domain:apollomindset.substack.com
Trump: Your terms are acceptable.
If Biden were smart, he'd pre-empt Trump and take the exact same deal. He might even win a Nobel Peace Prize if he did.
jeroboam
4hr ago
Kamala wanted to run the country. In the end, she couldn't even run her own campaign.
Apparently, the Harris campaign is $20 million in debt despite spending at least $1 billion over the last 3 months. On the other hand, the Trump campaign was frugal - spending only about 1/3 or 1/2 as much as Kamala (quibble about the exact numbers all you want). Staffing in particular seems to have been a major difference with Harris spending perhaps an order of magnitude more than Trump. Harris hired high paid consultants while Trump relied on free labor from passionate supporters.
It gets worse.
The Harris campaign has been accused of paying celebrities for exposure. Surely, already rich celebrities like Beyoncé and Oprah would be happy to support their favored candidate for free. Right? Apparently not. Fox News has reported that the Harris campaign paid Oprah a million dollars to interview her. Lizzo and Cardi B have also been singled out as receiving payments.
Is it any wonder that these celebrity endorsements don't work when they are so fake?
Contra Scott's too much money in dark almonds piece, I think the reason that political campaign donations are relatively low is that it's really hard to buy an election. Bloomberg tried to back in 2020 and his campaign went nowhere. Money does matter, but the candidate matters a lot more. $1 to Trump makes a bigger difference than $3 to Harris. And Trump appearing on Rogan might have been worth $100 million, but he didn't have to pay a cent.
Throwaway05
4hr ago
Man you must have been around in the "shit I can't double click, I might as well just retire" days.
Alternately they're kicking 'em out now before the cheques start bouncing.
As another user pointed out down thread, one of the most effective things the first Trump administration did to stablize the Middle East was to cut US funding to Iran, Hamas, Hezbollah, the Houthis, Et Al. Biden has since reinstated the old Clinton and Obama era policy of funding radical moderate muslim fundementalist groups in the name of "outreach" but the Qataris aren't dumb, and presumably don't want to find themselves left holding the bag when Hamas' money runs out.
Muninn
4hr ago
I've only used Epic as a patient but from that perspective it's always seemed fine to me. My understanding is that on the other side of things, it's layers upon layers of complicated but then, so is the practice of medicine itself, so yeah.
AI is looking like we could probably feed it the bulk of our documentation and let it spit out nice notes for the majority of staff, but of course HIPAA. I don't use it much myself, personally, but then again I'm constantly context switching between our EHR side and our IT side and my personal goal is to pass on as much institutional knowledge as I can. I can remember when my old boss was jealous of me because I got to build fun things and learn while he had to ride herd on the clinical side. Now I'm doing what he did while the young IT Specialist is building fun things and learning new stuff. He did learn the hard way that anything he touches, he owns that way though!
He has announced the Pomeo and Haley won't be joining this time. https://x.com/wikileaks/status/1855399528909701537
I'm say this is the Deep state category, good to have it confirmed that they will not be joining.
With all the category listed, remove the ones he no longer needs and keep the ones he still needs for executing or passing bills.
Of course he will need his guy to get elected again in 4 years to make sure he doesn't get put in jail or his business or legacy destroyed.
jeroboam
4hr ago
If 1.5 ppm causes 2-5 points of IQ loss, how much does 0.7 ppm cause?
On the other hand, the benefits of fluoridation appear to be a (poorly studied) 30% reduction in cavities. That seems... minor. Especially given that fluoridated toothpaste exists which would appear to confer all the benefits with none of the downsides.
Throwaway05
5hr ago
I thank god every day that I mostly use Epic (like at this point most damn doctors in the U.S.).
It sucks but it sucks way less than all the other options.
I don't know if you've run into any of this yet but AI assist tools are getting quite good. Should people be using them? Likely no, but they are hugely helpful.
anon_
5hr ago
Sure, the supply of Chinese students graduating exceeds demand. But there are a couple million around LA man.
Plus, they can make beautiful wasian babies.
anon_
5hr ago
I've been more than a dozen times. Beneath the glossy exterior there's a society where everyone's fate is at the hands of a midwit apparatchik.
Moreover, the fate of your kids is dismal.
quiet_NaN
5hr ago
There was enough data to conclude with relatively high certainty that Trump was on pace to win. Nate’s model didn’t pick up on this because it sucks.
There have certainly been elections which were decided by tiny margins. They might well decided by the contrast in weather between the red and the blue part of the state. Now, you can say that Nate's model sucks because it does not sufficiently predict the weather months in advance.
We can score predictors against each other. A predictor who gives you a 50/50 on anything, like 'the sun will rise tomorrow' or 'Angela Merkel will be elected US president' will score rather poorly. ACX had a whole article on predictor scoring. If there is someone who outperforms Nate over sufficiently many elections, then we might listen to them instead. "I bet the farm on Trump, Biden, Trump and doubled my net worth each time" might be a good starting point, especially if their local election prediction results are as impressive.
