MaiqTheTrue
Renrijra Krin
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User ID: 1783
MaiqTheTrue
Renrijra Krin
9d ago
I’m not sure that’s all bad. For the most part, medicine on a family practice level is pretty simple. It’s routine physicals, vaccinations, and common diseases about 80% of the time. The issue is less a NP or PA can’t handle that kind of workload than he or she is not handing off edge cases to doctors. If they were properly handling cases where patients had more complex symptoms or were complaining of serious pain with no known cause, there wouldn’t be much of an issue. Furthermore, wasting the talents of a full fledged doctor on walking into a room where a kid has a fever and runny nose and telling him he has the flu is a waste of the patient’s money and the doctor’s time. Doing routine vaccinations and physicals is likewise a waste of a doctor’s time and a patient’s money. And I don’t think at that point adding a bunch of doctors fixes the issue. You could do what happens in a dentist office in medical offices with no loss of care. The nurse does all the routine work and the doctors look over the data and only talk to the patients if there’s something more complicated than basic medical care needed.
MaiqTheTrue
Renrijra Krin
9d ago
It’s not just financial means. Nobody really wants to live in a downtown area of a city, because of homeless people, drugs, crime etc. unless you happen to be rich enough to afford one of the very expensive and exclusive areas of the city, you basically live with crime as an everyday reality of your life. Leaving the door of your car unlocked so thieves don’t smash it. Women carrying at least mace (because guns are illegal) and often being consigned to their homes after sunset. Using the buddy system or proactively telling people everything you’re doing so someone knows where to start looking if something happens. I can’t imagine any woman tolerating the idea of having a baby in the city if they have the means to flee somewhere safer.
MaiqTheTrue
Renrijra Krin
10d ago
I think something important to note here is the sheer volume. Especially for those who spend a lot of time online, there’s a firehouse of memes, and because of the silo effects, you simply don’t hear anything from the other side. It’s always been rather hilarious to me that the leftist response to free speech on Twitter was to leave almost immediately. And it’s rather the wrong approach to a radicalism spiral on either side. If you’re going down a black hole, the critical thing that can keep you from going too deep is seeing the other side. If I’m becoming a radical lefty, seeing conservative content and specifically memes opposed to mine will at least keep me from thinking that my Marxposting peers are in the mainstream.
The other thing is to unplug from media. Go camping and leave the phone at home. Read books, draw, paint, make warhammer figures, bake stuff, who cares. But unplugging from the firehouse is probably the best cure for radicalism.
MaiqTheTrue
Renrijra Krin
10d ago
My understanding of aspies is basically that they have to learn to be social explicitly, they have to kind of learn that something is a joke and that you laugh after a joke, etc. it’s completely external like a skill. And I think that since our vision of our identity or identities is seen through the other, the aspies have a bit less self-awareness of their identities than a normie might. You don’t just naturally act like your gender as most people do by picking up on cues, you learn to act your gender the way I might learn French — you make an explicit decision to study the subject, and then to use it. Of course it’s never going to feel quite natural in the same way my French isn’t going to feel natural— it’s something I’m translating in my head from my natural language to French and it’s not the same as English which I just naturally speak without having to think about it.
MaiqTheTrue
Renrijra Krin
11d ago
See, to me there’s the “I hate people who do this” thing where everybody just dunks on whoever we’re talking about, calls them gross and disgusting, and tries to make them miserable. I think life is too short for that. And sure, there’s nothing to be gained by saying to a gay couple that they’re disgusting people, degenerates, and so on.
But the other side of tha5 is some bad behavior simply shouldn’t be normalized due to the knock on effects on society. The trans issues especially come with a lot of real, serious baggage. The WPATH files more or less show this, as does the literal explosion of kids under 15 or so suddenly deciding they’re trans and being given drugs. There might well be a case for “okay, fine, if you’re of legal age, you can do whatever with your genitalia and we’ll leave you alone for the most part.” I have reservations about restrooms and trans people being in positions of power over children. But I think for the most part, I’m like okay, this guy wearing a dress is 40 and shopping at Walmart, I don’t need to get out the pitchfork here, he’s not hurting anyone. I might not hire him to babysit, but beyond that, I think there’s something weird about people spending too much energy on it. Once the bad policies that open up the door to harm are closed, there’s not much to talk about here.
MaiqTheTrue
Renrijra Krin
11d ago
I think honestly I’d consider the relationship over. She’s not looking for you because she misses you. If she did, she’d probably not have broken it off. She probably did move, and either hasn’t yet found someone nearby or she did and th3 relationship came apart. To my mind, that’s not her choosing you, but her choosing to contact you because she can’t find someone in her new environment. If she really thought you were someone she could see herself marrying or even long-term dating, she would have at least made that offer. For whatever reason she didn’t want to. There’s nothing long term here.
