John 🇺🇦

OK, Twitter. I stayed here for Ukraine content, to subvert Elmo. However, I can't in good conscience continue to support Elmo's business with even my tiny bit of content. This will be my last post, here. I'm the same handle on BlueSky: @ udarnik.bsky.social

Private equity firms bought 500 hospitals. Death rates in their emergency rooms went up 13%. They fired 12% of the staff. Then they paid themselves billions in dividends. A Harvard study just confirmed what doctors already knew: people are dying so investors can hit quarterly targets. Exactly what happens. A PE firm buys a hospital using debt. The debt gets placed on the hospital's balance sheet, not the firm's. Now the hospital owes hundreds of millions it never borrowed. To service that debt, the hospital cuts costs. Costs mean nurses. The numbers from the Harvard/University of Chicago study are horrifying. After PE acquisition, emergency department salary spending dropped 18.2%. ICU salary spending dropped 15.9%. Hospital-wide employees were cut 11.6%. Emergency department deaths rose 13%, seven additional deaths per 10,000 visits. A separate study found patients undergoing surgery at PE-acquired hospitals had 17% higher odds of dying within 90 days. Steward Health Care, owned by Cerberus Capital, filed bankruptcy with $9 billion in debt after closing hospitals across Massachusetts. The CEO lived on a $40 million yacht while emergency rooms went dark. Eight hospitals serving 2 million people nearly disappeared because a PE fund extracted more cash than the system could survive. The private equity industry has poured over $1 trillion into healthcare. They operate a quarter of ERs nationwide. This isn't going away. The investing angle nobody talks about. Non-PE hospital operators like HCA Healthcare (HCA) and Tenet (THC) are the direct beneficiaries. Every time a PE hospital closes or deteriorates, patients flow to the nearest competitor. HCA has returned 1,200% since 2011. Patient volume from PE closures is a structural tailwind nobody's pricing in. Medical staffing firms (AMN Healthcare, Cross Country) charge premium rates specifically because PE hospitals cut staff. The staffing shortage IS the business model for these companies. The disruption play: outpatient surgical centers (SCA Health, now part of UnitedHealth) are pulling profitable procedures out of hospitals entirely. PE-owned hospitals lose their highest-margin surgeries to outpatient, and the death spiral accelerates. Pull up tradevision and monitor healthcare M&A alerts, hospital closure filings, and patient volume migration data. When a PE-owned hospital announces "restructuring," the patient volume shift to competitors like HCA starts within 30 days. That 30-day window is when the competitor's earnings revisions haven't updated yet. Free to try. (a private equity firm bought your local hospital. borrowed $500 million in the hospital's name. fired 12% of the nurses. emergency room deaths rose 13%. then they paid themselves dividends. nobody went to prison. they're currently buying another hospital.)

I think starting a war with Iran is a bad idea, and Trump specifically ran against regime change wars in the middle east. Reasonable people can disagree on the merits, but calling opponents "borderline traitors" is a reprisal of the dumbest Iraq-war era political bullshit.

1. It’s not a “Ukraine war”, it’s a Russian war against Ukraine, Europe, and freedom 2. It’s not “4 years”, it’s 12 years, as Russia attacked Ukraine in 2014. In 2022 it increased the intensity of the war, but the war started much earlier 3. It’s not the war for territories, Russia doesn’t care about “Donbas”, it wants to expand for the sake of expansion, to have the capacity to expand, to export violence outside, otherwise it knows it will be turned inside 4. It’s not “Russia vs western imperialism” because Russia wants to re-imperialise the world, to bring empires back. to end the decolonization process of the 20th century, to divide the world between the “great powers” 5. It’s not “let’s make a deal and it will be fine”, Russia will stop only when it is stopped. In order to have peace you need to put Russia into a weak position where the only option for it is to stop. Flattering Russia, suggesting compromises will only persuade Putin that his opponents are weak I said it back in 2014: the fear of provoking Russia provokes Russia. It’s still valid

I know that the insane has become the normal, but we all need to pay attention to this: According to members of Congress and independent reporting, Donald Trump illegally hid files alleging that he raped a child. This is the biggest presidential scandal of your life.

@sjkopala41 @DrGeoffGrammer @DrNeilStone Ayup. That hypocritical motherfucker AND his kids are vaccinated. This is straight up class-lines eugenics.

@DrGeoffGrammer @DrNeilStone And not said: the wealthy and connected would still obtain vaccines. Regressive Darwinism.

"Only very sick kids should die from measles" No, Secretary Kennedy NO child should die from measles. Because there's a vaccine to prevent it.

In the French Alps for school break, I met two Russian families…One, living in Moscow and the other from St. Petersburg. I asked them about the war…they weren’t really concerned as both men were in their 40s and haven’t been affected by the war as of yet. Why does the west allow Russian passport holders travel freely around Europe for vacation? Are we serious about this war or is it just casual? Why not complete travel bans?! #Russia

@RedMDND @DrPlantel But "for the most part" leaves room for a large minority of bad apples.