Unfortunately, I have not encountered a lot of these people.
Muninn
5hr ago
Yeah I don't mind the skimming at all, even though I had fun doing the repetition bit when I was writing the piece, it bloated it significantly. But this is the Motte, after all, and the one commenter who replied to me wanted the detail so I ended up going with it.
Can't think of anything that I could really tell you that you wouldn't have already encountered. I don't need to tell you how awful the healthcare bureaucracy is, right? Though maybe I will add that our most common doc issue is that they can't e-prescribe to the client because someone went and added a full address to the "address 2" field of the client profile, exceeding 40 characters and also obviously breaking address verification. That one ended up being thanks to an instruction from the clinical head who evidently was never taught Federal address standards...
If you're interested, our clinical side has largely been neglected in EHR land for the last 8 years as two different medical heads did not or did not want to get involved in that area. The next medical head pulled a Brave Sir Robin after trying her best to do that and still be a Psychiatrist for a year, and I can't blame her. I've been in a few meetings with the new head of medical, who is an old-timer, and have discovered that the institutional knowledge problem that I harp on is a big issue there as well, mostly because we could probably streamline some stuff out of the workflow for the docs (Meaningful Use has been over for a while, after all) but also because the nurses abandoned their actual note along the way and started using an outpatient note instead, leading to the loss of data and my employer getting its wrist slapped by the State. Definitely a LOL moment for me!
And thanks for the read, it had me sympathetically SMDH many times!
TequilaMockingbird
5hr ago
Because that would defeat the purpose of having taken the hostages in the first place, of course this is also why the Isrealis have made the return of the hostages a prerequisite for any negotiation, so as to eliminate any incentive to take hostages in the future.
How did you think Californias current "ruling class" came to be?
I think they "came to be" by rejecting both our nation's founding principles, and the "low-key barstool populism of men like Nixon and Reagan" in favor of the rhetoric of people like you. People who care more about the color of a man's skin than they do their behavior/content of thier character.
Can you place the parasites and social dysfunction in a box
Yes you can. Specifically by tackling the behavior directly. The cucked liberal identitarian whinges about "disparate impacts" and "social capital" the based conservative declares "looters will be shot" and allows the cards to fall where they may.
The social dysfunction that has followed the largest non-white group of 'Americans...
Im going stop you right there. When I look at the US today (or anytime in the last 40 years or so) the most socially dysfunctional states are almost never the states that are the most black or brown, its the states that are the most blue.
Throwaway05
5hr ago
That being said, there are lots of reasons why people don't take their medication
Putting side effects and related problems aside (and they are severe, antipsychotics increase all cause mortality for example), many patients don't think they have a problem.
https://en.wikipedia.org/wiki/Anosognosia
It's a core symptom for many with psychotic illnesses and but many mood disorders or personality disorders involve people thinking nothing is wrong or blaming unrelated things.
Many of those with awareness of illness want to be free anyway, even if it means being miserable. Sometimes it is so they can do drugs. Sometimes it's because inpatient facilities suck.
Valuing autonomy is good but it leads to some grossness at times.
Magusoflight
5hr ago
The provocation is designed to rally more women to the democrats
sulla
5hr ago
So Nate Silver's problem is that his method is junk. He takes some averages and models them out. The problem is that a lot of the data he relies on is bad.
I’m more sympathetic to the pollsters than I am to Nate. The pollster’s job is to poll people using a reasonable methodology and report the data, not to make predictions. They can’t just arbitrarily add Trump +3 to their sample because they think they didn’t capture enough Trump voters in their samples.
Nate’s job is explicitly to build a model that predicts things. He can legitimately adjust for things like industry polling bias. He doesn’t because he’s bad at his job.
Muninn
5hr ago
Yeah, I apologize for the lack of clarity, my fingers are in so many different pies that it'd be hard to list them all. Off the top of my head, though, I'm still doing lots of data analyst and EHR admin as well as major pieces of the different data that we ship to our State for various departments and initiatives, Exchange admin, 365 admin, network admin, general server admin, help desk (we're all vulnerable to walk-ins, after all), some firewall/security stuff... in fact, I actually built an antispam server from open source wow, 21 years ago, and ran it until we modernized our network in 2011. That particular guy was one of my prouder accomplishments until I got into the guts of administering our current EHR platform. Anyway, the truth of the matter is that ever since that point and really earlier that on any given day I was putting out whatever fire was the biggest, if there was one, and if there wasn't then I was waiting for the inevitable.
