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fricat1ve
searching PlanetScale…
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11 ms
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fricat1ve
8y ago
There's nothing like Boston or NYC in the control states. If the effect is as big as they seem to think--a 21% increase in mortality--that should be visible on a plot of deaths over time.
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fricat1ve
8y ago
The "objective metrics" part is key. Medical records are generally written in a way that weaves a standard narrative of the doctor as either a hero/savior or a valiant defender of a lost cause. Doctors only get investigated w
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fricat1ve
8y ago
As far as a performance evaluation that directly scores a surgeon's judgment and whether the procedures s/he is performing are actually beneficial...in the absence of a big screw-up or complaint, I don't believe there is any
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fricat1ve
8y ago
In the US, if the surgery is in hospital: - Well-regarded hospitals will vet surgeons before granting privileges. - Average hospitals give out privileges fairly easily if there are no actions against a person's license. - There is a &q
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fricat1ve
8y ago
One problem is that fee-for-service incentives strongly distort what people think they "know full well."
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fricat1ve
8y ago
A better way to make this claim would be to plot the mortality rates for the states over time and show that the rates in those places requiring reporting begin to diverge as the new policy is implemented.
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fricat1ve
8y ago
Even consent itself is something that's overly fetishized in our society. It's a sign that a group's common understanding of people's basic rights and responsibilities has fallen apart. So everything comes down to some i
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fricat1ve
8y ago
> if you want a cure for cancer, you have to pay scientists to look for it. We do that. It's a two-tier system where the public pays for the science and the companies fish ideas from the science to make into medicines. >The fact
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fricat1ve
8y ago
There was a story that checking ID's on plane tickets was at the top of the airlines lobbying wishlist after 9/11 so they could curtail the practice of people selling unused tickets to another (same gender) person.
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fricat1ve
8y ago
>If it wasn't, why has it taken this long for someone to take ownership of that huge pile of risk-free money Maybe because no one thought of it before? The picture you're painting is fine if you're evaluating a handful of
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fricat1ve
8y ago
>People should be willing to pay as much for it as the alternative Maybe. But maybe there's also something wrong with expecting that much. Somehow Sidney Farber didn't decide that he was going to charge the families of kids wit
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fricat1ve
8y ago
I found this comment unintentionally hilarious.
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fricat1ve
8y ago
They solve this by working on diseases whose diagnostic criteria are vague enough that they can never be fully cured. Or at least no physician will ever tell someone they're "cured." Diabetes, hypertension, heart disease, au
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fricat1ve
8y ago
Still doesn't explain why they couldn't just release a statement warning people not to rely on the autopilot until the authorities have completed their investigation. That avoids prejudging whether it was primarily a defect with t
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fricat1ve
8y ago
I doubt it's really about legal issues. Could they just disable or scale back the autopilot? Or at least warn people to not rely on it while avoiding any commentary about the facts of the accident. That'd be more polite/defer
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fricat1ve
8y ago
Those studies don't say what you're claiming. I meant the pricing was post-hoc in the sense that they came up with a story like yours for why it was worth $84,000 when they were bringing it to market. There was no precedent for a
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fricat1ve
8y ago
You're making this very hand-wavy calculation. Hardly any 45 year olds were dying of hep C, even the older ones had lots of comorbidities & other risk factors, which is what one would expect for a disease acquired through intraveno
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fricat1ve
8y ago
You keep stating this as if it were a fact, but did it occur to you that delineating what research spending in fact contributed is complex? Medicine is perhaps the industry that most exemplifies one with large confluent streams of money fro
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fricat1ve
8y ago
Then allow prop 13 to stay but only for a primary residence. Maybe even limit it to native born citizens if you want. The benefit should definitely not be available to landlords or foreign buyers. The current situation is bad enough that it
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fricat1ve
8y ago
I see. I'm just not sure they have so much of a dog in the Prop 13 fight per se. Land values there haven't risen to nearly the levels as in coastal communities. And there are all sorts of special rules for ag taxes that I'm n
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fricat1ve
8y ago
Are we talking about real agribusiness in the Central Valley or are we talking about a couple "family farms" in Cupertino or wherever? In the former case, are these people are at any competitive disadvantage relative to rural area
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fricat1ve
8y ago
So now it's "redistribution" to have people pay the same tax rates on their property? Oyy... I was born here too but your arguments sound a lot like special pleading. Do you really think that a tax loophole is "earned&qu
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fricat1ve
8y ago
I have heard this argument advanced against the estate tax. But even if you eliminate the reassessment loop hole the property tax rates are still cappped at the 1-ish percent level. A family farm that can't afford 1% of its assessed va
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fricat1ve
8y ago
>I know it'll never hit the ballot. Why so fatalistic? California is probably the most open state in the union in terms of citizens having the ability to place ballot measures. That's how Prop 13 got passed in the first place :
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fricat1ve
8y ago
Not one mention of Prop 13? Poor reporting. It's basically the rent control story writ large. Everyone who bought in the 20th century has such an "amazing deal" that they won't give it up unless you a) entice them with a
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fricat1ve
8y ago
Perhaps Americans are just confident that if these things start happening there will be ample opportunity to implement legislative fixes. I mean c'mon...."Refused entry into establishments"? Unless the Civil Rights Act of 196
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fricat1ve
8y ago
Electronic health records have been way oversold. Expecting every little medical office to have industrial-grade data protection makes them far more of a liability than they are worth. At best mostly subjective observations, at worst full o
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fricat1ve
8y ago
>the idea of being in an "elite", informed group is more important than the actual issues. Do you mean to say it's voyeurism, i.e. the draw of being "informed"? Sitting in the eye of the panopticon? I think peopl
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fricat1ve
8y ago
Ok, I understand a little better now. I still think this "legality" line of argument is a bit of a red herring and I'm not sure where the poster you responded to got his ideas about how things were "in earlier days"
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fricat1ve
8y ago
>there has been a massive campaign to roll back what was called “Vietnam syndrome” — the idea that you should consider the morality of your actions and contributions to society, not mere legality. Is that what is typically meant by "
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