My go to of any relationship among people in any context is if they wanted to, they would. If they really want to have a long term relationship with you, they would be making moves to make that happen— either not moving or committing to a LTR or something like that. If they actually want to marry you, they’ll be making concrete moves n that direction. If someone wants to be your friend, they will be willing to make time for you and to actually invite you over on occasion. If your boss really sees you getting promoted, you’ll see concrete moves in that direction— more training, being invited to conferences, being asked for input on things, maybe asked to fill in n occasion. On it goes, but my point is pay closer attention to what people are doing over what they are saying. If there’s a mismatch between words and deeds, go with the deeds.
MaiqTheTrue
Renrijra Krin
11d ago
Nobody seems to be having that conversation. The consensus on the left seems to be that only a bigot would even ask the question. I mean the dominant position seems to be forcing businesses to open their bathrooms to trans women. Then complaining and calling women bigots for objecting— even for extremely vulnerable places like homeless shelters (this is how JK Rowling became such a pariah).
MaiqTheTrue
Renrijra Krin
11d ago
I don’t know if any specifically transitions to use women’s restrooms. I will say that especially given the trans community’s abhorrence with the idea of having to prove that they’re actually trans and under treatment is basically an end run around the norm. If a guy in a beard and a short dress walked into a women’s restroom, the business is under the civil rights gun and thus can do little about it no matter how much of a pest he’s being until he actually rapes someone. And I find that enabling of crime to be telling.
MaiqTheTrue
Renrijra Krin
12d ago
I think the idea of political ideology being at least somewhat protected (in my view, muc( like religion) simply because it’s easy and therefore tempting to use the threat of unemployment as a cudgel to prevent public expressions of non-mainstream politics. The temptation to use this, and thus use social media “job-swatting” (gee wouldn’t it be terrible if this crime-thinker’s name and photo and screenshots went to the HR office of his company X) to either threaten or punish public expressions of political opinions. And depending on where you happen to live, even relatively sane and even centrist opinions might well offend someone who can get you fired and thus potentially unemployable depending on industry. This creates a situation where people learn to self censor and be very careful about what they say in public. It would be highly irresponsible if you live in a blue city and work in a blue coded industry to openly express support for Israel, or to openly express opposition to abortion. And so it’s creating “the closet” for politics and somewhat religion if the religion is too strongly coded for a political outlook. People have talked about it here before, they don’t tell anyone they work with that they’re conservative, often trying to figure out how they can quietly signal opposition to things like pronouns in their email taglines without attracting the attention of HR.
MaiqTheTrue
Renrijra Krin
12d ago
To me, it’s the lack of understanding. I don’t think Transgender people in general get how dangerous it is to open the door to the idea that any man can put on a dress and walk into the women’s restroom anytime they want to. There are safety issues here. Men can so easily overpower women that it’s not even a contest. And without the very firm rule of “biological men are not allowed in women’s spaces, particularly where dressing and undressing are happening, it’s impossible to prevent a rape from happening. If you’ve ever wondered why women generally use the public restrooms in pairs, the reason is men who might enter the restroom and try to rape a woman. And the trans community hasn’t even glanced in the direction of understanding the issue or reassuring women that they too are opposed to men in the women’s restrooms and locker rooms being an issue. If anything, their attitude is “women, you aren’t allowed to object to this for any reason. The only reason you care is that you hate trans women.” Followed by using authority to force women to shut up about it. Not a thought about rape, secretly being photographed naked for porn, or being harassed, or worse these things happening to children. I feel like the entire rest of society, particularly the woke end has decided that the rape of women is a small price to pay for feeling progressive about letting transgender women into women’s spaces — without vetting at all.
MaiqTheTrue
Renrijra Krin
12d ago
To be honest I think it’s the way most social media is set up. Unless you set up pretty hard limits on minimal content quality, you’ll quickly find that everyone is going pretty low hanging fruit of one liners and hard core factionalism. Nuance just doesn’t work in an environment where the currency is engagements. Long from content is not viral in the same way that a one line dig at outside enemies can be. Memes, gross images, crass wording, and anger are the things that nature has somehow engineered our brains to notice and spread. A long form nuanced article that steel mans the other side and treats the issue fairly is only plausible in environments where such content is a minimal expectation.
