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domain:putanumonit.com?page=1?page=0?page=2?q=domain:putanumonit.com?page=1?page=0?page=2

Know what you want to do, and figure out an actionable plan to get there.

Now is the beginning of the rest of your life whether you want it to be or not. Make use of it.

Youtube comments sections have gotten signifigantly further right over the last 3 years. That's basically social media.

Umm, are dual culture kids consistently WEIRD?

I'm not middle aged or a woman and I think carrying on a purely sexual relationship with a high schooler while a man in his thirties is pretty cringe.

New media isn't conventionally left or right, but the most popular versions tend to lean republican.

They do? Social media, except X, is all on the left too.

Certainly themotte didn't leave Reddit because Reddit was censoring Democrats.

So, what are you reading?

Still on Future Shock, 12 Commandments, Crystallizing Public Opinion and Galactic Patrol.

One in 200 is probably how unique I think my intelligence really is. I'm quite conscientious and like learning about basically everything so I think I present as smarter than I really am because I can talk decently about a lot of things.

I think the real humbling thing is realising that being 1/200 or 1/1000 is nothing, there tons of us and most are doing very average and normal things.

However the bad outcomes are mostly increased lifetime mortality and risk of side effects 20 years down the line when the patient is seeing someone else. This becomes effectively impossible to study so we don't... Psychiatry is a better example - psychiatric interviews and pharmacology are the most complicated in medicine. Mental health care NPs are terrible at both of these things, give people unnecessary medications and incorrect diagnoses and are legible experienced as lower quality by patients and staff with some regularity.

I should emphasize that I have a lot of respect for psychiatrists, who seem to hurl themselves into the breach of various social ills in a way I certainly wouldn't want to do. But if we're searching for a test field where rigorous evidence makes it very legible which are the "necessary medications" and "correct diagnoses," so that MDs' highly effective healing practice contrasts clearly with NPs' useless flailing, then I'm not sure psychiatry is the obvious pick. We're talking about the same psychiatry that regularly diagnoses from subjective surveys and patient self-reports, correct? Where almost none of the biological mechanisms are thoroughly understood, either for the ailments being treated or the medications that treat them? Where exercise, healthy diet and getting plenty of sun/fresh air seem to work as well as the best drugs a lot of the time? Where official medical conditions pop in and out of the DSM with every passing political wind?

Would you say that psychiatry does a good job of monitoring its physicians' contribution to patients' lifetime mortality and/or risk of third-order side effects 20 years out, either across different levels of physician talent/conscientiousness, or versus not receiving psychiatric care at all?

Also, since this is why people normally bring it up - if you magically paid all doctors NPs salaries and didn't really change anything else......healthcare costs wouldn't go down at all in any substantive way.

I don't quite get the reasoning here. Is the idea that receiving NP salaries would cause physicians to practice as badly as you believe NPs practice, because all the competent MDs would decamp for higher-paid professions (notwithstanding the additional benefits of prestige, flexibility, autonomy and meaning in medicine)? Doctors in Canada, the UK and Germany earn about 1/3 to 1/2 what they earn in the US; is the contention that they must practice incompetently and waste a ton of money doing so?

Was it handwavingfreakoutery?

I think people receiving blood transfusions have bigger problems than microplastics, so I wouldn't worry too much about it.

We have left-wing musings that the failure to reach low-propensity voters comes from a “lack” of a left-wing media ecosystem, which makes me scratch my head somewhat, given the disproportionate skew of media to the left. There doesn’t appear to be any introspection or soul-searching here. The issue might not be a lack of left-wing media, but a lack of trust in that media; becoming more online creates a healthy level of skepticism about what we consume, especially as AI becomes more prevalent.

Legacy media is left wing. New media isn't conventionally left or right, but the most popular versions tend to lean republican.

