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Throwaway05


				

				

				
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joined 2023 January 02 15:05:53 UTC

				

User ID: 2034

Throwaway05


				
				
				

				
2 followers   follows 0 users   joined 2023 January 02 15:05:53 UTC

					

No bio...


					

User ID: 2034

'If this goes badly, that makes it even more important to do it!' That's a Kafka trap.

These are talking points not fully fleshed out arguments, but I find the quality of discussion on this latest conflict to be far below what I usually see here.

Example: "Rubio said Israel dragged us into this war." No. Just no.

And as to this specific point, I should not need to write a full length essay in order for you to be able to connect the dots here. It's not a Kafka trap, it's an army sitting outside a castle building siege weapons shouting "when these are done are we'll kill you all with these weapons." You attack before they are done, and "wow that was fucking close."

I understand that a lot of people are using this conflict to funnel anti-Trump, American, and Jew feelings, but a lot of people are actively cheering for America to lose and to support Iran, a country that is recently accused of killing tens of thousands of its own population and actively, joyfully supports global terrorism.

Likewise the U.S. isn't an amazing hegemon, but people cheering for China or Russia to take over? Jesus Christ.

The usual reasons.

"We are doing this now because someone has to do it eventually and I'm left holding the bag and not a coward." Not inspiring.

"Personally, I hate watching civilians die." Not his vibe - and a huge leverage point with the school bombing.

"Complicated rambling about missile and drone production rates vs. interceptor costs" ...not going to work.

A different president might be able to convey the meaning without the specifics but Trump is not that guy, and critically the media and social environment is so relentlessly criticizing that he isn't incentivized in any way to try.

The vast majority of the military and the executive are not stupid, you see plenty of people saying "wow why did they do this when they don't have a plan for Hormuz" of course they have a plan. It's not a good one because there aren't any good plans, and doing nothing was a plan with risks of its own. The public does not tolerate those kinds of discussions though.

Yes some combination of those, to expand on a few reasons to go about this (not that I believe in all of them):

-The expression of the power of the United States has been inappropriately curtailed for too long, the most straightforward example of this is the Russian invasion of Ukraine which likely only happened because of the Biden administrations weakness. Showing off reaffirms the U.S.'s superpower status and likely prevents all kinds of bad outcomes. China's fans like to make claims but realistically every military in the world is shitting their pants looking at this and Venezuela. Later losing for political reasons will not change this. The whole world benefits from U.S. lead global stability and this affirms our capacity.

-Israel can probably be considered something of an albatross but it is a key ally, and was one when we needed it. We shouldn't abandon them. Additionally coordinating with Israel and the other countries in the area is more or less bringing everyone in the region into the U.S.'s sphere of influence. Unclear if this will be durable once Iran and proxies are gone, but it is a thing, and the world is probably better off if we transform the religious regimes into klepto-authoritarian ones. This also is a boon against China, as Venezuela was.

-Oil (long term stability, not short term obviously).

-Morals. The death of the protestors and general oppression is not good. Anyone who thinks they would stop the Nazis but isn't stopping Iran needs to be asking themselves hard questions. And - while it is deeply tied to his ego (b/c ignoring threats), people who know Trump will seriously and probably correctly point out that killing the protestors made him mad and is a big part of what made him pull the trigger. Lots of people treat Trump like a character and not an actual person, but he has been consistent in this, and he is of a generation that that was deeply impacted by the hostage crisis.

-We've been (essentially) at war with Iran for decades, to some extent increasingly. Asymmetric options like terrorism, cyberattacks, drones are only going to be increasing in danger. The country has threatened to kill our president. People with intelligence backgrounds I know have frequently emphasized Iran as one of the biggest threats, and people who played in the sandbox have a lot of problems with them. You don't let someone keep punching you indefinitely, especially if they are probing for the right spot for David to kill Goliath.

-Nukes. Absolutely fucking not. Regardless of how close they were in reality their response to being attacked makes it pretty clear that Iran actually getting nuclear weapons would represent an existential threat to global stability. People emphasize closeness but that isn't the right question, when can we actually stop them is the right question, how close is just political justification.

-Speaking of when is the right time, it's pretty likely now. The regime is going through a lot of political and economic turmoil and waiting might have panned out, but if they survive the clearly increasing missile and drone capacity pretty readily substitutes for Nukes in a MAD scenario (at least for the global economy). If our intervention ends out being bad, then that's evidence waiting while they get stronger would have been even worse.

