steve the skeptic
@policyskeptic.bsky.social
910 followers 900 following 1.7K posts
government policy, health policy, evidence, statistics and sometimes other topics
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policyskeptic.bsky.social
More innovations like this would be welcome, especially compared to expensive cancer treatments that add merely months to life for narrow groups of patients and still cost a bomb.
policyskeptic.bsky.social
Indeed, the problem with the current industry isn't high prices, it is poor value. Expensive cures like Sofosbuvir cost £35k per course but are cures for hepatitis C which save the NHS a ton of money over a patient's life...
policyskeptic.bsky.social
Indeed. I've quoted it recently to demonstrate the absurdity of raising the QALY threshold since NICE already approves too many low value (high cost/QALY) interventions.
policyskeptic.bsky.social
Unless, of course, the industry is making irrational investment decisions to blackmail the government into granting them higher profits. But they would never do that, would they?
policyskeptic.bsky.social
Not a bad idea. Encourage the things we are good at like R&|D, trials and manufacturing.

The NHS is a small part of industry revenue/profit anyway so higher prices is the weakest way to encourage investment...
Reposted by steve the skeptic
philsbodydouble.bsky.social
Global Britian doesn't need people with an English degree!
policyskeptic.bsky.social
BigPharma priorities are not NHS priorities or patient priorities. There is no justification at all for higher drug prices which don't translate into more, useful drugs, just even more monopolistic behaviour to push for higher profits.
Reposted by steve the skeptic
dazwright.com
Is that the same performing arts which is one of the UK's most productive industries?
outonbluesix.bsky.social
How is this repeatedly made into a policy issue - by *all* parties - when the blunt fact of the matter is that grown adults who are obliged to pay for their own education, and relentlessly pursued to repay their loans, should be able to study whatever the fuck they want.
Reposted by steve the skeptic
samfr.bsky.social
If you want to win over younger voters, telling them they can't go to university is probably not going to help.
Reposted by steve the skeptic
gilesyb.bsky.social
The Conservatives' assault on what they see as worthless degrees sounds like an excellent answer to the question, if that question is "how can we possibly alienate young aspiring voters even more?"
Reposted by steve the skeptic
mrjamesob.bsky.social
One significant - & dangerous - thing to watch for is professional commentators objecting to words rather than examining the evidence. It's pearl-clutching & cowardly, obviously, but also a deliberate attempt to avoid confronting exactly what they themselves are facilitating and often cheering on.
bbcnewsnight.bsky.social
“You described Reform and other parties across Europe today as among the 'right wing equivalents of the fascists in the 1930s'. Why?”

“Because that’s what they are”

@vicderbyshire.bsky.social asks Lord Heseltine about remarks he made at Conservative Party Conference.

#Newsnight
Reposted by steve the skeptic
stevensenior.bsky.social
Hot take: we should lower the £/QALY threshold, not increase it.
Reposted by steve the skeptic
carlquintanilla.bsky.social
“.. On closer inspection, however, it turned out that the image was not a photograph of a real event in Portland, but instead a fabrication created by combining two photographs of scenes that unfolded in South America nearly a decade apart ..”

@theguardian.com
www.theguardian.com/us-news/2025...
policyskeptic.bsky.social
no. It is the anniversary of the murder of a load of innocent Israeli civilians.

Israeli actions are unjustified by what Hamas did, but failing to admit what Hamas did is pure biased disinformation.
Reposted by steve the skeptic
stansaidairport.bsky.social
This has just arrived for Kev in Air Traffic. It's a very unusual gift for his girlfriend's birthday, but he's adamant it's what she wants. He checked her search history and he says it's what she googles the most.
Reposted by steve the skeptic
sundersays.bsky.social
The UAE is an authoritarian autocracy, a petro-state with no income tax for citizens, to bribe them for the lack of democratic voice or free speech

