domain:dualn-back.com
Throwaway05
3d ago
Lol, well "no actually it is quite a bit more complicated than that and the popular presentation and imagining is grossly inadequate" is like the central lesson of The Motte. Internalizing that and putting it to use is YOUR credit.
For the issue at hand - it's worth noting that most Americans can be signed up for Medicare or Medicaid and hospitals will do that in an attempt to deal with some of the cost of mandatory care.
Illegals become more problematic and can easily end up sucking up hospital level resources for a year and a half while waiting for a charity care dialysis placement or something like that.
Incidentally I write with - transitions all the time. Is that materially different than that em-dash thing all the kids are complaining about? Do I look like an AI??????
ToaKraka
Dislikes you
3d ago
TowardsPanna
3d ago
Don't live in the past. There are always new, major opportunities in each cycle. Few developments are ever fully priced in, if you are somewhat quick on the trigger. Market efficiency is to a significant degree a myth.
dr_analog
top 1% of underdog fetishists
3d ago
Novo Nordisk's glory days are behind them
It's true more people are waking up to GLP-1s, but there's more competition in the pipeline than ever, In my view, Novo and Eli seem awfully close to getting into a price war.
Also, the rest of the planet is nowhere near as lucrative as the US and the US might be close to tapped out. There's also attacks on the patent regime (might be lost in Canada which might be a backdoor into the US) and also the borders seem quite porous to gray market sources entering the country. Why not? The same Asian labs that produce it for Novo/Eli can just do additional shadow runs and ship directly to US dealers. It's the same money for them but 10% of the cost for US consumers.
The future looks bright if you're a fatty. Not so great if you're pharma. It's actually a bit alarming, since even with GLP-1 boom the pharma industry has plummeting ROI https://www.cremieux.xyz/i/163939433/preclinical-prioritization
charlesf
3d ago
If imitation meats were a bit higher quality, a bit cheaper, and reliably available I'd switch to them without hesitation. I always try the newest offerings on the market; we aren't quite there yet, but I feel like we're getting progressively closer.
I've already stopped eating mammals. It started with pigs over a decade ago, then all mammals about 5 years ago. Just birds and fishes. I might eat a lizard but its never come up.
TowardsPanna
3d ago
I've seen a couple of doctors over the years who were so clearly not people-persons that they acted similarly. I think some of them might be autists and/or just status and money chasers who don't deign to view the patient as a human.
Wasn't there an instance of this?
Unarmed bystanders tackle a knife attacker. The police respond, but restrain the bystander and a policeman is then fatally wounded in the neck by the knifeman.
I recall seeing video from the incident.
Edit
Severely depressed people are famously known for being well motivated and agentic.
You might have heard, most likely as a semi-serious observation, that the side effect profile of most antidepressants includes increased risk of suicide.
Ever wonder why? It is because depression affects multiple part of the brain, and antidepressants can start fixing some parts before the other. In other words, you accidentally fix someone's motivation and agency before restoring their mood, and you suddenly have someone who is very energetically motivated to kill themselves.
Ultimately only she knows her inner mental state.
People often do not know their inner mental state. If you care to criticize this, then just about nothing in psychiatry remains standing. There is nothing, in principle, stopping a sane person from talking into thin air, and gibbering about the CIA watching him. Yet this is a reliable metric for psychotic illness. In a similar manner, what do you think the usual stereotypes are of how a depressed person looks and behaves?
The reason that psychiatry is not purely stamp-collecting is because said stamps allow us to mail cheques we can often cash. A diagnosis of depression usually leads to a treatment of depression. It's not perfect, in very rare circumstances, such as hers, literally nothing worked. If she wants to lie after all of that (and there is a lot of "all of that"), then she's earned the right to kill herself.
The_Nybbler
In the game of roller derby, women aren't just the opposing team; they're the ball.
3d ago
How'd that work for Liberia?
The_Nybbler
In the game of roller derby, women aren't just the opposing team; they're the ball.
3d ago
What city do you live near? One can walk through the core of New York or Philadelphia without running into any criminal gangs. Homeless people, yes. One can even walk through the core of Newark, NJ without problems. All these cities have places you wouldn't want to be, but they aren't the core. This is in contrast to the late 1960s to early 1990s, when the cores of the major cities were indeed no-go zones or something like it.
