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The Doctor Shortage in the US: Is It a Real Thing?

A-Winston says...

Over 50% of docs in Canada are primary care. In the USA, it's around 30%. The problem is too many specialists in the USA doing too many procedures and not enough docs doing basic care. Why? Thank Medicare, which continues to reimburse very highly specialists, especially when doing procedures, and not so much pediatricians, family practice, etc. Who can blame medical students for being specialists when the average USA debt after med school is $300k. Oh, but the USA welcomes foreign trained docs, who were trained at no expense to them because other countries' governments pay for their medical training (mostly). This "shortage" problem can be easily fixed: Cut reimbursements for procedures INCLUDING those done in hospitals (seen the incomes of hospital CEO's lately?), raise those for primary care visits. Is that what Obama and buddies are doing? Hell, no. MACRA, the biggest looming disaster for the poor, old and sick is coming. Here, low paid primary care docs (what few there are) will no longer be paid per visit but by how well their patients do. What will happen? In order to be paid, docs will only see (you can see this, right?) the healthy, the young, and the rich (who can pay for their medications) . . . and the mentally competent, because crazy/stupid people won't follow instructions and will just have bad outcomes (means no money). Yup, Medicare and Obamarama have created the biggest healthcare tar pit in the world, and your all heading toward it full speed.

Smarter Every Day -- Why you put on your oxygen mask first

yellowc says...

Except to me it looked like Destin's eyed showed a lot of pure terror but he simply could not put the mask back on. His mouth looks to be grinning involuntary but even as the looming death approaches, you can see the smile drops at @8:28.

It may still be more humane but I don't think it looks that peaceful.

worthwords said:

There was a programme about the death penalty hosted by Michael Portillo a few years back which pondered weather hypoxia was the more humane way of executing prisoners - it's weird that your brain can be in such a state of euphoria and intoxication when your survival depends on something as basic as correcting o2 levels.

She's Not Havin' None Of That...RYAN!

Hoss, a dog, stealing a sandwich from a three/3 years old ch

bareboards2 says...

Only reason to upvote is for the comments pointing out the failures of the parent/animal owner.

But I won't. I don't like this

I should say that it appears the camera operator knew what was coming. That is why I don't like this. If it honestly was a doggy moment... well, I don't know enough about dogs and kids to know if there should have been intervention as soon as the dog loomed.

Morning Joe Destroys Clinton On Email Report Lies

radx says...

"Can [They] be so insanely sheltered that they think her 'answers' help her?"

If you piece together all of her statements on a plethora of different topics, it is inescapably obvious that they (!) truly have no connection to anyone or anything outside their bubble. Surrounded by sycophants as the Clintons are, people have wondered, and justifiably so, whether she cares or even knows that she's lying on a regular basis. One might make the case that the entire concept of an objective "truth", connected to reality, has no meaning for them.

Additionally, she really does suck at campaigning. But that's not punishable by extended prison sentences, unlike, I don't know, sending Special Access Program (SAP) info through your own bloody email server.

Lastly, Joe mentions Powell (6:16 onwards). When Colin Powell was SoS, his office was connected to the internal system, but had no connection to the internet or the outside world in general. You can't get shit done that way, not in this day and age. That's why he had additional gear set up to at least send and receive emails. This was done separate from the internal network and, if I remember correctly, his entire staff was not only open about it every step of the way, they applied for and received special permissions before they touched anything.

Clinton didn't give a jar of cold piss about the rules that are meant to safeguard access to sensitive information. It was inconvenient to her, and since the rules and laws only apply to plebs, she and her posse set up their own system.

A whole lot of people have to adhere to tedious rules and procedures, with severe punishment looming just around the corner. One guy was in the press for receiving three years of prison after he placed a document on the wrong desk. So, if the FBI drags out the investigation or even buries it, you can bet your ass that a lot of people at different agencies are going to be fuming. And between the FBI, the NSA and CIA, a lot of people have access to the remaining emails from Clinton's server. That opens Clinton up to blackmail, a lot of it. Can't have a compromised president. Not to mention that someone's going to take the data and just drop it over at WikiLeaks or the Intercept.

Real Time with Bill Maher: New Rule – Tax the Churches

shinyblurry says...

Go into any community in America practically. If you look you will find churches feeding the hungry, housing the homeless, visiting the sick, and generally providing help for the neediest members of the community. Because I am part of such a community, I see that going on first hand each and every day. I know people who have been tirelessly doing these kinds of things for decades and have never received a penny from any of it. The only reason they do it is because they love God and love people. You dont get to see those kinds of Christians because they don't call attention to themselves. Many of them, especially the older generations, aren't even on the internet.