It is 85% migrant, a segregated society with a ban on integration in principle and practice, few rights, equal opportunities, nor voice for incomers
Reposted by steve the skeptic
noupside.bsky.social
“Who was president in 2020?” is the question of our time
Senator Jim Banks V
@SenatorBanks
Follow g..
The 2020 Census was a fraud. The Biden admin used a shady "privacy" formula that scrambled the data and miscounted 14 states.
It included illegal immigrants and handed
Democrats extra seats. Americans deserve a fair count and l'm fighting to fix it.
Zinited Statcs SScnate
MASHNORON DEYNN
October 6, 2025
an. Thow arewutn
Socretary
U.S. Department of Commerce Washington, DXC 20230
Dear Secretary Lutaick:
I urge you to investigate and correct erroes from the 2020 Census that handed disproportionntd political power to Democrats and illogal alicns. The Census Burcau adoptod a now and opaque
voting districts. As preparod by the Biden administration, the 2020 Censas roports miscountod the population of fourteen states, ' wrongly allocating six congressional scats aod Electoral
xx conwuu tmora uy, toc taroro tu mot đoo tnn Cunu lc pung t imber of votine districts. And the reoorts de aniovety inchaded ilecnl nhens widhout track those aliens' citiz enship status, If left uncorrected, these erroes will coetinue diluting the political power of American citizens.
Consus data plays a crucial role in allocating political roprescntation and goverment funding
Under the Constitution, cach state gets Congressional represcotutives and Electoeal College votes- based on "the whole number of persons" within the state." The number of persoes is in
tum clabaabod by a consttubocalty-mandalcd dcccacaal ccavas. Pcual agcco nely on census data to allocate billions of dollars in federal funding, much of which hinges ee opulation. And states use consus data to deaw congrossicnal and voting districts, »hich the
The it eiy of tie soaren alie n tor dur at ce hor inc ae oam toy ee n
nght wilbout statsica ly signilicant ciroo.
Diffcrcntial privacy is opaque and liable to mistakcn count totals. Sure cnough, the 2020 Ccnsus ovarocunted the noculation in cicht states and undercounted it in six." Tihe most extrcmi andercount was Arkansas, at 5.04%, and the larg…
Reposted by steve the skeptic
barristersecret.bsky.social
This is a lie.

There are many criticisms you might sensibly and truthfully make of the Sentencing Council and the Sentencing Guidelines. I’ve been making them for years.

But this is an outright lie. Pure fabrication. A fraud on the public.
Reposted by steve the skeptic
sundersays.bsky.social
Party donor Nick Candy says "I cherish the values we grew up with here in the West. But today you are more likely to find the values we grew up with in Dubai and Abu Dhabi.’

Via Sam Leith in the Spectator
www.spectator.co.uk/article/the-...
Reposted by steve the skeptic
omaromalleykhan.bsky.social
I know statistics are poorly understood and are misused. But facts matter

Between the 1991, 2001, 2011 and 2021 Census *every* ethnic group in the UK has become *less* geographically segregated and *all* groups, majority and minorities, are more likely to interact with people not like them
Reposted by steve the skeptic
stevensenior.bsky.social
Yeah, something comparing different offers might be helpful.

I think my issue with this is not that exercise doesn't help, it's that the bias makes the effect look bigger than it is. And that leads to over optimistic estimates of how much the NHS could 'save'.
Reposted by steve the skeptic
stevensenior.bsky.social
Not an RCT. Compares those who took up an offer with those who did not. Could be that those two groups were different in other ways?
Reposted by steve the skeptic
doctorwaffle.substack.com
In honor of National Poetry Day, the greatest parody rewrite of all time:
Screen cap of parodic version of William Blake's "The Tyger" that begins:
Tyger! Tyger! Burning bright
(Not sure if I spelled that right) 
What immortal hand or eye
Could fashion such a stripy guy? 
What the hammer that hath hewn it 
Into such a chonky unit?
Did who made the lamb make thee, 
Or an external franchisee?