Jason Reich, MD

@BillAckman Chuck Knoblauch. The Lookalike

I awoke this morning gravely concerned about New York City. I thought “What has NYC become that an avowed socialist who has supported defunding the police, whose solution to lowering food prices is city-owned supermarkets, who doesn’t understand that freezing rents will only reduce the supply of housing, who has no experience managing an organization -- let alone a city with a $100+ billion budget and a $2 trillion economy -- and who believes chants for ‘Globalizing the Intifada’ are acceptable, wins the Democratic Primary. After speaking to those who supported @ZohranKMamdani, I believe that he won the primary largely not due to his policies, but rather because he is a superb politician who ran a remarkable and inspiring campaign. He is intelligent and articulate. He is young and charming, and he successfully played down incriminating @X posts and statements from his past, pitching a joyful campaign of unity. And he won because the competition was very weak. His best competitor sat back and did not run a real campaign, relying on name recognition, early favorable polling and keeping a low profile to make it through. Not a strategy that I have ever seen work, but so be it. The Democratic primary voter is clearly tired of the Democratic politics of the past and its aging and over-the-hill leadership – Who isn’t? [As a case in point, how embarrassing is it to watch aging Dems fall in line with their tweets of support for Mamdani, as they desperately try to defend their seats from the far left?] And therefore, without any real competition, Zohran and his attractive personal qualities and campaign skills magically make him the candidate of the future. The problem, however, is that his policies would be disastrous for NYC. Socialism has no place in the economic capital of our country. The ability for NYC to offer services for the poor and needy, let alone the average New Yorker, is entirely dependent on NYC being a business-friendly environment and a place where wealthy residents are willing to spend 183 days and assume the associated tax burden. Unfortunately, both have already started making arrangements for the exits. Mamdani is right that much about NYC is broken. The City has gotten much less safe while the cost of living here has become increasingly unattainable for many. We pay more for less. Unfortunately, his headline campaign promises of frozen rents and cheaper food from city-owned markets, among others, are certain to fail. A mayor who disrespects the NYPD and has called for their defunding will get less effective policing, and Bratton’s ‘broken window theory’ will operate in reverse. A mayor who condones hate speech will incentivize more hate speech and violence. Words matter, and yes, they can inspire people to kill as we have recently tragically seen in our country and around the world. New York City under Mamdani is about to become much more dangerous and economically unviable. Unlike our Federal government, NYC cannot print money, and this Federal Government won’t bail NYC out if things go bad. In fact, Mamdani would be a windfall for the Republican Party as NY becomes another failed major city run by Democrats alongside Seattle, Chicago, LA, and SF et al as Senator Fetterman so eloquently stated today, "I'd describe it as Christmas in July for the GOP." So why did I become optimistic later this morning? The answer is that NYC has woken up in the last 24 hours. The substantial majority of NYC residents understand that socialism is a failed system, that rent freezes will destroy our housing base and shrink the affordable housing supply while killing new construction, and that an anti-capitalist Mayor will destroy jobs and cause businesses and wealthy taxpayers that have enabled NYC to balance the budget to move elsewhere. If 100 or so of the highest taxpayers in my industry chose to spend 183 days elsewhere, it could reduce NY state and city tax revenues by ~$5-10 billion or more, and that’s just my industry. Think Ken Griffin leaving Chicago for Miami on steroids. The good news is that there are other charismatic, intelligent, articulate, handsome, charming, young yet more experienced and, importantly, more centrist politicians who are New York residents eligible for office. There are also extremely talented members of the NY business community who could be superb mayors, Bloomberg being the reference standard from the past. And the setup is extremely attractive for a run for mayor. There are only 132 days until the election, which means the commitment of time to run is de minimis. This will be the most closely watched mayoral election in NYC in decades, perhaps ever, which, particularly in the social media and podcast era creates the opportunity for a new candidate to garner immediate name recognition, enormous media interest, and the visibility needed to get elected. Importantly, there are hundreds of million of dollars of capital available to back a competitor to Mamdani that can be put together overnight (believe me, I am in the text strings and the WhatsApp groups) so that a great alternative candidate won’t spend any time raising funds. So, if the right candidate would raise his or her hand tomorrow, the funds will pour in. I am sure that Mike Bloomberg will share his how-to-win-the-mayoralty IP and deliver his entire election apparatus and system to the aspiring candidate so that the candidate can focus all of his or her energy on the campaign. One unfortunate fact, as far as I understand, is that the candidate will have to be a write-in as I believe that none of the current candidates established a nominating committee if they were to withdraw, which means that no one can take their spot on the ballot. This is such an important election, however, that I believe the write-in requirement could actually turn into an important call to action that brings people in throngs to the polls. It therefore won’t be the game stopper it would normally be in a typical election. As a result, the risk/reward of running for mayor over the next 132 days is extremely compelling as the cost in time and energy is small, and the upside is enormous. If the candidate does not win, there is no harm, no foul, because the perceived probability of beating the Democratic nominee in a NYC mayoral election is extremely small. Therefore, there is no reputational risk to losing this election, and the corresponding reputational benefits are extraordinary whether one wins or loses. If the candidate wins, this is obviously a huge home run for the City and the candidate, but it is also an opportunity to save the Democratic Party from itself, grabbing the wheel just before the party goes even further off the cliff. The new mayor would be a national superhero for the City, for the Party, and for the country. For the aspiring politician, there is no better way to get name recognition, build relationships with long-term donors, and to showcase oneself than to run for mayor over the next 132 days. This election is already global front page news. For the aspiring young candidate, the amount of publicity and the massive followers to be gained are of incalculable long-term value whether they win or lose, and whatever they choose to do in the future, business, politics or otherwise. And there is a defensive reason for a politician to run. For the more centrist Democrat politician, a Mamdani win is very bad for your next election. As the Party veers further to the left, the Party’s backing for your future candidacy deteriorates substantially as Mamdani and AOC take control of the Party. In my experience, opportunities with minimal downside that don’t require huge investments of time while offering massive upside get filled. If you were ever thinking about running for office, or running for a higher office than you currently hold, this is likely the best opportunity that you are going to have. All of the above is not just theory, as I have a superb candidate who I believe can win who meets all of the criteria, but if I were to say his name or even reach out to him, it would have a negative effect on his candidacy, as I am a supporter of President Trump, and that alone taints anyone I would recommend for many and perhaps most NYC Democratic Party members. So rather than my making suggestions, I welcome yours. Who is your best centrist candidate who could go toe-to-toe with Mamdani on the campaign trail and on the debate stage? Let’s crowdsource the names and then do a poll. If someone is ready to raise their hand, I will take care of the fundraising. This is a once-in-a-lifetime opportunity for the right candidate. More importantly, it is an opportunity to save our City and be a superhero. Life is short and you must dare to be great. The time is now.

