The Future of EM Residencies
• Brittany Trang, writing in Stat, has a very good piece reflecting on the future of Emergency Medicine Residency programs.
• Brittany Trang, writing in Stat, has a very good piece reflecting on the future of Emergency Medicine Residency programs.
• I think Nicholas Kristof’s commentary on the Israeli-Hamas conflict in the NY Times is worth reading: We Are Overpaying the Price for a Sin We Didn’t Commit. An excerpt:
“Israel faces an agonizing challenge: A neighboring territory is ruled by well-armed terrorists who have committed unimaginable atrocities, aim to commit more and now shelter in tunnels beneath a population of more than two million people. It’s a nightmare. But the sober question must be: What policies will reduce the risk, not inflame it, while honoring the intrinsic value of Palestinian life as well as Israeli life?”
• Joshua Benton discourses on our new U.S. Speaker of the House of Representatives in his Atlantic essay, “Where is Mike Johnson’s Ironclad Oath?” Another pathetic example of how near-complete abandonment of moral principle is now standard for the republican party.
• Tom Friedman gives a lucid (albeit depressing) presentation of the motivations behind the Israeli response in his NYT piece: Why Israel Is Acting This Way. What a terrible, no-win situation, with enormous civilian casualties likely.
• Katelyn Jetelina responds to the nutso declarations of Florida’s (politically appointed) “Surgeon General” Joseph Ladapo, who when appearing on Fox News said “With the questions about negative efficacy, the persistence of spike protein, and then the stuff we’ve seen related to thromboembolic events like strokes and cardiac injury, I don’t feel comfortable … recommending [the vaccine] to any living being on this planet.” Say what?
Jetliner goes through his arguments one by one and concludes, rightfully, that:
“Health policy decisions need to be grounded in an accumulation of evidence that provides a comprehensive picture of reality. He [Ladapo] combines legitimate points with profoundly foolish ones, which muddles the picture, creates a sense of false equivalency, and makes it difficult for the general public to discern the truth.”
In a related article, see differences in mortality data from 3 adjacent counties in 3 different states, each with different approaches to health care and public heath in a well-done Washington Post article by Lauren Weber, Dan Diamond and Dan Keating.
• Heather Cox Richardson discourses nicely on another reason why the U.S. is so divided (and why Congress is so dysfunctional) – the republican Operation REDMAP. An excerpt”
“This Operation REDMAP, which stood for Redistricting Majority Project, was a plan to take control of state houses across the country so that Republicans would control the redistricting maps put in place after the 2010 census.
It worked. After the 2010 election, Republicans controlled the legislatures in the key states of Florida, Wisconsin, North Carolina, Ohio, and Michigan, as well as other, smaller states, and they redrew congressional maps using precise computer models. In the 2012 election, Democrats won the White House decisively, the Senate easily, and a majority of 1.4 million votes for House candidates. And yet Republicans came away with a thirty-three-seat majority in the House of Representatives.”
Katelyn Jetelina talks about the evidence showing that masks do work – especially for individuals who wear a high quality mask (N95 or KN95) correctly. She summarizes the pros and cons well in her Substack post.

Odds Ratios and 95% confidence intervals of a subset of eligible included studies comparing masked versus unmasked.
Source
• Sure, listen to the guy who managed to drive multiple businesses into the ground, doesn’t read, and loves to cut taxes for the rich (perhaps because he’s one of them) when he tells you how to fix your economy and deficit. Because I’m sure he’s thought things through to the 9th degree…
Matt Yglesias opines in detail in his Slow Boring blog.
The Republican party is no longer composed of individuals who respect the rule of law. Apparently even when completely documented violations occur, the lure of power and control will overcome any pretense of respect for legal norms. See: Paxton, Ken
It seems there is no end to the idiocy displayed by some members of the US House of Representative’s Republican caucus, who are opposing renewing the funding for PEPFAR. This was undoubtedly encouraged by the even greater demonstration of irrational thinking displayed in this Heritage Foundation report. Richard W. Bauer, a Roman Catholic priest who spent 25 years working on the ground in clinics for people with H.I.V. in Kenya, Tanzania and Namibia describes the issue in his NYT opinion piece, It’s Not Pro-Life to Oppose a Program That Has Saved 25 Million Lives. An excerpt:
“Despite the impressive successes of PEPFAR, we still have a way to go in the fight against AIDS. Around the world, someone dies from an AIDS-related illness every minute, and only about half of H.I.V.-positive children who need treatment are receiving it. AIDS persists as a leading cause of death among young women in sub-Saharan Africa. Experts warn that we have fallen off track in the quest to end AIDS by 2030. Weakening PEPFAR would all but guarantee we fail to do so.
I remember the days before PEPFAR. We cannot go back to an era when nearly an entire generation was wiped out across Africa. We have come too far in the effort to end AIDS to abandon the course now. Letting PEPFAR lapse would fail to honor the teaching that all human life is sacred and worthy of protection.”