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Sara MacKian

@saramackian

Artist, writer, lecturer with a curiosity for how people interact around issues of health, wellbeing, and the otherworldly. All views my own.

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14.01.2025
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Latest posts by Sara MacKian @saramackian

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The ‘murky’ world of GP finance

This is an example of a 10,000 Patient practice

Average patient will have 7 GP practice appts/year, 1 A&E attendance every 3 years, 2 hospital appts/year

£169/patient/year goes GP
£3079 goes to hospitals

£40pa would solve GP crisis
@rthonwesstreeting.bsky.social

02.03.2026 07:43 👍 44 🔁 34 💬 1 📌 0
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Conservative peer quits after Lords probe into PPE deals It comes after a Lords standards probe into his contacts with ministers and advisers during the pandemic.

The VIP lane was rotten to the core.
A national scandal.

07.03.2026 08:00 👍 230 🔁 73 💬 12 📌 4
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‘Don’t go to the US – not with Trump in charge’: the UK tourist with a valid visa detained by ICE for six weeks Karen Newton was in America on the trip of a lifetime when she was shackled, transported and held for weeks on end. With tourism to the US under increasing strain, she says, ‘If it can happen to me, i...

ICE agents are paid a bonus for anyone they seize and that includes tourists- read this account from a retired tourist held for 6wks despite a valid visa and seriously think do you need to go to the States? World Cup and Olympics are huge issues imo

21.02.2026 08:42 👍 114 🔁 69 💬 8 📌 2
Screenshot of two white women who are forensic scientists talking in a lab with subtitles caption "does he know how dreary it can be being a professor?"

Screenshot of two white women who are forensic scientists talking in a lab with subtitles caption "does he know how dreary it can be being a professor?"

Academic ennui in "Silent Witness"

(alt-text predicted "dreamy" not "dreary")

21.02.2026 09:19 👍 11 🔁 1 💬 0 📌 0
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Ethnic cleansing concerns in Gaza and West Bank amid intensified violence and forcible transfers by Israel – UN report GENEVA – A UN Human Rights Office report released today raises concerns over ethnic cleansing by Israeli authorities in both Gaza and the West

Ethnic cleansing concerns in Gaza and West Bank amid intensified violence and forcible transfers by Israel – UN report

20.02.2026 08:13 👍 66 🔁 49 💬 2 📌 2

Just occurred to me that as Trump’s DOJ was investigating, indicting, and arresting Epstein — and talking that same summer to a woman accusing Trump of assaulting her as a child — across almost that exact same timeline he does all that crazy shit with Ukraine that ends up getting him impeached

19.02.2026 07:04 👍 213 🔁 114 💬 8 📌 5
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Jenrick Among the Folding Tables A New Yorker profile

NEW - I'm thrilled to announce I was asked to interview Robert Jenrick at a car boot sale for the New Yorker.

open.substack.com/pub/mrhenrym...

18.02.2026 11:14 👍 204 🔁 68 💬 23 📌 26
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@mrjamesob.bsky.social Bedford CC dealing with the bigots like an absolute boss.

19.02.2026 07:14 👍 3772 🔁 867 💬 83 📌 90
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National security assessment: the planet fails, Whitehall opens a workstream With the planet in crisis and fast approaching a point of no return for climate and environment, Whitehall wants to assess things before acting

National security assessment: the planet fails, Whitehall opens a workstream northwestbylines.co.uk/lifestyle/fo...

18.02.2026 16:57 👍 0 🔁 0 💬 0 📌 0

Incredibly effective writing and maybe the only way left to get to the people who have not vaccinated.

13.02.2026 13:02 👍 9 🔁 3 💬 0 📌 0

I wish I could make all new parents read this, and everyone who hasn’t vaccinated their children.

13.02.2026 13:37 👍 2 🔁 1 💬 0 📌 0
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This Is How a Child Dies of Measles When your family becomes a data point in an outbreak

This is a vivid, horribly relevant read. “She does not sleep well. And as you lift up her pajama top to check her rash one morning, you see that her breathing is labored, shadows pooling between her ribs when she sucks in air. You suffer an icy moment of realization: This is a medical crisis.”

13.02.2026 12:35 👍 387 🔁 240 💬 8 📌 36
“Prohibited words and concepts: Equity, diversity, & inclusion; anti-racism; Bias; Critical race theory; implicit bias; oppression; intersectionality; prohibited discriminatory practices; racial privilege; promoting stereotypes based on personal identity characteristics.”

“Prohibited words and concepts: Equity, diversity, & inclusion; anti-racism; Bias; Critical race theory; implicit bias; oppression; intersectionality; prohibited discriminatory practices; racial privilege; promoting stereotypes based on personal identity characteristics.”

This week, I withdrew from a speaking engagement at a public university because they sent me a list of prohibited “words & concepts.” I will not humor this censorship. It does a disservice to the stories I’m discussing & the audience, who deserve unfettered access to information & conversation.

20.11.2025 22:20 👍 8696 🔁 2163 💬 159 📌 245

Oh God are we doing this again?

A LARGE SWATHE OF YOU WOULD HAVE BEEN DEAD BEFORE THE AGE OF FIVE.