Now make no mistake, Rogan and Trump are allies of convenience. But they are allies nonetheless and arguing with him about dragons just makes democrats look shrill and out of touch(Rogan's audience, like most normies, answers esoteric paranoid schizophrenia with 'interesting, so, uh, did you see the game last night? How about that weather we're having, huh?).

I've been getting VERY interesting in egregores and eldritch analogies lately, and I'll probably do an effortpost on them at some point, but in the meantime I'm trying to track down a brilliant rationalist-adjacent blog that did long-form essays about a bit of different egregores, some of which had Lovecraftian or Biblical names. My Google Fu is failing me - anyone have any idea what I'm talking about?

My dad's theory of gifts has long been that the best gifts are something you'd want, but would never buy for yourself because you wouldn't spend the money.

I take a similar approach: buy a nicer version of something than they would buy, or even have already bought. E.g. they may have a couple $10 knives - buy a $100 knife.

I saw very few yard signs at all this cycle. I thought everyone simultaneously realized they were cringe.

"Governing" here is a very murky term. Sure, they are the biggest and the meanest of the gangs, but so what? Among any set of gangs, there would be one that is the biggest and the meanest. They didn't have any process that resembles free election even remotely - they had a gang war with FATAH in which they emerged victorious, and slaughtered or exiled anybody who was affiliated with the competing gang. Being the strongest gang counts for something, sure, but that something shouldn't earn them any legitimacy in the eyes of people who should know better.

-Ron Brown the Secretary of Commerce who was killed in a plane crash in Croatia. The medical examiner found a execution-style bullet hole in his head that was explained away as a flying rivet.

-Mark Middleton, who hung himself from a tree, and then after that shot himself with a shotgun.

The real suspicious thing is just the sheer volume. How many politicians have a double digit number of associates die violently or commit suicide?

Everyone knows about Epstein, I'm interested in the people who aren't famous and whose deaths were page 4 stories.

Children who have grown up in a WEIRD¹ society that teaches them barking-mad ideas like "When you're hiring someone with Other People's Money, you should pick the best person for the job, rather than the applicant who gave you a wad of cash." or "It matters whether someone did something wrong, not just whether they are related to you."

¹cf. The WEIRDest People in the World (Joseph Henrich), which postulates that "Western, Educated, Industrialised, Rich, Democratic" societies have world-views which are very un-common elsewhere.

Wait until you hear about this Epstein guy…

The Democrat rank and file seem to have have largely convinced themselves that the Democratic party message is Just Being A Decent Human Being. It's hard to pivot from that to the message being a problem.

I'm a former management consultant and I'm not aware of anyone being mad about SWE salaries. The job paths are broadly comparable with broad salary scales, competition, risk, limited career length, compensation broadly tracking to productivity (usually more unequivocally so for SWEs), etc.

I feel like people complain about doctors roughly in the same way people complain about longshoremen or garbage men. A guild (or the literal mafia) capturing part of the economy, limiting access and extracting extreme rent, with doctors union arguably being even worse since they not only cost a lot of money but drain top talent from the more productive parts of economy (even within their own sector of the economy!).

The strongest argument for it, actually. If the only proposition made by Sklavenmoral were that 'the weak ought to be protected from the strong', and the only proposition made by Herrenmoral were that 'the strong ought to be able to do to the weak whatever they feel like', the former would be called 'morality' and the latter by various words frowned upon by Unitedstatesian television broadcasters.

The strongest argument in the other direction, on the other hand, is their respective attitudes towards those who Accomplish things, such as ending the almost-nine-year gap during which America Could Not Into Space.

(cf. Matt Yglesias Considered As The Nietzschean Superman, Astral Codex Ten, July 2024).

Hamas is (still?) the governing power in Gaza, having been voted into power by the population in as fair and free an election as it is probably possible to get in Gaza. Despite all their corruption, authoritarianism, and just plain bad decision making, that still gives them an edge over the other competing gangs. Plus, being bigger and stronger than the rest counts for something on its own.

If something is happening at your hospital like once a year, that seems inevitable.

Various marital aids, I presume.