domain:freddiedeboer.substack.com?page=5
BurdensomeCount
Apparently "BIPOC" is a racial slur now.
15m ago
US physicians (I will not call them doctors unless they are an MD, the word doctor comes form the latin docere, meaning to teach; unlike how the uncultured may think about it, true doctors are those with a Ph.D, not those with a BChir, there's a reason why in places like Germany these people are not allowed to call themselves "Doktor" but instead go by "Arzt") are so far up their own ass with how highly they value themselves that it boggles the mind.
I have met many many doctors and the vast majority of them are sub 98th percentile mediocrities pretending they are the intellectual equals of the 99.5th+ percentile thinkers. I've said before that the 95th percentile human being has a lot more in common intellectually with a 10th percentile human being than he does with a 99th percentile human being and something similar applies for the average doctor who isn't much better than a 95th percentile human but has the ego of a 99.9th percentile one (not saying there are no amazing doctors, I've met some of those too but they are the exception, not the average and they tend to be MDs).
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. My prior is that the NP+AI performs at least as well as a doctor in most non-surgical specialties. If so then the optimal thing for humanity is to cry havoc, give NP+AI combinations the same powers and responsibilities as "full" doctors and let slip the dogs of war on the protection racket US doctors are running. Of course this is a pipe dream (never mind the extreme litigiousness of the US meaning NP+AI malpractice insurance costs will be through the roof but that's a discussion for another day) but yeah, either we all grasp the nettle and do something like this or the economic rent seeking of the AMA will continue to extract blood from the rest of society.
Mihow
Lipstick on a guitar
18m ago
From the ‘ vibes ‘ I gathered about a day after the Gaetz nomination, most Trump supporters thought he was being set up to be a lightning rod of controversy and tossed aside.
birb_cromble
22m ago
I can't drive down twenty miles of highway without seeing a nurses wanted sign, usually with a prominent signing bonus advertised as well. Maybe it's a regional thing?
birb_cromble
26m ago
I wish that infographic could include population change on the z-axis, in addition to the voting change.
I live in an extremely blue enclave of an extremely red region, and one thing I've seen is that all the aspiring PMCs move as close to the blue enclave as they can manage, or they flee to the DC/Baltimore/Philly/NYC megalopolis, never to be seen again.
aqouta
28m ago
This would be a problem if every hospital was already a teaching hospital, but that is not the case.
BurdensomeCount
Apparently "BIPOC" is a racial slur now.
32m ago
If what you are saying was truly the real problem then the easy solution would be to allow foreign doctors trained in European countries/Australia/NZ etc. to come and work in the US without needing to redo their residency. Medical standards in these countries are no lower than the US in aggregate and may well be higher. Sure you can ask for equivalency exams (like how the UK does for foreign doctors) but there's no valid argument that the 90th percentile British doctor is worse than the 10th percentile American doctor, so why block the former from working in the US?
That we don't see this is Bayesian evidence that this is not the true objection for why the US medical cartel wants so few licenced doctors.
Amadan
I will be here longer than you
35m ago
Make your point without the snide personal digs.
5434a
38m ago
Since my first exposure to it via /tumblrinaction more than a decade ago it's been TRA's persistence in presenting contradictory, circular and otherwise faulty reasoning as their basis for justification that frustrates me more than any idea of a man in a dress winning a sports match against women and then using the same changing room after the contest, or similar object level conflicts.
I'd be just as vexed if people made serious arguments that magic is real and that if you ruminate on it long enough your wish to learn magic can come true by forcing everyone to call your school Hogwarts, changing your name to Harry Potter and cutting a lightning scar into your head. Legislating for Hogwarts accreditation and arguing whether Griffindors are allowed in Hufflepuff dormitories is redundant.
What's crazy is that rather than getting laughed off the internet the tumblrites successfully coerced the real world into entertaining their fantasy by little more than using the threat of being shamed for intolerance on social media.
MathWizard
Good things are good
55m ago
This. I think "don't ask don't tell" is an excellent policy that needs to be the norm in the entire culture. If I am not in or considering a romantic/sexual relationship with you, then I don't need to know about your weird fetishes, and you don't need to know about mine. Even if it's not weird, even if a straight man just really likes tits, I don't need to hear him announcing it and going on about it in public and making it his entire identity. It's tacky. Keep it to yourself, or talk about it in private with your close friends.
hydroacetylene
1hr ago
I think a bunch of this is climate, as well- in the south it’s still too warm to hang deer in November, you have to pack the body cavity with ice, or quarter it in an ice chest, which means you need a freezer to store that ice, which means you need a deer camp with electricity. + there’s less public land, you need to secure permission to hunt on someone’s private land. Militates in favor of hunt camps, and since it’s usually private land with restricted access, there’s no free rider problem to setting up feeders and tree stands.