Importantly how real the threat of the last two is is not going to be something people will actually be able to know unless a credible leak happens, and likely only in the affirmative.

Ultimately this is pretty likely to be a "bad idea" in the sense it is going to be a shit show, but that doesn't mean it isn't necessary to do the hard thing.

My state offers walk-ins, did it first thing at opening a few months ago. Was waiting for six hours.

I had a several year stint in NJ years ago, I tried to change my license like a good citizen, showed up with as much paperwork I could gather - after waiting months and driving an hour to the only DMV with appointments. They told me I didn't have the right stuff, despite me researching heavily beforehand.

I kept my old DL for the rest of that Jersey stay.

I mean support is still reasonably broad. I saw stats suggesting somewhere in the range of 80-85 percent of Republicans are down.

Most of the internet continues to have an anti-Trump/Republican bias that doesn't change. So you'd expect to have trouble with pro-war discourse.

Witch havens like here are stuffed with people with deeply unconventionally views (die hard anti-intervention folks and anti-jew posters for one) and are not representative of the general Republican field.

I'm personally for the war and found the experience supporting it here to be not very rewarding, I imagine plenty of others have similar thoughts.

I'm perfect willing to talk to someone who is anti-nazi, or anti-semitic, or anti-racism.

The problem is that quite a few people who these descriptions apply to are not worth talking to. I'd bet most people in Israeli leadership circles are very aware of how WWI created WWII, and therefore have awareness of the impact of what they do in Palestine has for the future. They'd be willing to discuss these tensions (at least previously).

Woke types? No. The Nazis are Satan if you try and argue that Cambodia or the USSR represent worse regimes you'll be labeled a Nazi or hear a bunch of talking points that are all soldiers or weak-men.

We've spent the last ten years getting used to how these people argue.

Anti-jew posters are often like them. For this specific poster - he recently had a conversation with one of our mods who handled it better and more eloquently than I could.

If you always blame the jews for everything in predictable ways, I'm just going to assume that's what you are going to do. You may eventually be right but that's not through predictive power it's through repetition.

Although - credit to SS for actually posting interesting things about other topics, although it took a bunch of redirection from the mods to get there.

Additionally if you disagree you typically get downvotes, personal attacks, and accusations of being a sheep. Everyone still here is sufficiently heterodox to make that an embarrassing accusation.

Major General William Neil McCasland is missing since 27th February.

This was brought up on some MSM I was listening to and IIRC he's been known to have some form of health issue (likely mental) and the government released some kind of notice.

Doesn't help the more conspiracy minded types but that's the explanation (and why you aren't seeing a lot of media coverage).

Context

Yeah def mixed him up with someone else.

Doesn't need to be literally Victorian or Regency for random English bullshit and Amero-English bullshit to be an appropriate description of context that is skipped off of.

And agree with the characterization of Austen being less popular than Shakespeare etc, but it remains pretty popular with women and girls who read which means the influence is there.

And the point remains: it's not pure highfalutin, and educated people will communicate in that way at times and American students are supposed to be presented the opportunity to develop understanding of those references. It's much harder for non-English speakers to get the exposure (especially in the formative years) to make this stuff easily understandable.

Dang must have had 'em mixed up with someone else - point remains about it being a first language vs. not a first language expectations thing.

Always going to be harder coming in.

Don't mind me I'm just walking uphill both ways to work (in the snow).

All experiences are relative to their cultures, just saying that I think lots of people stroke out on the spot if they saw my local equivalents.

Ah. So this is universal, speaking from experience in the UK and India. I've heard even other postgrad trainees (in the UK) make the same complaint.

alarms blare

You've activated my attending trap card. Basic intern year scut work (both inside surgery and outside of it) isn't actually wasted. You learn valuable tools like "writing that fucking note quickly" and "nurse management" and "sick vs. not sick."

Certainly the modality has some yield issues at times, but the gain in fluency and skillset is real, with variable spaced repetition of more traditional surgical skills.

Also is what separates us from midlevels.

Basically the issue is that the required case volume to become proficient in modern surgical modalities is a lot more than with classic open cases. Decent surgical residencies can theoretically get you enough cases for bread and butter procedures but for less common things it gets harder. Consider how much harder it is to orient and to appreciate anatomy through a lap, and with a lap to ably use your technical skills (less of a problem with robots).