On the whole HIPAA thing, yeah definitely not so much plugged into opaque databases. For all that the minimum necessary rule tries to restrict information, in the mental health world we do all kinds of wacky stuff that makes trying to even tamp down staff access difficult. When it comes to higher up stuff, most of the work we do is still wide open, though there are restricted clients that require an extra level of access, even to those that can generally access all clients with impunity. Fun fact: I actually had to go in and fix a family member's record not too long ago. They had been restricted because I worked there but still, someone made a mistake and there it was. I already knew said family member had gotten themselves TDO'ed so it just tickled my dark heart but if we had our act together and I was actually just doing IT proper stuff I'd never have to do that. And because I'm on the subject, I just can't even with all of the HIPAA breaches I've seen. Lots of them are genuine, "didn't get the memo/comprehend the training," type stuff like emailing documents with PHI in the wild, which our antispam gateway doesn't always catch, but there have been a few doozies, too. One of the saddest involved a staff who had somehow discovered that her boyfriend was also dating a client of ours, and said staff looked at the client's record and then proceeded to dig herself into a deeper hole trying to cover it up. Just a sad story and the only one I've seen prosecuted. Surprisingly, we've actually been forced to rehire staff that breached HIPAA and got terminated for it!
Anyway, I completely agree with you about needing a better standard than O'Connor and for me that's a real example of how my individualist ideals can lead to serious suffering in the real world. I can think of a few different "frequent flier" type clients that really would be better off institutionalized and that doesn't even touch clients that are homeless and suffering. And sadly, refusing medication for some of our most mentally ill clients goes hand in hand with being frequent fliers. I'm hopeful that we can find newer and better drugs for the folks that suffer from the terrible side effects (some folks do tend to think they're just fine without the meds) but then again, if you've ever read Scott's banger on esketamine, FDA approval is another thing on the long list of reasons that We Can't Have Nice Things.
rmtodd
5hr ago
Well, they already handed a Peace Prize out to Obama while the country he ran was simultaneously fighting wars in Iraq, Afghanistan, and Syria, so it seems that actively being involved in one or more wars is not considered a disqualification for the Peace Prize.
astrolabia
5hr ago
I agree with most of this, but I feel like some male shit-talking and joking, at least in a group setting, also has an element of faux-combat. Constantly challenging each other is a form of play-fighting, but it's also a test - someone who regularly can't come up with a comeback or simply shuts down will eventually lose status and become more likely to be simply dominated by the others.
LiberalRetvrn
5hr ago
Nick’s audience is separate from the groups that actually successfully control women’s bodies
Is it? Nick has said he supports the Taliban's gender policies. I think he probably has a significant Muslim fanbase nowadays.
urquan
6hr ago
That's an intense history. I have a lot of sympathy for all the roles you've had to fill simply as part of IT administration. It was hard to follow certain elements of what your daily tasks were, but from what I could gather, it seems crazy how much access to protected health information you seem to have had. I would expect that HIPPA information would have been plugged into opaque databases a long time ago -- guess I have a lot to learn about healthcare bureaucracy!
The reluctance of clinical personnel to work with the systems was also somewhat surprising, particularly how many decided to quit rather than adapt. Do you think this was because they were nearing retirement, the systems were non-standard for the industry and so they decided to leave for greener pastures, or because working at a community mental health clinic was a tough position and the change in systems was the straw that broke the camel's back in pushing them to get a better job?
For all of their limitations, side effects, and potentially inflated prices, drugs are absolutely, positively the best bang for the buck treatment of mental illness at the community and society level. They provide relief from pervasive states of consciousness and a stability that clients simply cannot achieve without them. Unfortunately, I believe any greater outcome for any given individual would require that magical "willingness to change" that is, all too often, limited to nonexistent.
And this is why I don't agree with the legal reasoning in O'Connor. When we're talking about mental illnesses that make people unable to discern reality or care for themselves, we're talking about a population that, to put it bluntly, needs to be made to take their medication. Chronic moderate harm, not simply imminent bodily harm, to the individual and to society is far more damaging than we give it credit for. Every time I see the homeless beggar on the corner who can't control his movements, I feel that we've done a great deal of wrong to him and to all of us by letting him live on the street like an ancient leper and not putting him in an institution that can guarantee him a warm bed and a set of pills.
That being said, there are lots of reasons why people don't take their medication, the most sympathetic being that many antipsychotics come with all sorts of uncomfortable side effects, as you might expect for a class of drugs that mucks around with the dopaminergic system. Tardive dyskinesia seems horrible. But we can solve this problem with better drugs, and in the meantime the tough situation is that it's better for the patient and for everyone else if we keep them in touch with reality.
spring
safe, legal torment nexuses
6hr ago
Putin ready to end Ukraine war
This implies that Putin's terms for ending the conflict/war goals have changed since Trump became president elect. In June this year Putin stated terms were Ukrainian recognition of Russia's annexation of the four oblasts and abandoning any plan of joining NATO and that still seems to be the case.
TequilaMockingbird
6hr ago
There's nothing nasty about making fun of the people who practice murdering their children so they can continue having careless sex with no consequences.
Yes there is. Nasty is as nasty does.
Such an amendment would discredit the government for obvious reasons. The abortion issue is a reductio ad absurdum of democracy. Apparently the electorate cannot even agree to prohibit the industrialized slaughter of infants.
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