Throwaway05
8m ago
If you define random as "missiles unable to target adequately and therefore landing at random locations" they certainly to do lots of that.
If you define random as "flailing around targeting nearly every country in the area (every country but Syria?) intentionally and unintentionally for unclear reasons*" then that sounds random and that's happening.
Both are running at the same time.
*likely to sow terror and expense, which has been a frequent part of their strategic posture.
Throwaway05
3hr ago
I imagine much of the frustration comes come from the middle/common sense feeling eroded- as someone who was mostly anti-lockdown (well pro common sense lockdown, which was swiftly abandoned) it certainly feels like a lot of anti-lockdown people deny COVID ever happened.
Having lived it through it...that's infuriating. I haven't reported but I can see a lot of people with personal experiences (like deaths in the family) freaking out.
Throwaway05
5hr ago
IIRC Cyprus wasn't the U.S. (well I think they might have some classified assets there maybe?), I'm not sure where France got attacked but that probably was non-U.S. Iran seems to have accidentally attacked Palestine and Lebanon.
Iran lacks the targeting ability to actually hit what they are aiming at, which further complicates matters (see accidental attacks in Palestine, Lebanon).
Ultimately I think the comment can be reasonably described as uncritical repetition of Iranian propaganda however.
Throwaway05
6hr ago
This is not factually accurate.
I am unaware of any U.S. military bases or U.S. troops in several of the attacked countries, of which there are over ten.
To list, at least: Israel, Azerbaijan, Saudi Arabia, UAE, Bahrain, Qatar, Kuwait, Iraq, Jordan, Turkey, Cyprus. By implication also the U.S., U.K., and France, and depending on how you want to count it Diego Garcia. Several of these were explicitly not getting involved.
I am also unaware of any evidence of U.S. military assets being present in a majority of the attacked civilian infrastructure. Some of the targets can be painted as part of an escalation ladder. Random civilian buildings can not.
Throwaway05
15hr ago
Why do you think early admissions were down? Do you think it might have to do with the fact that people were in their homes quarantining themselves instead of crashing, social drinking, working, fucking, and spreading germs?
That stat may or may not be true, I'd have to look at the data.
Keep in mind that the system can be overwhelmed with admissions dramatically down - entire surgical floors that should be filled with boring wound care and uncomplicated recovery being replaced with 1/4 of that but actually real sick respiratory patients is already enough to fuck everything up.
An increase in ICU level care but no ICU beds? Disaster.
Kill the variety and easy cases and things get fucked real fast.
All kinds of tensions like that caused problems.
Throwaway05
1d ago
We should be precise in our statements, Iran is winning the propaganda war, you can find a large number of Americans and Europeans saying and believing things like "Iran is about as or more honest in reporting during this conflict" "Iran is about as or more following the rules of war/attacking civilians" "Israel is not checked will attack Europe and the rest of the world" (front page on reddit yesterday!).
This was has created situation where you have a truly unprecedented publishing of military and diplomatic information with near zero credible publishing of military and diplomatic interpretation.
Add in the usual TDS and you have a boiling pot of misinformation that we should be careful to avoid contributing to.
Some people do need to be reminded that Iran's government is evil.
I don't have any problem with criticism of the conflict.
Throwaway05
1d ago
I'm pointing out that "marked unconcern for legal niceties" isn't really accurate, something like "as usual legal niceties become a bit fuzzier during war time" or "the U.S. usually does a better job than most at maintaining legal niceties, however..." would be more accurate.
Your word choice implies that the U.S.'s approach is worthy of criticism and perhaps is worse than others.
If you feel that way, I think it should be explicit.
This is superficially a small matter of language but given the amount of criticism for certain actions taken by Israel and the U.S. and lack of criticism and even forgiveness for actions taken by the other side that are ten times worse....I think the loaded language needs to be pointed out.
Throwaway05
1d ago
The USA has shown a marked unconcern for legal niceties throughout,
How would you characterize the concern for legal niceties exhibited by everyone else in modern history then? Iran, for instance is attacking other nations seemingly at random and targeting infrastructure and hotels and other civilian targets.
The U.S. has shown the most concern for legal niceties out of any major combatant since those legal niceties existed.
That's not to say that the U.S. is particularly great on this front, just to say that nobody else really seems to even bother.
Throwaway05
2d ago
I'm not an open world guy, although my favorite on that front is The Witcher 3. It's also far too early for me to say if it is good or not, but I can say it delivers on the sheer number of things to do.
Throwaway05
2d ago
Yep, it seems simultaneously better than I could have imagined (yes you really do have that much shit to do and options for things) and worse than hoped (Korean slop writing).
It's been a great "watch low effort video content" while playing game so far, but I can understand if that's enough to justify the price.
Throwaway05
2d ago
I'm playing on PC and it looks great, but I've heard mixed things about base PS5, a lot of FUD though it seems, waiting for legit reviews seems like a good plan.
Throwaway05
2d ago
Anybody playing Crimson Desert?
Throwaway05
2d ago
I mean if everybody's fucked everybody is fucked.
I'm not saying we are immune to getting fucked, we'll just be along with everyone else.
That should be a comfort!
Throwaway05
3d ago
Sure self-driving cars are getting there, but they aren't fully in use yet, and the legal tests aren't all the way there yet.
AI may in fact replace everyone at some point, doctors have more physical work, patient interaction work, need to be a liability sponge, and so on than most other white collar work.
Yes the financial pressure to replace us is higher, but by the time they come for us in a serious way everyone else is gone too. Especially in psychiatry - you should have some safety there. More likely is an intractable increase in volume due to AI assistance.
