DirtyWaterHotDog
in an abusive relationship with you lot
No bio...
User ID: 625
Edit: saw the post below. Thanks
A summary or link would help.
The general understanding is that supply for doctors is artificially constrained. The bottleneck maybe residencies, credentialing bodies or just cost of entry.....but they're artificial barrier regardless.
For starters.
- Why isn't medicine an undergrad course
- Why is it near impossible to transfer medical credentials from 3rd countries to the US
- Why can't AI be used to empower NPs and PAs handle minor cases. Here, the specialists can serve as reviewers and rubber-stampers.
At this point, anyone who thinks AI can't disrupt knowledge work has their head in the sand. It may still work out, given the strength of the cartel. But that'd be a case of deliberate sabotage, not inadequacy on part of the AI.
DirtyWaterHotDog
in an abusive relationship with you lot
1d ago
This is gold.
I find it useful as a yardstick, not an absolute. Generally agree with the article.
For starters, I think there’s a pretty large kernel of truth to the general idea of “effective reps.” I think the “hard” version of the idea (“the last 5 reps before failure are all the matters”) has major problems, but a “soft” version of the idea is almost self-evidently true. To maximize hypertrophy on a per-set basis, you do almost certainly have to get somewhat close to failure, in basically any context I can think of. If you can do 12 reps with a certain weight, doing 3 sets of 10 is almost guaranteed to get you more growth than doing 3 sets of 3.
unsurprisingly, stopping each set REALLY far from failure did compromise hypertrophy.
Altogether, these studies support the idea that in order to maximize growth on a per-set basis, you do need to be reasonably close to failure, but actually reaching failure probably isn’t necessary, especially for trained lifters.
Yeah, that's good advice.
DirtyWaterHotDog
in an abusive relationship with you lot
3d ago
I like AthleanX's 'effective reps' concept
you can do something called effective reps. This style of workout is highly intense and ensures that you are not only going to, but you are going through failure as well. You start with an ignition set of 10-12 reps then you rest up to 30 seconds and start your reps again to failure. Now, you will find that the number of reps you can do in a set will come down from 10-12 to about 7-9. Once you reach failure, you will again rest up to 30 seconds before you start your reps again to failure. Now, you might only get 4 or 5, then maybe 2 or 3 after that. You keep going in this fashion until your targeted number of effective reps are reached
tl;dr: Every set should have a few reps that feel hard. If you aren't grinding out the last few reps, then that isn't a hard set.
My definition of grinding out a rep = Proper grimace, rep needs perfect breathing and a few optional groans.
The only exception is RDLs (or any deadlift), where I stay below failure to avoid breaking my back.
Another exception is hack-squats (or any squat). Here, the 1st set is never that hard and the last set feels like death regardless.
DirtyWaterHotDog
in an abusive relationship with you lot
4d ago
"Never let a good crisis go to waste"
TSA workers should stay fired. Replace them with overt surveillance and heavily promote CLEAR+ and TSA-Pre. TSA has been an over-funded albatross around the neck of global aviation since 9/11. About time we upgraded to something automated and effective.
The shutdown gives solid political cover to both parties. Both parties can blame the other while TSA workers find employment elsewhere. Once the shutdown eases, they can evaluate whether to rehire individuals or let technology fill in the gaps.
DirtyWaterHotDog
in an abusive relationship with you lot
4d ago
It's ironic. The conspiracy theory would be valid if it were applied to another person instead : Mojtaba Khamenei
Iran's new Supreme Leader is either maimed, on his death bed, or already dead.
He hasn't made a public appearance since his appointment, in person or on video. We know that he was injured in some capacity. There are plausible-ish reports that he has been flown over to Russia for emergency medical care.
Frankly, Netanyahu's death would be a nothing burger when compared to Trump or the Khamenei family's death. It would also be impossible to hide given the democratic nature of Israel. The attacks on Iran have unanimous support from Jews in Israel (~93% approval). Netanyahu would be replaced by a caretaker govt, with a Likud placeholder, Yair Lapid, or Benny Gantz as a temporary face. The attacks would continue.
