I was a geeky kid in the 90s, with obsessive, niche interests and some difficulty fitting in. Back then, I was called gifted, but born now, I'd be called Level 1 Autistic. The kids didn't change, but the DSM did. My Latest: The Autism Epidemic substack.galtmd.com/p/the-au…

Your boss doesn’t take the value of your labor, for most people he is the one who gives your labor value to begin with. Go ahead and strike out entirely solo and see how much value your labor brings you. If your job is stocking shelves or operating a telephone or a cash register or making emails and PowerPoints, this labor is essentially worthless without a company that has found a way to make you productive. But instead of thanking these companies for making your life infinitely richer than you could on your own, you bitch because the guys who build and run the companies have more than you do.

Yes unironically, I have to interact with people on SNAP every single day and they are horrible. I’ve never met Elon but his influence on my life has been exclusively positive.

Every airplane scene in every movie just makes me jealous of the legroom, even the scenes where the planes crash

If Elon wasn’t conservative everyone would think he was the coolest guy alive.

Imagine if every passenger on an airplane had a direct line to the pilot. That’s what medicine has become. We have embraced frictionless communication and that not a good thing. With things like Epic Chat, every member of the healthcare team has immediate access to the physician. Now there’s a constant stream of minor questions. It’s discouraged people from thinking critically. “Just ask the doctor,” has replaced any sort of clinical reasoning. When I was a resident, we had an answering service. Anyone who wanted to reach the doctor needed to go through a third party. This provided triage and accountability. If we were getting called in the middle of the night for stool softener orders, there was a record of that. A little friction in communication is a good thing.

At a wedding full of Goldman guys. I have never felt so poor.

Capital accumulation and investment is how the general standard of living is raised. It’s the only way that happens in fact.

Liquidating a trillion dollars of capital so everyone gets a one time check would be incredibly destructive and retarded

Elon deserves more.

The behavior on planes has gotten out of control. People are disgusting even in first class. No respect for personal space and everyone is wearing pajamas.

This is the entire bottom quintile though and we don’t just kill them

Yes, look up facility fees. A hospital can charge 2-10x more than a doctor for the exact same procedure.

My hospital’s EMR now automatically diagnoses every patient with things like homelessness, obesity, and food insecurity. I didn’t enter these. I can’t remove them. This is what bureaucracy does to medicine. My Latest: Diagnosed Before I Arrived substack.galtmd.com/p/diagno…

Former Ferrari chairman Montezemolo tears the new electric Ferrari “Luce” apart: “I cannot say what I really think: I would harm Ferrari. We risk the destruction of a legend. So sorry. Take the Prancing Horse off. At least the Chinese won’t copy this car”

If Porsche makes an electric 911 I’m going to sign up for MAID.

We live in hell

The electric Ferrari is the death knell of Western Europe.

Just skip to the end and hand the dieticians and housekeepers a scalpel

Eli Lilly just released Phase 3 data for retatrutide, their next-generation obesity drug. 2,339 patients. 80 weeks. The biggest trial in the field. 8 things worth knowing: 1️⃣ It beats every obesity drug on the market. Wegovy (semaglutide): 15% Zepbound (tirzepatide): 22% Retatrutide: 25% 2️⃣ You don’t need the highest dose. The lowest (4mg) already outperforms Wegovy. 18% weight loss with one dose increase. Fewer people quit than on the sugar pill. 3️⃣ At two years, weight was still dropping. No plateau. Patients with BMI over 35 lost 84 pounds. 30% of their body weight. 4️⃣ Some patients stopped taking it because they lost too much weight. That’s never happened with an obesity drug. 5️⃣ It works differently. Ozempic and Zepbound suppress appetite. Retatrutide does that too, but its third receptor (glucagon) flips your metabolism toward burning stored fat. In Phase 2, ketone bodies rose 2-3x, confirming the body was switching fuel sources. 6️⃣ It causes a side effect no other obesity drug does: tingling and numbness (12.5%). New receptor, new trade-off. Worth watching. 7️⃣ In a separate study, it cleared 86% of liver fat. 93% of patients reached normal levels. 1 in 3 adults have fatty liver disease. No approved drug comes close. 8️⃣ Two-thirds of patients on the highest dose were reclassified out of obesity entirely. They started at BMI 40. They finished under 30. That’s not just weight loss. That’s a medical reclassification. @US_FDA filing expected late 2026.