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Dean
2hr ago
I've never known a city dwelling woman to carry any means of protection.
How many women have you known the contents of the purse of when they walk around at night?
EdgeCityRed
2hr ago
The trans fantasy - and this part is true for both AGP and HSTS - is to be a 95th percentile hotness woman. The rest of womanhood or womenfolk don’t concern them or factor into it at all.
I can see the appeal of transitioning to become male (if the button-push scenario were real versus hormones and surgery); menstruation is a horrid, annoying hassle at best, pregnancy and childbirth can have severe deleterious effects on the body, and men don't have to be very concerned about aging, because their eye wrinkles and gray hair are viewed as distinguished and not extinguished by society. Men who go overboard with botox and surgery come off kind of sad. Wearing makeup and cute outfits are the FUN part of being female.
But if I were to transition, I wouldn't look like George Clooney; I have female hips, testosterone can cause baldness, and I'm 95th-percentile female tall, but as a man, I'd be average. It's shallow of me, maybe, but I don't see a point to doing it without a serious gender dysphoria element if you're not going to pass easily and end up hot.
faceh
3hr ago
Yep.
There was a local eye doctor with big dreams when I first moved to this area 9 years back who now owns like 6 different offices in two different counties. Actually, I just checked, now its 7 in three counties. Could quite possibly be pulling in 8 digits annually.
Entrepreneurial spirit in the medical field can be rewarded heavily, and because it is gated so heavily, you generally have a built-in advantage for reaping those rewards if you have business savvy.
Of course, entrepreneurs from outside the medical field are absolutely SALIVATING to piece up the medical industry any way they can, and it all seems to trend towards consolidation, where big, established players will eventually come in to compete with you.
Most doctors I've known are happy enough to just build up a big book of patients then sell off their practice.
2rafa
3hr ago
It doesn't matter because unless they're so incompetent they actually kill people (and even then...) they have job security for life. In other jobs that have great job security like working for the federal government it's widely understood that this comes with a salary penalty. I don't care that doctors can't easily make millions, it's completely irrelevant, what they can do is make a 95th+ percentile income guaranteed for a 30-year career; no other profession in America has that.
cjet79
3hr ago
Artillery is highly effective for medium and small demolishers. When I tried to kill a large one with artillery I got my position overrun. That health Regen is insane. I think the big ones need quality nukes.
The_Nybbler
Does not have a yacht
3hr ago
Being a physician opens the pathway to starting your own practice, which can easily lead to a 7 figure annual income.
Not anymore. Regulatory requirements have pretty much forced doctors into "health systems" where they may nominally have their own practice but they're basically employees.
cjet79
3hr ago
Vulcanus will always be somewhat limited with launch capacity. The gravity is higher on the planet, so more rocket parts are needed (4x if I remember right). Then two of the launch components require oil products, which you have to get through coal liquefaction. And you'll be amazed at how much coal you can go through for liquefaction.
Templexious
3hr ago
The Instagram algorithm and general Zucksphere of platforms don't really appeal. The ideal platform is one which enables and promotes complexity. Either by promoting thinkers and posters of complexity or simply bruteforcing complexity by making the feed truly ideologically-diverse.
An intractable problem, but I'd at the very least like to avoid platforms that cave to foreign interests
HaroldWilson
3hr ago
It's loser establishment Republicans who continue to defect!
They aren't 'defecting', they simply consider the 'outsider' picks like Tulsi and Gaetz fundamentally unfit to hold office, and it would be a dereliction of duty to not oppose them if they believe so.
Yeah, it's a big cabinet, there are lots of things going on, coalitions need to be managed
Literally any combination of picks could be rationalised in this way. Tulsi especially seems like a ludicrously ill-thought through choice. She won't pass the Senate, her position on Ukraine is way off the reservation even by Trump/isolationist Republican standards, she's proven herself to be politically unreliable and unpredictable etc. etc. If the response to this is that, as you say, she has a 'grudge' against the institutions and will disrupt/destroy (parts of) them, she doesn't have the political chops for that. Her only political experience is as a backbencher and later twitter poster - not really the sort of person to 'take on' any deeply embedded institution.
jeroboam
3hr ago
We can't necessarily trust the BLS statistics to give us an accurate picture of wages in certain professions (notably waiting tables, bartending, some trades, and doctors).
