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Greg Fell @felly500.bsky.social · 9h

Thanks for sharing

GPs are indeed amazing in this (& many other) space

Properly informed consent matters so much in screening as it is really easy to harm very many people and thus turn well people into patients.....

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Greg Fell @felly500.bsky.social · 20h

If only there were some actual experts in screening who had the competence and capacity to systematically consider all the evidence on benefits and harms.......

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Greg Fell @felly500.bsky.social · 20h

aheblog.com/2025/10/14/c...

Cost-effectiveness thresholds under political pressure: where are the health economists

There have been occasions I've disagreed with Chris's take on some matters
Im 100% with him on this one

Cost-effectiveness thresholds under political pressure: where are the health economists? - The Academic Health Economists' Blog

The UK government is reportedly preparing to raise NICE’s cost-effectiveness threshold by 25%, as a bargaining chip to avoid US pharmaceutical tariffs. It’s time for health economists t…

aheblog.com

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Greg Fell @felly500.bsky.social · 21h

www.bbc.co.uk/sounds/play/...

Better living through chemistry & The man who almost ended the world
CFCs
Leaded petrol
Unintended consequences vs unforseen consequences
(Foreseeability??)
How well uncertainty is factored in and trade offs

An excellent episode of a thoroughly excellent series

Cautionary Tales with Tim Harford - The Inventor Who Almost Ended the World - BBC Sounds

Thomas Midgley’s inventions harmed millions, but could they have been foreseen?

www.bbc.co.uk

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Greg Fell @felly500.bsky.social · 21h

Theres soon to be a test on whether those who opine about screening actually understand the principles on which screening programmes are based
Get your revision done

In the meantime here is a masterclass from Prof Baum

(More advanced classes are available)

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Greg Fell @felly500.bsky.social · 1d

GBD updated

A gift

microsite:
www.thelancet.com/gbd

Cause & risk summary:
www.healthdata.org/gbd-tool-acc...

Data viz:
ghdx.healthdata.org/gbd-2023

Country profiles:
www.healthdata.org/research-ana...

That AMAZING data viz tool looks to have been updated
vizhub.healthdata.org/gbd-compare/

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Greg Fell @felly500.bsky.social · 2d

Systemic changes to make it harder to spread

Jujitsu based persuasion
Use opponents weight Present solutions that dont threaten ideology. Eg - Regulate fossil fuel industry as answer vs promote nuclear industry. One is with conservative ideology one v v much against

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Greg Fell @felly500.bsky.social · 2d

FLICC framework for inoculation against misinformation - explain how it works. Nobody likes being misled
Fake experts
Logical fallacy
impossible expectation
Cherry picking
Conspiracies

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Greg Fell @felly500.bsky.social · 2d

tactics used by those pushing misinformation
We cant do anything
Transition of misinfo from problem to solution
Emphasise downsides Individual level answers - Carbon footprints
Focus attention on demand side answers not supply side

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Greg Fell @felly500.bsky.social · 2d

Elite cues
False balance. How journalists see balance professionally. Scientific v ideological
Capture of academia
Typology of susceptibility- immune, susceptible, vulnerable, amplifier. Can inform comms strategy

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Greg Fell @felly500.bsky.social · 2d

Drilled
The Psychology of Misinformation: Why Does It Work So Well? drilled.media/podcasts/dri...

It matters because it shapes our attitude to policy immensely

S14, Ep3 | The Psychology of Misinformation: Why Does It Work So Well?

Investigating the obstacles to action on climate change.

drilled.media

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Greg Fell @felly500.bsky.social · 3d

Maybe we should just cut to the chase and give the district nursing budget straight to multinational pharma companies and be done with it

More on the same topic in this expert opinion.

www.sciencemediacentre.org/expert-react...

expert reaction to reports from Politico that the UK government has drawn up proposals to increase the amount the NHS pays pharmaceutical firms for drugs | Science Media Centre

www.sciencemediacentre.org

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Greg Fell @felly500.bsky.social · 3d

We then got talking the Naci paper on opportunity cost of NICE decisions, threshold / drug pricing / UK Life Sciences vs NHS budget / Trump pressure …….