Before Oct 7th, Israel had a diverse political landscape spanning everything from the far left to the far right. Oct 7th collapsed the Overton window to only tolerate the center-to-center right. That's it. Unlike the decades prior, Netanyahu's actions have bipartisan support and a new leader would merely change the pace of Israel's offensive, not much else. The war is a foregone conclusion.
Lastly, the gulf states and the US now have more at stake than Israel. Rising oil prices will decide Trump's midterm fate, and he risks looking like a loser if he pulls out early. After Iran's drone tantrum, the gulf is now brought into Israel's framing of Iran's military capabilities as an existential threat. They will want Iran's nuclear efforts and dirty weapons manufacturing capacities to stay dismantled for good.
DirtyWaterHotDog
in an abusive relationship with you lot
7d ago
Not far flung, but...
Been enjoying French Afro-pop - Vegedream (Ramenez la coupe à la maison) and Dadju (Mwasi wa Congo). French roommate introduced me to it, and they're proper ear-worms. It's poppy but rhythmically complex. Fun to play on drums.
Ayy, Congrats.
I saw it on here the other day - https://old.reddit.com/r/MediaSynthesis/comments/1rrhart/do_not_render_your_counterfactuals_selfmadehuman/
It was good one too. Read it way back, and the cosmic horror comes through.
Embarrassingly, I did not heed the advice, and asked ChatGPT to create hypothetical kids for my girlfriend and I.
/r/gwern : you are an approved user on this subreddit.
🥲
DirtyWaterHotDog
in an abusive relationship with you lot
9d ago
Iran is a dangerous oppressive shit hole
You are wrong.
There are levels to shit holes. It around the levels of modern day Egypt, and would be doing better if it hadn't been sanctioned into the ground. In the 2010s (well into the Ayatollah's regime), they were around 80th in GDP per capita. That's solidly middle-economy alongside nations like Thailand, Malaysia and South Africa. China only surpassed them in 2012-13.
You can't call every non-OECD nation a shit-hole. Iran still sits above China in the HDI index at a comfortably above average number.
Have you seen photos of their major cities ? They look more developed than many tier-2 American cities. 1 2 3
If I could be a architecture nerd for a second, their modernist brick work is some of the prettiest & most original of the recent past. [4] 5.
that has sustained terrorism over the last several decades
As do many of US's allies. UAE is funding genocide in Sudan. The US itself was happy to fund the Mujaheddin as long as they were terrorists allied with the US. Pakistan's entire thing is to fund terrorists, and the US has continued being friendly.
Maybe they have a great history (I have severe doubts on historical accuracy)
Oh yeah, we're about to start doubting if Persia was ever a great empire.
Left leaning detractors left this forum. The moderate ones are emotionally spent. Right leaning posters are keeping quiet because Trump 2 hasn't delivered the outcomes and they know gloating can backfire.
Modern wars are about limited objectives. You either achieve it within days or pack up and leave. Great powers have great egos. They never pack up and leave, so you get ugly protracted struggles. The Iran war has all the characteristics of a quagmire. The objective is unclear. There are no secondary power structures to take over. It's a giant mountainous landmass that can't exactly be invaded. A protracted struggle will be ugly.
And what's the point of this invasion anyway? What's the limited objective ? Earlier strikes to nuclear sites made sense. Limited objective, achieved overnight. You want the Ayatollah gone ? Who's going to replace him. Will it be someone from the highly trained 200k strong IRGC cadre or a disgraced crown Prince who has never lived in the country ? Who will rise up ? You expect urban Iranians to accept kurdish separatists as their saviors ? You think civilians will take kindly to bombing mosques and schools ?
I believe Trump fired everyone with nuanced views of the middle east, and the remaining bunch now pattern match from events in the wider Asian region. "Iran had protests, just like the Arab spring. If we provide outside support like Obama did, then protestors will overthrow the Ayatollah. Nepal and Bangladesh had 'student protests' that morphed into regime change, maybe we can coax Iran into the same. Pitting rival tribes against each other has worked in Iraq, maybe we could pit the Kurds against the Ayatollah and make it work."