Inevitably, the US Government will end the tax exemption for the church because that is the way things are going in the world. Eventually, anti-christians will have their wish; Christians will be hated by all nations and there will be an attempt to exterminate them globally as it is happening right now in the middle east. That is prophecy from the Lord Jesus Christ, and when that happens, remember that He said it would happen. I hope and pray for all of you, as the world grows darker and the end looms, that you will know in your soul that what is happening is wrong even if everyone else says it is right. I pray you will have the conviction in your heart to turn to the Lord before it is too late. God bless.

Matthew 24:9

Then they will deliver you up to tribulation and put you to death, and you will be hated by all nations for my name’s sake

Dear Future Generations: Sorry

Mordhaus says...

The mean estimate of the number of ALL North American tribes was around 8 million (8.5 if you consider the small amount in Canada). Want to know the population of LA? If you guess around 4 million, you are correct.

The population of the state of California is close to 40 million. About 1/3 to 1/2 of that number lives in what should be desert. Arizona, Colorado, Nevada, and New Mexico have about 20 million people, most of whom live in desert like conditions. You can't support that number of people in a desert region on existing resources.

As far as food waste and obesity, you are talking about a small handful of developed, affluent nations. The rest of the world is starving. Even if we magically moved that food waste daily to people in need around the world, we would still have people who didn't get enough. We are at our limit on supplying food for the population, as it continues to grow, even the food waste issue will need to be solved if we plan to keep people just in those first world nations fed.

Trawling today is different. It used to be about doing as little work as you needed to for the most return. Now it is about getting your quota before the season ends, because we are desperately trying to keep the marine population sustainable. Even so, we are running out of some types of fish. Wild catch salmon is going to be gone in a few years, it will mostly be farm raised, which will also impact the environment. Cod is harder to come by as well because it is being over fished.

I have to admit, I don't know where you are going with the nuclear issue and weapons. The amount of nuclear waste from decommissioned weapons is minimal. The amount from power, medical, and research is far greater. All three are fueled by a need to either provide power to a large population, keeping people alive, or researching future power/medical uses.

Am I relieved when friends or family members die? No, but those people are already here. They are already factored into the system, so to speak. What we need to do to fix our current looming nightmare is to prevent or persuade people to stop having kids. Population is not a data-in only situation, it's data-out also. People die, if you don't replace them then there are more resources available. My wife and I chose not to have kids, not because we wouldn't love them, but because it was the responsible thing to do. As @newtboy mentioned, we won't necessarily fix all the issues by reducing population growth, but it would be a huge help. It might also give us time to work out other solutions, because we are looking down the barrel of a loaded gun.

diego said:

you have people living in artificial environments that use tons of power because they want to, because they like it, not because they REQUIRE it. native americans lived in southwest USA for a thousand years just fine without the need of AC or diverting rivers.

go read up on the absurd agricultural subsidies tied to the colorado river- that isnt a problem created because farmers need to produce food to feed the world, its a problem created because politicians want money making businesses to tax, and because people are willing to spend money to eat what they like instead of what there is, a lot of money is made.

same with trawling- nothing to do with feeding all those people, everything to do with money. trawling has been going on for over a hundred years, well before the world population was even a 3rd of what it is currently- fishermen trawl because they want to be efficient because that makes them more money, not because they are concerned about how they are going to feed undernourished people.

the problem isnt getting people to eat insects. the problem is getting the developed world to stop eating so much, especially so much meat. there is an obesity epidemic around the world, over 3000 tons of food are discarded every day, and you want to tell me the problem is not enough food?

and lets not be disingenuous about nuclear waste, nuclear technology was invented as a weapon, not an energy source. you're telling me that if tomorrow a terrible plague wiped out 90% of the earths population, that nuclear armed states would give up their nuclear weapons? bs.

the video is on point. the environmental crisis is caused by greed, not because there are too many people on the planet. and if you feel so strongly that there are too many people on the planet, I assume you are relieved when your family members die? Unless you are willing to volunteer yourself and your family to die for the greater good, overpopulation is a facile bogey man to mask what you really want to say- lets get rid of all those "other" people so *I* dont have to change my own lifestyle.

How To Lose Weight In 4 Easy Steps!

Mordhaus says...

Maybe I'm weird, but while all these people seem to struggle with old relationships and self-loathing, I simply struggle with the looming fact that I am ever so swiftly growing closer to the complete annihilation of self that is death.

They worry about who their Ex is seeing, I worry about my rational mind telling me that nothing exists (for me) after death so why bother with anything?

They try to salve their thoughts with the idea that they can improve if they work at it, while I try to desperately ignore all logical and scientific reasoning to try and have hope that there is some type of afterlife.