Surgical residency is already long and miserable enough, adding more years just isn't feasible.

Additionally things don't go wrong enough, which is good, but you need experience with things going wrong in a controlled environment to be able to provide quality care when you are on your own.

This means that many junior attendings aren't really fit for purpose and need hand holding, academic work, or enhanced engagement from their partners. None of which is good and it isn't really a solvable problem, especially with the push to condense training.

Also, usually the intern year for surgery is wasted on floor monkeying only pretty much.

is the potential hypersexuality,

Hold up, is teenage hyper sexuality in India kissing boys and watching porn? These people's heads would explode if they were exposed to dysfunctional American ER visitors.

Hey, don't be so harsh. You do have an audience for that diatribe, even if it might just be me. Let it all out, I have a father who I cannot accuse of lacking surgical skills even if his expertise is in laparoscopic surgery (and he is world-class at it, if I say so myself). This is a safe space.

It's a travesty! Junior attendings lack effective experience! Nobody has experience with disaster cases! Open conversions are always in the worst circumstances! Hundreds to thousands of hours of extra training time!

Ultimately the switch is a good thing but it causes some skills deficits which are especially problematic in the US with the way our training works.

Strabismus

My favorite for this is autoimmune encephalitis, seldom seen, often missed, never fails to make the psychiatrist feel like the smartest person in the world and everyone else feel like a dumbass.

Maybe @Throwaway05 even if his OPSEC is so strong and his knowledge base so broad that he could be in anything from IMT to psychiatry to an ER specialist to a dermatologist.

Listen nobody here wants me to bitch about the decline in surgical skills training driven by laparoscopic and robotic surgery. It is poorly received every time! Every time!

So we talk about this psych bullshit instead because it is interesting and has more relevance to the average person.

For you-

I'm 110% not a child psychiatric and I did not examine this patient but weird behavioral stuff is usually Autism or ID in the U.S. The need to rule out some medical pathology is of course important (and obviously needs to be done with any patient with a presumed psychiatric diagnosis). That said this is a distant ass culture from mine and I'd have questions about how these things do and don't manifest in those culture. India strikes me as a place that would have a ton of variety and not variety in cultural presentation that would require a steady hand and clear eye to notice and distinguish with the other pressures (ex: time, resources) in play.

For OP-

You are hitting on one of those questions that is super valid and at the same time once you have training you forget it is valid. No shit "don't pathologize the normal human experience" is wise lol. It's very much baked into how the DSM thinks about things but beyond that too - being six foot four is more or less normal being seven foot four will have tremendous impact on your health, life expectancy, and experience of existence. But sometimes we forget this is an actual thing people worry about

Also, things like ODD exist to be like the pornography of psychiatry - give some labels and descriptions to "I know it when I see it" stuff.

Kids being difficult is normal. Some kids are "holy shit."

One of the ways to tackle this is by focusing on appearance in a number of environments. Kid acts like a bored little shit in church and school? Yeah fair. You leave em to their own devices at home and they also can't function? More likely to be pathology.

The real world does get in the way sometimes with overly dictatorial parents, attempts to get school accommodations, teens and adults relying on TikTok for stuff - but there is a real phenomena being targeted here.

Additionally, psychiatry is a bit looser than medicine - ADHD symptoms can be best explained by Anxiety, Depression, latent Bipolar disorder, medical illness, permanent brain damage, resolvable brain damage upon further development, substances, specific environmental factors, disordered personality.

Try sorting this shit out in a 15 minute appointment with a patient or family who already "knows" what the diagnosis is. Giving the diagnosis triggers further resources (including medicine) but doesn't always mean an understanding of the underlying mechanisms.

In the U.S. we shuttle things from Psychiatry to Neurology once we understand them (schizophrenia used to be early onset dementia, then we figured out what dementia was and punted it over). If something is still a psychiatric problem it means it is quite a bit more tenuous and complicated than a nevus or blood pressure evaluation.

You are a Finn right? It's worth noting that the a core part of "English" education in America has been reading the classics, so we do get more practice with the more archaic style. This serves to expand vocabularies, recognize more styles of English communication, and to understand where some words and cultural references come from (I'm looking at you Billy S).

If your primary experience with English is dryer teaching English or technical writing some literature will absolutely be a bit challenging to read, but much of it was more or less lowbrow at the time and it is expected that an "educated" person in the U.S. be able to read these with an excess of assistance.