No, you idiots! Iran is one of the world's great civilizations. It's a unified ethno-lingustic-religious identity that's stayed independent for 500 years. Very few countries can claim a stronger internal sense of being a people united. I'm projecting, but this administration's 4chan roots are leaking. "Everywhere outside of OECD+China is a shit hole. All browns are Pajeets and all middle easterners are Muhameds." Yes, it's a straw man. But I've tried looking for a steel man. I can't find one.
Personally, I find myself increasingly frustrated at American policy, and emotional responses don't make for good writing or reading. As a result, I've reduced my engagement on this forum.
DirtyWaterHotDog
in an abusive relationship with you lot
18d ago
Should be doable. Use claude code or codex.
Use one that allows you to host the game in local with fast compile times. AI improves via feedback loops. It is much easier to guide it when it can do a quick compile -> view -> fix -> repeat. Given the popularity of Unity, LLMs would be most comfortable developing with it. Don't take on a large change by itself. AIs are best at getting some demo in, and then iterating on it.
I hate C# (and all Java family languages), but Unity sounds like the easiest way to get started.
DirtyWaterHotDog
in an abusive relationship with you lot
27d ago
I've spent years using both Ubuntu and windows on different occasions. Ubuntu is never as simple as it's touted to be. It has many of the same jankiness problems of windows while having odd driver & config problems that screw you over when you aren't looking.
I liked windows 7 because it was stable and there was 1 way to do most things. Windows 8 introduced the Tile UX, app store and touch apps which turned windows into 3 operating systems in a trench coat.
I dislike Ubuntu & Linux as an end user because there are a million ways to do things. That's just a million ways to break things. App store, snap, apt, flat pack....fuck off. The laptop is a tool. It should do what I need it to, reliably.
I have since moved to mac, and it correctly understands the assignment. I still miss window's workspace management, screen splitting and the explorer experience. Finder is trash. Screen management and workspaces in mac are unintuitive. But, that I can work with.
DirtyWaterHotDog
in an abusive relationship with you lot
28d ago
Vscode was a breath of fresh air when it released.
Microsoft teams was quite good at release. They made it progressively worse, but its V1 was pretty good. Then they added the telemetry.
Windows 7 was excellent.
Github copilot was an excellent V1. They failed to capitalize on it, conceding ground to cursor and later Claude code. But, the first release was magical.
Linkedin has stayed good-ish. For a platform that was meant to be corporate-slop by design, it has stayed inoffensive. Compared to the decline of Reddit, Tumblr, Facebook & Twitter, Linkedin is the only era-1 social network that still functions the way it is supposed to.
Head of XBox role is closest to a producer role.
Your job is to be a ruthless bean counter while individual studios focus on the core creative pursuit. This is especially true for Microsoft, which unlike Nintendo isn't as strongly coupled to its 1st party IP. Zenimax, Bethesda, Activision & Blizzard will probably keep doing their own thing.
Xbox should not be driving forward with vision. It should be funding game directors with vision, and keeping them on a leash of the correct length.
Todd Howard has maintained control over Bethesda, Sam Houser still runs Rockstar. Still no Elderscrolls 6 or GTA 6. Despite being run by 'capital G gamers', AAA Game studios are dysfunctional frankenstiein's monsters.
The primary thing that gives me pause about Asha's Linkedin is
VP Product & Engineering
Meta
Head of Product across Messenger + Instagram Direct and GM of calling, video, + kids experiences. Previously: Director, Social Impact Products
hmm.....
DirtyWaterHotDog
in an abusive relationship with you lot
1mo ago
Sure, mystery meat. Damn talented mystery meat though.
DirtyWaterHotDog
in an abusive relationship with you lot
1mo ago
I believe you. But I can see why the other commenter assumed the worst.
From here on out, I am talking about a certain type of person on theMotte. Not you or your wife. Let's call them White-Nostalgists.
The White-Nostalgist constructs a suffocatingly narrow definition of whiteness, which few can satisfy. He then complains that white people are being replaced. I'd characterize his belief as: "To be Legacy American is to be ethnically British or German, Protestant, and embody the values of those immigrant groups circa 1900. America must restore cultural and political primacy to this group".
