273 karma · joined September 10, 2020
So baseline if you're smart and hard working, you need to take the hardest college track from ages 18-22, medical school (22-26). Then work two jobs worth of hours as a trainee making well under 100k starting at age 27 and into your early 30s [3] so you can't save or pay down any of your debt from getting here.
So if you choose to be a doctor, you have to: (a) dedicate to working your ass off at 18, (b) keep at it until you're in your early 30s, (c) start with massive debt
I think it's actually pretty amazing that we have as many doctors as we do.
[1] https://medschoolinsiders.com/medical-student/how-long-is-re... [2] https://www.ama-assn.org/medical-students/preparing-residenc... [3] https://www.inspiraadvantage.com/blog/how-much-do-medical-re...
And if the company fails to know its own history well enough that even they are missing the point that speaks volumes about how they value institutional knowledge.
Thoughts flow through my brain like electrons through wires, both at a speed I cannot truly comprehend. The paths of my thoughts, the way words connect together, the emotions they evoke, the feelings that are associated with - these are all malleable. I have been working to rewire myself away from pessimism and towards optimism for years now. It's not easy, and sometimes I fall back into old patterns. As years have passed, though, I've found the new pathways easier, the new roads getting more familiar. My thoughts have previously wanted to go one way, and I spent time yanking at them to go a different way. I spent enough time at it that I now on good days more naturally go they way I want to go.
It's not just sitting and repeating a single thing over and over again, it's working with your own natural inclinations so that you can recognize when you experience X and naturally reach for Y that perhaps Z is what your preference really is, upon reflection. If you can practice that enough then, in the moment, you can sometimes find yourself not following the old pathways but the new.
Rewiring seems like a pretty good analogy as when you rewire a house you work hard -- it is dirty, dusty work. Pulling wire is hard and thankless because when you're done you cover it all up and, if you're lucky, it works! Then at the end you're . . . back in a state where nobody but you knows any different what is happening behind the walls. Things work, and others might have no idea anything changed at all. But you put in the hard work and you know how things actually work on the inside now and it's exactly how you want it, not how it was before.
If you've got a better analogy, I'd love to hear it.
I'd love improvements in care, but nobody is going to fix this problem. It's too lucrative for everyone else involved.
[1] https://averagedoctor.com/the-average-age-of-doctors-graduat...
I worked in an ophthalmology practice when I was quite young many years ago. The head of the practice often had over 50 patients a day (one of my responsibilities was pulling the folders for all daily patients from the wall-o'-folders; this was in the age everything was on paper).
50 patients over 8 hours gives you less than 10 minutes per patient. I suspect a nontrivial part of the problem is being rushed.
Agreed wholeheartedly on both points, though I'd say a general problem with people new to leadership positions rather than make it about age. Society as it exists now (at least as I've experienced it) is very strong on rule following and it's a pretty massive shift to be the person setting the rules.
The CEO should've been empowering, too, and it might well be a symptom of the same malady: imagining the way you want things done, then pushing harder and harder until the world is that way regardless of cost. Human psychic cost is real and will cost you your best people.
Consider instead if the CEO said to the team "We definitely need this done, but I don't want you to burn yourselves out. Please keep at it as your top priority during working hours, all other goals are on pause until we have a release, and keep me up to date at the end of each day with progress until we're there. I don't want anyone working after hours. Don't worry about the client; I'll handle them." When the story unfolds from there the client doesn't even notice, the team feels supported and heard, and the work still gets done. Everyone wins.
Why would it be an isolated incident when the penalty is so small?
KPMG's global revenue for 2023 was around $23 billion per DDG.
When your fine for doing business the "wrong" way is around 1/1000th of your revenue, it's hard to see that as a meaningful punishment.
Let's call it "taxes".
Articles like this are how one learns the nuances of such things, and it's good for people to keep putting them out there.
Corporations don't do anything, the people in them do.
People working at GM didn't act to fix their vehicles and people died.
People at PG&E chose not to perform actions based upon inspection data, and people died when their infrastructure failed.
According to your Jacobin article, people at Coca Cola killed those trade unionists.
How about let's not let the legal wrapper for people protect those who murder others?
I am genuinely curious: What do you imagine would be the kind of thing that would be a meaningful step towards AGI?
I have no idea when we'll get there for real, but it seems a pretty big assertion that nothing invented in the last 150 years even helped. So what do you think would help?
Talking about crime writ large and only selecting homelessness and murder is such a narrow view of crime that it seems almost meaningless.
So I did some digging. I found crime trends in US Cities as put together by the Council on Criminal Justice[2] in mid 2023. Motor Vehicle Theft is up over 30% and homicide is down 9%. Even that doesn't even attempt to touch fraud (ctrl+f for fraud and scam both came up empty). The initial article says only "some nonviolent crimes like car theft are up in certain cities". This seems clearly contradicted by the other article I found.
The only thing clear to me having done this particular exercise is that probably both the reporting and the polling here are inadequate and incomplete, and that the people who are most being hurt aren't going to get one lick of help.
[1]https://www.ftc.gov/news-events/news/press-releases/2024/02/... [2]https://counciloncj.org/mid-year-2023-crime-trends/
> should the government be able to force you at gunpoint/threat of imprisonment to carry a fetus for 9 months?
and: When should the government be able to force you at gunpoint/threat of imprisonment to carry a fetus for 9 months?
You can take my version and reduce it to yours with "always" and "never" responses, but the world is not digital, it is analog. My question allows for a lot more answers, a lot more debate, and compassion for one another.
A binary response leads only to argumentation because we can't find the edges that we agree on, only the boundary we fight over.
People are arguing about your words because the ones you pick to make your argument DO matter. You've chosen the dichotomy generally pushed by the Right, rather than a discussion of health care or women's safety. Consider the difference in feel if you posted this as your two conditionals:
If you believe that doctors should be given leeway to treat their patients as they best see fit even if sometimes you disagree with their rationale, you're going to believe abortion should be available.
If you believe that moral rules should be followed and your moral rules are paramount regardless of any doctor's opinion on the ground, you're going to believe abortion should not be available.
This gives a very different feel and perspective to the conversation. The words you pick matter.
If you haven't seen Gettier problems before, I'd start with the generalized problem and work out from there: https://en.wikipedia.org/wiki/Gettier_problem#The_generalize...
Best case, I think you'd get your purchase price back. I'm not sure how you'd argue that remedy is insufficient, either - hence why my preference is to have the cause of action written into the law we're imagining here. It'd be even better if we can write in that the remedy for a degradation of the service is an open mechanism by which the user has sufficient level of control as to recreate their desired functionality.
With syntax so simple (and not a fork bomb),
No matter the changes in chorus and verse,
Every new framework . . . will make it all worse.
Within your questions and inner for loop,
Is readable syntax (not alphabet soup),
Give up on your promises, avoid callback hell,
Just keep using jQuery - I promise, it's swell!
I didn't think I was being particularly obtuse but you seem to have missed the point: Providing provably false answers to Congress as part of sworn testimony should trigger prosecutors to look into perjury charges. Perjury is what we are talking about here and that has a mechanism: the legal system.
Yes, I think that a C level executive who comes to Congress and testifies confidently about something his business does and is wrong about it should trigger a potential prosecution.
This is about testifying to Congress and what happens when you say something provably false as an expert under Oath. If you are not certain of what you are testifying about, do not testify to it. If you are certain and wrong, you should be afraid of repercussions. Anything else opens up Pandora's Box.
The alternative seems worse. If there's never punishment for lies every unscrupulous person called to testify will provide whatever is in their best interests instead of providing the truth.