Not problematic or annoying. Provocative, in a good way. Like science is supposed to be.
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And I'll just leave with this one for now, because he doesn't seem to recognize how profound the problem of science denial and conspiracy theories are is.https://sciencebasedmedicine.org/all-science-denial-is-a-form-of-conspiracy-theory/ …
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Your “oeuvre” re science based medicine is really compelling. Vinay’s “oeuvre” is too. No need to convince or prove that one argument negates the other. Non-resolution of debate is frustrating but perhaps inevitable. A feature not a bug of Twitter.

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