I do go on Twitter for the lols, but not much else. It’s kinda funny to snark and mock the pious Palestine-free stuff simply because I find it naive and uncritical of its own side. People who under other circumstances would oppose rape, murder, and terrorism are taking the side of people who do exactly that and celebrate it happening. The Israelis, particularly the settlers, are not completely innocent here, but after months of hearing about how this is one sided and anyone who isn’t actively opposed is evil, some part of my brain gets excited about posting a guy eating a hamburger under a tweet about McDonald’s supporting Israel. Downside being that Twitter thinks I’m Jewish or something.
MaiqTheTrue
Renrijra Krin
12d ago
A huge difference is that being wrong about a nuclear red line quite simply means a pretty serious blow to civilization period. And this makes every “crossing of the Rubicon” an all-in bet that Putin will not use nuclear weapons over whatever this new thing is. And I think honestly it’s pretty obvious that the man has a Rubicon and if we continue to cross false Rubicons we eventually cross the real one, especially if the Rubicon crossed would create a serious threat to Russia as a world power or Putin as leader.
I personally have little confidence in the leadership of NATO to handle this kind of thing. I just find nothing that makes me think that they have thought strategically about anything in the war. The arguments for continuing seem to be nothing more than moral preening. Saying Russia is bad and thus we will fight them and they will lose because bad guys always lose is not the kind of hard nosed strategic thinking I’m looking for in the leadership of NATO. Further, they’ve already been wrong about the state of Russia. It was supposed to collapse in the first months because we disconnected them from the central banks. It turns out they were not economic paper tigers and were more or less fine. They thought once Ukraine got this or that weapon system, that Russian military units would fail and the invasion would end. Turns out the best we can do is hold them in place. If the leaders of NATO can be wrong about the state of Russian and Ukrainian forces, and the Russian economy, I just don’t think they can be able to gage which Red Line is one Red Line too far.
MaiqTheTrue
Renrijra Krin
12d ago
I think we agree on that. But my issue with current policy is that the most reliable way to get into America is hopping the fence because the legal immigration process is pretty broken. Which increases the burden on the Border Patrol, ICE and law enforcement because of all the people who should be able to get in legally choosing to be illegal immigrants instead. I think it’s a Both And situation. You enforce the laws, but you also fix the system such that those who are employable and have no criminal record and a command of English can get in by legal immigration. Having a system — a sane, easy to understand system that doesn’t take a decade to get your visa — would tend to encourage people to use that system. I don’t think anyone is aspiring to be an illegals immigrant.
MaiqTheTrue
Renrijra Krin
12d ago
He has given several red lines about under what conditions he’d consider using nuclear weapons. The latest one being “don’t allow Ukraine to strike deep into Russia. Good thing we’re doing exactly that…
MaiqTheTrue
Renrijra Krin
13d ago
They’re paying a cost, but I would argue Ukraine is paying a much greater one and thus losing. Ukraine always had a much smaller population, was less militarized, more rural, etc. than Russia. If NATO a we’re not sending billions in aide and weapons, Russia would be much closer to victory than they are now. Ukraine can absolutely stalemate them for a while — until their military population shrinks to the point where they can’t hold territory, or the “allowance” gets cut off, or the public turns against the war because life without electricity and running water is miserable. Basically all we can do is keep Ukraine from losing for a while, at a cost of billions a month, at risk of Russia going after NATO, and until the last Ukrainian dies in a foxhole. That’s not us winning. It’s certainly not winning for Ukraine.
MaiqTheTrue
Renrijra Krin
13d ago
Confession is not the same as a long conversation with a pastor or priest about serious life issue or worries. I tend to think that people who know you well will give better advice than someone whose paycheck depends on telling you things that will make you happy.
MaiqTheTrue
Renrijra Krin
13d ago
I think if Gaza, South Africa we’re doing what Gaza, Israel is and has been doing, it might at least be seen as a low grade war. The Gaza situation arose because of a pretty serious terrorist attack. But even before that, the state had been lobbing missiles into the rest of Israel. And the history before the Hamas takeover of Gaza was one of repeated intifadas and terrorist attacks.
I’m not going to suggest that the Jews did nothing wrong, nor that they’re not doing anything wrong now. Obviously bombing hospitals and refugee encampments is a bad thing, to say the least. Flattening all of Gaza isn’t a good look here. But I think a lot of the over the top reactions are based on the Israeli fear that this might be the last time that they can do anything on Gaza because of world sentiment, and the frustration of thinking that these attacks will happen again as soon as the pressure is off.
If a war like that between two countries that hate each other, or even a civil war, I’m not sure how much anyone would care. Nobody cares about the Uyghur. Nobody is boycotting Saudi goods over Yemen. There’s been a low grade civil war between the Colombian government and FARC for decades. How many people care about the various other low grade wars going on? And how many would care if there weren’t sizeable Muslim and Jewish enclaves in major countries?
