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A Jay Holmgren

@ajh

Assistant Professor at UCSF. Digital health, economics, informatics. Michigander in California.

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07.07.2023
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Latest posts by A Jay Holmgren @ajh

The Ohio State University is expected to close ranks and replace him with his hard-line son, further straining an already highly volatile situation in a region that has seen constant conflict over the past several decades

09.03.2026 14:31 πŸ‘ 639 πŸ” 103 πŸ’¬ 29 πŸ“Œ 1

I mostly remember the scene where Rory announces she’s going to Yale at dinner and Emily and Richard don’t react at first because they’re worried she’s unhappy or pressured into it. Short scene but a little heartbreaking.

07.03.2026 01:32 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Oh I remember this now - a somewhat clunky way to show Lorelai is in many ways as guilty of projecting her desires into her children as Richard and Emily were to her? Rory going to Harvard would vindicate her to her parents in every way, it’s a hyper fixation at that point to her.

07.03.2026 01:30 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

If I remember right isn't it mostly that Lorelai thinks Emily and Richard pushed her to even apply to Yale? Part of a long theme of Lorelai feeling like she's losing something in her relationship with Rory by exposing her to the world outside of their mother-daughter dynamic.

07.03.2026 00:35 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Curious that Janet Mills, age 79, has generated unlimited rending and gnashing of teeth over the gerontocracy in a way that Angus King, aged 80 when re-elected in 2024, did not within the same state.

01.03.2026 23:28 πŸ‘ 6 πŸ” 0 πŸ’¬ 2 πŸ“Œ 0

So what questions should I ask the OpenAI speaker coming to UCSF next week

28.02.2026 20:38 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Same here. Would love to see UCSF cancel our enterprise ChatGPT subscription to swap to Anthropic but I doubt it.

28.02.2026 06:19 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Monitoring for Waste: Evidence from Medicare Audits* Abstract. This article examines the trade-offs of monitoring for wasteful public spending. By penalizing unnecessary spending, monitoring improves the qual

Imagine even having a successful model for this type of auditing at CMS already! If only academic.oup.com/qje/article/...

25.02.2026 23:15 πŸ‘ 5 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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THE 2028 GLOBAL INTELLIGENCE CRISIS A Thought Exercise in Financial History, from the Future

Tbh this article is a good reason why econ needs models. The article is basically a very Marx-coded macro model where increasing amounts of labor-replacing capital kills off aggregate demand and causes mass unemployment. Okay, but a lot of assumptions go into that!

www.citriniresearch.com/p/2028gic

23.02.2026 19:53 πŸ‘ 22 πŸ” 3 πŸ’¬ 0 πŸ“Œ 1
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Wait this is my bit

23.02.2026 19:35 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

stancil agreeing to be profiled as part of a piece covering the situation in minneapolis, but then it only being about him, really gives away that our established media/political class *only* care about content and how it plays on twitter/etc.

they don't care about policy, they care about posts

20.02.2026 22:30 πŸ‘ 964 πŸ” 138 πŸ’¬ 23 πŸ“Œ 15
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Jewish Republican Randy Fine draws sharp criticism after suggesting he prefers dogs to Muslims - Jewish Telegraphic Agency Other Jewish politicians have joined the backlash to Fine's tweet.

Randy Fine's extremism and Islamophobia are a disgrace to Congress and antithetical to our Jewish values.

That’s why it’s sparked a wide rebuke from the Jewish community.

18.02.2026 17:04 πŸ‘ 47 πŸ” 20 πŸ’¬ 3 πŸ“Œ 1
Coughing baby vs hydrogen bomb meme

Coughing baby vs hydrogen bomb meme

WSJ editors vs Stacie is like the apex of this meme

11.02.2026 04:23 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

The messaging I've heard from everyone is that AHRQ is not intending to fund any new grants at all for the forseeable future. We'll be lucky to get non-competing renewals to finish out existing awards is the assumption I've been operating under.

09.02.2026 20:14 πŸ‘ 4 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

I can't believe you'd besmirch the olive burger like this. Growing up in Lansing didn't provide a lot of options for great food, we take what we can get.

06.02.2026 22:57 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

No it doesn’t and you should read articles before you post them.

06.02.2026 21:23 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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New paper in Health Affairs on the non-linearity of technical work in clinical practice: physicians who reduce their clinical volume do reduce their EHR burden, but to a smaller degree www.healthaffairs.org/doi/full/10....

05.02.2026 18:26 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 1

Spent the holidays setting up my Claude Code workflow and this is the first time AI has been such a large net-positive productivity increase. Our institutional deal with OpenAI feels outdated already!

05.02.2026 17:21 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

One week from today!

03.02.2026 17:08 πŸ‘ 7 πŸ” 10 πŸ’¬ 1 πŸ“Œ 0
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Instant classic of an image via Getty

31.01.2026 03:29 πŸ‘ 388 πŸ” 93 πŸ’¬ 11 πŸ“Œ 19
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Texas Halts Hiring of H-1B Workers at State Colleges, Agencies Texas Governor Greg Abbott ordered state agencies and public universities to immediately freeze new H-1B visa petitions, curtailing a program that has also been overhauled by President Donald Trump.

one of the least-appreciated own-goals happening right now is the deliberate sabotage of our knowledge/research sector www.bloomberg.com/news/article...

27.01.2026 22:06 πŸ‘ 1054 πŸ” 309 πŸ’¬ 59 πŸ“Œ 33

Doctors and researchers love papers about themselves almost as much as Hollywood loves movies about movies.

28.01.2026 16:51 πŸ‘ 3 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0
Instagram ad for a pair of pants. One leg is red with small embroidered Santa Clauses. One leg is blue with embroidered dreidels.

Instagram ad for a pair of pants. One leg is red with small embroidered Santa Clauses. One leg is blue with embroidered dreidels.

These split Santa/dreidel embroidered critter chinos for fathers of interfaith preppy families might be the most culturally specific pair of pants I have ever seen.

27.01.2026 17:35 πŸ‘ 24 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0
26.01.2026 18:23 πŸ‘ 1004 πŸ” 214 πŸ’¬ 19 πŸ“Œ 1

On the execution in Minnesota: Obviously, the individuals involved should be held accountable. But responsibility goes to the top of ICE and CBP, and DHS. Their appropriations come up next week in the senate. Not a cent for DHS without pulling ICE and CBP off the streets, in MN and everywhere else.

24.01.2026 16:52 πŸ‘ 8036 πŸ” 2187 πŸ’¬ 246 πŸ“Œ 186
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How have I been distracting myself from The Horrors? Well…

20.01.2026 22:28 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Primary Care Clinicians Available for New Patient Visits This cross-sectional study examines changes in the numbers of primary care physicians and primary care advanced practice practitioners available for new patient primary care visits.

πŸ“– Our new study in @jamainternalmed.com examines the primary care workforce serving fee-for-service Medicare beneficiaries using a pragmatic, patient-centered measure: clinicians available for new patient visits per beneficiary.
πŸ‘‰Article: jamanetwork.com/journals/jam...
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20.01.2026 20:13 πŸ‘ 9 πŸ” 4 πŸ’¬ 2 πŸ“Œ 0

I thought I was going to buy my first house this year but Donald Trump and the destruction of the world economic order has different ideas!

20.01.2026 19:19 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

JPOW literally said

12.01.2026 00:37 πŸ‘ 5961 πŸ” 1387 πŸ’¬ 45 πŸ“Œ 30

Some combination of upcoding, genuine additional care delivery, more accurate charge capture, etc. are the likely culprits. As always in health care, one mans ROI is another mans cost driver.

09.01.2026 17:42 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0