TameraLynn Stewart, #P3 & PWU

Those who study policy (not same as politics) know: You don’t evaluate a system by its stated intentions. You look past those & ask what it consistently produces, and who it protects. When the same “problems” keep showing up, it’s not unintended consequences. It’s by design.

@NiallHarbison Yay! Keep fighting Rocky!

If I'm honest did I think I'd really be tucking Rocky into bed looking this cozy for his fourth night with us? I really didn't. Look at the way his whole body shape and confidence is changing. Many tough days ahead but we’ll take this for now as the win that it is ❤️

@Cbvheartland2 I wish I could blame this on someone, anyone else. But I was there 5yrs ago when I my husband decided to put the wire inside the PVC to ensure if (when) the $70 generic mixer leaked, the electrical that couldn’t be re-routed at the time (for 100 reasons) would be safer. Uggg.

@Impact2HEAL I've been burnt to many times on things you couldn't make up, I document everything I can think of.

It Don't mean a thing until it all disappears behind the tile, Tomorrow the sheetrock hangers get a little video for the missed boxes the electricians can't find later on.

@NiallHarbison My heart skipped a beat when I saw the notification saying ‘my heart dropped….’ Because I assumed it meant Rocky didn’t make it through the night! Now, I’m celebrating along with you! So glad he made it to day 4. He is a fighter & must know you are fighting hard alongside him!

My heart dropped a little seeing Rocky this morning. Sometimes I forget how sick some of the dogs actually are. Luckily he’s up now and ready to attack the day (1/3)

All is well said. However, at this point, esp wrt CDC GL, it was very clear that they knew exactly what the consequences would be and did it anyway. So in that case, “unintended consequences“ is an oxymoron, If anyone was unsure, the IPRCC meeting where the CDC hurriedly presented their guideline and ran out of the room afterwards, not listening to members from multiple agencies bled with them and warned them of the severe consequences to patients. CDC representatives were uninterested and answered no questions, and left the meeting without engaging. IPRC members attempted to write two members of Congress to warn them of what would happen if the CDC went forward with the guideline. Certain prominent senators, threatened their funding and their positions if they proceeded with that course of action. The CDC did not even include their most senior chronic pain specialist, Dr. Chad Helmick, who had made a career out of advocating for chronic pain management in the United States. He was not included in the writing of the guideline. To me, that is yet another indication of an agenda and not a truly academic effort designed to uncover truth. Last, not a single member of the CDC opioid prescribing guideline contained pain management experts or clinicians who treated patient with chronic pain. It was guided by addiction specialists and members of astroturfing groups. There are multiple statements where members of the writers groups admitted, “we don’t have evidence, but we’re going to write whatever we want, regardless.” Thus, we got a document with the lowest quality evidence yet made the highest quality recommendations, another scientific error that never should have gone forward. The lack of accountability has been stunning to those of us who pled with the CDC to behave with academic ethics and integrity. But there was an agenda to implement, and whenever there’s an “agenda involved, it eats evidence for lunch,” as I like to say.

@AlecStapp Your first line ‘Bad legislation has a way of killing investment even before a bill officially becomes law’ is super true! But only in cases where potential negatives or unintended consequences are known/seen. Good intentions don’t cancel bad outcomes! x.com/impact2heal/st…

Bad legislation has a way of killing investment even before a bill officially becomes law. Build-to-rent housing developers are already pausing projects and facing layoffs because of the anti-institutional investor provision in the ROAD to Housing Act. Some key lines from this piece in the Phoenix Business Journal today, which does a great job explaining how the build-to-rent market works: - "An entire industry nationwide is shut down," said Greg Hancock, founder of Phoenix-based Hancock Builders, which has built 35 BTR communities totaling 7,200 units across the metro since 2016. - Hancock is among several BTR developers who may have to lay off workers if proposed projects are unable to secure financing. "I've never laid off anybody," he said. "We've been through a number of recessions and dealt with all of them. This is the toughest thing I have faced in 50 years of homebuilding." - Joe Blackbourn, president and CEO of Scottsdale-based Everest Holdings, said capital already is an issue for developers while the bill waits for passage. "All capital has stopped flowing to the space, which includes equity," Blackbourn said. - "I had a BTR client change their entire plan to be triplex units instead of cottages and bungalows to avoid the potential impacts of the new law — if it were to be adopted," Baugh said. "It's having an immediate chilling effect on pending deals and plans right now." - "In the meantime, it's frozen up the capital markets as it relates to those types of investments," Blackbourn said. "Even the agencies — Freddie Mac and Fannie Mae — while they haven't claimed this is the reason, have backed off providing financing to these communities." - There's a section in the proposed legislative package that would require large investors owning more than 350 homes to sell or convert certain properties within a seven-year period. "They should throw the whole 7-year provision out," Blackbourn said. "Most people in the investment world start by underwriting things that last longer than seven years. It's a big problem." - "Many companies in this sector are in the business of developing these communities with the intention of leasing them up until they are stabilized, at which point they sell them to long-term institutional holders," Fergus said. "The bill effectively eliminates their ability to sell the single-family communities to these long-term holders. With no exit strategy, significantly fewer BTR communities will be brought to market."

@WestminsterWAG I’m glad the discussion of unintended consequences is being prioritized, instead of ramming through bad policy while celebrating good intentions. Regardless of which side one is on in this debate, it’s important to realize that good intentions don’t cancel out bad outcomes!

