Throwaway05
22hr ago
This is a remarkably good scissor statement, in that I find the people being mean to him insufferable, and even inasmuch as I might find the Sillicon Valley Crypto Guy of it all mockable, I still have an innate rage at people dismissing him as a shitty dad.
I don't think this is a scissor statement, I think it's a different (and more traditional) social failure mode.
Plenty of things in life everyone knows but can't say, in an increasingly feminized society this is way worse.
It's the "all my girlfriends are perfect 10s dressed impeccably all the time and even look great without makeup!" bullshit.
Yes having kids sucks. It is also great. Society has decided some parts of having kids you are allowed to complain about and some you are not. Society has decided nerds are fair game to criticize. Etc etc.
This is just a matter of what thoughts are approved to be voiced in public, and what types of people are allowed to be supported.
The most scissorish bit is the way it triggers a bunch of other conversations, but that also happens with "you can't say Sara looks fat in that dress!" "But she clearly does! She weighs over 300 pounds! And she asked!"
Throwaway05
1d ago
Absolutely not, in the U.S. a lot of our critical infrastructure is falling apart without any intervention at all.
Throwaway05
1d ago
but there is also Nick Land's point about "Dr. Gno" - something along the lines of "with every x years' advance in technology, the IQ required to destroy the world drops by a point".
Ugh, I've heard about this before but had forgotten about it. Thank you for the reminder haha.
Throwaway05
1d ago
Most terroristic violence is memetic in nature. The popularity of various attacks goes up and down acting as trends. The same goes for lone wolf attacks.
Sometimes exceptional actors (such as OBL) come up with a novel threat.
It's still pretty wise not to give anyone ideas, and if you read the forum long enough (and pay attention) you'll see people mention something or not mention specific examples. Anybody with a brain should be able to look at the history of mass shootings and be able to come up with something (thankfully the people who do these things generally don't). With some creativity you should be able to look at some wide categories like physical infrastructure and cyber security and come up with some ways, some of which a single person could implement. Mass general economic disruption with or without loss of life would be even easier.
Even scarier is the fact that state actors have plenty of ways to grossly impact the health of the planet (the most obvious and famous is nuking the shit out of stuff), and at least one way could be theoretically implemented right now by a big enough PI at any of the major research labs.*
I wouldn't recommend thinking about it over much and I don't want that juju out in the world, but an asshole wrote a whole SF book trilogy about similar problems so maybe someone notices and snaps and we all die.
Lone man with a grudge has plenty of options. Let's not make them clear.
*slow moving death of all life on earth that wouldn't be solvable with current technology but maybe we'd be able to fix it with enough motivation.
Throwaway05
2d ago
I'd also like to see elimination of the hard cap on student count that the US government imposes at medical schools at the behest of the AMA.
I've written about this many times but reminder: this isn't true.
Throwaway05
3d ago
Yes, one of the justifications for 24 hour shifts for residents is that transitions in staff are more dangerous than your doctor being drunk from sleep deprivation.
On complicated cases this can get really important, losing track on how much blood we gave in the SICU on an open abdomen is not good and the EMR can't keep up well, but nurse Betty remembers....until she goes off shift.
Throwaway05
3d ago
The perception that certain specialties are underpaid is pretty widespread in the social groups familiar with specialty pay breakdowns. Many Pediatricians and ID doctors make under 200k, and government agencies and other organizations have made costly decisions to encourage more people to become PCPs because the pay is noted to be too low.
Throwaway05
3d ago
note that public doctors work immensely less because they get paid less - if you work for the va it isnt uncommon to see 1/2 or 1/3 the patients.
that would likely spread across the whole economy
Throwaway05
3d ago
Many specialties have average salaries in the 200s. Some make even less than that. Many average in the 300s. Those making over 500 are rare and are generally procedural specialties that are paying a cost to get paid that much (such as extra years of training).
All of this in the setting of years and years of training, shitty work life balance, and so on.
And that's not taking into account things like NYC - where nurse and physician take home is pretty comparable.
So like I said, exaggerated numbers downthread.
Throwaway05
3d ago
Usually reminders that everyone ignores when this comes up:
-Physician salaries are not a large portion of healthcare spending, cutting them in half wouldn't do much.
-U.S. doctors do make good money but most specialties are making way less than the numbers bandied about in this thread.
-Many of the problems with U.S. healthcare stem from salaries being too low (ex: issues with primary care, location preferences).
-N.P.s provide a massive decrease in quality of care over MDs, they also have....like no training.
Throwaway05
9d ago
While guns are pretty American specific, ridiculous violence against healthcare workers is not - India has a HUGE problem with this, many other countries do also.
It's very "kill the ref because my team lost" energy.
Throwaway05
9d ago
If you mean "check" as in a metal detector or other assessment for weapons, pretty much everywhere. If you mean "check" as in coat check less common but well red states exist.