While your average salaried internal medicine doc at the local hospital might only pull down 200k, that's barely scratching the surface of what a doctor can make.
Being a physician opens the pathway to starting your own practice, which can easily lead to a 7 figure annual income. Presumably, this does not get reported as wages to the BLS.
Tophattingson
3hr ago
Muslims are definitely not fargroup in the UK yet this pattern still holds.
daguerrean
3hr ago
Maybe Danny Casolaro? I don't have an opinion on his case but it's kind of the 'classic' of this genre imo
daguerrean
3hr ago
I generally believe in consumables theory, that you really can't go wrong with them and they will almost always be used. For the past few years I've often fallen back on a gift box of pastrami and pickles and such from Katz Deli. It is the kind of thing most people would never buy themselves but every man I have given it to greatly enjoyed it.
MotteAnon12345
3hr ago
No. They'll get their information from their insurers and from the legal departments at the hospitals where they're employed, and I guarantee you that the attorneys involved aren't basing their advice on Pro Publica articles.
Fair enough.
The court addressed this specifically in IV.A. Specifically, on page 22, they state:
The Center argues that such a standard means that doctors are susceptible to a battle of the experts when not every doctor might reach the same medical judgment in each case. We rejected such an interpretation in In re State. “Reasonable medical judgment,” we held, “does not mean that every doctor would reach the same conclusion.” Rather, in an enforcement action under the Human Life Protection Act, the burden is the State’s to prove that no reasonable physician would have concluded that the mother had a life-threatening physical condition that placed her at risk of death or of substantial impairment of a major bodily function unless the abortion was performed.
(Footnotes elided.)
The opinion has more exposition on this (and I assume the case they refer to has even more). It does not seem to be as unreasonable a standard as you seem to imply.
Urgent Cares exist because people these days refuse to use the system how its designed (and it's because of incentives, I get it and have committed this crime also) but they aren't really designed for the care people ask of them.
Sounds like a design problem.
This has a number of important effects one of which is: most of the shit that annoys you most about doctors is not their fault, they are required to do it because they aren't in charge anymore (most people in most specialties are employed now and not in independent private practice).
Sounds like a design problem.
Doctors no longer work for themselves and are now required by law and by their employer to do things that annoy the hell out of patients and we hate it but its not our fault please dont blame us thank you.
Sounds like a design problem. I'm not blaming them, definitely not individual doctors.
But doctors are theoretically in the best position to raise the issue and demand or impart adjustments. Seems like there's a large... incentive problem, who profits from keeping things as they are, and why don't they suffer consequences for failure?
Another Eliezer Yudkowsky tweet that lives rent free in my head on top of the other one is his almost certainly correct argument that completely removing all regulations currently effecting the healthcare industry would create immediate improvements compared to the status quo.
So, hope that Trump takes a chainsaw to the healthcare regs?
He also has interesting ideas on addressing the status quo.
cjet79
3hr ago
We managed to get to the victory screen this week. It came sooner than expected. We were sort of expecting to unlock some new secret technologies instead of the victory screen. We still have yet to do anything with promethean science packs.
I think in order to really do end game stuff I'm going to need to need to focus heavily on quality builds for a new ship. Or retrofit my existing massive ship. The sheer volume of asteroids in the outer system was overwhelming a blue belts ability to transport missiles. The flat front of the ship also had some vulnerability to asteroids clipping the sides.
But in order for the sheer quantity of stuff I'd want for quality builds, I'm gonna need to clear up more of the production on other planets.
Including plastic on Gleba, which is becoming a real limiter in getting enough quality red circuits. @No_one was brave in being the one to start our Gleba builds. But I think I need to make some of my own attempts, because I've seen the Gleba builds clogg up enough, and I have my own ideas about how to build a Gleba mega factory and it's different than his approach.
I think I want to build self contained mini factories. They take in the raw inputs, make their own necessary intermediate products and output final products. The benefit of this approach over sharing around intermediate products is that the intermediates tend to spoil the fastest of everything, and they tend to require the most in terms of bulk, so they fill up belts and then quickly spoil on those belts. The other benefit of this approach is I can just shut the whole mini factory down if there is enough end product on the logistics network. Rather than sending in a constant set of inputs that proceed to spoil and clogg up once the end storage or spoilage handlers are full.