In 2026, this belief runs up against many unresolved incompatibilities. Given these open ends, his sharp critique of every aspect of liberal culture comes across as 'isolated demands for rigor'. Ofc some commenters here get ticked off. You were caught in the crossfire.
Some unresolved incompatibilities:
- If 'being American is being white' because of who lived here at the nation's formation, then how do Blacks, Puerto Ricans or Hawaiians fit in ?
- How do non-Hajnali Caucasians (Southern/Eastern European) fit in ? Sicilians, Irishmen & Jews are pretty American now. To what degree do they have claim over American culture ?
- If those aforementioned Caucasians can be accommodated, then why not the Spanish ones? SFL's Latino demographic shift happened due to Cubans, who were overwhelmingly Spanish by ethnicity and culture.
- If he has such fondness for Northern European culture, then why does he hate the values of post-war Northern Europe ?
- What gives someone the right to demand cultural primacy ? Should newer citizens have fewer rights than those who've been here for long ?
There is an unfortunate undercurrent of resignation that I can't help but mention. It's possible that this person knows he's one generation too late. The demographic scales have tilted. By 2024, white births (non-hispanic white mothers) were less than 50% of new Americans. He sounds stubborn because he isn't proposing a practical strategy, he's expressing anger. Democracy is 'Tyranny of the majority' and he is on the wrong side of that saying, for good.
DirtyWaterHotDog
in an abusive relationship with you lot
1mo ago
He's Filipino - Hawaiin
DirtyWaterHotDog
in an abusive relationship with you lot
1mo ago
Bruno Mars (Puerto Rican)
Bruno is Hawaiian
DirtyWaterHotDog
in an abusive relationship with you lot
1mo ago
Republicans as in the majority which voted Trump into power in 2024.
That majority consists of Hispanics, disgruntled centrists, pro-business capitalists, single issue Christians, conspiracy theorists and white nationalists. Most NFL owners fall into the 'pro-business capitalists' category.
Trump-2 won the election by using the standard populist playbook of big gestures, saying little and letting the opposition self-destruct (which the democrats did splendidly). The spectacle meant there was little discussion about Trump-2 being bankrolled by an unfamiliar type of Republican. In the process, the Donroe wing (you can call them white nationalists, isolationists, iconoclasts, I don't have a clean phrase, so Donroe wing it is) took control of the White house.
Now, I believe that the Donroe wing has little public support. The polls agree with me. If the aforementioned big-tent knew that electing Trump to power meant Donroe policy-making, they might not have voted for him. In contrast, the Donroe minority acts as if their are endorsed by the entire big-tent. They aren't. In fact, I believe the opinions of the Donroe wing are repulsive to many in the big-tent.
The Donroe wing complains - "Everyone in the media hates us". It's not just the media, everyone outside their small group does hate them. It isn't propaganda, it is a reflection of reality. Republicans did not vote the Donroe wing into power. They voted for Trump2 - return of Trump 1. The Donroe wing seems to hate everything about America that doesn't fit into their limited definition of America. So the rest of America reacts accordingly. It started with hating on the excesses of woke culture. It has quickly slippery-sloped into hating on everyone who doesn't agree with them. Fuck all LGBTs. Fuck all non-Heritage Americans. Fuck all academics. Fuck all American allies. It sounds more like - "We won, we deserve this power, and you will bow to us or else we will end you."
Problem is, this is a Democracy. Arrogant over-extension gets punished. Now, there is a clear way for them to grow their power to be inline with their ego, ie. the midterms. But, The midterms giveth, and the midterms taketh away. By Nov, citizens will have had 2 full years of mask-off Donroe.
If my belief is correct, November will be a washout and Trump will become a lame-duck. If I'm wrong, Trump will retain a triple majority and I'll seriously reevaluate my impression of the US. Either ways, there is a convenient date where the rubber meets the road.
Personally, I'm glad they're going mask off. The incompetent Dems will need all the help they can get for these midterms.