SCARLET FEVER WOULD HAVE CARRIED YOU OFF IN DROVES

17.02.2026 22:13 👍 54 🔁 10 💬 10 📌 1

It was an absolute pleasure being part of this conversation. Talking about death can help you learn a lot about life...

18.02.2026 13:04 👍 2 🔁 0 💬 0 📌 0
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“I’m really worried for my friends and neighbours who are immigrants, or the children of immigrants, who’ve kept our city region moving.”

Our candidate for Gorton and Denton, Hannah Spencer, says the threat of adopting ICE-style tactics would put hardworking communities in the firing line.

15.02.2026 13:01 👍 319 🔁 110 💬 8 📌 12
Lowkey DESTROYS Media Coverage of Mandelson, Epstein & Mossad
Lowkey DESTROYS Media Coverage of Mandelson, Epstein & Mossad YouTube video by Double Down News

The annoying thing about Substack, client journalists who are all earning 6 figures have opened accounts, spreading their half truths and misinformation there also! Support independent journalism like this. PLEASE watch this, you will learn that legacy has 1/2
youtube.com/watch?v=k6I8...

15.02.2026 07:18 👍 40 🔁 21 💬 3 📌 0
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Can anyone think of another group of people who did this? Clue: Germany 1930s.

15.02.2026 20:29 👍 45 🔁 21 💬 8 📌 1
Has Donald Trump Finally Lost It?
Has Donald Trump Finally Lost It? Donald Trump’s mental decline has gotten worse.Why is the media only barely starting to report on it?And why won’t they

Donald Trump’s mental decline has gotten worse.

Why is the media only barely starting to report on it?

And why won’t they ask who’s really making the decisions in the White House? https://youtu.be/NQHLciC67V8?si=uoJIQXi5JIEJvac-

16.02.2026 01:01 👍 2157 🔁 707 💬 172 📌 31
Watercolour drawing of dahlias in a blue jug with some small shells (sold)

Watercolour drawing of dahlias in a blue jug with some small shells (sold)

Mostly dahlias, watercolour and indian ink
#floral #watercolour

13.02.2026 14:56 👍 6631 🔁 663 💬 142 📌 14
Original post on threads.com

The UK’s favourite pint-sized fascist, Tommy Robinson, has announced that he now self-identifies as a refugee. Although Little Tommy is biologically patriotic, and grew up fiercely opposing refugees, he had a change of heart after feeling “unsafe” in Luton […]

14.02.2026 14:26 👍 1 🔁 2 💬 0 📌 0

For 50 years, the median wage of hourly workers stagnated or declined while the stock market and CEO pay skyrocketed.

Is it any wonder why so many feel abandoned by the system? People lose faith, and a demagogue fills the void.

This is why we must fix the system. AOC is right.

13.02.2026 19:49 👍 6514 🔁 1814 💬 147 📌 59
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#BlueSkyArtShow #Wood #Symmetry #GreenMan #Reflection

14.02.2026 16:01 👍 23 🔁 2 💬 1 📌 0
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Stop Palantir taking over our public services! Our public services aren’t for a secretive profit-hungry US tech firm. Sign the petition to tell the Government to scrap all contracts with secretive US tech firm Palantir.

Palantir, a US spy-tech firm, has been given access to millions of NHS patient records.

Its founder has said the NHS should be 'ripped up'.

Join me in calling on the government to end the dangerous Palantir contract.

you.38degrees.org.uk/petitions/st...

13.02.2026 10:26 👍 4170 🔁 1901 💬 117 📌 87

A few days ago, I stood in the graveyard of an 1100 year old church, getting damper and damper in the drizzling rain.

A woman walked into the graveyard, waved, said hello, and, as we had previously arranged, handed me a paper bag full of human bones.

The life of a churchwarden is a strange one...

23.01.2026 11:44 👍 3139 🔁 864 💬 38 📌 303

I say to the police that it's important to us, to have the bones back. That whoever they belonged to wanted to be buried, here, at this church. That even though time separates us, time is nothing to God, and they are still part of our community. I say we want to bring them home. To rebury them.

23.01.2026 12:04 👍 896 🔁 24 💬 6 📌 11
The cover of Arthur’s children’s book “Jacob’s Transition Goals” that will be released on 21st April 2026

The cover of Arthur’s children’s book “Jacob’s Transition Goals” that will be released on 21st April 2026

Super excited to share the cover of my children’s book Jacob’s Transition Goals!

Jacob’s Transition Goals is about an 8 year old transgender boy who starts playing football for his local boys team. It’s a joyful story that I wish I’d been able to read when I was a trans kid.

Out April 21st!

🏳️‍⚧️🏳️‍⚧️🏳️‍⚧️

23.01.2026 18:20 👍 457 🔁 143 💬 14 📌 8

also, side note, but why are these deranged outbursts by a deranged racist & misogynist ‘embarrassing’ for Starmer, who’s trying to prop up a security alliance in the face of madness, and not ‘embarrassing’ for the journalists working on these stories who’ve done so much to sanewash Trump?

20.01.2026 10:40 👍 646 🔁 122 💬 20 📌 6