Yeah, I have some family in florida who I constantly have to tell to get a second opinion before having operations. I always tell them when in doubt to go to a hospital associated with a university medical program. At least then they have to uphold some kind of standard of care so they don’t lose their residency programs under further scrutiny.
Yeap, the state medical boards appear as if the state is actually an outside regulatory agency. In reality the boards are almost always organized and run by a group of physicians and medical providers associated with larger hospital networks.
Yeah… Florida is kinda known in medicine as a place to go if you want to do a bunch of fraud. The regulations are laxed and it has a massive population of elderly people without nearby family members to advocate for their care.
It used to be a bunch worse before Obamacare passed and reimbursement became tied to patient outcomes. I think at one point over half of the medical fraud in my field was happening in florida alone.
That’s basically the function of most state medical licensing boards. They primarily act as lobbying organizations on behalf of their members to limit civil/legal liability, and to bring a sense of internal regulatory action. My state license costs thousands of dollars a year and is necessary to practice, but all they do is ask me once a year if I’ve committed any crimes or are currently addicted to any illicit substances.
A bunch of physicians like to bitch about malpractice suits making the field difficult to work in, but in reality you really almost have to be acting maliciously to lose a case. For example the last guy in my city to have lost a malpractice case in my field was years ago, and it was because he forgot to order a titanium rod for spinal fusion and installed the shaft of a stainless steel screwdriver instead. Like… Yeah buddy, you should be in jail.
Ehh… Lithium batteries are going to be around for quite a while even if sodium ion batteries take off. It’s just more energy dense than sodium ion, so it’s always going to be better for things like portable electronics.
Sodium ion might take over the market for heavier batteries like stationary power banks.
I mean… It does fit his persona, dude will do anything to fund his endeavor to not look old.
Plus he has a history of tax fraud.
they banned face sitting porn.
Well, it kinda makes sense. If you allow people to simply watch face sitting porn from the comfort of their homes, how are they supposed to sell the public the licenses required to face sit in real life?
No it’s a f-15. The A10 was downed during the rescue mission for the f15. The livery is from a flight squadron that is based in the UK which doesn’t have any A10.
Eh… I’m not an expert either, but there’s a few pics that show more traditional exposed riveting rather than the inset fasteners you see on stealth aircraft. Plus there are a few pics going around of an F-15 matching the matching livery.
Not when compared to the maintenance and cost of installing the amount of multi lane interstate and highways we currently have in the US.
Electric rail isn’t a solution for every commuter in the US, but it is the solution for most commuters, as 80% of Americans live in urban environments.
Also, the argument that America is too large to have rail isnt very logical when countries like Russia or China depend on it for the vast majority of their logistics.
making electrified transport a reality
Electrified rail remains the most efficient form of transportation and has been available since the late 1800s…
People are just so obsessed with cars that they ignored the safest, most efficient, and environmentally friendly option for over a hundred years.
I guess the future is bound to be filled with dangerous traffic with even heavier cars, and filled with millions of batteries filled with lithium mined by impoverished children.
It’s historically the only effective way to fight an insurgency and every military since ancient times knows it. Basically anytime you hear a modern military is enacting a “counter insurgency” it’s either code word for doing death squads, or it’s a tacit admission that they are out of ideas and have found themselves in an unwinnable quagmire.
The only way to defeat an insurgency is to do massive amounts of crimes against humanity…or avoid creating one in the first place.
I think you could make the same argument with just about any economic policy. Free market capitalism has never existed in reality and every time it was attempted, it turned out to be an abstract of colonial imperialism.
It ends up billions of apes are hard to govern in a way that excludes usery and violence.
When corporate decisions are based solely on pleasing investors, fixing a leak isn’t a priority. It might be a long-term investment that eventually pays for itself, but it comes with a front-loaded cost that diminishes the profits of the current quarter.
The shitty thing is the vast majority of the leaks weren’t from investor owned corporations. The vast majority were from state owned and operated entities, mainly turkmenistan. The top 25 list were filled entirely by turkmenistan, Venezuela, Iran, and one corpo from texas.
All I am imagining is an FBI agent getting shot while scooting around on their butts trying to get someone to close with them.
Lots and lots of TRT. It increases red blood cell production and can cause flushing especially if you’re already predisposed to something like hypertension.
Basically, if you see a dude past 45 put on more muscle than they had before they had in their 30s they are getting a lot of trt.
There seems to be at least some level of neglect.
Especially since he is claimed to have quite a bit of alpine experience compared to her. That’s really what brings the liability of negligence to the whole scenario.
