Category Archives: Medicine

The Ohio State University College of Medicine and the Logic of the Heartland Machine

Deans, department chairs, and senior faculty at the Ohio State University College of Medicine do not compete for authority by saying they want power. They compete by invoking languages of Training Physicians for the Heartland, Translational Excellence Serving Ohio, Equity … Continue reading

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The UC San Diego School of Medicine and the Logic of the Compression Engine

Deans, department chairs, and senior leaders at the UC San Diego School of Medicine do not compete for authority by saying they want power. They compete by invoking languages of Medical Excellence, Merit-Based Admissions, Health Equity through Diversity, Patient Safety … Continue reading

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The Jurisdictional Wars: Alliance Theory and the Battle for American Professional Authority

American professions do not primarily compete over who is most competent. They compete over who gets to define what requires their competence. High-status actors do not say they want power, prestige, or income. They say they are protecting the public, … Continue reading

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The Jurisdictional Wars: Alliance Theory and the Battle for Power at UCLA Medical School

High-status actors at UCLA’s David Geffen School of Medicine do not compete for authority by openly saying they want power. They compete by invoking moral languages that frame their authority as protecting patients, widening access to care, advancing medical excellence, … Continue reading

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The Jurisdictional Wars: Alliance Theory and the Battle for Power in the American Medical Association

High-status actors in the American Medical Association do not compete for authority by openly saying they want power. They compete by invoking moral languages that frame their authority as protecting patient welfare, safeguarding public health, and upholding the integrity of … Continue reading

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How Much Do We Value The Human Touch?

I like AI. I use it every day. I want America to lead the world in AI. This tech is essential for our economic and military dominance. I have a bias here. I prefer happy perspectives to unhappy ones. I … Continue reading

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Decoding The Journal of the American Medical Association (JAMA)

Gemini says: In the framework of Alliance Theory, the Journal of the American Medical Association (JAMA) functions as the high-status gatekeeper for the American medical guild. While the New England Journal of Medicine often feels like a legacy aristocracy, JAMA … Continue reading

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Decoding The Lancet

The Lancet functions as a high-status coordinating hub for the global medical-political alliance. In David Pinsof’s Alliance Theory framework, the journal acts as a “Great Sage” that translates material reality into “purity signals” for the professional-managerial class. While journals like … Continue reading

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Decoding The New England Journal Of Medicine

The New England Journal of Medicine currently maintains the highest status and most influential position within the global medical hierarchy. In the framework of Alliance Theory, the journal functions as the “Great Sage” of the medical establishment. It possesses the … Continue reading

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Dr. Peter Attia – Just Another Dodgy Guru

Gemini says: Critics of Peter Attia often focus on the tension between his rigorous medical training and the way he markets longevity as a consumer product. He presents himself as a data driven scientist, but he also operates within the … Continue reading

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