DirtyWaterHotDog
in an abusive relationship with you lot
1mo ago
Housing theory of everything takes over though.
Italy and Spain have the same problems. High youth unemployment and low access to housing.
Young adults have no prospects and continue living with parents in a tiny house. Can't convince anyone to have kids in such an environment.
DirtyWaterHotDog
in an abusive relationship with you lot
1mo ago
Not everything is culture war material.
NFL ownership leans Republican. They aren't culture warring against Trump. The choice of Superbowl performer is a maximally capitalistic decision meant to increase viewership. And looks like it worked. Bad Bunny garnered the highest viewership, is generating conversation the day after and caters to an audience that might not have usually tuned in for the game.
The Superbowl halftime show has never cared for Americana, as can be seen from the last 10 Superbowl performers. It's a well known strategy too. Never pander to a captured audience. What are middle-Americans going to do ? Not watch the NFL ? Ofc not. You see this happen everywhere. European football is now trying to cater non-Europeans because Europeans are a captive audience. The locals hate it, but they won't vote with their feet. They can't.
Bad Bunny isn't some DEI choice. He was the #1 streamed artist for 5 of the last 7 years. If anything, he had to wait a lot longer than the other top artists to land a Superbowl performance.
sugar plantation sex
2026 is when you decide to be mad about the values portrayed by the artist ?
Here are the last 5 performers:
- 2020 - Shakira / Jennifer Lopez - Columbian & Puerto Rican sexy dancers
- 2021 - The Weeknd - Canadian (this one was great NGL)
- 2022 - Dre / Snoop Dogg / Eminem / 50 cent - Celebrating hip hop. (Gangster culture)
- 2023 - Rihanna - From Barbados. Opened with a song promoting kidnapping and torture (bitch better have my money) and the highlight was Rude boy (song about if a dude's dick is big enough)
- 2024 - Usher - Sings about dancing in the club and touching privates
- 2025 - Kendrick Lamar - about Drake not being black enough and pedo allegations
So yeah, idk what you are complaining about. The half time show has always been about spectacle and popular music. Turns out, pop music is about sex & drama because people want sex and drama. For Bad bunny, his performance was about sex and drama, but with a Puerto Rican twist. In line with with people have come to expect from the Superbowl.
The Super Bowl is one of those stages for the US.
The US mastered capitalism, and the Superbowl is its biggest performance. It represents allegiance to market forces and to the over-commercialized sellout culture it creates. In that sense, Bad Bunny is a worthy representative for what the Superbowl half-time show represents.
Get used to being triggered. Quantitative Finance is famously ruthless and will chew out anyone with an ego.
If you think this sub talks about humans in a dismissive manner, wait till you meet someone in Quant. Quant alongside top AI-startups are the 2 most sought after jobs in the tech industry. They get 100k+ applications. They use ruthless high-pass filters before they begin to read resumes. Pedigree, prestige, track record....call it what you want, they serve the purpose of bringing a 100k applications down to a digestible hundred that are worth looking at.
I'm a Legacy American
So a white Christian whose religion tells him that lending money and working with derivatives is a sin ? (/s)
So you're saying you're superior to me by blood, essentially
You're putting words in the GP's mouth.
So in an efficient market, there would be a job for me.
The market converges to an efficient state given enough time. That time become near infinite if there is low discoverability, which is true for non-conventional candidates. Hell, Quant relies on the assumption that the market is always temporarily inefficient. And exploiting those inefficiencies is how you make money.
There are 2 ways to get noticed by Quant.
-
Conventional - Ladder climb - Ruthlessly compete in a crowded field of elite candidates and consistently come out on top. This is the prestige path. Get into an ivy and out-compete fellow smart kids in math. Win math & coding competitions. etc. If you are in front of the line, you become the boring and obvious choice.
-
Unconventional - Be interesting, be visible - This is a 2 parter. First, do something that makes you interesting. eg: Run your own backyard trading strategy and make $$, win big on prediction markets, be a world leader in an obscure nerd only card-game, make an open-source tool that all the trading people are using, etc. Alongside that, you also need to be visible. Find a way to get your face in front of Quant people (recruiters, employees, etc). If you are interesting enough and visible enough, they will give you an interview. This is the back door. It combines some unconventional excellence with network.