@DrPlantel Immersing yourself in residency training means surrounding yourself with colleagues and teachers that are, for the most part, ethical and patient-centered. He missed all of that and apparently doesn’t feel beholden to any mentors to do good and be good.

Why do some people who never finish residency become the loudest medical grifters? It’s amazing how quickly ego rushes in when training and accountability are missing….

@RaisinsDEtre @DrPlantel Speaking as an industry scientist who was once straight up asked for a quid pro quo by a doc described by his own patients on a review site as "having the bedside manner of a corpse."

@RaisinsDEtre @DrPlantel Our selection process for med school is borked. I can train you on the Krebs Cycle. I can't train you to be an ethical human being with a compassionate bedside manner.

This policy led to the US becoming the freest, richest, and most powerful country in the history of the world. Everyone wanted to come here, to be American, for their children to be American, and to thrive as America thrived. You would destroy all of that out of racist spite.

"There are no Amish with autism" There are "Vaccines aren't tested against placebo" They are "MMR has never been studied as a possible cause of autism" It has. It's not the cause. I apparently need to say this stuff over and over and over and over again. And again.

@bobabolapop @Brad__22 @BlazinAzn7 At the expense of your health...

@Brad__22 @BlazinAzn7 I can agree with that

I'm a yuppie who buys expensive groceries from Whole Foods to cook Alison Roman recipes at home. Yesterday, my wife and I planned out meals for the week and bought $280 worth of groceries to cover roughly 20 meals. At ~$14/meal, EVEN THIS is a huge savings over Doordash!

Making deals with Trump is *exactly* like playing chess with a pigeon.

I grew up conditioned to mock the loony libs, a habit formed in the early Rush Limbaugh years. I no longer feel the urge. Those libs are now fighting for America’s core principles, while the people who taught me to sneer at them have abandoned principles altogether.

Listen up, you piece of shit. For four years, Russians have been killing innocent Ukrainians, raping women, stealing, and destroying an entire country. You piece of trash, you haven't even condemned these war crimes, not once. And now you're all too happy to believe the Russians' latest lie because you want to keep buying cheap Russian raw materials. Fuck you.

@katyjohnson30 @BarbaraOneillAU And doesn’t know about the apostrophe in O’Neill after 4 username changes…

@BarbaraOneillAU "Account based in Eastern Europe"

There’s a super flu going around… and this is what people used before pharmacies. Before antibiotics came in bottles, they came in jars like this. Simple. Potent. Straight from the kitchen. This is often called nature’s golden antibiotic — not because it “kills everything,” but because it supports the body while it does the healing. ✨ What’s inside & why it works • Garlic – traditionally used for immune and antimicrobial support • Onion – rich in sulfur compounds that support respiratory health • Ginger – warming, circulation-boosting, soothing for the body • Turmeric + black pepper – anti-inflammatory support & absorption • Raw honey – coats, soothes, and preserves the blend ✨ How I make it: 1 garlic clove (chopped) ¼ white onion (chopped) 1 tbsp grated ginger 1 tbsp grated turmeric 1 tsp black pepper 3–4 tbsp raw honey Mix well and store in a jar. ✨ How I use it: • During illness: 1 teaspoon every few hours until symptoms ease • Prevention: 1 teaspoon daily This isn’t about fear. It’s about remembering what we used before we outsourced health.

The federal workforce is 9% smaller now than at the beginning of 2025. Federal spending has increased 6% over the same time period. finance.yahoo.com/news/elon-musk…

This is exactly why single-factor narratives don’t hold up. Health outcomes reflect genetics, diet patterns, physical activity, ultra-processed food exposure, healthcare access, pathogens, air quality, and early detection. Spoiler: biology is complex.

@doc_gero @ArchLuminous @TheEcho13 This is true. It’s also a feature, not a bug. Instant filtering for social interactions to her benefit. People like that aren’t worth engaging with by anyone of either gender. And you yammering about it reminds me of a saying from back where I grew up: A hit dog hollers.

@ArchLuminous @TheEcho13 I mean, for most men it’s uninteresting but tbh for many perfectly good men a woman with a fancy degree and title is basically a boner-killer. Might even be a good route for a woman to end up permanently single. Any woman who would think otherwise is quite deluded, honestly

The only reason they’re so hateful is because they’re attracted to her and think they would have had a chance if she wasn’t allowed an education.

@EPICGOPFAIL Have you heard this one? I sing along to the chorus every time it comes up in my driving playlist… m.youtube.com/watch?v=0emSPL…

This 50 shades of warmth gas station in Peoples Republic of Bilhorod: t.me/exilenova_plus…

❓What Are We Burning Today In🇷🇺❓ November 22, 2025 This lovely Syzran Refinery in Samara. Yes, again. The Governor confirms 2 dead. moscowtimes.ru/2025/11/22/pus… t.me/exilenova_plus…