My latest:
Does increasing family doctors’ pay increase access? Evidence from B.C. says ‘no’
Simply increasing physician pay, absent structural changes to primary care organization, isn’t delivering results, and it comes at a hefty cost.
www.hilltimes.com/2026/04/22/d...
Nothing says “paradise” like cruise-ship diesel exhaust mixed with the roughly 10% of floatplanes still burning leaded gas.
AOC talking to RFK Jr. Her facial and hand gesture has the spiritual energy of that Italian hand gesture where you pinch your fingers and wave your hand (the "ma che vuo" gesture).
how it feels to say "sprezzatura"
This piece makes a crucial point: in the AI era, evidence no longer speaks for itself. The provenance is everything. But that cuts against every trend in modern society. We will have to re-empower the institutions we still have to create a shared understanding of truth, like libraries.
"It's actually enraging how the World Bank can suddenly change its mind about industrial policy like "Oops, for the past 45 years we systematically prevented you from using the most obvious tool for sovereign development, keeping you stuck in poverty and dependency, lol".- @jasonhickel.bsky.social
“The single best predictor of what people believe is how many times they’ve heard it.” — FrameWorks Institute Via Urban Truth Collective
When it comes to spreading disinformation, dark money buys a lot of repetition, because repetition works.
Repetition works.
Repetition works.
Repetition works.
(Did we mention that repetition works?)
#UrbanTruth
Call me crazy but I don't love the new reality of Canada essentially being run by the Conservative Lite™ Party with only the Conservative Normal™ Party to fecklessly scream at them for the next three years! It's not, I think, ideal!
Bro just do pharmacare. My family actually uses medicine. If we want confidently wrong answers to life's questions, I'm a dad, I can generate them on demand.
Hey!
The other day someone gave me a three-foot, bright orange, felling axe.
As I was biking home with the axe in one hand, I noticed drivers were oddly well behaved.
I suspect a large axe provides pedestrians and cyclists much more “visibility” than a bunch of lights and hi-viz clothing.
Students were told for a decade about how incredibly important free speech on campus was. And then it wasn't. What lessons did we teach students over the last year? If you are a student today, do you feel confident that the government, media and university will support your speech rights?
Pedro Sánchez & @sanchezcastejon•4h X • Translated from Spanish Show original Just today, Netanyahu launches his harshest attack against Lebanon since the offensive began. His contempt for life and international law is intolerable. It's time to speak clearly: - Lebanon must be included in the ceasefire. - The international community must condemn this new violation of international law. - The European Union must suspend its Association Agreement with Israel. - And there must be no impunity for these criminal acts.
A table showing a average billing of $438,751 per year for 25.7 hours of work per week ...
Pour ceux qui suivent ce qui se passe en Ontario, il y a un nouveau modèle de rémunération pour les médecins de famille. L'OMA met de l'avant $438 000 par an de facturation moyenne en travaillant moins de 26 heures par semaine... Dure vie Dr.B dure vie…
Yes. Recipe is simple: Put two steel mountain bike frames in a large pot. Add a large bird cage. Heat and stir gently. Sprinkle with used parts and that’s it.
A cargo bike with a large cardboard box strapped on the side
This is the setup
Oversize items you need to carry across town? A cargo bike is the way to go*.
* And for the record, I do own a pick-up truck. But within the city the cargo bike is as fast and so much more fun.
A used one.
The blog linked below is my read of the day. And the deadpan despaired irony made me laugh out loud.
Three Canadian Provinces are on Board with Minimum Nurse-to-Patient Ratios. Here’s How Implementation is Going.
Manitoba just tabled legislation, while BC and Nova Scotia have implemented ratios through collective agreements.
pressprogress.ca/three-canadi...
He wasn't expected to be the next Balzac... He was expected to be able to repeat three pre-written sentences worth of French that he could have practiced ahead of time… Not a hugely challenging bar, was it?
Also, for any francophone who ever heard a French immersion teacher speak, the idea they somehow spoke like Parisians is beyond ridiculous. Most French immersion teachers speak like Anglos who only have a limited mastery of French.
Yeah… the "Parisian French" trope is bullshit. It's like saying one learned "London English" in school so they can't communicate with people in Calgary. Give me a break.
The meme of Principal Skinner: in the top panel he looks down with hand on chin considering an idea: “Have the bloated admin salaries and the expensive consultants been the problem the whole time?” Bottom image: he looks up and beyond the frame with more confidence: “No…no, it must be the humanities programs.”
A baffled doctor Headline: Doctors Baffled By Everything Now Story by Smeg Weinbergle and Newk Dukeham Photo from Adobe
Doctors Baffled By Everything Now
I've been getting quite a few questions from press, etc. and so wrote up something a little bit longer here:
cooperativeoverlapping.substack.com/p/a-fuller-s...
In the picture that illustrates the post you can see a bunch of nylon cogs inside that motor. Nylon is cheap and silent. But also heat sensitive and very soft. Not a good choice. Lots of old 3 speed SA hubs still running after 60 years on the road. Use good steel not nylon FFS …
This is a must read paper IMHO
Why Long Covid awareness matters:
“around 1.2 million additional doctor visits compared to what was expected based on 2010-19.
The increase is across all age groups for respiratory infections, fatigue, psychological symptoms, and cognitive issues.”
Sounds a heck of a lot like my Long Covid.
Depuis 2023
Asking random locals in Tehran to hang out.
These are the friendly, social people we are bombing for no reason.