The paths are well defined. if #1 isn't for you, then do #2. If not #2, then idk what's left.
try to go all-in on coding instead?
I am not sure coding is going to be around for much longer
DirtyWaterHotDog
in an abusive relationship with you lot
1mo ago
Does that increase the odds that top 10 reddit user (maxwell-hill)[https://old.reddit.com/user/maxwellhill/] is Ghislane maxewell.
DirtyWaterHotDog
in an abusive relationship with you lot
1mo ago
Dead center. Guess I'm an 'it depends man'.
DirtyWaterHotDog
in an abusive relationship with you lot
1mo ago
Various interpretations, all positive for the US.
Either:
-
Xi's soft power in China is limited. From the looks of it, Xi wants to invade Taiwan, and faced real push back. If the generals were just old, they would have been forced to retire with awards and honorary titles. The corruption allegations are punishment for pushing back against Xi. An overt purge is only needed when gentle methods fail.
-
China's inner circle is compromise-able and the CIA is pulling off Eli Cohen-Mossad style Hollywood operations on the regular. As Reddit tier-list subs would say: 'CIA upscale'.
-
Xi is moving to a hard dictatorship, the canonical imperial Chinese failure mode. This story can only end with the XiongNu buring Xian, and Xi being taken as a sex-slave.
Purges have long been the norm in CCP China, often done silently. The high profile and overt nature of it signals weakness by Xi. Jack Ma's (the the Chinese software startup industry's) purge was along similar lines. But, in that case, Xi could frame the narrative as communism vs capitalism, infrastructure vs consumption. Treason and corruption charges towards long-believed patriots of the highest level never sell the same.
Sounds like a convenient way to set an arbitrary bar that limits the supply of doctors. Lawyers went through a rapid expansion in supply, and it did not reduce the quality of law. If anything, allowing the competition to take place in the open has increased the bar for getting into elite law-schools. But now, there is also a sufficient supply of mediocre lawyers who fulfill mundane legal duties.
I apologize for sounding harsh, but that is a bad justification. More so on a forum that prides itself in identifying collective incompetence and blind-spots in elite circles. This is the common excuse of Bureaucrats & careerists who love abstractions more than action.
Don't the abusive conditions of residency have a lot to do with why people drop out ?
Aren't mid-levels explicitly 'not cardiologists'. My understanding is that majority of issues are obvious and having a mediocre individual take care of it is a correct allocation of resources. I have a heart problem I have looked at by a cardiologist every 2 years (back in India). The most valuable thing he does is to look at my ultra sound. The ECG is taken by a mid-level and he does the ultrasound because I am long time customer, but a mid-level could do that too. The highest value thing he does is review the ultra sound, and then tell me that my heart is still okay and I am good to go.
His resources are best used for the last part of my checkup (the review) and to spend majority of his time on real emergencies. What's wrong with that ?
eh, I disagree on both points. The ethical problems have never been an issue in the US. Brain-gain is a fundamental national value. Practically, the USMLE + residency matching is hellish for international candidates. I'll let @self_made_human chime in, but it USMLE qualified doctors being incompetent is setting off a bullshit alarm for me.
If I had to speculate, the bottleneck for international candidates is the residency. And it is easiest to get residency slots in the least-desirable towns and cities. It's possible that top international candidates would never agree to waste 3 extra years in the middle of bumfuck nowhere, and therefore only mediocre candidates apply. Top candidates are in competitive fields like cardiology, which needs them to waste about 6-7 extra years in bumfuck nowhere, making it more unlikely that they'll apply."
You'd be surprised. The cutting edge of AI (complex agent swarms) is years ahead of what people think is the cutting edge. (chatgpt subscription).
For example, a chatgpt subscription is 20$/month. I routinely burn 100s of dollars/day in LLM costs. The strongest models are capable of insane things, but it feels like only people in some small circles have realized it so far.
It's still not ready yet, but objects in the mirror are closer than they appear.
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