HaroldWilson
3hr ago
I'm not denying he was sacked because of the things he said in the memo, but rather that the thing that got him sacked was very specifically his statements on women's biological disposition to neurotic behaviour, less drive to succeed etc. Which it's hard to blame them for - it would seem less than conducive to a healthy working environment to know that your colleagues consider you naturally predisposed to neurotic behaviour, by virtue of being a woman.
He could easily have made the case against any of the specific policies without that element.
MotteAnon12345
4hr ago
Really? I could believe e.g. that some fundamentalist voters (a small minority) believe that the non-viable fetus is still a living creature and therefore deserves protection. I could also believe that Ken Paxton is an attack dog who will go after suffering mothers because it's in his political interest. But the median voter? If you brought a case of a late term miscarriage, would the median voter really insist doctors wait for weeks before offering medical care?
Admittedly, I don't have great evidence for my view. I haven't looked at voter surveys on this question for example (are there any?). I do have some evidence: the Tx legislature clarified the law in HB 3058. But what evidence do you have?
And if the median voter doesn't have such a hardline view, we're back to my original question. Why would the Texas Legislature impose such a blunt guideline instead of a more nuanced one?
iprayiam3
4hr ago
No see this is the issue. If conservatives have been ‘pearl clutching’ about sexual morality for this long maybe it’s not performative… and further why are you surprised?
Your entire reaction (if not performative) thus rests on the conclusion that conservatives don’t earnestly find anything wrong with soliciting teenage prostitutes.
If you don’t find anything wrong with it, again- ok. But to assume anyone who does is pearl clutching is an extremely warped worldview
Folamh3
4hr ago
A reference to https://youtube.com/watch?v=nCuf_O2xaw8&ab_channel=NT?
NewCharlesInCharge
4hr ago
Bloodletting was ahead of its time?
Throwaway05
4hr ago
PCPs have sick visits, you establish with a PCP and they'll schedule you urgently if something needs to be managed urgently, if you have an established relationship with a PCP they'll know how reliably you are and will do somethings over the phone. This is how it is supposed to work, Urgent Cares exist because people these days refuse to use the system how its designed (and it's because of incentives, I get it and have committed this crime also) but they aren't really designed for the care people ask of them.
Additionally, physician pay has decreased year after year for longer than the majority of the people in this forum have been alive. This has a number of important effects one of which is: most of the shit that annoys you most about doctors is not their fault, they are required to do it because they aren't in charge anymore (most people in most specialties are employed now and not in independent private practice).
-Can't do something simple over the phone has to be an appointment? It's because that doctor's employer requires it so they can bill.
-Appointment short and unrewarding? It's because that is how the employer wants appointments scheduled.
-Doctor pays mostly attention to the computer? It's because there is no admin time and if he wants to go home before 8pm he's gotta start charting in the room.
-Doctor asks you annoying repetitive questions? Someone has mandated they ask them in order to bill or satisfy regulatory requirements or some other annoying thing. Or some incompetent front desk staff person said you were a smoker or a drinker or are missing your appendix and it requires forms in triplicate to remove from your chart.
Doctors no longer work for themselves and are now required by law and by their employer to do things that annoy the hell out of patients and we hate it but its not our fault please dont blame us thank you.
Gaashk
4hr ago
I think this happens anyway. If you need a complex surgery in New Mexico, they will send you to Phoenix or Texas, even if it’s fairly urgent.
2rafa
4hr ago
There is no such thing as a private emergency department / A&E in the UK, there are a couple of hospitals like the Princess Grace and St John and Liz that have urgent care (mostly only from 9am to 7pm and not usually on holidays) but it’s only for ‘non life threatening’ stuff and if you rock up and it’s bad they’ll immediately call an ambulance to take you to an NHS A&E.
That said if you need inpatient treatment you can get out on the private wing of an NHS hospital as soon as you’re out of intensive care (if necessary) which is much nicer.
We can't run the world on 100% certainty. By your reasoning, the school shouldn't report the child doing any dangerous things that didn't have a 100% chance of harming the child.
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