At 3:45, as the transplant team was prepping the OR, a doctor came to Carole's room. She had terrible news. Cigna Healthcare, Carole's insurance company, had just denied her claim. They'd made a mistake, they said, in initially approving the procedure. They were now refusing to pay for it.

A brief update on USMLE score creep:

In 1994, the mean USMLE Step 2 CK score was 200.

By 2008, it was 226.

And in 2023, it’s 248.

(Over that time frame, the USMLE has increased the minimum passing score threshold nine times, from 167 to 214.)

For weeks, I’ve waited patiently for preliminary application data for the 2023-2024 residency application to be released by the AAMC.

And today they dropped.

So you know what that means.

Yup, that’s right.

It’s time to break it down, Winners & Losers style™️.

(🧵)

I was really worried about this. 😔 With great sadness, I have now confirmed that several of my relatives (including Viola and Yara pictured here) were killed at Saint Porphyrius Orthodox Church in Gaza, where they had been sheltering, when part of the complex was destroyed as…

BREAKING: Ro Khanna has introduced a new reform plan that:

- bans stock trading for Congress + spouses
- bans Congress from lobbying after
- 12 year limits for Congress
- ban lobbyists + PACs donations

He directly mentions Unusual Whales work in fighting corruption.

Let's go.

Everyone needs to watch this.

A Seattle cop mocks the death of a woman killed by a speeding patrol car and says she 'had limited value.'

Her name was Jaahnavi Kandula. She was a 23-year-old grad student raised by a single mother.

Absolutely disgusting.

This The American Prospect article is stunning and terrifying. UnitedHealth UnitedHealthcare is the Goliath none of us can fight…

United’s empire of evil:
#5 largest company in the US
Top 30 largest company in the WORLD
#1 US employer of physicians

And on top of that, they are a colossus of…

do Americans ever get tired of subsidizing the rest of the world

This is a beautiful letter from Fiona Apple explaining to her fans why she must postpone a concert date.

I am impressed at the way she was instantly able to make the decision to choose love over her career. Indeed, the world needs more of this.

Enjoy the story...

“It's 6pm…

Over 25 years ago, OB/GYN programs were the first to pilot the AAMC’s new “Electronic Residency Application Service.”

But starting next year, OB/GYN will stop using ERAS and begin using a different residency application system.

(🧵)

Today we approved a new drug to prevent Respiratory Syncytial Virus (RSV) disease in:

- infants born during or entering their first RSV season
- children up to 24 months who remain vulnerable to severe RSV through their second RSV season

Learn more: fda.gov/news-events/pr…

I drove by ground zero of this explosion today - you can still see the shells of buildings around the area.

I was on my way home to see my extended family for the first time in 5 years.

While things are improving, I can’t even imagine the terror of that day.

I'm an amateur historian of the three-point contest and this is by far the best performance by a man or woman ever. Outrageous. SHE MISSED TWO SHOTS. The men's record is 21/25. She made 26/28.

I don’t understand why there is a “is healthcare a privilege or right” debate in America.

#EMTALA has made healthcare a right, period. This 1986 federal statute mandates EVERYONE gets medically screened for an emergency and given emergency treatment if needed, regardless of…

Over a decade, research abstracts/papers in residency applications have increased 2-3x!!

No one wins in this kind of 'arms race' 👎👎👎

Average applicant abstract/papers by specialty:
Neurosurg: 24
Derm: 19
Rad Onc: 18

by @Abdul_K_Ahmed Eli Adashi

jamanetwork.com/journals/jamas…

The city of Chicago sold its rights to its parking meters for 75 years.

The firm that bought them has already recouped their investment in <15 years and is currently making $140 million+ every year for the next 65 YEARS!

This level of incompetence is astounding.

You're seeing in real time how disinformation works. This is an outright, intentional lie from someone who knows better.

Governor Abbott graduated from Vanderbilt Law, was a Supreme Court Justice in Texas, and was the Attorney General. He knows that Trump was not indicted by the…

A mutation in the EGFR gene is found in ~25% of lung cancers. Reported NEJM and ASCO today: a pill directed at this mutation cut deaths by 50% through 5 years in a randomized trial following surgical resection
nejm.org/doi/full/10.10…

We do the science. We review the papers. We run the editorial process. In most cases, the tax-payer foots the bill. Elsevier makes the (enormous) profit.

Is this the start of the neuroscience community taking control of the publication system? I certainly hope so.

US pharmaceutical companies charge Americans more than anyone else. They report generating the bulk of the revenue in the US.

But they apparently earn almost no (taxable) income in the United States.

Rather remarkable.

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