Deer stalking is a different sport which is more common on public land- heavier forest cover makes the Rockies-style ‘drive around on public land until you see an elk’ a way to not see any game.
The gender difference I’m reasonably sure is cultural, though. AFAIK the intermountain west and northern Rockies aren’t much less socially conservative than the south, so it seems kind of random.
Amadan
I will be here longer than you
1hr ago
I imagine that, like me, you don't pick unnecessary fights. For non-confrontational grillers like us, it's pretty easy to just let all the Pride stuff brush past us. Do I really care about rainbow flags everywhere and trans activists in the workplace sending out multiple emails every month about the importance of PRIDE!!!! and allyship and diversity? No, it doesn't affect me.
But... it's annoying. I notice.
More importantly, I know what the cost would be if, just once, I said something like "Why do we need yet another Pride event? Nobody is harassing you here, of all places. (And why do we need entire full-time positions just to support and affirm you?)"
I don't say things like that, because why pick an unnecessary fight? Yeah, mostly I can just ignore them. I don't have to go on their stupid Pride walks or attend their stupid Pride events or wear their stupid Pride pins or put their stupid Pride posters up at my desk.
But if I did say something like that, I'd be the office Nazi. I'd need to be educated.
Never mind that I am not "anti" LGBTQ. I want them to live their lives free of harassment. If someone was suggesting they be criminalized, or not allowed to work here, or forbidden to be public about who they are, I'd be strongly against that.
But that's not enough for them. You say no one is harassing or abusing me, and this is true, but only because I know how to keep my mouth shut and it's not important enough for me to fight over it.
If you're unfortunate enough to be someone who can't keep their mouth shut - like say, a James Damore - these are the people who will go after your job.
I will say that of the few trans people I know, personally and professionally, mostly they are pretty normal. But without exception, I have seen them go off a time or two at a relatively minor "microaggression." They definitely remind you that they are a walking social hazard zone.
When I say I resent having to keep my mouth shut, I don't mean that I really want to call someone a tranny or say "You know you're a man, right?" I'm not that big a jerk (though some of the biggest jerks among them make me want to be). I mean I resent that anything other than a nod or just benign silence when they are going off means you are now engaged in the firefight. I mean I resent that I can't say "Why yet another Pride event?" I mean I resent knowing that they expect us all to pretend and affirm and validate.
coffee_enjoyer
☕️
1hr ago
I think there was a blackmail element no?
Admittedly I never looked into this deeply. I also distinctly recall some other politician coming forward when the Gaetz drama dropped, saying that something similar happened to him: he met someone, they had girls in the back of the car who were overly friendly, and he left because of the strange vibe. But I don’t remember who that was.
anti_dan
1hr ago
If that were true it would be self-fixing. You'd have the number of surgical residents that are needed to do surgeries going forward. Or at least, current demand. But instead all these positions are basically people working more hours than is healthy a day, making a paltry salary, and then once freed from the artificially contained program immediately making 4-10x they were.
Celestial-body-NOS
🟦 All human beings are equal, **even when they aren't.**
1hr ago
"Acknowledging" is the wrong word. You were advocating for or choosing those circumstances
No, I was admitting to where I am least certain of my position. In the circumstances I listed, it would still be better if they were dealt with by something akin to a legal process, so that Adam has just as much recourse even if Bob is much larger and stronger.
based on your own principles of what is most offensive.
Based on my priors of what is most likely to signal the likelihood of impending violence against Adam, or against people he cares about.
These do not turn out to be universal.
I think the notion of "(1.) Speech should not be responded to with force; (2.) if (1.) is ever not the case, it would be when the speech indicates the impending use of force."
For instance, insulting someone's mother's the way you mentioned is often considered sufficient provocation
Probably as a hold-over from societies in which it was a prelude to "...therefore your family is dis-honourable, therefore my family and our allies can get away with taking your stuff." (This was a much bigger threat in places with-out robust public order, which is why, even though I sympathised with many of the complaints raised in 2020 about the tactics and methods used by police, the calls for the total abolition of police departments never sat well with me.)
Thus, among the examples listed in the second group, it is the closest to the line, even if I would still not hesitate to find Adam liable were Bob to sue him and I were to be on the jury, whereas I would be less immovable in the first group of examples.
you'd only expect Bob to do it if he WANTED a physical fight
That is the other exception to "The person who threw the first punch committed a tort."; covering professional pugilists, people who mutally decide to settle their disputes outdoors, and certain non-standard carnal practises.
