David Friedberg: California’s Voting System Looks Fraudulent, But It’s Working Exactly as Designed @friedberg believes California’s extremely loose election laws enable “appointments” not free elections. Why? The voting data in LA makes no statistical sense. “ Pratt's post-election mail-in ballots declined by 1/3. So statistically, the population of people that send in their ballots late reduced for Pratt by 1/3, increased for Nithya Raman by 80%, and Karen Bass 10% less, if you just look at the mail-in ballots before and after election day as a comparison. I don't know if there's a sociopolitical way that you can assess those statistics and assume that these are individuals casting their individual vote for who they think should be Mayor of LA. Basically, the concentration of incremental votes that Nithya Raman got came around the Skid Row area in Los Angeles. But when you look at the basic statistics of what happened in person, mail-in before, mail-in after Election Day, it becomes a real statistical quagmire on how did this sort of a sociopolitical shift happen in such a way that it did? Now, there was a report published, and they highlighted the 2018 California midterm elections and the challenges that they saw arise in that midterm election because of some of the legislative changes that were made. First, California Assembly Bill 1921 legalized the practice of unlimited ballot harvesting in the state. What that means is that any individual in the state of California has the right to go and collect ballots from any other individuals, regardless of relationship, fill them out, and send them in. California, two years later, 18 months later, also passed a law that made it permanent that every person registered in the state of California would get a ballot, so tens of millions of ballots then get mailed out. Then there was another series of laws that were passed that said anyone can register to vote. You don't need to prove your citizenship. You can use a gym membership card as an example. So anyone can register to vote. There is no proof of ID when you get a ballot. There is no demonstration that the person who fills out the ballot has anything to do with the individual who's supposed to be voting that ballot, and it is legal for an individual to go out and collect hundreds or thousands of ballots, ship them in, and they will all qualify in these kind of mail-in ballot voting processes. So there's nothing illegal or fraudulent going on. In fact, the system is operating exactly as intended. It has been set up and structured in a way that with the right construct, you can get an individual appointed, not elected, but appointed to a particular role in government under a, quote, ‘free election’ in California.”

Freedom 250 presents Rededicate 250: A National Jubilee of Prayer, Praise & Thanksgiving, live from the National Mall. x.com/i/broadcasts/1yKAPMVNn…

Two Republicans are splitting the vote in the MA governor's race. Should one step aside? Vote and see where the party stands. polls.today/p/massachusetts-…

My wife and I helped create the Federal Scholarship Tax Credit nation wide. It is good for students, parents and teachers. It only requires Maura Healey to opt in. WHY is the media ignoring this educational gift for 80% of parents with kids in school? Ask Maura Healey if she is going to OPT in. She can do it now like other Democrat governors. Party politics or kids ? “The poor quality of our K-12 system, particularly in large urban districts, is a perennial voter concern. Yes, good public schools exist, but they tend to be in communities where only the better-off can afford to live. Affluent families who don’t like their local options use private schools or relocate, while poorer families are relegated to schools where most children can’t read or do math at grade level. wsj.com/opinion/school-choic…

Two Republicans are splitting the vote in the MA governor's race. Should one step aside? Vote and see where the party stands. polls.today/p/massachusetts-…

Massachusetts should be the best place to live, work, and raise a family. Mike Minogue's blueprint for Massachusetts is to restore Accountability, Affordability, Opportunity, and Keep Communities Safe.

As governor, I cannot and therefore will not change the law. Politicians approach this issue to drive hate and divisiveness. Leaders with faith have compassion and also support women with counseling, financial aid and medical care.

Massachusetts Mike

Thank you Massachusetts. It's time for a New Kind of Governor!

Months of hard work. All for tomorrow. Team Minogue is ready to win.

I have not read the trial but perhaps the lack of benefit is more related to the indication of PCI in this group of patients rather than the lack of benefits from using impella. As a frequent user impella offers you time and stability to get complete and image guided revasc.

STEMI-DTU trial showed no reduction in infarct size with Impella CP PCI in STEMI patients w/o CS ❤️‍🩹 Key takeaways: • Despite a 47-minute delay to reperfusion, infarct size was not increased • Higher bleeding risk associated with MCS 🩸 @ACCinTouch

Dr. Navin Kapur and Dr. C. Michael Gibson discuss the STEMI-DTU trial: Mechanical LV unloading with the Impella CP device prior to primary PCI did not reduce infarct size compared with PCI alone among patients with anterior STEMI. #ACC26 View video here: clinicaltrialresults.org/dr-…

📢STEMI-DTU. Presented today & in @JACCJournals The need to knows: 1. Anterior STEMI 🚫shock. (4500 screened, 3800 excluded!) --> 527 pts randomized to a) Impella CP intentional 30-min PCI delay vs. b) immediate PCI 2. WHY? 🤔Mechanically precondition the heart before opening the artery to protect myocardium 3. RESULT? 📢 Neutral. Infarct size ~31% LV mass in BOTH arms. BUT — NO ⬆️in infarct size despite ~47 extra min of ischemia! 4. SAFETY? 34% major bleeding/vascular complications in Impella arm. US sites: 23%. Outside US: 49% Next steps? device drug (here pts were hypertensive potentially limiting Impella benefit?) - Optimize afterload before reperfusion? Why keep going? BC ~75% of anterior STEMI survivors develop HF within 5 years. So maybe the story isn't over yet... Want to hear more? Join me at the MEET THE TRIALISTs session today w/@navinkapur at 1130am! ZONE1 #FunctionNotFailure

Combination of a TV-mAFP plus delayed #PCI did not reduce infarct size in patients with anterior #STEMI without cardiogenic shock compared with PCI alone, according to an #ACC26 #JACC LBCT. Get the details: jacc.org/doi/10.1016/j.jacc.… @NavinKapur4 @GreggWStone @NormanMangner

Other devices that were commonly used? The two leading medical authorities downgraded them. They found no survival benefit. Impella is now the only mechanical heart pump with gold-standard proof that it saves lives in this situation.