markstephany

nostr:npub1qny3tkh0acurzla8x3zy4nhrjz5zd8l9sy9jys09umwng00manysew95gx is my “what is good for bitcoin” barometer. Good thoughts on SBR nostr:note1z92y2lqg8rjr4r3f8ww4agy3usxu54lyg8yqp360rv6scwrefx4qvrf55e

A few thoughts on RFK: I don't think the medical community at large understands how upset and disappointed people are with the current medical system: paternalism for the past 60 years, poor outcomes relative to expense, increasing chronic disease burden, and bureaucracy. I believe the medical community (physicians) deserve a portion of the blame for this. I am not surprised by the response to our medical system. It is not a new sentiment. During the 1960s and 1970s medicine’s public image took a beating. The infamous Ivan Illych penned a critique entitled “Medical Nemesis,” in which he stated, “Doctors contribute little to the health of populations, they probably did more harm than good.'' Berkeley political scientist, Aaron Wildavsky, made the claim in 1977 that “The marginal value of one–or one billion–dollars spent on medical care will be close to zero in improving health.” I share his sentiment, considering despite our efforts currently only 12% of Americans are without evidence for metabolic syndrome, which is characterized by high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol levels. The conclusions of these critics of the health care system are not surprising since it was the height of medical paternalism at a time when society was questioning our institutions while in the midst of Watergate and the Vietnam War. Iraq, Afghanistan, GFC, Covid and we now find ourselves in a similar position, where Americans are not convinced of "first do no harm," and are seeking autonomy of choice above all else. However, in the prioritization of individual freedoms, the United States has socialized the responsibility for complications of those poor choices. If we are honest with ourselves, we have all succumbed to selectively ignoring the externalities of our poor choices. The only way to gain true freedom; to not be subject to or affected by (a particular undesirable thing), is to not have to rely on a third party in the first place. If freedom means a lack of outside influence on your autonomy, then by default there is an increase in personal responsibility for your choices. It is your freedom to eat whatever you want, to choose not to be active, but if these choices result in increased doctor visits, hospitalizations, more debt and symptoms that restrict your enjoyment in life, how truly free are you? Individual rights should not be inversely related to individual responsibility. In 1977, Dr John H Knowles, wrote “...This [sic: poor lifestyle choices] is justified as individual freedom–but one man's freedom in health is another man's shackles in taxes and insurance premiums. I believe the idea of a "right" to health should be replaced by the idea of an individual moral obligation to preserve one's own health–a public duty if you will.” Additionally, “the choice is individual responsibility or social failure [sic: plus individual failure]. Responsibility and duty must gain some degree of parity with right and freedom.” RFKs biggest hurdle is not Big Pharma, it is behavior change and individual autonomy, and that hurdle is only overcome with empathy and understanding and NOT solely Dr. Science. Afterall, information alone does not change behavior. From the individual's perspective, a career contrarian is not a logical solution to the preservation of one's health – and as Dr Knowles so clearly elucidated, therein lies the rub – you as an individual have to live with your choices whose outcomes may not be known for years. But it is these choices that should be discussed with an empathetic ear and ultimately respected.

.@Bostonwinetimes what is going to be your 100k wine?

50% of the country thinks the other half are idiots This does not resolve The States will cease to be United

Saylor can absolutely believe in self custody and also absolutely not endorse it on a national stage. He knows what game he’s playing.

Any #bitcoiners who are doctors on #nostr ? I want to follow you 🤘🏻

Humanizing the other” One of life’s most important lessons. And remember to do that come November 6th nostr:note1nrsfmcr6cgj92ur9sv40rjarwrtxvvmtqggzwn7cfc6merz75ymsztfaf5

Excited to hear about NosFabrica! nostr:note1y6twdphf2gd3336382kectfsmdn60nkg23wpel0nm8swjgkfmmtqe0d968

Bitcoin 24/7/365 is, in fact, going to increase financialization. The only difference now is that the average person can participate in it. https://podcasts.apple.com/us/podcast/onramp-media/id1690709152?i=1000673168931

What would be your must-haves if you were to use a telehealth service? What would convince you to use it more than a brick-and-mortar clinic? #healthcare

Bandaids on chronic disease Bandaids on politics Bandaids on economic reform Bandaids on mis/disinformation Bandaids lead to fragility, to centralization (authoritarianism) Don’t be a Bandaid 🩹

Insurance is a scam

Stay humble and stack sats is entirely too passive as a “call to action” How is that strategy at all effective in the “and then they fight you phase? “ How about “Do not go gentle into that good night..while stacking sats.?”

I’m surprised by the number of people (ahem Bitcoiners) duped into the “ancestral diet” logic. Which ancestors? What location? What time period? When ultimately we care about diet and its health outcomes why does it matter what our ancestors ate? tldr: lots of stuff including plants and bugs and grains and animals when available…don’t forget the “gathering” part). https://podcasts.apple.com/us/podcast/coin-stories-with-natalie-brunell/id1569130932?i=1000672219582

This is a great episode. I’m proud of Trey for hosting conversations like this. Well done Erik & Hodl nostr:note1cxft2faf6pzgkp2t3vj5hveyknn7cvx6fvuq4gs0ajfhlxm5qu3s99mr7d

Fellow Bitcoiners, I’m visiting Scotland in the spring. Any recommendations from those who live there/visited?

Monetary premium is a scourge

Perhaps those opposed to what Elon is doing with X but don’t want to lose their followers will consider promoting “Get bonus content when you follow me on Nostr” instead

What is Bitcoin’s price without all of the gbtc + Gemini outflows?

.nostr:npub1kvgw6zj55uwvlz5rdqpjm5a5hqah4j3ggza3pfx4umh5k6j00yaqt6v0p2 have you read any of the work by Geoffrey Hosking, specifically his writing on trust, government and society? It would appear highly applicable to Bitcoin