Daniel Jafari

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Daniel Jafari

Daniel Jafari

@DanielJafari

Associate Prof of EM & Surgery, Ass Fellowship Dir @Northwell_EM . Ex- @PennTrauma @UpennEM @imperialcollege| In pursuit of happiness. tweets are not med advice

New York, USA Katılım Şubat 2009
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Daniel Jafari
Daniel Jafari@DanielJafari·
@Peter_Nimitz You were so close. Shia Islam is a bastardization of Zoroastrian and other dualistic Persian religions. And in Zoroastrian faith, the good will eventually triumph.
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Nemets
Nemets@Peter_Nimitz·
There is an interesting convergence between USian civil rights mythology & Shia Islam - tyrant Umayyads/Jim Crow, holy battle Karbala/Selma, chosen hero martyred Hussein/King - but the eschatology is critically different. For Shia, evil triumphed. For USians, good always wins.
Big Serge ☦️🇺🇸🇷🇺@witte_sergei

Iran presenting its war as “vengeance” for Native American expropriation and Epstein island is just more proof of America’s total cultural dominance. Iran has no political ethos that it can project outwardly, it has to filter itself through fringe American lenses.

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The Med Reg
The Med Reg@MedRegoncall1·
🔴Dear public, Why would a NURSE be allowed to perform an endoscopy procedure (ERCP) + seriously harm/kill 68 patients in Rotherham NHS Trust @RotherhamNHS_FT 💀☠️ ⭕️ERCP is an invasive procedure strictly performed by consultant hepatobiliary surgeons. ⭕️The spineless doctors have also failed their patients by allowing this “self-confident” nurse consultant to even think about performing ERCPs. ⭕️She obfuscated her role and misled the patients. These are the repercussions of a flat hierarchy.
The Med Reg tweet mediaThe Med Reg tweet mediaThe Med Reg tweet mediaThe Med Reg tweet media
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Daniel Jafari
Daniel Jafari@DanielJafari·
@Tcell_bodyshot Agreed. But I believe the same way that people were wrong about cholesterol, they are right about harmlessness of cottonseed oil. It is more likely that natural fat is more bio compatible with our omnivore body.
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T-cell
T-cell@Tcell_bodyshot·
Yes and no. Yes, almost any food substance under the sun has its detractors and people who claim it is harmful or we get too much. But it was new in the last 20 years to claim that the bulk of our inflammation problem came from seed oils. Before that claims were more modest and tentative. My heuristic would lead me in 1912 to also be skeptical of the new and shocking claim that something like Crisco, made from cottonseed oil, is healthier than butter. Basically, it's a rule to treat all bold nutrition claims about big universal benefits or harms with extreme skepticism.
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Matt Kramer 🧸
Matt Kramer 🧸@kramerposts·
bringing your twitter friends to meet your irl friends and hoping it's not like this
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Daniel Jafari
Daniel Jafari@DanielJafari·
@ClickingSeason @thomaschattwill Yeah why do these people have a problem with kids having fun? Do they want everyone to be as miserable as them? When you're this age you should be care free and enjoy yourself.
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Thomas Chatterton Williams
Thomas Chatterton Williams@thomaschattwill·
A lot of the problems in the world right now can be explained by this video. For one thing, it’s a big reason why the US government is so unaccountable to public opinion. These are *college students.* A significant amount of the country is totally checked out and comfortable enough not to think it matters.
New York Post@nypost

TV reporter finds the dumbest spring breakers in America: ‘Who the f–k is ayatollah?’ nypost.com/2026/03/24/us-…

