domain:theintrinsicperspective.com?page=1?page=4
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).
jeroboam
23m ago
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 the way the country is going and 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
24m 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
31m 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.
It gets more interesting: it's likely these 17 year olds were recruited off sugar baby websites by the former Seminole County Tax Collector by the name of Joel Greenberg who gave them fraudulent real Florida driver's licenses which listed their ages as over 18. Joel Greenberg was arrested for a scheme of sending letters claiming to be young teenagers in order to accuse his middle school teacher primary opponent of sexually assaulting them, and they found treasure trove of crimes on his cell phone and computers. Greenberg then attempted to get a deal from the feds by floating to the Barr DOJ that he had evidence a sitting member of Congress had sex with women under the age of 18. Despite the DOJ being filled with frothing-at-the-mouth partisans, they opened a secret investigation into Matt Gaetz (and likely a grand jury), and then former DOJ officials likely attempted to blackmail Matt Gaetz's father for $25m in exchange for a Biden admin presidential pardon for Gaetz's "looming" sex trafficking charges (which spurred one of the most bizarre, and true, interviews of a sitting Congressmen on National TV), but after the blackmail thing was burned the sex trafficking investigation was leaked to the NYT, Joel Greenberg plead guilty was finally sentenced to 11 years in prison (only 1 year more than the mandatory minimum for his specific sex trafficking conviction), and the DOJ dropped the investigation over a year later.
It's unverified if it's specifically true the women Greenberg admitted to giving fraudulent real Florida IDs were the 17 year olds Gaetz is rumored to have sex with, but given the behavior of the DOJ, I think that's a good guess as to why no charges were brought.
hydroacetylene
45m ago
Ah, out west. Texas's hunting culture is an extension of the greater south, whereas the west's is not, so the regional distinction is probably the dominant factor here.
jkf
49m ago
I could see that happening, but yeah, out west we don't do the 'hunt camp' thing as much -- or if we do it's in addition to 'go sit in a good spot (and/or cruise some cutblocks in the truck) for a few hours before/after work'. Nice to have some company for this, but it's also nice to be alone in the woods sometimes.
To be clear the people I'm talking about are ones that I hunt with personally and have observed shooting deer, so you can take that observation with whatever credibility you associate with internet randos (ie. me) -- the one girl who does go by herself is not quite as keen as her husband, but will take a couple horses out for a week ~once a year and come back with meat, so I'm pretty confident she's not secretly meeting up with her husband afterwards to throw his deer in the truck. (although in this case it would also not surprise me in the least if they also engaged in legally ambiguous activities in the event that all the tags aren't filled at the end of the season)
TheBailey
soapy mop
58m ago
Ironically, my only major complaint about this mouse is that it’s too light for my tastes. Next time I have shoe goo or something like it in the house, I’m going to crack mine open and see if it’s got anywhere good to put some heavy iron nuts in.
bonsaii
58m ago
I have many friends in medicine with whom I talk about these issues fairly often. My understanding based on these conversations is that you can't just go out and increase residency positions because the whole point of residency is to get sufficient exposure to cases. A surgical resident needs to do X gallbladder surgeries, Y appendix surgeries, etc. to reach competence and be able to perform independently. There are only so many patients who actually need those surgeries per year. Also, there are only so many teaching surgeons willing to supervise residents (teaching is almost universally a pay cut in medicine). Freeing the cap on residencies would mean a lot of doctors-in-training who waste time sitting on their hands and come out underprepared.
SubstantialFrivolity
I'm not even supposed to be here today
1hr ago
As is so often the case, it comes down to the outgroup/fargroup distinction. For leftist in America, Muslims (even the ones in the country) are the fargroup. They just don't care about them that much. But Christians (especially the conservative, fundamentalist strain of Christian) are the outgroup. They hate those people, and so they target all their ire at them.
WhateverHappenedToNorman
1hr ago
This seems like a problem that fixes itself: while not perfectly, status does eventually follow money. As it does, these jobs should start to get filled with more competent people.
I'd be more worried for countries with socialized medicine, particularly those that don't have that high median income: there's only so many immigrant doctors to prop up your system.
hooser
1hr ago
I'm going to push back on the assumption that nurse practitioners, or even registered nurses, tend provide worse care than doctors for most patients. I want something more than an impression of anecdotes--preferably actual studies--because in my circle complaining about getting misdiagnosed made by doctors is a well-honed pastime.
I dig your take that those born to the PMC class who strive for Doctor status don't downgrade to nursing. In my experience, nursing Bachelors programs are still very competitive, and there are plenty of children of PMC that go into it (heck, I know a few). These are young women (for the most part) who like to work with people, who like clearly meaningful work, who are not put off by the prospect of hard work, and who by-and-large aren't strivers.
Nursing Bachelors programs also draw plenty of (mostly) women from the working class--because it's clearly meaningful and hard work that's well-renumerated--and only the smartest and most conscientious tend to make it into--and then through--the competitive Bachelors.
It therefore seems to me that there is a positive selection for a combination of conscientiousness, intelligence, and willingness to work hard. So without looking more into the data on the subject, I predict that a study comparing rates of misdiagnosis would be similar for Nurse Practitioners and Doctors, and probably not much worse for Registered Nurses.
