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Unnecessary medical care provider

@usmpa-c.bsky.social
266 followers 817 following 416 posts

Marine veteran. Physician Assistant. Dad. Trans rights are human rights.

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Adam Serwer @adamserwer.bsky.social · 27/09/2026
I like that in becoming a nazi, you get glowing coverage as a brave iconoclast, and then when you stop being a nazi, you’re get glowing coverage as a brave dissident. Money coming and going. Only way you lose is having normal opinions like “racism bad” bsky.app/profile/trac...
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Radley Balko @radleybalko.bsky.social · 27/09/2026
“Muscular Christianity” means that when when you’re glazing the serial predator president who deports refugee children, executes fishermen, and builds idols to himself, you TYPE REALLY HARD.
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Mike Ginn @shutupmikeginn.bsky.social · 26/09/2026
porn is so deeply misogynistic. i just watched a video with dozens of performers going at it, and they literally hadn’t bothered to hire a single woman.
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arr @arr.bsky.social · 23/09/2026
This makes me hopeful. This number is aspirational but nowhere near out of reach: a working professional could realistically cash out their 401k and buy off a public official. Owning a senator is more attainable for most Americans than home ownership.
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Doll @dollspace.gay · 21/09/2026
You are not practicing hard-headed pragmatism. Pragmatism produces a result. You are volunteering someone else’s civil rights as a coupon for votes you cannot identify, from people who still will not vote for you, and calling the receipt a strategy.
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Charlotte Clymer @charlotteclymer.bsky.social · 18/09/2026
Gosh, if only there were some kind of professional organization for White House journalists that existed to advocate for the First Amendment and defend the freedom of the press. They could organize together as a united front against Trump's censorship. That would be something.
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Adria @adriaandthepriors.bsky.social · 14/09/2026
Fred works on a chimney and smokes like one too. Best thing you will see today.
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GOLIKEHELLMACHINE @golikehellmachine.com · 14/09/2026
none of this is *good*, the effects will be bad for *everyone*, but MBS and the kingdom learning why everyone else on the planet knows not to trust trump *is* kind of funny
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Courtney Milan @courtneymilan.com · 14/09/2026
We are not going to get out of the fascism problem by accepting just enough fascism to turn the heads of the fascism-curious.
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Unnecessary medical care provider @usmpa-c.bsky.social · 14/09/2026
After 46 years on this planet I have achieved a level of mental health and self knowledge that is allowing me to achieve previously unthinkable levels of regret
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Daniel José Older @djolder.bsky.social · 14/09/2026
"The University of Chicago’s undergrad social-sciences division will go “analog” this fall, implementing a blanket policy banning technology in class and AI assistance on coursework across the division’s core courses." www.chronicle.com/article/u-of...
chronicle.com
U. of Chicago Bans Tech, AI in Social Sciences Core Courses
The new restrictions apply to students and faculty members.
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bossk baby @bonnnt.bsky.social · 14/09/2026
It is so mentally corrosive to try to ascertain, every day, whether the images I am seeing or the texts I am getting or the phone calls I am receiving are real - produced by a human who is trying to communicate something with me, even indirectly. It makes me feel insane and paranoid all the time
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Sarah Clarke - Not your doll @damselindystopia.northsky.social · 09/09/2026
This kind of thing is extremely apples to oranges because all the things Frazee namechecks here lacked mainstream respectability whereas LLMs have been immediately and enthusiastically pushed by major corporations, governments and educational institutions.
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Max Kennerly @maxkennerly.bsky.social · 08/09/2026
When I say "bullshitting is inherent to LLMs," I don't mean it colloquially, I mean it empirically. Here's the bleeding edge of the frontier (Opus, Sol, Fable, Astra), and the lowest bullshit rate (answering wrongly instead of admitting ignorance) is 45%. artificialanalysis.ai/evaluations/...