MaiqTheTrue
Renrijra Krin
13d ago
I’m not suggesting don’t enforce the border. TBH I thought that was a given. But the point I’m making is that if that right now the standard for legal immigration is absurdly long, and not much of a real system. And I think it’s something that needs to be addressed. A sane immigration system will prevent people from trying to enter illegally because it’s plausible that one can do so legally. That doesn’t mean those who can’t won’t jump the fence and need to be deported. That’s going to be true, no matter what the system is.
MaiqTheTrue
Renrijra Krin
14d ago
I’m not convinced that this is worse than a human. There’s a fair number of patients of human doctors who believe that their shrink is in a relationship with them and some think they’re cheating. Keep in mind that the kind of person who would turn to therapy to fix themselves is likely someone with few friends and family to talk to and thus are putting a lot of eggs in the psychiatrist basket. That it’s going through AI is not really surprising to me.
MaiqTheTrue
Renrijra Krin
14d ago
I agree this is correct, but one thing that I note about the MAGA in General is that there is a vision, a purpose, he’s here to get the things done. Most other political people just don’t do that. They have a vision. They have policies maybe, but you never get the sense that they have any idea what the country is supposed to look like.
With Trump, whether you agree or not, has a vision. He wants the streets safe to walk down, a border that’s essentially closed, cheap food and gas and to have things made in America. His vision in short is American life looking like it did in 1960 or so.
MaiqTheTrue
Renrijra Krin
14d ago
I just can’t get excited for AI therapy because honestly, unless you have literally nobody in your life to talk through things with, there’s no value to therapy. I just don’t see people with long-standing issues get better because they had therapy. In fact, some people have therapy for multiple years without ever getting to the point of not needing therapy anymore.
I’m very much of the Stoic/CBT/Jordan Peterson school of therapy. Over focus on feelings and overthinking problems not only does not work, but quite often makes your original issues much worse. The key to getting better (barring something organically wrong with your brain — and that’s fairly rare) is to get out of your own head and get into taking productive actions to make your life better. Feeling bad about yourself is much better treated by becoming a better person than by sitting around trying to convince yourself that just because you haven’t ever done anything useful doesn’t mean that you’re useless. Get out there and start building, fixing or cleaning things. You’ll get over feeling worthless because you’ll know you did something useful.
MaiqTheTrue
Renrijra Krin
14d ago
I’m every bit in favor of a sane policy on immigration. We’d probably have a better handle on illegal migration if it were plausible to get into the country legally with a reasonable record and work history and no criminal record. Our current process is long and drawn out and doesn’t allow people to immigrate quickly. If the choice is a 5-10 year wait or hop the fence, I don’t think you can act shocked when a lot of people jump the fence. At the same time, I don’t think it’s sustainable to have millions of people come in, then throw up your hands and act shocked when people whose town population doubled in the last year with people who don’t speak English want them rounded up. Our system is the dumbest most convoluted thing I can think of, topped with zero effort at enforcement. If you’re here illegally, you can basically do whatever you want with no worries. And eventually you get amnesty and thus you get to apply for citizenship and all that comes with it. Insane.
MaiqTheTrue
Renrijra Krin
14d ago
Does regular therapy actually do more than that? Most of the value (unless you’re literally diagnosed with a real mental disorder) is in hearing yourself talk about the problem. It’s probably no better or worse than talking to a friend or clergy or a parent. Even journaling generally helps to get things off your chest and often just putting down on paper the stuff that happened or that’s in your head can give you insight.
MaiqTheTrue
Renrijra Krin
15d ago
People generally don’t understand drugs or how dangerous or addictive they can be. Allowing the public to take addictive forms of morphine or opioids for every ache and pain without supervision just makes a population of addicts who cannot hold down jobs and are thus dependent on the state. Other drugs are easy to overdose on and do pretty serious damage to the body.
I’m not sure I’m following you here. I’m not talking about someone who doesn’t get into med school. I’m talking about a typical medical office visit in a family practice where the doctor doing much more than backstopping the NP or PA is in fact a waste of time simply because you don’t need 8 years of college and a couple years of residency to read blood pressure, heart rate, or oxygen levels. You don’t need that level of education for minor issues. I had a spider bite and needed to get an antibiotic for it. Nothing about that visit required a full fledged doctor to personally see me or prescribe antibiotics (other than liability issues and legal stuff) for a fairly minor complaint.
As such, I don’t see why it’s a problem that someone who didn’t go to medical school goes into software. It’s not going to make much of a difference in terms of the kind of care that I’m talking about. Probably 90% of medical care is pretty routine.
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