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Daniel Jafari
Daniel Jafari@DanielJafari·
I am pretty sure any country with a deep admiration of the United States have this issue with their intelligentsia. They were basically LARPers of American prog left. It started as a reasonable diktat to preserve Pax Americana but it quickly mutated to a full blown cultural transformation project.
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T-cell
T-cell@Tcell_bodyshot·
Agree with that 100%. It’s a mystery to me how that false understanding of political change could have sunk in, when Iranians witness the brutality of their regime every day. I think one crucial distinction is between kleptocratic autocracies that do not have religious zeal and those that do. A purely cynical regime can be collapsed color-revolution style. One with true religious zealotry cannot.
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Dandalf
Dandalf@DanTalks1·
Whats happening now in Iran a tragedy, it's why I spend so much time trying to explain to people how actual political change occurs. These protesters have been convinced by marvel movie tier propaganda that "protesting" is how political change occurs. This is NOT how it works. They are getting slaughtered by the thousands/tens of thousands now, because they fundamentally have brought into a lie about how regime change works. Outside of the liberal western bubble (and inside too), the only currency that moves the needle is violence, power, money and control. States are their own entities and have their own rules. "Consent of the governed" is a western concept, and even this is not even real. States DO NOT NEED public opinion on their side, they prefer it, but if they have to, the hard fist will come out of the capacity for violence, which is what actually underpins their power. When states are threatened with existential threats like what they believe they are facing, they will simply kill and keep killing until they are safe. Iran is a communist regime, with an islamic facade, but it operates identically. In their structure, the IRGC (Islamic revolutionary guard corps - their enforcers) make billions/tens of billions per year being in charge. You are threatening huge amounts of money, power and control. They will simply kill you if you threaten this in any real way. When it comes to actual power, especially in the middle east there is only power and violence. My rules for watching a regime change is: An Actual leader, with an ACTUAL plan of succession (In Iran this is not happening with Pahlavi, hes a massive fraud) An actual plan of the technical mechanism of taking over, physically WITH VIOLENCE (IE GUNS, EXPLOSIVES ETC) where you are KILLING REAL GUARDS AND SOLDIERS. Holding the key PHYSICAL positions of a country. (police stations, military bases, Treasury, banks, govt institutions, presidential palaces, Ammo depots, state media broadcast stations etc) Contact with the current leadership in power and negotiating a surrender as you move forward, as most prefer not fighting. Unless these are met, the regime will stay in power. Trump cant help because there's no actual plan and no actual general, leading the counter-revolution/protests. Protesting for the sake of voicing your displeasure is fine as a fun out, but please do not think this is how ACTUAL political power transfers occur. That only happens by REAL VIOLENCE and real power. It's a shame, but this is the consequences of decades of propaganda thinking this is how actual power changes work. No, it's how you die and how you get all your supporters to die. Which is what I said last year when the same thing happened. (i'll link below) I'm saying this because it's important to understand, western countries will operate EXACTLY the same way, and it's important we don't have our guys get mowed down like what is happening in Iran now. Also remember, many in the region (including supposed enemies) also benefit from the Iranian regime existing. This is why it needs to be planned out properly and executed properly, because otherwise its just a shoot out until the population either dies or goes back under control.
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Cairo Smith
Cairo Smith@cairoasmith·
Zevonning.
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Daniel Jafari
Daniel Jafari@DanielJafari·
@wil_da_beast630 He's without a doubt the most racist person against Persians. He just can't bring himself to say anything positive about Persians, because he deems inadequately pious.
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Daniel Jafari
Daniel Jafari@DanielJafari·
@nonblankslate It's a feature, not a big. Humans are deeply vibe based species. We reason, but rationalize.
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Daniel Jafari
Daniel Jafari@DanielJafari·
@DrDiGiorgio Not sure if I heard it from you, but the book, the Myth of Capitalism has an extensive review of how consolidation leads to worse conditions for buyers. I also learned about monopsony from this book. American healthcare is an excellent example. Highly recommended.
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Anthony DiGiorgio, DO, MHA
This gets at a real frustration people feel, but I think it misidentifies where the pricing power often sits. A very large share of Americans with private insurance are actually in employer sponsored self funded plans. In those arrangements, the employer is the one ultimately paying for the MRI, the surgery, the delivery, and the office visit. The insurance company listed on the card is often functioning mainly as a claims administrator, not the true purchaser of risk in the way people imagine. That matters because it means the story is not simply “big bad insurer versus powerless hospital.” In many markets, there are actually many purchasers of healthcare services, including employers, union plans, third party administrators, and insurers, but only a small number of dominant hospital systems selling care. So the hospitals have all the leverage. When a hospital system controls enough beds, enough specialists, enough outpatient sites, and enough geographic territory, it can demand all or nothing contracts. Employers and plans are told to accept the entire system’s rate structure across the board or lose access altogether. That is consolidation driven pricing power. So yes, insurers is an easy villian. Prior auth, denials, narrow networks, and opaque benefit design are all real problems. But they are not the whole story, and they are not the main driver of high prices. If you want to understand why an MRI at one site is a few hundred dollars and at another is many thousands, or why routine hospital based care is so expensive, you have to look at seller market power, especially large consolidated hospital systems that can command prices far above anything resembling a competitive rate. There is plenty to criticize about insurers. But on cost, the bigger issue in many places is that the purchasers of care have weak leverage and the sellers do not. And the sellers know it.
Mark Cuban@mcuban

The are a function of health insurance plans. The insurance companies create plans with deductibles that most people can’t afford. So to get to the insurance money from their plan, they will loan the patient money to cover their deductible. That turns the hospital into a sub prime lender. Then the insurer will under pay, late pay and claw back in the contract. Costing the hospital more cash. And costing them in administrative costs even more Then the insurer will delay approvals and deny care, earning interest on the premiums. So then the hospitals. Non profit or not, have to compensate for the issue with insurance companies. So they create ridiculous shit like facilities fees, abuse 340b programs , abuse site neutrality and more. And of course non profits don’t pay taxes And then the biggest provider systems will say they can’t make money on Medicare. Which is a function of them spending like drunken sailors on everything they can. From buildings to consultants. There are more administrators than doctors and in aggregate they make more. It makes no sense that hospitals spend so much money on consultants. It’s a waste. It’s like them want them to give the CEO cover , so they can try to buy more hospitals which leads to more pay for the ceo Break em all up

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memetic_sisyphus
memetic_sisyphus@memeticsisyphus·
There’s something amazing that happens to guys who get into large ideological rifts with Trump. It usually starts with a topic on which there’s a conventional wisdom that Trump disagrees with. The person who holds to the conventional wisdom can’t stand it. This person can be on the right or left, establishment or fringe, podcaster or politician it doesn’t seem to matter. The break shatters them in some bizarre fashion. It doesn’t even really seem to matter who was actually right or wrong, they start to drift towards completely crazy town. All of a sudden they’re quoting openly hostile to america opinions. They quote Putin and China, they quote Islamic terrorists and radical left wing agitators. I’ve seen former US generals propping up CCP shills dispensing absurd fake geopolitical analysis, I’ve seen right wing dissident podcasters plead for Obama, I’ve seen once respected news anchors try to pass off the hearsay of a prostitute and her criminally corrupt lawyer as bastions of truth. I have never seen anything like it. Trump has the ability to completely break some people.
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The Faceless Rando
The Faceless Rando@nonblankslate·
Some weird evolutionary byproduct of human brain circuitry made it so that you can't help but be transfixed with horror at A.I. anthropomorphic fruits' cuck drama
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