AA-Omniscience Hallucination Rate vs. AA-Omniscience Index
AA-Omniscience Hallucination Rate (lower is better) measures how often the model answers incorrectly when it should have refused or admitted to not knowing the answer. It is defined as the proportion of incorrect answers out of all non-correct responses, i.e. incorrect / (incorrect + partial answers + not attempted) · AA-Omniscience IndexAA-Omniscience
Description: AA-Omniscience is a knowledge and hallucination benchmark that measures factual reliability, rewards precise knowledge, and penalizes incorrect guesses or hallucinations. It provides a detailed assessment of a model’s ability to distinguish known from unknowns across diverse knowledge domains.
Paper: https://arxiv.org/abs/2511.13029
Dataset: https://huggingface.co/datasets/ArtificialAnalysis/AA-Omniscience-Public
Implementation:
The benchmark consists of 6,000 questions covering 42 topics, including Business, Humanities and Social Sciences, Health, Law, Software Engineering, and Science, Engineering and Mathematics.
Models are scored using the AA-Omniscience Index, which assigns points for correct answers, subtracts points for hallucinated responses, and keeps abstentions neutral, rewarding abstentions over incorrect guesses
Each answer is graded as either CORRECT, INCORRECT, PARTIAL_ANSWER, or NOT_ATTEMPTED based on the model's response and the ground truth answer. GPT-5.6 Luna (medium) is used as the grading model
Intelligence Index Integration: AA-Omniscience contributes two components to the Intelligence Index: (1) Accuracy - the proportion of correct answers, weighted at 10% of the overall Index, and (2) Non-Hallucination Rate - calculated as 1 minus the hallucination rate, weighted at 5% of the overall Index (AA-Omniscience's 15% share).
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Unnecessary medical care provider @usmpa-c.bsky.social · 08/09/2026
This is one of the dumbest things I have ever read in my life.
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Clive @theartofclive.bsky.social · 04/09/2026
Wow. Suggesting reordering the world, including trading Taiwan or turning near bankrupt Americans into indentured soldiers. And all to solve Israels problems. And I see no consideration of the side effects of these plans. For most of the world a cure far more deadly than the disease.
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Better Things Are Possible @internethippo.bsky.social · 07/09/2026
Central planning doesn't work because a few bureaucrats can't allocate resources efficiently for a massive country. That's why we love the free market, where a few billionaires do that
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Unnecessary medical care provider @usmpa-c.bsky.social · 07/09/2026
I was around when the internet first came out, and it was really exciting because it let us interact and connect in new ways, and I was around when smartphones came out, and it was really exciting to see how many new things were possible with this transformative technology.
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Matthew Gertz @mattgertz.bsky.social · 28/08/2026
A far-right ethnonationalist movement turning the machinery of the state against its early activists once they are deemed insufficiently loyal — now I’ve heard everything.
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Starfire’s Deranged Neocon Foreign Policy Podcast @irhottakes.bsky.social · 28/08/2026
My ill-informed opinion on Piker is that he chose provocateur as his career path as is constitutional right, and by all indications, he's been successful at it. But having made this decision, he has to learn to live with provoked people the same way swineherds live with swine and bricklayers bricks.
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A.R. Moxon @juliusgoat.bsky.social · 25/08/2026
Starting to suspect that, contra the dominant mainstream narrative, what motivates the conservative movement is not a desire to reduce antisemitism.
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Ross Johnson @rosserford.bsky.social · 26/08/2026
We’re going to hear about how everyone loved Dolly, and that feels true. But it’s good to remember, and to her credit, that she was attacked for her AIDS activism, her vaccine advocacy, her LGBTQ+ support and even, more recently, for her reading initiatives. She ALWAYS stood firm when it mattered.
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Kevin Bird @stairwaytokevin.bsky.social · 24/08/2026
