@ConceptualJames @InHumaneShape The phrase "kinder, gentler nation" was coined by George H. W. Bush during his 1988 presidential acceptance speech to describe a vision of moderation and personal decency, distinguishing his approach from the more aggressively libertarian tone of the Reagan era.
1)

@ConceptualJames @InHumaneShape This rhetoric emphasized fiscal conservatism paired with social moderation, though critics note his campaign simultaneously utilized harsh tactics like the "Willie Horton" ad, creating a contradiction between his governing ideal and campaign reality.
2)

@ConceptualJames @InHumaneShape Compassionate conservatism was the specific policy philosophy adopted by his son, George W. Bush, during his 2000 presidential campaign to operationalize similar themes of active government help for the disadvantaged.
3)

The @NYPD46Pct illegally parked this seized car where it dangerously blocked the fire hydrant.

After many people have died in fires in their non-enforcement zone while hydrants were blocked.

#ThreatToPublicSafety

@NYPD46Pct Meanwhile, the next fire hydrant just down the block was also dangerously and illegally blocked.

This one was a private car that belongs to one of the dirty cops that we're paying to enforce the laws that prohibit this #ThreatToPublicSafety.

@NYPD46Pct @FDNYFC @NYPDPC @OswaldFeliz But if you went in the other direction to the next fire hydrant... oh, that one was dangerously obstructed by a "law enforcement officer's" personal car (that was also blocking the crosswalk).

Every way that you go, you find a #ThreatToPublicSafety caused by dirty cops.

Over the past few decades LDL targets have steadily dropped. First below 130. Then below 100. Then below 70. Now below 55 for high-risk patients. And this is rightly getting social media attention.

With that attention, it appears as if two camps have formed. One says the pharmaceutical industry is driving this for profit. The other says lower is always better and anyone questioning it is putting patients at risk.

Both camps are missing something important. 🧵

The financial conflicts come up often and are important. Major landmark trials are largely funded by pharmaceutical companies.

Guideline committee members frequently have strong industry ties and hold a “medication first” philosophy. Guidelines mention lifestyle, but in the real world they set the stage for expectations to lower LDL aggressively and quickly. In the past, that has translated to increased reimbursement for those meeting the guidelines. So, in the real world, drugs often come first.

But here's what the skeptics sometimes miss. The clinical trial data supporting lower LDL targets is substantial. Statins, ezetimibe, and PCSK9 inhibitors have all demonstrated cardiovascular event reduction across large randomized controlled trials involving millions of patient-years. Whether or not mortality is reduced depends greatly on the baseline risk and study duration.

The question isn't whether the data exists. The question is how it should be interpreted and applied to individual patients.

But we have to talk about the law of diminishing returns

Yes, driving LDL lower reduces cardiovascular events in the general population. The relative risk reduction stays fairly consistent as you push LDL lower. But the absolute risk reduction gets progressively smaller.

Lowering LDL from 160 to 100 mg/dL provides a statistical clinical benefit in a population of higher risk individuals. Lowering it from 70 to 40 mg/dL yields a much smaller absolute benefit, with the benefits impacting far less on an absolute scale.

While the benefit may compound over time, it is still a very small absolute benefit. And we have to remember side effects may compound over time too. That combination deserves critical clinical thinking.

1/ 🚨Twelve Americans were named on a list in 2021 by a foreign organization. The White House press secretary cited it. President Biden parroted it. The Surgeon General's advisory cited it. The platforms acted.

Twelve names were enough to justify rules that named nobody.

What got built on top of that list reached millions of people who were never named at all. 🧵👇

2/ Here is the fact that proves it was never really about twelve people.

Meta's own head of misinformation policy — Aaron Berman, a former CIA analyst — has said Facebook did not accept the report's central claim, and put the real volume at a fraction of one percent of what users saw.

The platform enforced it anyway.

3/ Think about what that means.

A claim the largest platform's own policy chief rejected on the merits still became the justification for a category-wide enforcement posture — one that swept across ordinary accounts belonging to people who had never heard of the report and were never named in it.

The list wasn't a target list. It was a permission slip.

Gawd damit I was doing so well and off this site for a day or 2 and then you Donald had to ruin it with your bullshit 🤣🤣🤣🤣🤣 fuck it I am going back to sleep then wake up shower and get ready for my night time walks I assume I'll see you cops later tonight ?? If not have a

Fantastic night and a fantastic shifts I'll see y'all eventually again 😜😜😜😜

@ChrisPentecos @HungryTrucker @Donald_nncim @LangleyResident @BarbaraDoduk @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux20 @VernThurston @JonYaniv @JNonsense46242 @beauxbeautyblog @AuntieExhausted

@Donald_nncim @trannyscam28421 @BryonyClareD He should be using your head to clean the toilet 🤣🤣🤣🤣🤣

@Donald_nncim @trannyscam28421 @BryonyClareD @ChrisPentecos @HungryTrucker @Donald_nncim @LangleyResident @BarbaraDoduk @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux20 @VernThurston @JonYaniv @JNonsense46242 @beauxbeautyblog @AuntieExhausted

