Anyone who knows anything at all about suicide prevention is unsurprised by this. We know that observation does not work because staff cannot maintain it. This is true whether it's 15 minute obs, 5 minute obs, permanent line of sight obs, arms length obs, two to one arms length obs: they do not work.
There are countless examples of staff in hospital, on duty, doing obs, knowing their patient is at increased risk of suicide, falling asleep.
The answer to that is simple: No.
A balanced diet is a healthy mix of essential nutrients. Highly processes foods rich in fat or sugar are not part of it [1]. Most advisories merely acknowledge that a large part of the population doesn't want to stop eating this stuff completely. But the real goal should always be zero.
[1] https://www.nhs.uk/live-well/eat-well/food-guidelines-and-fo...
> The answer to that is simple: No
Registered healthcare professionals - dietitians - disagree with you, and do so pretty strongly.
I'm referencing Jonathan Haidt's work: https://www.theatlantic.com/ideas/archive/2021/11/facebooks-...
But regardless, I find it pretty ridiculous to claim that us software engineers don't have a massive impact on the world. We've inserted software into every crevice of human civilisation, from my washing machine and how I interact with loved ones, all the way up to global finance and voting systems. You think technology companies would be the largest industry on the planet if we didn't have an impact on people's lives?
Leaving the social media point aside, all I'm arguing is that when harm actually occurs due to negligence, companies needs to actually be held responsible. Just like in every other industry that doesn't have convenient EULAs to protect them from liability. For example, if Medibank leaks the health records of all of their customers, they should be punished in some way as a result - either fined by a regulatory agency or sued by their customers. Right now, they shift all of the harm caused by negligent behaviour onto their customers. And as a result, they have no incentive to actually fix their crappy software.
I don't want companies the world over to look at things like that and say "Well, I guess Medibank got away with leaking all their customer's data. Lets invest even less time and effort into information security". I don't want my data getting leaked to be a natural and inevitable consequence of using someone's app.
Even from a selfish point of view, people will slowly use less and less information technology as a result, because they have no ability to know which companies they can trust. This is already happening in the IoT space. And thats ultimately terrible for our industry.
Why not link to real numbers though? Haidt doesn't understand the numbers, misquotes them out of context, and mangles the data.
A building collapsing might kill 10 people. A rare tragedy. Social media impacts billions. Even if you want to downplay the negative impact on each person, the total impact across the globe is massive.
Software has eaten the world, for good and ill. I think it’s high time we treated it seriously and took some responsibility for how our work impacts society.
This is simply false.
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Unfortunately, 1) these numbers come from Hamas; 2) count militants; 3) a large fraction of "children" appear to be militants.
> while the Gazan health ministry cares for the health and survival of their people.
Every real government tracks civilian and military deaths separately. Here we're given one misleading lump of a number (that includes significant incentive to lie).
> Also, Israel keeps track of every person born and dead in Gaza, they have state-wide surveillance there, they could have chosen to send in surgical strike forces and taken out the militants strategically,
I think this is unrealistic and any effort to do so would be suicide.
> Netanyahu has also said their military won't leave Gaza, after the war.
Netanyahu has said just about every possible thing depending upon whom he's been talking to. There's no disagreement he and his government are trash.
The official Israeli count is higher than the Hamas count.
IMHO though, a more fitting defition of 'better' for the human condition is the amount of happiness you experience while being alife (i.e. decoupled from life expectancy).
I would then conclude (and I am really happy to be proved wrong) that the developed world being/becoming better is considerably more difficult to argue for.
Depression and sucidides in first world countries, the ones that tick all the intial boxes, are a highs not experienced since WWII. [1] is just from a quick googling and US-only. You won't have trouble finding much more evidence to support this though, for many other 1st world countries.
I would bet there is a direct link to this; between making GPD the driving factor for a country's governance vs. e.g. happiness of its citizens. Look no further than Scandinavian countries (Norway is the exeption, not declining but at least also not increasing)[2].
[1] https://time.com/5609124/us-suicide-rate-increase/
[2] https://tidsskriftet.no/en/2019/08/kronikk/why-suicide-rate-...
It's difficult to compare suicide statistics over time, especially over decades, because definitions change. (For one example, in England a coroner used to need to be able to prove beyond all reasonable doubt that a person had died by suicide, and that changed to balance of probabilities in 2018).
It's also important not to use sources like media outlets for suicide statistics, because they often don't understand what's being counted or how it's being counted. Statistics are tricky, and media often get them wrong.
You say that it's easy to show that suicides are at an all time high in many first world countries, but that's not correct. In many countries rates peaked in about 2008 - 2010 because of world wide financial crash, and have been declining since then. We might see another peak because of the financial (and other) distress caused by pandemic, but so far we're not seeing a big increase.
If Wikipedia is correct, that drug was long ago out of patent doghouse. I don’t know why USA (government, nonprofit, bill gates I don’t care who) doesn’t just make generics. Ditto insulin, that is another glaring example of that insanity.
You could argue (very reasonably) that one of key requirements for free market is a freedom not to buy. That is a potential choice, but few billion of years of evolution says a very bad choice. Thus rather special status of healthcare in pretty much every country.
Back to the issue of capitalist drug research: maybe it’s just me, but most of the new drugs seem to come from USA. Other countries with less insane healthcare (not even sure if care is the correct word in USA context) system (e.g. NHS in UK) don’t seem to produce new drugs.
Ergo, this bad system seems less bad than others, at least as producing new stuff goes.
It's just you.
What we see from the US is re-patenting. Citalopram gets a minor change and becomes escitalopram, it gets a new patent and some bullshit sales pitch to make doctors switch from a cheap generic to a more expensive branded med. Or ketamine infusion becomes eskatamine nasal spray - moved from a generic and tricky to administer med to a branded and easy to administer med (and, it turns out, much less effective).
The other thing the US does is "Me too" drugs - someone develops an SSRI and the US is then able to spin up 8 different versions of SSRIs that are different enough to get their own names and patents.
Most of the funding in the US doesn't come from big pharmaceutical companies, but is government funding.
For the new meds that are developed in the US the funding normally comes from Government (NIHR) funding, and not direct from pharmaceutical companies.
It's also difficult to work out what to measure: do we look at GERD (gross expenditure on research and development) or do we look at GDP too? DO we look at the quantity of new meds, or the impact on quality of life or years of life lost to disability? Do we focus on meds aimed at diseases that affect wealthy countries (diabetes, breast cancer, etc) or on disease that mostly affects poorer countries? Because three meds that have moderate impact for a small population are "less" than one med that has a good strong impact on a large population.