Tom Wallach's avatar

Tom Wallach

@mdwallach.bsky.social

378 followers 343 following 1190 posts

Division Chief of Pediatric GI at SUNY downstate. Pain, EED, health equity, and intestinal barrier science. formerly of UCSF/Columbia. Ed board @jpgnreports . hater of ALS. only represent me. he/him


Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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Hand them a used car dealership and they’d storm the capital

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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They are just assholes who want to fight. Put them in a different context and they’d be at trump rallies hooting

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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So we need to encourage! The rich assholes left the people a key that lets us seize power and we need to organize to counteract the ways they try to stop us. The whole “voting doesn’t matter” thing is a fucking trap

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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But accelerationists who think burning it all down will get us a utopia instead of a lot of dead minoritized and poor people and potentially decades of much worse fascism are loons.

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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I for one will not enjoy the camps.

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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Well, if I didn’t live in fucking Hakeem Jeffries district and had a real progressive to vote for I could. But I’ll enthusiastically vote Chi Osse and for a better mayor and governor.

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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I can help minimize the harm they do by voting in primaries and generals for local and federal officials who don’t suck.

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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This admin has done a ton of good things yet I remain absolutely sickened by them due to Israel policy. I’d have enthusiastically voted for a better person in the primary if we’d had a real one. But reality forces me to act as one option is obviously worse

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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I think we have to recognize how shitty and unrewarding voting often is while still noting it remains the best tool we have.

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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Sorry yeah it’s like how cars devalue when you drive them off the lot.

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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Oh yeah, honestly that probably means we will need more you are priced as a “gently used” sacrifice

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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It sucks so damn much that we have such feckless leaders the answer is “vote harder” but if we do it right we can also get rid of the trash electeds as well as prevent badness.

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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They can tilt the system against people in so many ways but it does remain true that voting gives us a pathway to overcome their capture of the system

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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As we know this will somehow accelerate the process of a socialist utopia, so we celebrate your sacrifice

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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This is in fact ideal! Dogma and inability to interpret new concepts is a conservative feature.

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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Hardcore progressives should vote in every primary, every local election. It’s the most powerful your vote gets

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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And like voting for president is (usually) the least important thing, it’s like city council, state senate, congress. This year means a bit more since the republicans made president king but

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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It absolutely sucks that it remains voting followed by individual actions but the impact of actual good governance is just insane

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Reposted by Tom Wallach

Brendel's avatar Brendel @brendelbored.bsky.social
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Everyone is always afraid to say why people like Trump or Marie Le Pen have some level of popularity and it’s just that there’s a lot of people in the world who believe in racism. You end up with these goofy ass explanations for Trump where it’s NAFTA or shit and it’s like no you know what it is

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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At very least it keeps the story alive closer to e-day

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Reposted by Tom Wallach

Kelsey Atherton's avatar Kelsey Atherton @atherton.bsky.social
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"Expand the court" has gone from radical solution to the most exceptionally moderate option on the table.

25 replies 869 reposts 3583 likes


Reposted by Tom Wallach

b-boy bouiebaisse's avatar b-boy bouiebaisse @jbouie.bsky.social
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SCOTUS is telling us that it has completely signed on to the project of a second Trump administration, which is establishing an elected autocracy.

48 replies 700 reposts 2860 likes


Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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Fuck man we are really gonna have to leave aren’t we

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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Bucatini needs to be a bit Al dente Ryan sheesh

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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Oh I was just gonna use my arm but sure we can do it “professionally”

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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Look I can prove it but you won’t like it

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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Bucatini is a way more robust noodle than anything Ryan brings to the table

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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As a gastroenterologist I can assure you that you are hollow.

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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I’m only biased against folks from Milan.

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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Nits make lice q, and kids getting taller means tall adults.

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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So glad we have this instead of libraries

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Reposted by Tom Wallach

ryan cooper's avatar ryan cooper @ryanlcooper.com
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when I tell people if we paid Canada prices for universal Medicare taxes would go *down* about 2/3 simply refuse to believe me

24 replies 135 reposts 550 likes


Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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Things change when you have a kid you want someone who can hang when shit hits the fan

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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*bites lip* and maybe an oversized t shirt you got at a concert and a messy bun?

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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Are you also wearing sweatpants and slippers?

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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Hope things feel lighter soon bud.

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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Pretty long time as long as you are drinking some water.

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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Ovie is going on one last ride

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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Are they going to win the cup? Obviously not. But also obviously

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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All the relevant parties to this conflict seem to have decided civilians and children are targets.

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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Tbh I don’t think entertaining this sort of comparison is as favorable to Israel as it used to be.

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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Pro con of taking a 3 year old to a music festival? (He will of course have headphones for sound protection)

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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This trial is already paying for itself

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Tom Wallach's avatar Tom Wallach @mdwallach.bsky.social
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Way too few capital letters. But he may have dictated it

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