Especially if the study counts the final diagnosis of the system rather than the initial diagnosis: a good Registered Nurse can look at a first-time patient, say "I think it's anxiety, but since I am not certain, so please wait while I consult with the Doctor on staff", and that may be the right call when the Doctor then identifies it as a blood clot. A good diagnosis by Registered Nurse should be "I know it's this" or "I need to send it up the chain of specialization".
(My thanks to @ToaKraka for posting earlier the info on what various nursing type professions require.)
No_one
1hr ago
Gleba got us (me & cjet) pretty stumped. And yeah, we imported everything to start, power generation, tesla turrets etc.
I deleted everything I built on Gleba that researched the basic tree Ag-tech using stuff, and built a better base that's almost hands off. Took a good look at what I was doing, scaled it up, plugged every inserter into a combinator so resetting the filters on inserters is more convenient.
One mistake I made was running nutrients around the base. That's dumb - you run bioflux around and generate nutrients in each module. I feel ideally it should all be run around the base on a loop, I think I'll try that next time I'm rebuilding it.
Apart from that, one needs a really robust spoilage removal system. My second build usually gets clogged on spoilage removal. The nice thing is all the junk or unspent jelly or mash produces enough energy that my nuclear reactor is mostly just backup. The Heating tower has something like 400% efficiency for some bizarre reason. vastly better than boilers.
The one unsolved issue is how to avoid wastage and export only the choicest unspoiled flux. I'm thinking maybe running bioflux in a loop is the way to go so no more than needed gets generated.
As to defenses, we are at evolution 1.0 and spamming 4 rocket 16 normal turret firing positions, spaced 2 pylons apart works fine and stops every attack but gets half-stomped. If you add in a tesla turret that prevents the stomping altogether,just damages it. It's key to not taking losses without having vastly more rocket turrets. Don't think mines do anything to the stompers. Didn't try flamer turrets.
We never had really serious issues with the Gleba wildlife bc of early pruning and artillery.
but I think I'm going to play around with delivering ammo by drone to gun pods and see if that can keep up with threats
They really could've made Gleba way messier by increasing the gravity. I'm even harvesting the fruits with drone, still no issues with power.
hydroacetylene
2hr ago
It's possible this is a regional thing. But my experience with hunting camp is that wives and daughters might be hanging around, and might be claiming to be shooting, but they're really just there to get their husband or father a bigger bag limit- and will happily take credit for shooting something to outsiders, even trusted ones, for that purpose.
IGI-111
God was a dream of good government.
2hr ago
I seem to remember testimony from 14 year olds (at the time). The evidence is evidence in general in this case isn't particularly forthcoming, for obvious reasons.
2rafa
2hr ago
I ask because a lot of recent anti-tech action
I read that some of this started under Trump.
hydroacetylene
2hr ago
Which raises the question- I see a lot of recruitment and advertising around me to become electricians, underwater welders, pilots, etc. I see some recruitment to become an RN or EMT but functionally none to become a PA or an NP.
Now it's possible that I just miss it, because it's aimed with surgical precision at eg medics leaving the army, currently employed lower healthcare professionals, etc, but I think it much more likely that these fields are just doing a bad job of recruiting the best and brightest out of strata that see $130k/yr as a salary that makes lack of social respect with a masters degree worthwhile.
IGI-111
God was a dream of good government.
2hr ago
I like my political operators to understand basic operational security because I want them to succeed in enacting the goals of my coalition.
That the enemy uses diverse tactics that make this only relevant sometimes doesn't invalidate that preference.
2rafa
2hr ago
All the famous Epstein victims were 16/17. There was some dark hinting about younger ones but the evidence is extremely thin on the ground.
2rafa
2hr ago
Nah it’s cringe to hire 17 year old prostitutes as a 40 year old man, people are entirely within their rights to consider that sleazy behavior.
SlowBoy
2hr ago
Who cares? This is up there with stealing a balloon on free balloon day. Sloppy? It doesn't matter how careful you are, they will make scandals up. See Kavanaugh
AlexanderTurok
2hr ago
Here's a map of the Presidential vote swing from 2012 to 2024:
https://x.com/PatrickRuffini/status/1860310329248325759
It makes me wonder how much of Trump's appeal to midwestern industrial workers is dependent on trade rather than a broader, cultural working-class identity. I don't think farmers in Iowa swung massively toward him because they were mad their factories were being sent to China. Ditto with the Rio Grande Valley and Miami-Dade county.
It seems to me as someone who only uses the healthcare system but has friends who went into medicine that there is a huge fraction of medicine, mostly in general practice where we already have a shortage of doctors, that consist of handling the same dozen ailments over and over again. How much time do pediatricians spend diagnosing ear infections in kids and writing notes to send them back to school and prescriptions for amoxicillin? Or GPs asking the same lifestyle questions and giving the same advice ("quit smoking, lose weight, get more exercise"). The AMA cartel would have you believe that it takes years and years of specialization to handle this, but it seems that most of the front end stuff really can be handled by someone like an NP who knows those dozen ailments well, and most importantly when to ask for a more expert opinion.
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
More options
Context Copy link