My 4 easy steps to losing weight:

1. Remove excess carbs
2. Drink lots of water
3. Exercise 30 minutes a day, 5 days a week
4. Realize that no matter what the fuck you do to lose weight, you are still going to die and, realistically, your weight doesn't matter as much as your overall health towards extending the date of your impending death sentence.

Harris Hawk, bath time!

artician says...

..."It was precisely at that moment in which the sedatives began to wear off. Suddenly, the headwind of her dream ceased its warm caress, and became a howling vortex of hot pain. Instead of the familiar lilt of the flight, her nails clicked on something solid, smooth and inorganic. Realizing she was standing, her natural equalibrium returned and she forced an eye open, cocking her head away from the screaming heat. Her mind reeled. Mere inches away stood a looming, bleached ape.
A voice screeched for freedom, her senses flooded back to her, a bubbling, growing force of awareness and energy that grew with speed, and slowly subsided, spreading into her muscles, bones, limbs and feathers. Her mind's haze receded, sharpened, returning to the familiar, welcome, finely-honed edge of a predator.
She went for the eyes..."

Everything We Think We Know About Addiction Is Wrong

shinyblurry says...

The love of a God didn't save me from trauma, sexual and gender identity issues, clinical depression, and the ever looming bipolar disorder. Living is hard, even if it's also simultaneously fun and easy for me to succeed; because the concept of my personal identity isn't flush with the expectations that society and my family have. Being myself almost always gets me in trouble and is misunderstood with sometimes violent repercussions. This forms further cognitive dissonance which is a psychological isolation that has physical isolation as a matter of course. Depression runs in my family, despite all of their love and adoration of Jesus. Southern Baptists, bless their hearts.

I'm sorry to hear about all of that poolcleaner. I think maybe you have the idea that Christians, according to the bible, are supposed to live pain free lives. That isn't what the bible says, though. Jesus promised that Christians would suffer, not only persecutions but grievous trials, physically and spiritually. A Christian is supposed to die to himself, take up his cross, and follow Jesus.

That means a Christian can become depressed, or have gender issues, or any number of other infirmities or temptations. Christians can and do screw up all the time. People have a picture of churches filled with people who think they are perfect, but it is the opposite. Churches are usually filled with people who have screwed up everything royally, and God rebuilt their lives from the ground up. Churches are filled with people who know and proclaim that it is only by Gods grace and mercy that there is anything good happening in their lives; they are filled with broken people who are held together in the loving arms of almighty God. They fall apart sometimes and God puts them back together again.

There's almost nothing logical about anything you say. The only logic is that you make things make sense according to the Bible. If it's scientifically logical but goes against the teachings Christ or God, it's wrong. If the Bible can support the science, it's good!

The most destructive thing in a mans life is a lack of integrity. When you cheat, you aren't getting away with it because no one found out; you are going to reap a bitter harvest from the bad seed you have sown. A loss will occur, whether it is financially, or even mentally and emotionally, and it will far outweigh the temporary gains. It is the same with lying, hating, lusting, etc. Sin in our lives is destructive physically, emotionally, mentally and spiritually. The bible describes it in exacting detail and it matches reality because the true reality of mankind, what he is really like, and why, can only be found in scripture. The bible is right about everything it says about mankind. Although the bible does match our observations of the natural world, I think it is more remarkable how it matches the reality of the inner universe.

I don't know if think you think this is science or not, as far as the video goes. As far as I can tell it is speculation based on a few studies the author researched. Has anyone tested his theory?

You, on the other hand, make every excuse to prove your stupid philosophy is true and that science is wrong for not agreeing upon the truth of your hippy God love cult. Prove me to be objectively incorrect in my perspective and I will give up on my convictions. Because what is a conviction if it's a false one based upon circular logic and feel good analogies? Oh, them feels. Them Jesus feels. Jesus hippy love.

I'm not a Christian because I thought it was a good idea, or because it made me feel good. When I gave my life to Jesus, I didn't feel any differently at all, except perhaps with a realization of some things I had to change in my life. I became a Christian because God revealed Himself to me, and He showed me Jesus is the messiah. No one ever witnessed to me or explained the gospel in my entire life; it was entirely because of personal revelation that I became a Christian.

I'm not here to prove anything; I post when I feel motivated by God, and the intent of my heart is care and concern for your souls. I started coming here when I was a new christian, and I got into arguments with people over petty issues. To me, now, the real issue is where you're spending eternity and I am praying for that. Perhaps I will never be known on this forum as anything other than an unthinking zealot, but God knows I am sincere at least about that.