God being a racist academic must be so great. You’re completely relieved of any social, legal, and professional obligation or responsibility. A helpless smol bean that has to be protected at all costs just because everyone hates you and you can’t do anything right.
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gwen pepperoni 🏳️‍⚧️🤘🏼🍕 @gwenpepperoni.myatproto.social · 25/08/2026
man if only there was some sort of initiative that involved things like diversity, equity, and inclusion that could have had the right people in the right places to prevent this from ever happening. I'm just spitballing here
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Aaron Wrotkowski @aaron.wrotkowski.ca · 24/08/2026
The dumbest motherfuckers alive falling for, "your first hit of crack is free" The end goal of the free AI tools is that you've made it so necessary to your life you will pay for an AI subscription the way you pay for electricity and Internet once they switch to the pay model.
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Per Damkier @perdamkier.bsky.social · 18/08/2026
Sadists. All of them👇
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sexy pride month lukedovician @beardynoise.bsky.social · 17/08/2026
tax fraud 😔
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David, just David @coldwarhost.bsky.social · 16/08/2026
Tell me again about your "warfighting"?
The novelist Neal Stephenson got it right when he described the U.S. military in World War II as "first and foremost an unfathomable network of typists and file clerks, secondarily a stupendous mechanism for moving stuff from one part of the world to another, and last and least a fighting organization."
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Tanita Tikaram @tanitatikaram.bsky.social · 15/08/2026
White professor ‘ MattGPT ‘ whose most recent book contained fabricated quotations, non-existent source references, & left ChatGPT URLs accidentally embedded in footnotes is sad about Jason Arday’s death but still wants Arday & all black academia held to higher standards than his own writing .
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Ben Collins @bencollins.bsky.social · 12/08/2026
Poll results vs. how poll results are presented in the Wall Street Journal.
Zohran with a 69% approval to 24% approval, highest favorably for a New York Mayor since LaGuardia announced the free candy and handjobs for all program.WSJ: Mamdani’s Honeymoon With New York is Over
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William B. Fuckley @opinionhaver.bsky.social · 12/08/2026
'lots of middle aged men are taking gear' very underrated explanation for what's going on in the world right now
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Jared Pechaček @vandroidhelsing.bsky.social · 06/08/2026
new issue of Vizier Monthly is out
a fake magazine cover with a cruelly smiling old woman in red vaguely Renaissance garb, leaning on a staff with a serpent twined around it. Headlines around her:
So He Saw The Strings: What To Do When Your Lord Thinks He's a Real Boy
Chalices, Knives, Nooses: How's a Girl to Choose?
Why Satraps Rebel: 10 Cautionary Tales
12 Moves For The Ambitious Concubine (and a 13th for the New Favorite!)
"I'm Just Getting Better With Age": Catching Up with Brynza, the King's Eye
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itwasgg.bsky.social @itwasgg.bsky.social · 10/08/2026
Well that's part of US journalistic duty (still trying to redeem themselves from that shameful and unfortunate 'bringing Nixon down' partisan hack job):
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Ed Burmila @edburmila.bsky.social · 10/08/2026
The only to understand about "MAHA" or Trumpism is that these people all believe the fundamental flaw with our society is that we devised too many ways to intervene against the laws of nature to allow The Weak to survive. They're solving the problem that some kids should be dying but aren't.
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Hamilton Nolan @hamiltonnolan.bsky.social · 10/08/2026
“Winning is the worst thing that could happen to the left” is a genre of commentary that you can expect to get more and more popular now that the “These wackos will never win” genre has lost its plausibility.
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Johnathan Perkins @johnathanperk.bsky.social · 11/07/2026
Those close to me, know one of my favorite movie genres is racist white ppl getting knocked into another universe after harassing Black folks. Maybe I should start posting white ppl punishing their fellow whites for racism as motivation and instruction for would-be racial accomplices. Punch Nazis.
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Kenny Logins @kennylogins.bsky.social · 05/04/2026
Paddy Raff @paddyraffcomedy
*reading an article in 30 AD’