Obviously there are cities where there's almost nowhere you want to be. Detroit. Camden, NJ. Baltimore (except the touristy waterfront area, and maybe an island around Johns Hopkins if that's been maintained). But those are still the exceptions.
Hang on, please explain to me, ideally without referencing slippery slopes at all, what is the precise issue with this 29 year old woman with depression being offered euthanasia?
I try not to brow-beat people with my credentials any more than I can help, but I have experience in both psychiatry and being severely depressed. It would take far worse to make me seek euthanasia, but my depression wasn't as bad as it can truly get. Some forms of dysfunction and agony can truly be hard to discern from a distance. You see a pretty young woman in the prime of her life being consigned to death by uncaring doctors.
I see a tortured soul, who has consented to her doctors trying everything they can feasibly try. If you don't believe me, you can look at the article. Her every day is utter misery, we have no idea how to fix her, at present. And we've tried, tried oh so hard, with no results. I had reasons to cling to life even when my brain screamed it was pointless to get out of bed, I do not care to dictate beyond a very limited extent, how much others should really tolerate.
She is an exception. 99.9% or more of depressed people are not recommended euthanasia. She went through all the loops and hoops, she didn't change her mind. Her very right to do so was challenged, and when I initially engaged with the article, being adjudicated in a court of law. The rules are being followed.
Alright, adding another dose of Vietnamese news that my old man relayed to me (I am not doing any verifications of what he said) a few weeks ago that I keep forgetting to add to this thread. There are currently major bureaucratic upheavals in Vietnam.
- Vietnam’s administratively used to be divided into provinces, which were divided into districts, which were divided into communes. For an American observer, this can roughly maps to states, counties, wards/subcounties/districts. Note the “used to be”. Vietnam will no longer have districts (the 2nd layer).
- Vietnam used to have 63 provinces, there are now only 34.
- Lots of major secondary effects from 1 and 2. There are now lots of bureaucrats getting “early retirement”. They are getting benefits package that altogether is definitely going to create meaningful inflationary pressure at the national level. There are also now fighting up and down the layers between the remaining bureaucrats who want to keep their government jobs. You obviously don’t need two head accountant (or accounting team) for the newly-merged province. Or how can you justify having your job as the commune head when the district head of the newly-dissolved-district wants to come down to take your job.
- Tertiary effects on businesses because of 3. Like most developing countries, there is a lot of palms to grease at all levels. And evidence of corruption from your opponent is great for your political safety net. It wasn’t uncommon to be called-to-the-police-station-for-some-tea before, but that was just the perks for people in power, now it’s about survival for them.
- New accounting laws were passed last year in December but only recently came into effect that would significantly enlarge Vietnam’s taxable base. Obviously, this and 4 is driving up demand for accountants who are good and loyal. I don’t know the exact details but it seems there were a lot of businesses (think a local furniture maker) that had nominal taxes or were untaxed or really easy to cook the books, now they will be under greater scrutiny.Oh and how can we forget all this under the looming tariffs which apparently Vietnam has the highest in SEA.
All in all, major turmoil, but we will also see how the effects of this shakes out over time.
hydroacetylene
3d ago
He wasn’t talking about crime- making it a crime to commit suicide would be pointless. He was talking about suicide.
Corvos
3d ago
I was under the impression that the vast majority of the guns were bought after military service, skewing the stats. Now you prompted me to re-look, I see that this is not necessarily true.
They also do sell ammo, you just can't get it from the army apparently.
https://old.reddit.com/r/EuropeGuns/comments/185bamo/swiss_gun_laws_copy_pasta_format/ is supposedly vetted by a real Swiss guy and seems somewhat interesting without being blatant political fodder:
Many on the pro-gun side seems to think everyone has a gun at home, while many on the gun control side thinks ammunition is heavily regulated.
If you had Swiss gun laws introduced today in the US, both the pro-gun and the gun-control side would be outraged tomorrow, for various reasons.
The_Nybbler
In the game of roller derby, women aren't just the opposing team; they're the ball.