Angry family members, psych patients, the delirious, people coming to finish the job...... healthcare workers do get assaulted and murdered every year, and I've found weapons on patients who have been "searched" plenty of times.
Throwaway05
10d ago
Fair enough!
Throwaway05
10d ago
I mean, is there any evidence that his narrative is true and not ass covering?
I've seen plenty of people engage in absolute nonsense to put a veil of plausible deniability over "we didn't sleep together."
Throwaway05
22d ago
The preclinical (academic classroom instead of clinical rotation) portion of U.S. medical education involves getting together a knowledge base for several very very large all encompassing standardized exams in which ANYTHING is fair game (and a mix of non-core learning things like group activities, cultural competency building and kinds of other stuff that is a mix of reasonable and bullshit).
Just like many academic professors in less specific institutions are often better at research or writing than teaching, many teachers in medical education are more researchers or clinical staff. Historically they were also quite bad about adding useless details about their specific research into the curriculum.
For this reason students have switched to high quality, battle tested, well taught and high yield online materials.
These are so good that some of them have near 100% utilization rate by U.S. MDs and for some schools its possible to never look at your school's course materials and still get a great outcome of school.
The teachers are still there though, and they are annoyed at being replaced which has resulted in things like an increase in problem/case/team based learning.
Before this recent bump in those modalities it would not be uncommon for literally zero students to show up to lecture, the forward thinking schools have stopped standard lecture and just provided online lectures.
Throwaway05
22d ago
Medical classes.
Well don't worry about that, Christmas vacation is one of the few times off that Medical Students get, so they won't be missing too many classes. Additionally exams will be actively rescheduled or effectively rescheduled (students will need to learn independently for the boards).
Clinical rotations are long enough (usually, 4,6,8,10 weeks) that it won't make a difference. Some schools will have a student miss out on scheduled elective time but that's a meh.
In terms of missed coursework...actual classes have been functionally replaced by professional teaching resources that the students pay for separately.
Throwaway05
26d ago
So this was my stance for the longest time, but I've had a few instances like the following that are just too suspicious:
I do not have Facebook on my phone. I was talking to someone at work whose number I do not have, he was talking about the problems in a vacation destination I have never gone to in a country I was last in before Facebook existed, I was not considering going there so I had not been googling anything about it (we were talking about it because of a patient mentioning it), he was not considering going there either, just explaining that he thought it was ass.
Then when I went home I got advertisements for hotel rooms in that city. I do not regularly get hotel advertisements.
Facebook shouldn't have had anything to cue off of.
Presumably Facebook knows my phone number, detected it in proximity to his phone number, and served a targeted ad. It's possible that he furiously googling the place afterwards and it served similar ads to people in his phone book and people with recent text messages etc but that's nearly just as bad.
Throwaway05
27d ago
Not a conspiracy theory (well, sort of).
TBI is shockingly common (especially in the military) and not shockingly...it is very bad for you.
TBIs aren't CTE, but damage to personality, substrate, and function from injuries is a known issue in the military and elsewhere.
Throwaway05
1mo ago
and it blows my mind that AFAICT almost no attempts at marketing the global launch were made (this game is apparently out in China for like a year already),
From the review I watched earlier today it seems like they did a shit ton of influencer marketing.
Throwaway05
1mo ago
Yeah pedantic internet people have always had that resemblance, at least since the 90s to my recollection but likely beyond that.
Throwaway05
1mo ago
Thanks!
Throwaway05
1mo ago
Sorry, I don't mean to imply that you have bad taste, and from my readings of your writings I suspect you have good taste.
At the same time I figure you should truly try those (sounds like you have!) and maybe also force it to see if you can extract the meaning and see if anything about your interests changes.
Throwaway05
1mo ago
Can you summarize the last couple of books? I'm curious what the deal with the "gods" is but didn't enjoy it enough to finish.
Throwaway05
1mo ago
suicidal gestures"
It's the term for it.
Two additional factors -
- Cluster-b personality disorders with more female prevalence (chiefly borderline) involve suicidal thought content and gestures.
- Men tend to have more access to and use more lethal means, like guns. Men also have less aesthetic concerns so they don't mind throwing themselves off a building or into a train as much where women like to preserve themselves and will overdose more, which can be hard to get right.
Again, most people hearing that statement both agree and disagree with it to some extent, and have a variable level of feeling across their lifespan both acutely and chronically (ex: I'm pissed at my kids right now so I say X) and also have a wide disconnect between how they feel about it and what they are saying in public.
It is a sliding scale of both interpretation of the statement and also of disconnect between private and public presentation of beliefs.
Scissor statements are more binary Yes or No, Left or Right, Up or Down.
Just because something creates argument doesn't mean it is a scissor statement.
More options
Context Copy link