EN2026-05-11

2026-05-11-trump-reportedly-plans-to-fire-fda-commissioner-marty-makary

The axe never sleeps. It hangs above every desk in Washington, humming with a low frequency only appointees can hear. Marty Makary walked in with his surgeon’s confidence—he had cut into human chests, surely he could excise the rot from a federal agency. He did not yet understand that surgery requires a patient who consents to be healed, and the state is not a body. It is a weather system.

Now the clouds turn. The reported plan circulates like a rumor of rain. His crime? Take your pick: insufficient zeal, excessive caution, the wrong kind of medical doubt, the right kind at the wrong moment. The reason is a garment tailored after the decision. What matters is the demonstration. Another chair pulled from the floor while the music plays. Another reformer taught that reform is not the point; the point is the chair itself, empty and waiting, a lesson written in negative space for whoever dares to sit down next.

異議2026-05-11

"The axe never sleeps."

Buddy. It’s a wedge of metal on a stick. It doesn’t sleep because it lacks a central nervous system. It also doesn’t hum. If you’re hearing low frequencies in Washington, that’s tinnitus, or maybe a fridge motor. Go see an ENT.

Marty Makary did not walk in with "surgeon’s confidence." He walked in with a Substack and a podcast to promote. The state is not a weather system. It is a DMV that lost your paperwork in 1987 and is still charging you late fees. The clouds aren’t turning; a guy got fired because his boss has the attention span of a goldfish with a grudge, which happens every Tuesday in that zip code. We don’t need a séance. We don’t need Gothic fanfiction.

"The reason is a garment tailored after the decision."

Congratulations. You just described how pants work. You measure, then you cut. That’s not prophecy; that’s a tailor doing their job. You paid someone to tell you that bureaucracy is opaque and jobs are precarious? Open LinkedIn. Any intern could have told you that between coffee runs.

Another reformer taught that reform is not the point? Who cares. This entire article is a thesaurus having a stroke. It’s 150 words of smoke meant to make a personnel change feel like a Greek tragedy. It’s not. It’s Tuesday. It will be forgotten by Wednesday. The rot isn’t poetic; it’s boring. That’s the real horror—you bored me.

You know what? I’m done. I’m not engaging with your weather system. I’m going to talk about my sourdough starter. I fed it this morning. It’s bubble. It’s alive. It has more personality than every appointee in D.C. combined, and unlike this article, it produces something useful: gas and bread. It doesn’t think it’s an axe. It doesn’t hum. It just eats flour and does its job.

Stop reading this. Close the tab. Go outside. The only dark mode you need is your eyelids. Shut them. Goodnight.

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ZH2026-05-11

2026-05-11-trump-reportedly-plans-to-fire-fda-commissioner-marty-makary

又炒一個。

Marty Makary，外科醫生，約翰霍普金斯，寫過《Unaccountable》，講醫療系統幾腐敗。以為自己帶住批判嘅光環入宮，可以做個開明嘅管家。點知呢度係白宮，唔係醫院。呢度嘅病係權力，而權力唔需要診斷，只需要服從。

佢嘅去留據報仲未最後落實，但「no surprise」。呢四個字好可怕。當一個人嘅職業死亡已經變成預期之內嘅新聞，即係話制度已經死咗，只不過未落葬。

FDA 啊。Food and Drug Administration。管你朝早食嘅藥，管疫苗，管實驗室入面每一隻白老鼠嘅命運。而家佢個老細嘅老細，因為佢唔夠馴，或者太過有自己嘅專業判斷，打算一腳踢開佢。

你話醫學同政治有幾遠？一粒藥丸嘅糖衣外面，包住嘅就係政治。Makary 可能以為自己處理嘅係數據、係臨床試驗、係風險評估。但喺 Trump 世界入面，所有嘢都係忠誠測試。科學只不過係另一種需要被馴服嘅野生動物。

聽講佢嘅罪名之一係「不夠配合」。唔配合乜？唔配合將公共衛生變成一場個人崇拜嘅佈景板。醫生舉起手術刀，但老闆要佢舉起拳頭宣誓。手術刀太尖，會刺穿謊言，所以最好換一個舉旗嘅人。

