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Siderea, Sibylla Bostoniensis

@siderea.bsky.social

Psychotherapist-programmer musician-historian outsider-anthropologist healthcare-blogger science-explainer social critic essay-essayer and soothsayer. Professional wisewoman and amateur wiseass.

47 Followers  |  127 Following  |  139 Posts  |  Joined: 19.07.2023  |  2.2481

Latest posts by siderea.bsky.social on Bluesky

Marjorie Taylor Greene has been disliked by the left for years and years and had never had to fear for her life. She's been disliked by the right for 1 day and now has to hire security.

18.11.2025 01:09 โ€” ๐Ÿ‘ 1292    ๐Ÿ” 375    ๐Ÿ’ฌ 41    ๐Ÿ“Œ 22

There's a phenomenon where when someone is dragged in public for something, some reprehensible creep shows up all, "There, there. Those ignorant peasants are wronging you, but I've got your back". Maybe Epstein seized on Summers' controversy as an opportunity to court Summers as a pal.

18.11.2025 04:48 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Thank you for bringing it to my attention - how delicious!

08.11.2025 22:55 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Escalate: Democrats should announce that, going forward, for each week we are forced to endure this GOP shutdown they will reveal one more demand. Each demand should be universally popular, and fiscally neutral or positive. They should start with increased tax on billionaires to fund the ACA.

05.11.2025 20:33 โ€” ๐Ÿ‘ 464    ๐Ÿ” 138    ๐Ÿ’ฌ 17    ๐Ÿ“Œ 33

Nah, it wasn't that one day people got weird. Those ads were for cis men, who, obvs, society says can do no wrong. Cis women taking hormones of any kind has always been controversial. Q.v. birth control, eliminating periods, and the whole "HRT causes cancer" moral panic.

22.10.2025 22:13 โ€” ๐Ÿ‘ 11    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Paper says the opposite: rare genetic versions of disease are being misdiagnosed as commoner forms of the disease - a finding which is way less surprising.

This is in keeping with the whole idea of Personalized Medicine, which had a moment ~2 decades ago, then stopped being cool for some reason.

22.10.2025 21:41 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Don't be dishonest. You said that in a context, so its meaning is mediated by that context.

20.10.2025 02:08 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

But that's not what you're saying, is it?

I know this is the first time you've ever heard someone criticize what you've been lead to believe is good evidence-based practice.

But you've been lead to believe smth that is obviously logically unsound, and I invited you to re-examine it w skepticism.

20.10.2025 02:03 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

This is how the logic you espouse kills people. Typically to save someone else a buck.

20.10.2025 01:58 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Of course, subsequently, the RTC was in fact performed demonstrating that Gardasil is efficacious at preventing cervical cancer in 30-something-year-olds.

In the intervening decade, some number of them went to their graves for want of a vaccine that "wasn't proven".

20.10.2025 01:57 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

But third party payers were happy to stand on the grounds that Gardasil had not been proven via RCT to be efficacious in slightly older patients, therefore it was off label and they didn't have to pay for it.

20.10.2025 01:56 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Certainly, we ordinarily assume RTCs on one population are evidence of efficacy in others, the most famous example of course being drug trials on male patients being extrapolated to be pertinent to female patients, on whom the drug was never tested.

20.10.2025 01:54 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

There was no particular reason to believe that the HPV vaccine would stop working when one turned 30, and the evidence it worked to prevent cancer in 20yos could certainly have been construed as evidence it works in older populations.

20.10.2025 01:53 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

For example, some interesting but uncounted (though countable) number of people died in the US of cervical cancer, bc the initial RCTs of HPV vax only tested on adults up to iirc 28yo, so insurance would not cover the shot for pts over that age.

20.10.2025 01:51 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

We see this most clearly in medicine, where lack of conclusive proof of efficacy is used as justification for withholding treatments that have lesser but still compelling scientific evidence โ€“ by third party payers, such as insurance, NHS, etc.

20.10.2025 01:49 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Here in reality, we must make ethical decisions in the absence of perfect certainty. To insist on waiting for conclusive evidence is to procrastinate ethics, which is to say to abdicate them.

20.10.2025 01:44 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0

True, but irrelevant. The idea that we should only act on proven certainty is tantamount to the cognitive bias that Type II errors don't exist, and have the pragmatic upshot of being a bias in favor of the status quo, which is to say the already disproportionately as advantaged.

20.10.2025 01:43 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Nominally, interest on rental deposits is legally mandatory in Massachusetts.

Admittedly, the letter of the law can be fulfilled with a 0.01% account, so you're not making real money.

20.10.2025 01:15 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

(Medicaid instead of Medicare, bc Medicaid is what pays for long-term nursing home care even for the elderly, once their finances are wiped out by needing long-term nursing care.

20.10.2025 00:51 โ€” ๐Ÿ‘ 6    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Preview
Proximity to Golf Courses and Risk of Parkinson Disease This case-control of older US adults examines risk of Parkinson Disease by proximity of residence to a golf course.

Given that golf courses are a public health hazard - living near or working on golf courses leads to elevated risk of Parkinson's Disease - that tax money needs to go right into Medicaid to fund the care of people bankrupted by the economic devastation of PD.

jamanetwork.com/journals/jam...

20.10.2025 00:49 โ€” ๐Ÿ‘ 15    ๐Ÿ” 0    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0

How much time do you find yourself spending to check that what you're being told isn't a hallucination?

16.10.2025 19:39 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Why would this work? Does it work? Have you tried it? AIs are the laziest searchers and default to the most mainstream of corporate media.

16.10.2025 19:30 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
Em dash on ChatGPT allegations
YouTube video by Elle Cordova Em dash on ChatGPT allegations

youtube.com/shorts/XKsPa...

16.10.2025 19:18 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Frankly, it seems most likely they have you and other YouTubers they sponsor repeating a false claim, but, hey, if they know something I don't, I would love to know about it.

I cannot stress enough what a big deal this would be if true.

5/5

13.10.2025 18:57 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

I really want to know about it.

If you have a contact at Incogni you can nudge about this for more information, well, you yourself, given your interest in surveillance, might be interested in what they have to say. Certainly I would be.

4/n

13.10.2025 18:56 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

*got*that

13.10.2025 18:53 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Regardless of where they got the info, whether from the dark web or from your insurance claims or just from asking you point blank.

So if anybody has any evidence - even weak circumstantial evidence - got a health insurance company is actually doing this, that is a huge big deal and

3/n

13.10.2025 18:52 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

This is my beat. I predicted it would happen (or might already be happening) a long time ago.

But to my knowledge it's only a hypothetical threat as of yet. Not least because in the US it became illegal in 2014 for health ins to set rates based on health at all.

2/n

13.10.2025 18:50 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Hey, I have a question about something your sponsor claimed. You're the second YTer I have seen sponsored by Incogni reading their copy which mentions the threat of health insurance cos using dark web data mining to raise rates. As it happens,
1/n

13.10.2025 18:46 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Are you using "apps" to mean *social media*? Like FB, Insta, Tiktok, X, and Bsky?

13.10.2025 16:43 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

@siderea is following 20 prominent accounts