sarker
ketman hetman
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User ID: 636
sarker
ketman hetman
1d ago
I did not say that it is impossible to change anything without making things worse.
Sure, but it is your uniform response to every proposal.
Also large swathes of medical care do not follow the laws of supply and demand due to things like inelasticity.
I'm not sure how you would have heard about "elasticity" without realizing that we talk about the "elasticity of supply or demand" and that it's a fundamental part of how supply and demand determine a market clearing price. To say that inelasticity means that supply and demand doesn't apply is to completely misunderstand Econ 101 level topics.
sarker
ketman hetman
1d ago
The amount of resource investment in a medical student (and later resident) is immense, like millions of dollars of physical stuff (like cadavers) and valuable time (not just lecture style teaching but academic physicians taken away from care provision to do education) and infrastructure. Not to mention the cost in tuition.
Okay, so let's reduce the investment by $100k-$200k (average cost of undergrad degree).
Once started you are locked in and if you leave at any time you leave with nothing.
True for every degree program.
And all of that to say nothing of the Western values of general education and such that you get out of a regular degree.
Totally irrelevant, retention for GE material is near zero.
Talking to you on this topic is remarkable because you seem totally convinced that everything in medicine is exempt from fundamental economic laws like supply and demand, it's impossible to change anything that touches doctors without making things worse (pay no attention to the other western countries that train MDs out of high school despite the allegedly ruinous cost of this and the other countries being much poorer than the US), and this margin is too small to contain a description of anything that can actually be done.
sarker
ketman hetman
1d ago
A great argument for moving undergrad or trade school back four years too.
Committing to being an (accountant, plumber, electrician) at age 20-28 is very different from age 16. At the latter people are mostly forced in by their parents, haven't explored their interests and haven't exhibited durable commitment. With how bad (accounting, apprenticeship) is, that's important.
Or more succinctly:
He's only 16, you sick fuck!
sarker
ketman hetman
1d ago
Decreasing training length by making undergrad medical school is a mixed bag. It works well in other countries with less economic opportunity and a less painful training period. In the U.S. you get lots of career changers into medicine (and you'd lose these) and drop out rates are reasonably high in med school/residency, this would worsen that problem. Think of all the Indian moms who would decide their 16 year old will be a doctor long before it becomes clear if that is reasonable. I don't know the drop out rates for BS/MD vs. traditional MD but I bet it's bad.
This just seems like obvious nonsense. When you make something cheaper to do, people do it more. There's more people who would be willing to become a doctor if it means four years until you get a degree, not less.
sarker
ketman hetman
1d ago
Effective reps is probably wrong.
sarker
ketman hetman
2d ago
High quality sets refer to those that employ exercises that are likely going to be limited by the muscle you’re trying to train, through the longest range of motion you can maintain with safe form, taken within 2-3 reps of failure*, and performed when you’re adequately recovered from your previous set (generally around 1.5-2 minutes of rest for isolation lifts, and 3-5+ minutes for heavy compound lifts).
sarker
ketman hetman
2d ago
Just generally try to do a bunch of hard sets.
sarker
ketman hetman
4d ago
And by doing so one unlocks the entire history of the English language
Let's not get carried away here - reading Shakespeare will help you with reading Old English approximately not at all.
sarker
ketman hetman
4d ago
It's pretty well confirmed at this point that supplements may have wildly different amounts of vitamin L than what's on the label.
sarker
ketman hetman
5d ago
I hope you aren't claiming that the Arabs were the first to discover fermentation.
sarker
ketman hetman
5d ago
Given that the number floated recently by Trump was “five weeks” I’m willing to wait that long at least before proclaiming that Kharg Island constitutes some kind of spiraling out of control when — it was probably always going to be targeted. Because it has to be, because it’s one of the most important chokepoints on the map.
It's a chokepoint for oil I guess, but I haven't seen anyone claim that it's a chokepoint for e.g. maritime traffic.
Let's say another three weeks go by. What kind of situation will make you say that you were wrong about everything going according to some reasonable plan? What are the strategic objectives that are supposed to be accomplished in the next three weeks, the failure of which will indicate that things are going off the rails?
sarker
ketman hetman
11d ago
Dean's been real quiet ever since the Ayatollah got got. Makes you think.
sarker
ketman hetman
12d ago
In your model, it's impossible to cooperate without subordination, unless you're on top. Since, as you point out, very few are on top, we can round cooperation off to subordination in this view.
sarker
ketman hetman
12d ago
Cooperation is the ultimate and final cuck. Think about it logically.
sarker
ketman hetman
12d ago
Hard disagree. Evil keeps coming back because the Elves give up on Middle Earth.
Nonsense. The elves had already fought several wars against evil by the time LotR happens.
The elves give up on middle earth because the cost of defeating sauron was the destruction of the rings, which destroyed the elvish realms and power. The choice of the elves was to leave middle earth or fade into wraiths. None of this is a matter of opinion, it's literally what Tolkein wrote.
sarker
ketman hetman
12d ago
Certainly employment looks different. Not a lot of girlbosses in Uganda. It's nevertheless striking that so many Ugandan women sell goods and services outside of the household.
sarker
ketman hetman
13d ago
sarker
ketman hetman
13d ago
I think the vanishing of the elves and all of that was more to express the author's nostalgia for a preindustrialized past or some such.
This is probably more true for the fate of the hobbits than that of the elves.
It's not so much that the world becomes darker over time, but more that the magic goes away.
Of course, Arda has literally gotten darker since the days of the two lamps.
It's not just the magic going away - the dwarves and the hobbits are also gone. Numenor is under the seas and middle Earth kind of sucks compared to numenor.
the world becomes increasingly evil
It doesn't become increasingly evil. Nevertheless, it becomes ineffably worse.
sarker
ketman hetman
13d ago
Yet the only thing in the Lord of the Rings that risks genuine defeat is passivity.
This is fundamentally wrong. The whole point of the LoTR world is that things keep getting worse and, although you may win the day, in the long run everything is cooked, as it were. Evil keeps coming back, it gets defeated every time one way or another, but things are worse off than they used to be despite the ""victory"". Restoration is impossible. We can never make things as good as our fathers had it. The elves wither and go to the uttermost West. The race of hobbits fails. The dwarves die in their mines. The ents disappear. Lorien dies.
Things are not looking great on that front either, but time will tell.
Also I think curves kind of suck - what kind of furniture are you going to put against a curved wall?
Android has OS level support for this for a few years now.
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