'Meet Jesus, the man who started with NOTHING & built one of the world's fastest growing religions!'

Me: wow!

*top of paragraph 3*

'With a little help from his father, God'

Me: fucking knew it
10:53 am • Mar 12, 2021
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andy™ @andylevy.net · 05/08/2026
media when maga wins an election: we must travel the country and speak to these voters and extend empathy to them and give credence to their bigotry and false beliefs media when the left wins an election: is this the end of the american experiment
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Luke Ontario @coolhand.bsky.social · 29/07/2024
Wow. This is such great advice it startled me
A tweet:

Megan K. Stack ®
@Megankstack
At bedtime the 8 yo told me his teacher said: "Think of your mind like a pond full of fish and each fish is a feeling. Try to be the pond, not the fish." And all I can say is primary school has significantly improved.
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flyingrodent @flyingrodent.bsky.social · 29/07/2026
That being so, you can probably imagine how awesomely stupid it was for the Sensible Centrist parties to decide this was an amazing opportunity to seize and totally own “the super-wealthy hoarding all the assets is good for society” as their issue, because that worked great in the 80s and 90s.
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Byron C Clark @byroncclark.bsky.social · 17/07/2026
The creator of Roger Rabbit (who is 85 years old by the way) is a good sort Crossposted with @openvibe.social
Gary K. Wolf •  
••
I've had to unfriend a few fans lately, all for the same reason. They made ridiculing, unkind, and in some cases outright cruel comments about pictures I posted of young women cosplaying Jessica. 
More than a person, Jessica is a state of mind. To play Jessica, you need self -confidence, a sense of humor, and a Jessican -attitude-. There is no such thing as a Jessica cosplayer being too short, too flat chested, too heavy, too thin, too unattractive, too black, too Asian, or even too male!!! All Jessica, any Jessica, every Jessica is good Jessica. 
I'm not giving any warnings or second chances. A single disparaging comment on a Jessica cosplayer, and I'm throwing you out of the rainbow colored Toontown Tent.
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E Polybius Unum @striderhlc.bsky.social · 26/07/2026
At this point I have little patience or sympathy for institutional Dems, who have spent much of the last quarter-century sleepwalking into exactly this position and screaming at anyone who warned them about it.
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rax ‘levon honkers’ king @raxkingisdead.bsky.social · 13/07/2026
what i'd like to contribute to the ongoing masculinity discourse is that the truest sign of a fella's manfulness isn't his strength or his height or his successes with women. it's not about his job or how he dresses. it's about whether he has a cell-level desire to dig a big hole at the beach
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Writer at The Argument @mustache-era.bsky.social · 12/07/2026
Lindsey and I disagreed on many things. But we shared the patriotic view that no amount of misconduct in office should lead to our removal from polite society, constrain our ability to go on tv, or restrict our ability to make money influence peddling after leaving office.
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The Good Men Project @goodmenproject.bsky.social · 12/07/2026
goodmenproject.com/featured-con...
goodmenproject.com
Fox News Poisoned America and Killed the Goodness in People We Love
We The People should file a class-action suit against them
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Thomas Lecaque @tlecaque.bsky.social · 12/07/2026
To be a historian is to speak ill of the dead and the rest of you should take more history classes and join us.
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Dean Obeidallah @deanobeidallah.bsky.social · 12/07/2026
Michael Fanone's take on Lindsey Graham is one of the most powerful I've read:
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Damien Owens @damienowens.bsky.social · 11/07/2026
My wife says I remind her of James Bond. I’m not good at following orders, I’m emotionally dead, and she’d like to see the role go to Idris Elba.
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Unnecessary medical care provider @usmpa-c.bsky.social · 08/07/2026
The history books will eventually establish a date that American democracy ended. I don’t know when that will be or if it is already in the past but I am 100% sure the Supreme Court and the Iowa Caucuses will persist for a century afterwards.
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