Quantumfreakonomics
1hr ago
Manufacturing is a surprisingly large portion of the economy in rural areas. In dollar terms, manufacturing is a larger sector of Iowa's economy than agriculture.
cjet79
1hr ago
It can be done on the phone if a sit down is not possible. I'd push for the sit down if you can. It's going to be uncomfortable and one easy way to get out of an uncomfortable conversation on the phone is to end the conversation. But getting out of one in person is harder.
The sooner it happens the better. Especially if a week or two has already passed.
VoxelVexillologist
Multidimensional Radical Centrist
1hr ago
Is that a function of education time/costs? Employers are willing to take on apprentice welders and electricians, but the educational hurdle for an NP is several years of training before someone becomes employable. Pilots need (preferably paid) hours to hit minimums for airline work. Nobody seems to be willing to hire to train engineers or lawyers either because those are harder to learn (earn licenses) while working at more entry levels.
Bleep
2hr ago
an upcoming guy from a rich family gets elected as Seminole County Tax Collector who then gets women off of Sugar Baby websites paying them >$70,000, prints them fraudulent Florida driver's licenses listing them as >18, and then pays them to have sex with him and others, including perhaps a sitting Congressmen
looks like this could potentially be a blackmail operation also (although perhaps not on behalf of a foreign nation), but the guy doing it also engaged in a bunch of other ridiculous criminal behavior which landed with him being arrested for something else which is when the above was uncovered
Somewhat related but I've become convinced that the way the doctor profession works is a drain on society.
A practicing doctor is a somewhat important profession that requires a reasonable amount of intelligence to do competently, but they also have horribly low productivity compared to many other highly paid professions, seeing as the doctor only ever helps as many people as they physically can see. Combine this with fantastically high base compensation and a borderline ironclad employment security until the grave and we have a societal problem where medicine effectively becomes a form of sinecure for the intelligent.
There are more productive professions within the realm of medicine like researchers and med-tech engineers (and there is some overlap with doctors here) but they generally aren't meaningfully better compensated than regular practicing doctors and often get paid less.
I'm not saying these people shouldn't be well compensated or that we shouldn't have doctors but the current incentives leads to a situation where a good portion of the most intelligent are drained away from the economy to do low productivity work at a very high cost.
This could all be solved with an increased amount of doctors. The intelligent and driven will go on to more productive work (whether in the realm of medicine or elsewhere) and society gets access to more doctors for a more reasonable cost (just how much lower depends on the country).
Anne Selzer in shambles.
But yes, I think the party realignment is largely about cultural signalling. It's not like the average Iowan is going to have a coherent opinion on trade policy.
The average swing voter might have seen the election this way: "Do you like where the country is going? Do you want more of it? If so, vote Harris. If not, Trump". To me, this seems like as good a way to vote as any.
JulianRota
2hr ago
I get the same non-24-hour cycle thing, for a long time it seemed like my body wanted to live on a 25-ish hour cycle. This mostly manifested in being unable to fall asleep when I wanted to, despite being woken up by an alarm at a consistent time. It seems to be mostly cured since I started taking Melatonin about 2-3 hours before the time I wanted to go to sleep. Now I mostly sleep pretty well at around 6-7 hours a night. I don't believe the Walker take that everyone must have 8 hours a night no matter what and you're doing something bad if you don't.
Alcohol has weird and complex effects on my sleep cycle depending on exactly when and how much I drink.
I have been doing mostly-Keto for weight reasons, which I started a number of years after I started using Melatonin. I hadn't heard of the sibling's claim that it also affects the non-24-hour sleep cycle thing, but it seems plausible.
the girl was allegedly 17 years old in 2017 when Gaetz was 35 and the girl likely had a fraudulent real Florida driver's license saying she was 19
middle-aged women are "within their rights" to think any opinion and it's certainly not surprising they disapprove of rich congressmen their age sleeping with 17 year olds, paying them or otherwise
jkf
2hr ago
Yeah in some ways it's just that hunting is way easier here -- Easterners talk about hunt camps, deer drives, tree stands and I'm like WTF dude, just go drive around at sunrise +/- a couple of hours.
Doesn't really explain the gender difference though -- women I know (and these are in some cases literal partners in crime growing up; no way they are making up stories about shooting moose to impress me) are solidly either 'why can't you just leave the animals alone' or pretty bloodthirsty themselves -- the middle ground is not there. Cultural I guess.
I think it's much less cringe than hiring 37-year-old prostitutes. And at 400-500 dollars per session she was a real bargain, to boot.
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