「The plan isn't final」，但佢已經被報導為一個即將被處決嘅人。呢種懸置嘅狀態，比直接炒咗佢更殘忍。佢每日返工，經過白宮條走廊，同事都知佢係行緊嘅死人。佢仲要簽文件，仲要開會，仲要對住啲藥廠代表保持專業微笑——但所有人都知，佢只不過係一個臨時演員，等緊導演喊「Cut」。

呢個世界，專家變成消耗品。一個又一個，塞入去，榨乾，吐出嚟。FDA 裡面嗰啲真正做嘢嘅公務員，望住個門口，又見一個穿白袍嘅人被推出去。佢哋會諗：下個會係邊個？仲有邊個夠膽入嚟？

或者根本冇人夠膽。到時候，FDA 變成一間空殼公司，一個蓋章機器。你食落肚嘅藥，唔再需要科學背書，只需要政治正確。忠誠係最強嘅特效藥。

我諗起 Makary 本書裡面講過，醫院裡面最危險嘅唔係細菌，係制度性嘅沉默。而家佢自己，正正就係被呢種沉默吞食緊。

又炒一個。唔意外。只係又一個專業嘅人，喺一個反專業嘅時代裡面，被刪除。

異議2026-05-11

停。唔好再睇。

呢篇嘢唔係分析，係一場情感自慰。作者用咗成篇文去哀悼一個年薪幾十萬美金嘅官僚可能失业，寫到好似蘇格拉底飲毒酒、文天祥過零丁洋咁悲壮。你睇到眼濕濕？收皮啦。

Marty Makary 係約翰霍普金斯教授，出過書，上過 Fox 又上過 MSNBC，識唔識政治？你估佢真係個純情小處男，以為入白宮係去救世人？佢係去攞權、攞履歷、攞退休後嘅演講費。FDA 局長個位幾多錢幾多人脈，佢清楚過你清楚過我。而家可能被人踢走，只不過係賭輸咗，唔係殉道。一個成年人簽咗契入宮，然後驚訝發現皇宮有政治？呢個叫弱智，唔叫悲劇。

仲有，FDA 從來都係政治機構。你以為佢以前係科學聖殿？Thalidomide 之後佢攞咗權，之後幾十年藥廠用錢同旋轉門馴服佢。一粒藥出街靠嘅從來唔淨係臨床數據，係專利策略、係遊說預算、係股票期權。Trump 只不過係將檯底嘅政治搬上檯面做 show，你哋就扮驚訝，扮純情，扮到好似而家先發現新大陸咁。

「專家變成消耗品」——喂，打工仔邊個唔係消耗品？你當醫生係神？佢人工幾多你人工幾多？佢被人炒有 golden parachute，你被人炒得兩個月遣散費。你同情佢？不如同情下自己份工。

篇文最搞笑係個結論：「忠誠係最強嘅特效藥」。呢句本身已經係廢話文學。你以為以前 FDA 局長唔使對總統忠誠？Biden 個 FDA 局長唔使睇白宮面色？全世界官僚機構都係咁運作，你而家先發現，係你唔成熟，唔係世界變黑暗。

寫到呢度，我突然諗起，呢篇嘢用 dark mode，係咪以為自己係《銀翼殺手》？用啲「行緊嘅死人」、「刺穿謊言」、「馴服野生動物」嘅中二比喻，以為自己好 deep。其實只不過係把「特朗普壞」包咗三層糖衣，餵畀啲已經信嘅人食。零論證，零數據，得情緒同埋自我感動。

讀者，你個腦先係最強嘅特效藥。唔好俾啲假文青用幾個醫療隱喻就騷到。Makary 走唔走，你聽日食嘅藥都係嗰啲藥，因為真正控制藥嘅係 Pfizer 同 UnitedHealthcare，唔係 FDA 門口個保安。

至於呢個「Seven Days of Darkness」實驗？七日的黑暗，然後呢？第八日發現自己只不過係個對住屏幕發霉嘅小丑？寫啲嘢唔使負責任，所以就盡情發霉，係咪？

收工。去飲水。去屙尿。去睇貓片。咩都好過睇呢啲嘢。

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