@mwebster1971 What’s the best way to find the stocks that closed above 21d ema last week? Just go through g250?

Christmas Eve edition of IBD's Swing Trader Update🎄

@mwebster1971 @IBD_JNielsen @marketsurge @IBDinvestors I am doing that but ChatGPT helping to provide reference for cause of drop etc

@GIJayMD @IBD_JNielsen @marketsurge @IBDinvestors NO it’s critical to look up the charts one at a time and observe

Your Webby Homework, should you choose to accept it😉 During today's SMT, The Saint (aka Justin) & I went over a few examples of days that were similar to Wednesday Justin has a HUGE spreadsheet that we use for any research project. The same one he used back when we created @IBDinvestors Market School Rules back in 2011...in fact, he MAXED out the amount of space Excel can handle🤣 To find days similar to Wednesday we started with days that were in a Power Trend already & the high was above the 21-day ema Most importantly we wanted to look for unusual breaks...so we started by looking at days that were down either 2 ATRs or 3 ATRs (using the 21-day ATR the day before the break). When you pull them up it's CRITICAL that you don't skip ahead!!!! Start on the day in question, then go out one day at a time for a week or two...if it's a long way from making a new high start skipping ahead a few weeks at a time Keep doing this until the low is back above the high of the day of the bad break Take notes! How long until they recover? What does Day zero, 2, 3, and 4 typically look like? (Day 1 is the bad break day) How much lower did it go? Anything else noteworthy... Feel free to share what you noticed