Everything We Think We Know About Addiction Is Wrong

poolcleaner says...

You do realize the people who have the whole world as their oyster are in an entirely different form of isolation, right? You're oversimplifying the concept of isolation in an effort to push your Jesus drug.

I understand this because I have lived that life; being both the life of the parties at fortune 500 companies and a solitary hermit, addicted and lonely in a world that no one else fully understands. Not because of a lack of Jesus drug, my friend. I tried the Jesus drug and it is the cause of much of my cognitive dissonance.

The love of a God didn't save me from trauma, sexual and gender identity issues, clinical depression, and the ever looming bipolar disorder. Living is hard, even if it's also simultaneously fun and easy for me to succeed; because the concept of my personal identity isn't flush with the expectations that society and my family have. Being myself almost always gets me in trouble and is misunderstood with sometimes violent repercussions. This forms further cognitive dissonance which is a psychological isolation that has physical isolation as a matter of course. Depression runs in my family, despite all of their love and adoration of Jesus. Southern Baptists, bless their hearts.

There are so many other factors you're ignoring just so that you can present the lamest of analogies of seeds on dry soil and sin cages.

Sin cages. Ignorant science versus the logical sin cage. Nuff said.

There's almost nothing logical about anything you say. The only logic is that you make things make sense according to the Bible. If it's scientifically logical but goes against the teachings Christ or God, it's wrong. If the Bible can support the science, it's good!

But that's not how science works. Scientists do not make stupid excuses in order to support prior written works which lack evidence. If something doesn't make sense, a scientist no longer uses it as a basis to explain the world around them.

You, on the other hand, make every excuse to prove your stupid philosophy is true and that science is wrong for not agreeing upon the truth of your hippy God love cult. Prove me to be objectively incorrect in my perspective and I will give up on my convictions. Because what is a conviction if it's a false one based upon circular logic and feel good analogies? Oh, them feels. Them Jesus feels. Jesus hippy love.

shinyblurry said:

I disagree because God.

oritteropo (Member Profile)

radx says...

The Labour Party Manifesto is quite the mixed bag, if the Guardian's bullet points are reasonably accurate.

Some good ideas in it, but looming over all, again, is the one-two of deficit reduction and "competetive" (aka miniscule) corporate tax rates. Any guess on how many of their decent ideas would be scrapped due to budgetary constraints? My money would be on 70%+.

The Newsroom's Take On Global Warming-Fact Checked

nock says...

Trancecoach "In China and India (where pollution is no doubt a significant problem), there are hundreds of millions of people who have far bigger concerns and more pressing problems than some remote notion of a "warming planet" or some looming "catastrophic collapse of civilization." (In fact, the same can be said for the majority of the population of the planet.) "

Isn't that like saying the dinosaurs had bigger problems to deal with than an asteroid hurtling towards earth?

The Newsroom's Take On Global Warming-Fact Checked

Trancecoach says...

Like most of Sorkin's bloviating, this empty rhetoric is undermined by the incongruency of the climate change alarmists' own ballooning carbon footprints while attempting to use the government to impose force upon others' behavior. Until global warming alarmists themselves walk their talk (i.e., drive hybrids -- if they drive at all -- cease flying in airplanes, eat strictly vegetarian diets, have few if any children, and withdraw their consent from the worst polluter on the planet: the state), then no amount of freaking out, ranting, incentives, or attempts at policy will serve to avert the "impending catastrophe."

In China and India (where pollution is no doubt a significant problem), there are hundreds of millions of people who have far bigger concerns and more pressing problems than some remote notion of a "warming planet" or some looming "catastrophic collapse of civilization." (In fact, the same can be said for the majority of the population of the planet.)

And this is to say nothing of how ALL of the models used to support "evidence" for the case of a warming planet have ALL (not some, but ALL) been consistently undermined by serious skeptical science (PDF) while the claims of the political entity of the IPCC remain inconsistent with the data.

Since when do politicians get to decide the veracity of scientific fact?

EDIT: ALL of the climate-change alarmists' predictions, dating back to the 1980s, have all failed to come true. When this trend continues for the next few decades, there will be no shortage of "Told You So" moments that will undoubtedly be explained away by some unknown variable -- like the heat that is "hiding" in the ocean -- that, once "corrected for," will serve to further prop up this political ruse.

Anything but an Atheist (Long version)

Barbar says...

Definitely over the top with the heart strings stuff.
But
The fact that their is sufficient hatred and ignorance to rank atheists as less trustworthy than known rapists does speak to a looming problem. Whenever I see or read something like that it really does boggle the mind. It really does leave me wondering what believers are taught about atheists. Must be some awful stuff.



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