Separately, many English speaking people will have a fluency with Victorian social norms that will puzzling to people from outside milieus.

Probably your struggle is as much vocabulary as it is missing cultural context.

EDIT: An earlier version of this comment had misremembered OP's country of origin. Apologies for all involved and for my dead dignity.

Credible Defense on reddit has a lot of knowledgeable posters and high discourse standards, you'll high quality answers to questions like this and links to more formal presentations of the same.

My understanding is that the supplement industry is not regulated in the same way drugs are so reputability of manufacturer is critically important since they aren't required to have the content or purity as advertised. See: lead in fiber supplements.

As I made clear down thread, I'm perfectly willing to engage with criticism of Jews, Israel, and this war. I find plenty of people capable of rational discussion about this topic including people I deeply disagree with.

However some of the posters here are clearly just angry, hateful, and blinded by some sort of intense and specific dislike that will never make sense to me and is clearly objectively irrational despite being historically common.

What's the value in discussion with someone who is going to blame the Jews every time? You already know they are going to blame the Jews. They aren't going to say anything novel. They might even be right occasionally but you won't be able to tell because they say the same thing every time.

I've never had any significant interaction with anti-semites in person or in real life prior to this conflict and I now get while growing up the Jewish people I know just automatically assumed anyone who was anti-Israel was anti-semitic.

I mean it's a tough situation, I'd prefer to not be rude and both options are rude.

I think many people here have something interesting to say for or against this conflict but at this point I've started to find the anti-jew posters aggressively one note on anything that can be blamed on jews. On reddit I'd tag people with RES so I could keep track of things like this, but I don't know how to do that here and I wasn't 100% if he was one of those...and well he made it clear.*

If you are more irked by my lack of response to you, well I watched mainstream media on the recent events, personally heard the talking points in real time, felt convinced I understand the public justification and aims, then watched the dem talking heads land on a narrative of "not clear" and people download that.* I am happy to explore how valid my thought process is on this with a curious party like OP, but your stance suggests a fixed position and willingness to use disingenuous talking point to affirm your stance.

Ex: At this point Trump has been in the public sphere long enough that unwillingness or inability to adjust to his administrations communication style is the fault of the interlocutor. The lack of professionalism is a reason to critsizie them for lack of professionalism, it is not a reason to fail to appropriately engage with their communication.

*Plenty of reasons to dislike Israel and its recent actions, but if what you are saying tries to make Israel seem worse than or equivalent to Iran+terrorists than the complaints just aren't credible and I think discussion is unlikely to be fruitful.

*Seen many times in recent high quality political discussion like with Mark Halperin going "here are the aims! They said that in this speech! Stop pretending it wasn't clear" and talking heads just not engaging.

My guy, I implore you to consider the ramifications of our interaction going like this: "I'm worried you make everything about Israel" "of course Israel made you say that."

I appreciate your response but I won't be engaging with you on this. I've personally found the anti-Israel/anti-Jewish posters to be too laser focused on that end of the conflict to the point where it makes the conclusions questionable and discussion unrewarding.

My apologies if I have you pegged incorrectly on the Jewish front.

Why?

Look what Iran is doing - shutting down the global economy, launching missiles at and deliberately attacking civilian infrastructure and the economy (oil, travel, etc etc) of its neighbors. They've always been interested in doing this in all likelihood, but didn't think they could get away with it. They also had their civilian terror networks temporarily defanged.

What happens if they get the bomb? What happens if they rebuild the missile capacity and expand the drone capacity?

What if two years from now they wanted to close Hormuz and were a nuclear state? We'd have to just accept it or much riskier things.

The U.S. and Israel absolutely have classified timelines on missile production, they may have timelines on the nuclear stuff.

Iran can't be allowed to do what it wants to do, because it would do this. We know this, we can see now exactly why that is.

It just happened Trump was sitting in the chair instead of a cowardly president who might end up just waiting and praying.

Why now, specifically?

Trump made his threats and it was clear something was going to happen eventually, it appears to have gone off a bit half cocked but I imagine that's because the Iranians foolishly put enough of the government in one room together.

Why don't people understand this?

The government has been very explicit with stated public war aims and reasons, and has a number of private elements that are easily guessable. The media has landed on a meme to criticize this conflict as "they weren't clear" so people think it isn't clear when it is.