3d ago
but I really can't imagine why a household would ever need more than 24 paracetamol pills in a week
Four people with headaches easily covers that. And 24 pills is still enough to kill you, painfully. Making the vast majority of people who just want to keep APAP around the house go more often to the store and pay a higher per-unit price just to slightly inconvenience those who want to die isn't reasonable. Nor is it reasonable to go full retard like with pseudoephederine and have a registry to make sure no one is buying a fatal dose by going to multiple pharmacies.
self_made_human
Grippy socks, grippy box
3d ago
Did you take that seriously? I would hope not, because the joke was that it's hard to get responses from participants in euthanasia because they're dead. If it's meant to be an educational aside, I appreciate it.
self_made_human
Grippy socks, grippy box
3d ago
You know, now that I think about it, I think 50% of this was going off the memory of an AAQC of yours. Had to be you.
I suppose that means I remembered enough of it not to bring dishonor upon your name. And thank you for being polite enough not to point that out first.
3472094371
3d ago
I wanted to show my boss which diagram type I had in mind, but I forgot its name and couldn't describe it to Google. In the end, I had to search for came in a fluffer.
charlesf
3d ago
but had truly abysmal response rates for reasons I can't quite fathom
As someone with chronic health issues that knows the inside of the hospital fairly well, any communication from a health care provider that isn't explicitly from someone in scheduling or providing test results is assumed to be a new mystery bill you were never informed of verbally or in writing at any point, and 95% of the time that assumption is accurate. Sending the survey as a text message or email will have better hit rates. Also, this seems like it shouldn't need to be said but really, really does, make sure the survey actually works. I actually try to complete these when I get them (probably 8-12 a year) and fully half of them are dead links or malfunction in some other way. The institutional work ethic of an organization free from market forces and able to obfuscate its billing practices without consequence, imo, spills over into absolutely everything they do and encourages mediocrity at best.
WhiningCoil
Ghost of Quokka's Future
3d ago
Fair
sun_the_second
could survive a COD lobby and a gay furry discord server
3d ago
If I were the mods I'd punish darkly hinting harsher than whatever it is you are afraid of being banned for.
hydroacetylene
3d ago
More specifically, I would say that those Texans who see themselves as a nation would include most of Oklahoma and parts of New Mexico in that separate nationhood. Maybe parts of Louisiana, Colorado, Arkansas as well- but definitely not all or even most. Alaskans would not have this idea of honorary Alaskan-ness for anyone else. Assimilating requires moving to Alaska.
The_Nybbler
In the game of roller derby, women aren't just the opposing team; they're the ball.
3d ago
One can jump off a bridge instantly on a whim, and of the people who have done it and survived many said they regretted it instantly.
Probably because jumping off a bridge is awesome; it's the largest adrenaline rush I've had bar none including skydiving. Seems likely to (at least temporarily) break a suicidal mindset right there. I doubt the APA would approve bungi jumping even as an experimental therapy though.
Both of my neighbors are doctors and both are on their 2nd marriages with younger women they met at work. The surgeon had a huge new sprawling estate built to house not only his current wife and 4 young children, but also his 3 adult children from his first marriage who refuse to move out. His house actually has separate living rooms, kitchen, garages etc for both 'halves' of his family.
edit - neither are nurses. While it is common for doctors to "trade up" to younger women, the doctors and nurses I've spoken with (my wife, sister in law, and nephew are all nurses), say doctor/nurse affairs seldom lead to long term relationships as they all kind of hate doctors generally, as a class of people, and nurses personalities are often not pliant enough for the doctor's liking. Instead both of my neighbors married admin staff of some sort, one was an insurance liaison at the hospital, the other worked in patient intake.
The Indians I work with say its about 30%. Work has sent me to Hyderabad a couple of times, and a few other cities like Chennai and Delhi for shorter periods, and this % seems like its large enough that its much easier to actually be a vegetarian there. My coworkers there always just used the shortened term "veg", which was also the label used on menus and food packaging. My veg coworkers from the US always enjoyed being sent to Hyd for a while as you could reasonably expect effort to be put into the veg offerings almost everywhere, though we could all do without the heat and humidity of India in July/August, though Hyd seemed not as bad as some other cities. Also you can get beef in India if you really want to; ask the Muslims about it. You can generally identify them by their names in many cases I've found.
More options
Context Copy link