Everyone deserves a dignified death, but the assisted dying bill was just not good enough, and would have risked too many unintended consequences... dailymail.com/columnists/art…

@MCCCANM Thanks. All about good PR ->👆image->👆funding… Anything opposing their hero narrative must be fake or attacks. Then, if the truth harms or is seen by too many, then it’s ’think of the children’ to shame those who see/feel it into silence. Same circle & same winners/losers.

@Impact2HEAL Good post! Yes, they know exactly what they are doing & it’s intentional. They just don’t want you to know…you’re supposed to feel good that we’re helping.

I’m all for making air travel affordable & accessible for everyone, but it’s a hard no from me.

@RandPaul @Siskiyous6 Will you add ‘if any level of gov or law enforcement want to search your medical or prescribing records they have to get a warrant’? In addition to this addition, I think it’s time that any person can go to a gov site, log on and see every single access or attempted access.

The Fourth Amendment isn't optional. If the government wants to read your messages, search your data, or spy on you, they need a warrant. Period. My Fourth Amendment Restoration and Protection Act ends warrantless surveillance of Americans.

@thomas_garrard @UltraMagaManda It will only take 2 weeks because once they get theirs done in 45 mins, they’ll spend a week ensuring they’ve gone to see everyone they know and disabled theirs. Then, once they have disabled those around them and on multiple different models/vehicles, THEN they’ll share!

I can almost guarantee, that within 2 weeks of automatic kill switches being added to new vehicles, some Appalachian dude will have a YouTube video up of how to remove it. Will probably get you better gas mileage, too.

“Show me the incentive, and I’ll show you the outcome.” Can also be said: “Show me the intended good leading the incentive, and I’ll show you all the outcomes … including the ones no one wants to acknowledge or measure.” Unintended consequences aren’t usually accidents. They’re predictable effects that are: • under-measured • politically inconvenient • outside the scope of those advocating the policy Policy Integrity = 1. Define intended outcomes clearly 2. Identify likely secondary effects before implementation 3. Measure both equally 4. Include all affected groups 5. Adjust based on real data Most systems do #1 - that provides the positive PR and hype. And some maybe intend to include #5 (but do so poorly). But the reality remains, positive intentions don’t cancel negative outcomes. The harms stack up - often quietly - because the focus stays on celebrating good intentions. If we’re not tracking all outcomes (and conflicts of interest, but that’s another discussion), we’re not solving the problem. At some point, we have to ask ourselves, was the real goal ever to solve the problem?

There is an epidemic, spreading rapidly. It targets lawmakers all over the world. It's not HIV. It's not COVID. It's not Ebola. It's Prohibition Use Disorder (PUD).

@bayekand @MorganEakinGOP @PSnuts65525 @ChadDKollas @slantofreality @Publix At some point, we have to let adults take responsibility for their own lives & actions. It is wholly unfair to everyone that the vast majority suffers for those who will always find a way. I don’t believe we have stopped those who are determined. We’ve only harmed the majority.

@Impact2HEAL @MorganEakinGOP @PSnuts65525 @ChadDKollas @slantofreality @Publix It's hard. If we make it widely known what we are looking for then it makes it easier for bad actors to dodge those red flags and that can lead to death.

Dear @Publix Your pharmacist at Publix Pharmacy #1506 will not fill a prescription for a controlled pain medication for a patient because: 1) The patient doesn’t look “sick enough” to be receiving palliative care, and… 2) The pharmacist doesn’t actually understand the definition of palliative care. Please help fix this unacceptable situation ASAP.

@bayekand @MorganEakinGOP @PSnuts65525 @ChadDKollas @slantofreality @Publix I think it’s past time that the exact red flags and the exact expectations for pharmacists are clarified and published. Your entire livelihood shouldn’t be on the line like this, it isn’t fair to you or the patient. From the patients side, I hurts feel we aren’t ’worth’ it.

@MorganEakinGOP @PSnuts65525 @Impact2HEAL @ChadDKollas @slantofreality @Publix Are you addicted? Is your pain not adequately controlled? I don't know, but I'm the one who ultimately has to say no.

@BasedMikeLee @DataRepublican When is the last time this power was used… if ever? I agree here. The two chambers coming to DC in the immediate aftermath of tonight’s events is exactly what’s needed. It seems it would force them to get to the meat of the deal and move forward. Not leaving time for media bs.

I agree with and support this plan 💯 President Trump should follow this recommendation

@NiallHarbison I have had him on my mind all day (here in the US). I appreciate the update so any thoughts of him tonight are positive & more prayers!! Glad he was not only awake but wanting to eat. Hoping that’s the first of many breakfasts at happydoggo!

I did sleep great worrying about Rocky. I was 50/50 if he’d be alive. He was awake and waiting for his breakfast. That’s all I hoped for yesterday. One more day. Now we’ll try and get another day and take it from there 🙏

Thank you again @MarilynHeineMD for sharing a link w/ the AMA definition of PC. Palliative care is sound medical treatment that includes the comprehensive management and coordination of care for pain and other distressing symptoms including physical, psychological, intellectual, social, spiritual, and existential distress from serious illness.

@Impact2HEAL @slantofreality @Publix You can read about how the @AmerMedicalAssn is working to expand and protect access to palliative care in the article below. The @AAHPM Delegation to the AMA House has strongly supported this effort. It includes a broad definition of palliative care. pubmed.ncbi.nlm.nih.gov/40222436/

It’s cool seeing the SAAT protocol for Ear Acupuncture being seriously looked at for treating Alpha Gal Syndrome (red meat allergy). I had a diff protocol done in January & the pain relief was very real. Now, I am 1 class away my certificate as an Auricular Acu-Tech (AAT).