Cue more tumbleweed….. and mutters about “that’s a gov policy decision ….. "meanwhile here’s some cool cutting edge innovations to talk about"

expert reaction to reports from Politico that the UK government has drawn up proposals to increase the amount the NHS pays pharmaceutical firms for drugs | Science Media Centre

www.sciencemediacentre.org

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Greg Fell @felly500.bsky.social · 3d

Was in conversation wirh a few innovation and med tec peeps recently

Was all a bit "modern stents and TAVI have saved lives. It’s cool. Innovation is going to save lives. And if it’s better than what replaced it then all’s ok...."

I mentioned my old friend “opportunity cost”.

Cue tumbleweed

expert reaction to reports from Politico that the UK government has drawn up proposals to increase the amount the NHS pays pharmaceutical firms for drugs | Science Media Centre

www.sciencemediacentre.org

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Greg Fell @felly500.bsky.social · 4d

www.sciencemediacentre.org/expert-react...

Screen time and academic achievement

"However, the data from this study doesn’t support that argument".....

expert reaction to study of screen time and academic achievement | Science Media Centre

www.sciencemediacentre.org

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Greg Fell @felly500.bsky.social · 4d

Very much so
We broadly know what to do
But there is an awful lot of capture of the narrative and of systems
Thus not alot of do ....
Avoidable harm is the result

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Greg Fell @felly500.bsky.social · 4d

Beliefism
How to stop hating people with different beliefs
Beliefs about beliefs
Tolerating and celebrating diversity
The limits of beliefism in scientifically settled topics

open.spotify.com/episode/3yOs...

Spotify – Web Player

open.spotify.com

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Greg Fell @felly500.bsky.social · 4d

BBC News - Betting machine gamblers 'offered perks' - BBC News
www.bbc.co.uk/news/uk-3638...

Coral said it takes its commitments to responsible gambling "extremely seriously"

Maybe THIS is what they mean by "responsible gambling"......

Betting machine gamblers 'offered perks'

Betting shop gamblers are offered drinks and free bets to keep them on high stakes machines, staff tell the Victoria Derbyshire programme.

www.bbc.co.uk

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Greg Fell @felly500.bsky.social · 4d

Tim Gill on cities for children
open.spotify.com/episode/15UL...
excellent
a lot on play, spaces, parked cars taking up space

Cities for Children with Tim Gill

open.spotify.com

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Greg Fell @felly500.bsky.social · 4d

Maybe MMWR is just a bit too woke?

Maybe turning off NORAD will be next

Elizabeth Jacobs, PhD @elizabethjacobs.bsky.social · 4d

The editors of the CDC’s Morbidity and Mortality Weekly Report (MMWR) were apparently fired today.

The precursor to MMWR began in 1878 to address emerging public health threats rapidly.

We are not “great” without it. We are vulnerable to threats from sporadic foodborne illness to bioterrorism.

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Greg Fell @felly500.bsky.social · 4d

Def no better

Two thoughts

1 -As @maizie333.bsky.social just observed - not dissimilar to the appalling incentive programs that drove elements of the opioid epidemic…

2- I've sat through a fair few licencing committee where operators say how responsible they are to chance of success

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Reposted by Greg Fell

Elizabeth Jacobs, PhD @elizabethjacobs.bsky.social · 4d

The editors of the CDC’s Morbidity and Mortality Weekly Report (MMWR) were apparently fired today.

The precursor to MMWR began in 1878 to address emerging public health threats rapidly.

We are not “great” without it. We are vulnerable to threats from sporadic foodborne illness to bioterrorism.

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Greg Fell @felly500.bsky.social · 4d

Irish version of Gam Commission and what it is saying about harm reduction

SURPRISE!!!

recommendations on:
Counsellors
Education
Treatment
Awareness
More research

I guess it will all be ok then…….

grai-cms-production-bucket.s3.eu-west-2.amazonaws.com/cms-media/in...

grai-cms-production-bucket.s3.eu-west-2.amazonaws.com

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Greg Fell @felly500.bsky.social · 4d

Yes not surprising

Makes it no less egregious

To note, I've heard plenty of licence applicants wax lyrically about their robust management of safety of players to both Cllrs on licencing committe (in pursuit of that licence)
And once, in court, to a judge

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Greg Fell @felly500.bsky.social · 5d

www.theguardian.com/society/2025...

Self regulation in action

Its almost too egregious to be true

Ill have it on loud repeat at every licensing committee meeting Im at

High street slot machine shops pay staff bonuses linked to how much gamblers lose

Exclusive: MPs and campaigners condemn ‘appalling’ reward scheme for Merkur venue managers

www.theguardian.com

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