In any case, even the finance people who love this shit are starting to push back against the way our economy is overweighted.
LLMs might just end up getting dropped as a boondoggle before they apply to too many use cases.
Throwaway05
3d ago
Seems like that glove fits you best.
"Please investigate the situation." "I refuse."
Throwaway05
3d ago
Have you made any effort to determine any of the facts? Have we increased the number of medical schools? Is the number of medical school the problem?
Is there a cartel? Who is the cartel made out of? If you identify a cartel, then what is it doing, who does it represent?
Do doctors agree that we need to make changes? Are we making changes?
Make some effort to understand that is happening, what has been changed, what is going to be different in the future, how we got here.
I understand that people who are just mad and toss out slogans exist but I can't for the life of my understand how they would end up here.
Throwaway05
3d ago
What are you mad about? COVID? That was public health, not doctors. Plenty of doctors got fired for criticizing the official stance on the thing. Bills? Doctors aren't in charge of billing in most cases these days.
Either way it sounds like you have an anger with a specific part of the system.
People do that.
That does not mean it is any way reasonable to just take a hammer to random things without figuring out if that is doing anything useful.
Throwaway05
3d ago
They may mis-state, misinterpret or lie about their symptoms.
Yes this is going to be a hard problem, and self_made does give a counter argument, but you'll also see downstream problems that cause angst.
For instance, ADHD evaluations. Most people will say the right things and at the same time note really have adult onset ADHD. A psychiatrist gets to do this weird dance and figure out how often to bend. The LLM is either going to be confused and offer everyone stimulants or be rebelled against after it refuses anyone.
Anyone else with motivation issues will have the same problem - testosterone? Inappropriate antibiotics?
People who want conservative or aggressive management for something will rapidly figure out how to do so, and all kinds of other bullshit.
People have response variety and can make a variety of judgements.
As could true AI if we get that, but we dont have it.
Throwaway05
3d ago
No I get they can do fancy things, but translating those in a real environment is HARD. We will get there eventually, but we can't get self-driving cars approved because of the liability and failures - medicine has just has much cost pressure to do so but as much contrary pressures (if not more because of people's demand for a person).
We also have a side game where LLMs are killing skills and knowledge development by outsourcing thinking (ex: in note writing). That will be a separate problem.
Throwaway05
3d ago
Sure! Some people go to Rogan so that they get to have the "access," if that's not for you well that's that clips are for.
A lot of podcasts have variable model where some people watch the whole thing, some people watch the sound bytes, some watch clips that vary in size from a few minutes to big ass chunks.
In order to get all of those you need the base thing though.
Throwaway05
3d ago
Ah! Great example. Do you blame the IRS accountant for you being forced to pay taxes? He's not in charge of the tax rates.
Throwaway05
3d ago
I don't think you can get those nuggets of value without the meandering.
Rogan needs to create an environment where the person is drawn in, talks about a bunch of off topic stuff, gets relaxed, and gets to to share some of their "texture."
If he had a 15-20 interview the person would just stay on message and do the press junket thing.
Throwaway05
3d ago
With respect to AI, I'm sure it will get it done eventually, and I am sure it has tremendous pressure to do the job.
AI can do simple fact recall, it struggles much more to deal with a patient who tells you he fell and can't move his leg at all when really it's he won't move his leg due to pain. The AI will probably assume a neurologic deficit and trigger a work-up for that. A physician will poke the patient and see him move and assume traumatic injury. Someone needs to get clean data to give to the AI for outsourcing to work (for now).
And yes some states are doing alternative paths to practice, this is exploding in popularity and it's a solution to the allocation problem. It may even be a good one, it seems ineffective so far though because people can't get malpractice coverage or privileges without actual training - the liability risk is too high.
Throwaway05
3d ago
I think it's important to keep in mind (and this applies to the AI side of things also) that the U.S. is a weird country and that weirdness has benefits and costs.
One of the things that pops up is that the number of demands on U.S. physicians extends beyond beyond academic medical knowledge, this is one of the reasons that individuals with perfectly excellent medical knowledge sometimes don't survive the retraining process.
Doctors here have to survive the vagaries of our legal system, malpractice environment, U.S. patients (who are...different) and other factors. This requires both higher standards of behavior and other standards of behavior.
Much of this I would happily get rid of, but that's not usually the targets complainers want to go for. Tort reform would solve a lot of problems.
With respect to the physician shortage, it mostly isn't real.* If you live in a reasonably sized area you can get a PCP. You may need to look around, and you may have to establish care before you get sick. But the problem is that U.S. patients are demanding and don't want to think ahead and want instant gratification. If you live outside of a major area you may not be able to find a doctor but that's because of the allocation problem. Midlevels don't fix the allocation problem because they also don't want to move to those areas and then don't.
For specialists the situation is more complicated, some of them can't be replaced by midlevels, cant really increase training amounts, others have had shortages get worsened by midlevels (like cardiologists getting over consulted, same for neurology and some others). Others like psychiatry have a situation where people just stopped taking insurance and do cash pay because its more lucrative leading to a phantom shortage.
*Strong disconnect between the feel people have about this and the actual numbers.
How so? Initial flattening the curve was a real thing that actually helped, public health institutions, cowardly politicians, and Karen energy betrayed the parts that worked and kept things going indefinitely. Banning people from parks and from fucking being outside was nonsense and only made sense (if ever) in dense urban environments). Don't punish people who live in places where shit made sense!
Anger at broken institutions, excess of conservatism and so on? Sure!
Acting like COVID didn't happen? ...tis nonsense.
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