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sohois
1m ago
Status is a thing outside of the UK, perhaps 2rafa was guilty of miswording it. Think about it like this, if you're introducing a potential spouse to your family, what would come off better? "He/She is a doctor" or "He/She is a nurse practitioner"? I don't think it's building consensus to state that everyone would agree on the first option.
FiveHourMarathon
Listen to Pierre
26m ago
Sure but it's at least imaginable that every therapist will see Tim as delusional, where you're only a quick correction from "fixing" DrGPT.
justmotteingaround
28m ago
If you feel consigned to your home after sunset, you're more likely to need psychiatric medication than moving boxes. On average, people are moving to cities, and aren't afraid of the dark. I've never known a city dwelling woman to carry any means of protection. Fertility rates have remained about 10% lower in large metro areas than rural areas for over a decade. Not being able to imagine something 10% less frequent is caused by a broken imagination.
ControlsFreak
33m ago
I'd be very interested in comparing the average outcome of a NP with the latest AI models trained on giving medical diagnoses vs a lone doctor.
Not exactly that, but Zvi's recent post had this and this. Of course, I'd say that this is one of those areas where we probably care about some measure other than average, but it gets complicated.
2rafa
1hr ago
For some things iirc you have no choice, even in London, because the private capacity just isn’t really there and they’ll just refer you back to the private ward of an NHS hospital.
NunoSempere
1hr ago
I don't necessarily disagree, but to me the most salient fact is that there is not a clearly dominant gang that can keep the peace.
Corvos
1hr ago
Chatbots are interesting and have a lot of potential, but their dynamics can become a bit complex once you get into multi-chat conversations.
I know one person who’s deployed one as a full-fledged product. It solves a relatively simple problem and even then, babysitting it is giving him grey hairs.
Corvos
1hr ago
It’s got to the point where literally every elderly relative I have left can tell a horror story about their treatment at the hands of the NHS. I wouldn’t go to the NHS for a serious problem if you paid me.
2rafa
1hr ago
I think it’s likely Gaetz knew about the fake IDs rather than it being a deliberate attempt to gain kompromat by Greenberg, who was a consummate failson in many ways. Him and Gaetz were both from rich families and became friends over a mutual interest in crypto and guns, apparently. Gaetz also hasn’t really thrown Greenberg under the bus (even though coming out publicly and saying “the woman had an ID saying she was 19, I later found out my friend had set this up as part of a blackmail scheme”) would indeed be a fair defense not only legally as you say but also, at least to a major extent, in the court of public opinion.
SubstantialFrivolity
I'm not even supposed to be here today
1hr ago
When I said I try to treat trans people with compassion, I meant the more pedestrian sense. I know that for such a person some things are going to be upsetting (for example, if I insist on bringing up that he is really a man and not a woman as he claims). Since I would have neither the desire to upset him nor the belief that it would profit either of us to have the discussion, I'm going to defer it as much as possible.
I have been pondering over the past few months how I, a Christian, should act towards transgender people I encounter (not that I do so that often). Mainly because the answer a lot of people give is some variation of "speak the truth in love", but I have noticed for many that is really more of a post hoc rationalization to justify what they wanted to do anyway (to tell the trans people off). I don't want to fall into that same trap, and I know my human nature makes me prone to it as well, so I have tried to think of how to address the situation. If these people are sinning (which many would argue they are), I have a duty to gently point it out. It also seems to me that I have a duty to stick to the truth and not affirm falsehoods just to be polite. But at the same time, I also have a duty to show kindness towards them (even more so because they often are people who already feel like social outcasts and who have serious emotional and mental health difficulties).
My attempt to square this circle is more or less what I said in my other post - I'm not going to preemptively bring up the topic, but if forced I won't lie either. And, if I think that the time is right (i.e. it won't push them even further away), I might even gently point out that their path isn't what God wants for them.
This is basically similar to the approach I take with gay people I encounter in life. I don't (generally) tell them that their lifestyle is sinful, because in American society it's almost impossible for them to not know that. If I were to make that the point I emphasize, most likely I'm just going to push them further away from the church and from God. So instead, I hang out with them like I would any other person. Comfort them when they are down, celebrate when they are up, etc. And I pray for the wisdom to recognize if there ever is a right moment to say "hey man, I just don't think it's a good idea to live this lifestyle that the Bible is very clear is sinful", that I'll recognize it when it comes. Maybe that's a coward's way, IDK. But it's the best I can do for right now, anyways.
2rafa
1hr ago
“Downtown” / urban core parts of SF, NYC, Boston are some of the most expensive real estate in the US.
2rafa
2hr ago
Maybe the real cringe is cheating on your wife/gf in the first place. More generally (since I don’t think Gaetz was married at the time of the allegations around him and Greenberg) breaking the law to hire a 17 year old prostitute suggests a certain cringeworthy horniness / lack of self-control at the least.
sun_the_second
2hr ago
Calling it "just slave morality" is not enough to be able to dismiss the argument out of hand.
2rafa
2hr ago
What's the long term upside of being a PA/NP? Are their managerial and executive equivalent roles for PAs/NPs?
I think that as with both nurses and doctors, the smartest and most ambitious can rise into hospital management.
MaiqTheTrue
Renrijra Krin
2hr 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.
Gleba was by far the hardest planet for me, I got brain-burnt enough that I had to take a break for a couple of days. Works ok now though. Aquilo was somewhat simpler, and much less frantic.
orthoxerox
If you can read this, you're using a custom theme
2hr ago
It's not just age. It's the answer to "how likely would the person be able to have the same experience by asking his wife/GF or hooking up" that determines the cringeworthiness. So it can be age, kink, difference in attractiveness, etc.
Felagund
2hr ago
I find it interesting that you put flat earth in a different category than a fusion-powered sun.
Anyway, I think there are clearly at least some voluntary components to religions, which are plainly choices. Religious people do also talk about having struggling with doubts.
But yeah, Christians do literally think that God died and was resurrected 2000 years ago. Doesn't mean that that's always going to be fully internalized, of course, but we do think that. If you asked a Christian "Was there someone 2000 years ago named Jesus, who was crucified?" "Did Jesus rise from the dead?" "Was Jesus God?" I think you'll generally get some pretty sincere yeses, especially if you ask the questions in that order.
MaiqTheTrue
Renrijra Krin
2hr 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.
Incanto
2hr ago
Have played this game several times and quite enjoyed it. Feels like the different components of worker placement, deck building and (very) light combat work together nicely to create tension.
The situation in the UK is as bad, indeed worse because of immigration as you say. The native (and 2nd/3rd generation immigrant) doctors who run the BMA and the colleges limit places because they know that almost all senior jobs in hospital trusts and places in elite surgical specialties will go to British-trained doctors because of networking and because they interview better than ESLs, and want to limit their number, forcing the NHS (as you say) to hire incompetents from abroad.
Conspiratorial types often talk about whistleblowers dying in suspicious circumstances strongly suggestive of foul play, but which were officially ruled as suicides. I seem to recall that many such accusations have been levelled against the Clintons. Are there any examples of this which strike you as particularly suspicious?
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