legal justification? Well to hell with him too. We are a nation of laws. That’s what Americans believe. It’s not about teams, my guy and your guy, parties or nations. America is an idea. The idea that we can live by a system of Democratic laws and ideals.
December 2, 2025 at 5:55 AM
Just because the powerful figure out how to obfuscate their role in a crime does not absolve the actual perpetratorsmof the crime.

Fuck them. Fuck their service. They did a murder.
December 2, 2025 at 5:45 AM
Not “scapegoat”. Actually did it.

The fact the powerful escape punishment is not a reason to not punish the executors of illegal actions. You don’t pardon the hit man taking orders from a mob boss because he hid the order behind layers of obfuscation.

Everybody eats shit here.
December 2, 2025 at 5:40 AM
Reposted by MarkH
also, annual reminder: fuck the foo fighters & especially dave grohl's bitch ass
I don't think I've ever talked on Bluesky about why I hate the Foo Fighters and Dave Grohl.

Don't read any further unless you're prepared for uncomfortable truths about the "Nicest Guy in Rock", and his very substantial body count & subsequent cover-up.
December 1, 2025 at 3:11 PM
This should always be the lesson. If you obey illegal orders, when it comes to light, the powerful will sell your dumbass out and you will deserve it.

You eat the consequences, theg never will.

And that’s why *we don’t obey illegal orders*.
a man in a blue shirt is looking out of a car window .
ALT: a man in a blue shirt is looking out of a car window .
media.tenor.com
December 2, 2025 at 4:53 AM
And so many takes are “oh the poor followers of illegal orders” and no, this is exactly what they deserve. The systematic humiliation of realizing they’ve been used, it was the obvious outcome, you should never have trusted these assholes and yes, you’re a murderer too now.
December 2, 2025 at 4:53 AM
Good.
December 2, 2025 at 3:31 AM
That and their tendency to select favorites. Their hatred of Hillary and Biden was palpable, and I wasn’t a fan of either but you can see their seemingly endless charity for someone like Trump, or their stable of neanderthal right wingers and talentless centrists.
December 2, 2025 at 2:55 AM
Oh no. They’ve always been bad. My whole life. I guess i my lifetime the greatest tragedy was Judy Miller and Iraq but yoh see the pattern replicated throughojt history. Whenever they’ve had a chance to do something brave and moral they’ve declined.
December 2, 2025 at 2:26 AM
We really should devote some effort to getting their shit retracted. Especially Makary’s paper. I have a critique I wrote a decade ago now about how itms just fucking innumerate incompetence and I’ve never gotten a bite from an editor or senior publisher in that field. They like the overestimate.
December 2, 2025 at 2:17 AM
Also true. Prasad is a dilettante thag has contaminated firlds with buffoonish, amateur publications. Makary made his name with the “third leading cause” myth, a lie so innumerate and stupid, the lay press can’t hell repeat it but impossible to replicate ifnuou understand math or stats.
December 2, 2025 at 2:16 AM
Like criticizing cancer trials for only adding “months” of survival or only disease free survival. He doesn’t get it. Progress is incremental. In the end *we all die*. Time without disease is *quality*. Fucker just doesn’t even understand what he doesn’t understand.
December 2, 2025 at 2:15 AM
This is what we detected with him with his “critique” career. He’s never done this stuff, so his critiques essentially amount to nihilism. Medicine should be so perfect it becomes unattainable. Incremental progress is meaningless.

He shouldn’t be a doctor, he doesn’t believe in medicine.
December 2, 2025 at 2:13 AM
It is always so.

These studies always fail to account for Goodhart’s law. When you make a metric a target it ceases to be useful as a metric. I don’t know why we can’t learn this lesson and thus the press falls for this gimmicky shit over and over.
December 2, 2025 at 1:28 AM
I now feel like Bryant Gumbell is some Twilight zone type figure repeatedly introducing us to some unreal hell on earth.
November 28, 2025 at 4:51 AM
It finally was useful.
November 28, 2025 at 4:43 AM
I wish I were joking.
November 28, 2025 at 4:30 AM