Alpine hiking at night is already incredibly dangerous, but not ensuring the person with the least amount of experience has the correct equipment and knows how to use it is just wild.
I wonder, though, did she not have a phone? Was there no reception, or why did she not call or signal for help herself?
Well the confusing thing is that they had helicopters overfly them multiple times as they made their climb and both failed to signal and continued their way to the summit. The person on trial claims that she was doing fine until right after the last flyover and then suddenly started to get worse.
As someone with a mild amount of cold weather experience… I don’t really believe this at all. If I were a betting guy I would wager that she was already suffering from the mental affects of hypothermia. You can enter a super suggestive state the colder you get and your mental faculties and decision making ability rapidly deteriorate to the point where you can get lost and just start walking in circles.
Were there other ways to make it through the night?
She did have a bivy sack that could have provided at least a decent amount of shelter, but he didn’t help her set it up before he left her on the mountain.
Tbh it really seems like he was purposely trying to endanger her, or at very least is a huge piece of shit that didn’t care about her well-being. This would be like a scuba diver taking an amateur on a night dive, not teaching them how to operate their regulator, and than abandoning them a hundred feet underwater in the dark. It really is criminal.
Trump is incredibly different from everything in your lifetime. You either haven’t been paying attention, or your a frog in a pot and just didn’t notice the temperature rising.
Did you miss the part where I said worse…?
things were never super great under either party but your country didn’t collapse either. So you’re expecting things to go on like that for the rest of your life.
It has been in perpetual decline for decades. Trump didn’t just happen overnight, nor will America be ghosted overnight, Empires die slow deaths.
It rhymes with guys like Putin, Erdogan, Mussolini, and Hitler.
Not a fan of Putin or erdogan… But I think falsely conflating them with Mussolini or Hitler is a bit much.
Americans won’t stop him because of the false sense of complacency.
Fascism is rising in all western democracies as a response to late stage capitalism. It’s not inherent to America, nor is from a false sense of complacency.
while Americans stick the sand, the rest of the world is noticing. And we don’t see Trump as the cause of the problems, he’s a symptom of the rot in American culture.
Yeah… I don’t think the fascist movements ballooning all over Europe have been made aware they appropriating American culture.
all hoped you would just vote for the black lady and things would have indeed gone back to normal. But that didn’t happen. Americans either voted for fascism or were complacent about it as you are.
Lol, who said I didn’t vote for as you said “the black lady”?
Trade will be routed around the US. Alliances with the US are just paper now, they’re meaningless. The US will be isolated as Spain was under Franco.
I’m willing to bet the corporations in your country still care more about money than they do about policy. America still has a bunch of capital to swing around and in the end that’s really what liberal democracies care about.
I think nations should boycot America, I just don’t really expect them too.
You could’ve just voted in primaries and got some people in power that would tax the wealthy.
When did I say I didn’t?
The US is the wealthiest country in the world, just the wealth didn’t trickle down as Reagan told you it would. But if you thought being a wealthy country with a population indoctrinated into apathy on wealth distribution was bad?
Do you think everyone in America shares a hive mind or something?
The US is fucked and the rest of the world is trying to distance itself from you before it all collapses. But go on and keep thinking everything is going to keep on as it always has.
Again… What do you think everything progressively getting worse means? What do you think a “collapse” actually means? How exactly is a country like Canada going to shield itself from a collapsing America when America is by far its largest trading party?
If you think this problem is just in America, or that canda doesn’t have a problem with income inequality… I really don’t know what to tell you. This is just what happens to any nation who bases their economy on the idea that infinite growth on a planet with finite resources is possible.
My point of contention is largely that the issue isn’t with the will of the voters, and that the direction of policy is largely directed from the top down.
Most American progressives are vastly more progressive than their representatives. It’s just that the DNC’s leadership is filled with thirdway democrats who refuse to support anyone left of center.
Edit: just reread you original comment. I misread it the first time round and thought you had said it was as far left as the people were willing to go. My bad.
Because if the last twenty years have taught us anything, it’s that “tech leaders” are not looking out for the public’s best interest and are more than willing to lie about the potential benefits and harm of their products.
They all got ultra wealthy on a very narrow field of expertise, and now that makes them think they are geniuses. These people barely understand their own fields anymore, and everything they say about cognitive science is extremely worrying.
The most advanced brain chips they’ve made are nothing but a more invasive version of computer brain interfaces that have been around for over 30 years. Them talking about “having an answer pop in your brain” is just science fiction.