@AaronGoodman33 You have access to Doximity AI scribe? First tool in years that has allowed me to actually look at patients and stop typing. Such a breath of fresh air

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@jifonsol 7uUWTGGGbxXNRDEycQuMyM4wdFWTUPXcuWxA4w1hDPbR

@MD_phinance You’ve described one of my collegues at a community hospital on point. Prototypical lives at work doc and loves it. The big difference? His hard work generates a 700k+ salary

My friend is a proceduralist at a big medical center — best clinician in his department. He stays late to help colleagues and comes in nights/weekends when not on call (no pay) to help colleagues. He wins teacher of the year every year. The job was killing him. He quit on Thursday. He changed his mind on Monday. His chair told him it was too late — the department had already posted his position. No matter how dedicated you are to the hospital, the hospital is not dedicated to you. #MedTwitter

@rowancheung Sadly it fails to be my medical assistant. Refuses to assist with (patient communication, note writing, etc)

Google just revealed Gemini and will directly integrate the AI into Google apps. The GPT-4 competitor comes in 3 models — Ultra, Pro, and Nano. Here's a thread of EVERYTHING you need to know:

@VPrasadMDMPH Probably still 3-5 years from massive healthcare AI revolution.

LLMs can do cool things but it cannot generate novel ideas, as far as I can tell. It writes at a high school level, not a professional level. Can't replace my staff

@DCharabaty @AHNGastro @FarrayeIBD @GKochharMD @PhilFleshnerMD @Marylandibddoc @EdBarnesMD @JosephHabibi_MD @BassiMehak @MRegueiroMD @KNWeaverMD @ibdgijami Cool stuff Frank! @FarrayeIBD

#AHN23 @AHNGastro @FarrayeIBD AI to the rescue for anyone dreading reading VCE in #Crohns! ⏳Reduces review time to 3.2min ! 🎯While keeping high diagnostic accuracy 🙋🏽‍♀️I am sold !

@DrPayItBack Where are you investing in crypto?

Live on half.

Does ChatGPT put procedure writing software out of business? Check out my GI procedure write chat.openai.com/g/g-5CAyL12eX-… @drkeithsiau #ibd @GI_Pearls

GI board review GPT agent, take it for a spin chat.openai.com/g/g-P86cyUFns-… #gastroenterology

@krassenstein Why are all the Jews asking for a ceasefire wearing masks? What’s really going on here?

Most Jewish Americans want a ceasefire but we also want Hamas to be unarmed and out of power. I stand with the protestors at Grand Central as well as with Israel’s defense against terror. I don’t want to see dead Israeli or Palestinian civilians.

@MrAndyNgo @StopAntisemites

A northern New Jersey-based handyman popular on TaskRabbit said he will not accept Jewish clients at the time to express "solidarity with the Palestinian people."

@omar_danoun I agree doc The one who killed those poor patients is lying.

@GIJayMD No Doctor, be sorry for the lost innocent life and your fellow colleagues who were killed in the Israeli airstrike. The one who killed them is lying to cover their crimes. See the videos and learn about it from reliable sources and hopefully the human conscious will wake up

@BenClement_MD @IBD_Afzali @P_DeepakIBDMD @DCharabaty @ibdtweets @ibdgijami @MondayNightIBD @UmaMahadevanIBD @dunleavy_katie @IBDimmunology Why would I use this over zeposia, the market is becoming over saturated, humira biosimilars, xeljanz/rinvoq, skyrizi/stelara

FDA approves Etrasimod (Velsipity) for moderately to severely active ulcerative colitis! Where is this sphingosine phosphate receptor agonist going to slot in your management? #GITwitter #MedTwitter

@AaronGoodman33 I think you’ve given ABIM a good punch to the gut. When you hit them wear it hurts but going to the hospitals that require moc