Throwaway05
38m ago
It's a combination of resource stewardship and modern day politics, as everything is.
A few things make this vaguely feasible though - the criminal underclass is the criminal underclass, these people are out there "safely" being repeat offenders without causing significant issues, we just notice the fraction that do cause problem and not the 9 others who don't. Likewise a large fraction of people causing trouble are mentally ill or behaving in a way that gets them in front of the healthcare system, if you decarcerate you hope they head over to medicine and get managed that way.
Throwaway05
1hr ago
The flu vaccine certainly doesn't work as well as some of the other vaccines, but it is very clearly a vaccine, I don't know what the other poster is on about on that front.
The flu vaccine is one of the odder and more complicated vaccines we have - we have to guess for the yearly formulation some years we guess better than others (based off of the expectation of what this years flu will look like). It also is not good at preventing you from getting an infection, what it is good at is preventing you from dying. People will often say "oh I have the flu" no, usually they have the common cold - the flu is ass.
As for if it makes sense? Young unvaccinated people die from the flu every year, not a lot of them but they do. Vaccinated people have a much better time - all cause mortality reduction in 65+ is 20%. If you are the kind of person who doesn't wear a seat belt maybe skip the vaccine, but if you wear a seat belt then this is up there with the most impactful things you can do to prevent random risk of death.
The COVID vaccine gave me flu symptoms, flu vaccine never did - which is the case for most people. If you do that's certainly a better reason to skip it, but when my non medical (male) friends ask me about it I ask them if they are a pussy.
You can go to bed a few hours earlier in order to prevent death in you and your family/friends.
Throwaway05
16hr ago
Notoriously, it wasn’t called the flu vaccine but flu shot.
Do you have a citation for this?
Here's a paper from the 90s referring to it as vaccine.
Throwaway05
20hr ago
That's never been true though?
Measles is something like 3% post vaccine, and mumps is something like 12% per a quick google.
Flu is a bit more obvious - the idea behind the flu vaccine is to make the flu uncomfortable but not require hospitalization and result in death, it's never really been entirely preventative.
Throwaway05
23hr ago
What do you mean by this?
Throwaway05
2d ago
90% for me. Honestly thought the last part in particular was incredibly difficult, I'm shocked 80% is the average given how hard it seems to be.
Throwaway05
2d ago
I've seen a bunch of mainstream media coverage pretty explicitly surmising that the Democratic establishment doesn't find anything he is up to is objectionable but they are trying to get rid of him before the deadlines for the general because they expect the Republicans to be sitting on bigger bombshells and they figure someone else would be more electable.
Nothing fancy about the Jews or a sea change in sentiment here.
Throwaway05
2d ago
As a rule I don't trust reporting of medical issues (which important vein? that matters a lot and who knows if that is even accurate!), and the UK has a lot less experience with penetrating trauma of all kinds. We can also do miracles if you managed to get stabbed in an operating theater with shit ready to go.*
None of that changes that this happened out in the field with help far away and that any 8cm stab wound into thoracic cavity is going to require a million things going right to be survivable.
*Like given how long it took him to decline I can't imagine that he wouldn't have survived if he was immediately put on ECMO but that is not a reasonable expectation by any means (given their description ECMO could have been impossible but how the fuck did he take so long to die then wasn't it like a half hour?).
Throwaway05
3d ago
More dressy options are out there but I'm not your huckleberry for recommendations on those. I know others have preferences though.
Insoles, orthotics and other nonsense are all entirely internal and viable options.
As for the pain being somatic. I mean yeah. You are a psychiatrist - you know that doesn't mean it is unconnected from everything else. Minimize negative inputs and you'll get a better result.
Additionally if you feel helpless or apathetic about improving your experience, keep in mind how depression might be a contributor.
Lastly, Jesus Christ who still wears ties? The fomite risk alone! But for psychiatry the strangling!
Throwaway05
3d ago
This is a point of serious Opinion because of our retarded amount of hours worked over here, and while it dials down after residency for most specialities it can be a real deal career limitation factor for surgeons. Foot, leg, and back pain are all connected.
This gets to the point where people are straight up recommending Yoga to Ortho-bros or you have Vascular reading "Becoming a Supple Leopard."
The specific recommendations for footwear are pretty body type, mechanics, and use-case related (I love my clogs but only when I'm doing more standing around than walking, I've seen plenty of residents break their ankles hurrying to a code).
Dig into the shoe discussion on the medicine or residency subreddits you'll see a lot of recommendations. Hoka is a common viable option. Basic orthotics can make a big difference.
Some attention to your footwear and stretching routine can absolutely radically improve your day to day experience.
Throwaway05
3d ago
I really think people underestimate how much being drowned in these "trainings" for years and years impacts you. I'm pretty damn not-pozzed but I have to do trainings multiple times a year* and it makes it hard not to unconsciously buy their frame on things.
The "anti-racist" training is incredibly racist and it works and it results in stuff like this...
*One employer took us off clinical duties for a full week yearly to indoctrinate us in social justice. And it's one you've heard of.
Throwaway05
4d ago
I remember seeing a video, I want to say it was in Germany? of a non-white person engaging in a mass stabbing act of terrorism, the police arrived on scene and assisted him because they assumed he was being attack by the native white Germans (and got injured in the process).
This is a pattern.
Throwaway05
4d ago
Despite all the aches and the pain and the desire to drag my sorry ass home to rot in peace.
You have appropriate hospital shoes, right??????
I mean I don't think it's possible to be an ethical billionaire in the same it's not possible to be ethical in general - someone is always going to be upset. Superficially Gaben looks like a good answer, but then you find out how many people in the development and publishing space hate him for steam being "freeloaders." Consumer hate is rarer but still comes up with respect to some decisions they make.
So if we reframe the question as "who are the most ethical" billionaires I'm sure you can find some, it's just usually not people the man on the street knows about.
Consider the Duff brothers from Mississippi - they made their money running a tire company.
Or Judy Faulker in the healthcare space, Epic gets a lot of flack but most of that is actually regulatory burden or angry competitors.
Plenty of people make a billion in generally unethical spaces (real estate, investing) while being no more unethical than everyone else in that space, sometimes even more ethical (just very good or lucky).
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