@Donald_nncim @trannyscam28421 @BryonyClareD @ChrisPentecos @HungryTrucker @LangleyResident @BarbaraDoduk @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux20 @VernThurston @JonYaniv @JNonsense46242 @beauxbeautyblog @AuntieExhausted @threadreaderapp unroll

@grok

@Donald_nncim @SubmissiveMuse @scottgeiler @MeghanEMurphy @DreaHumphrey @Lea_Christina4 @wyatt_claypool LMFAO pussy 🤣🤣🤣🤣

@Donald_nncim @SubmissiveMuse @scottgeiler @MeghanEMurphy @DreaHumphrey @Lea_Christina4 @wyatt_claypool @ChrisPentecos @HungryTrucker @Donald_nncim @LangleyResident @BarbaraDoduk @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux20 @VernThurston @JonYaniv @JNonsense46242 @beauxbeautyblog @AuntieExhausted

@Donald_nncim @SubmissiveMuse @scottgeiler @MeghanEMurphy @DreaHumphrey @Lea_Christina4 @wyatt_claypool @ChrisPentecos @HungryTrucker @LangleyResident @BarbaraDoduk @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux20 @VernThurston @JonYaniv @JNonsense46242 @beauxbeautyblog @AuntieExhausted @threadreaderapp unroll

@grok

@Donald_nncim @libsoftiktok Come on male cops be by daddy and let's have some incest 🤤🤤🤤🤤🤤🤤

@Donald_nncim @libsoftiktok @ChrisPentecos @HungryTrucker @Donald_nncim @LangleyResident @BarbaraDoduk @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux20 @VernThurston @JonYaniv @JNonsense46242 @beauxbeautyblog @AuntieExhausted

@Donald_nncim @libsoftiktok @ChrisPentecos @HungryTrucker @LangleyResident @BarbaraDoduk @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux20 @VernThurston @JonYaniv @JNonsense46242 @beauxbeautyblog @AuntieExhausted @SurreyRCMP @surreyps @LangleyRCMP

@Donald_nncim @coachblade Well if a cop wants to be my daddy I'll accept incest 🤤🤤🤤🤤🤤🤤🤤

@Donald_nncim @coachblade @ChrisPentecos @HungryTrucker @Donald_nncim @LangleyResident @BarbaraDoduk @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux20 @VernThurston @JonYaniv @JNonsense46242 @beauxbeautyblog @AuntieExhausted

@Donald_nncim @coachblade @ChrisPentecos @HungryTrucker @LangleyResident @BarbaraDoduk @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux20 @VernThurston @JonYaniv @JNonsense46242 @beauxbeautyblog @AuntieExhausted @SurreyRCMP @surreyps @LangleyRCMP

1/ The story of Mariupol defender Pavlo Afisov from the 36th Separate Brigade. While in captivity for 920 days, he survived terrible torture, beatings, and inhumane treatment from the Russians. Please amplify.

2/ BATTLE OF MARIUPOL

"In 2021, our battalion was stationed in Talakivka, a village a few kilometers from Mariupol. That’s where we met the full-scale invasion."

3/ "A week before the invasion, there were nightly artillery shellings along the front line. Then they started hitting the right bank of Mariupol. I didn’t believe there would be war. Thought it was just a provocation, even after Putin's recognition of the 'DNR' and 'LNR.'"

@Donald_nncim @chrisdacey @rcmpgrcpolice What if I want a cop to be my daddy would that be considered incest if so I WANT INCEST

@Donald_nncim @chrisdacey @rcmpgrcpolice @ChrisPentecos @HungryTrucker @Donald_nncim @LangleyResident @BarbaraDoduk @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux20 @VernThurston @JonYaniv @JNonsense46242 @beauxbeautyblog @AuntieExhausted

@Donald_nncim @chrisdacey @rcmpgrcpolice @ChrisPentecos @HungryTrucker @LangleyResident @BarbaraDoduk @Cdnwatcher @Istandtoreason @facepalmchris @trustednerd @felixcruggins @CultureGuard @WaxMyBallsShow @FranLa9 @kfurneaux20 @VernThurston @JonYaniv @JNonsense46242 @beauxbeautyblog @AuntieExhausted @SurreyRCMP @surreyps @LangleyRCMP

PERSONAL HYGIENE HABITS THAT SCREAM ADHD — skipping showers, forgetting to brush your teeth, wearing the same “safe” clothes for days, then suddenly doing a 90-minute everything shower like your life depends on it.

Some of the “gross” ones make perfect sense once you know what your brain is actually doing:

1. Showering feels like an absolutely enormous task even when you logically know it takes 10 minutes.

Because initiating requires a physical transition from your current state, and task initiation is the most exhausting, expensive executive function your ADHD brain runs.

2. You either completely forget to brush your teeth or do it three times in a panic.

Because ADHD object permanence means out of sight is literally out of mind. That toothbrush simply does not exist in your universe until you are physically standing right in front of it.