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ravel-bar-foo commented on Teen-age fentanyl deaths in a Texas county   newyorker.com/news/letter... · Posted by u/cocacola1
stronglikedan · 3 years ago
> I think Narcan being made OTC recently is an attempt at reducing the risk of overdose ending in death at least.

Unfortunately, we're starting to face a new monster named Carfentanil, and that monster is Narcan resistant.

That said, the move to make it OTC will definitely reduce the deaths. At risk people, can now keep it readily available. In the cases where there is someone able to call a medic for their friend, and wait for a possibly too late Narcan application, that person will simply be able to administer it immediately.

ravel-bar-foo · 3 years ago
Why is there demand for something that is more likely to kill the user? Is it cheaper to produce? Harder to test for? Does it give a stronger high?
ravel-bar-foo commented on Salve Lucrum: The Existential Threat of Greed in US Health Care   jamanetwork.com/journals/... · Posted by u/_lx4l
osigurdson · 3 years ago
I've never really understood the concept of "greed". Is it "greed" to want a yacht and helicopter when so many in developed nations struggle to own a home, a nice car and put their kids in good schools? Is it greed to want a house and a car when 100s of millions live in poverty? Is it greed to live at all given the inevitable harms to plants and animals that one will likely cause over their lifetimes? Therefore, the concept of greed seems fundamentally nihilistic to me.

Many people are comfortable with their own level of greed, but uncomfortable with the next "level up" in wealth.

In terms of healthcare, I think what is actually needed is more competition and less corruption.

ravel-bar-foo · 3 years ago
Aye. No problem with hospitals, insurance companies, doctors, or drug companies being greedy as long as they provide value. The problem is that over time the value received by the patient is dropping while the value extracted increases (as does the number of middlemen!). We have gotten to the point where the value proposition is highly questionable. I can drive to Mexico (or fly to the Bahamas) and get cheaper care, often even better care. The only thing that makes it worthwhile to stay in the US system is that one's employer shoulders the burden of insurance payments. In other sectors of the economy we call this vendor lock-in.
ravel-bar-foo commented on Salve Lucrum: The Existential Threat of Greed in US Health Care   jamanetwork.com/journals/... · Posted by u/_lx4l
ravel-bar-foo · 3 years ago
Vested interests have succeeded in creating a system where the individual has almost no agency, but the individual's interests are not being served.

If my primary care provider is too expensive or too inept, I should be able to seek out another. This does not happen, because my insurance company locks me into their network and hides the prices and complication rates.

If my healthcare provider denies too many claims, I should find another. This does not happen because either my healthcare provider is selected by my employer, or the claim denial rates are obfuscated.

If enough patients or insurance companies complain about drug prices, hospital administrators should negotiate with drug companies. This does not happen because until last year hospital administrators were able to take kickbacks from drug companies.

At every level the patient is given minimal information and minimal choice. The only way to be guaranteed affordable care without billing surprises is medical tourism.

ravel-bar-foo commented on Amazon shuts newspaper and magazine subscriptions for Kindle and print   niemanlab.org/2023/03/goo... · Posted by u/thm
SentientAtom · 3 years ago
Seems there is a psychological effect at play. I imagine a social ritual of standing and reading something that is always in-focus requiring no scrolling is far more appealing.
ravel-bar-foo · 3 years ago
I can't quite pin words on it, but just intuitively it feels like there is less barrier to reading and more of a break from studying when the newspapers are printed and sitting there than when you have to swipe on a screen.
ravel-bar-foo commented on Amazon shuts newspaper and magazine subscriptions for Kindle and print   niemanlab.org/2023/03/goo... · Posted by u/thm
cygnus2512 · 3 years ago
Back in 2015, I had a opportunity to work with a group of volunteers (non-profit organization that focused on community development in rural areas of Africa) and started using Kindles loaded with newspapers and magazines from the Kindle Newsstand as part of an education program. The whole group would visit villages and set up reading stations with the Kindles. That program over time, became so successful that it attracted the attention of other non-profit organizations, as well as government officials and educators. Like the political leaders talked about these kindles for many years and still do. The use of Kindles and other digital devices in education programs has become such an effective tool to reach out to remote and underprivileged areas around the world, and the world will miss Kindle Newsstand! Thanks for playing a role in providing access to reading materials in these communities:)
ravel-bar-foo · 3 years ago
Around 2013 our university digitized their newspaper displays. Prior to the renovation, newspapers were posted daily in large vertical glass-covered display cases in the student lounge of the library (the library would buy and post two copies so all pages were face up). Tens of students at a time would slowly walk down the row of newspapers reading during their study breaks and quietly chatting while sipping on coffee.

After the lounge was renovated and made into a digital media space this culture completely disappeared. I saw maybe two people use the digital kiosks to read newspapers in the subsequent year. It was heartbreaking to see the culture of community newspaper reading just collapse.

ravel-bar-foo commented on GPT-4   openai.com/research/gpt-4... · Posted by u/e0m
cwkoss · 3 years ago
That's valid. I think we could eventually make digital beings that are more moral than ourselves.
ravel-bar-foo · 3 years ago
For that one would have to define morality. Also, the iterated evolutionary game theory of life supports the emergence of moralities among creatures which gain fitness by cooperating well to form groups that are more successful than individuals. It is not clear that digital beings will be cooperative social creatures.
ravel-bar-foo commented on GPT-4   openai.com/research/gpt-4... · Posted by u/e0m
cwkoss · 3 years ago
Who's to say that humans have more moral value than digital beings?
ravel-bar-foo · 3 years ago
By nature of being human and prioritizing my own existence and the existence of the people I love, I fundamentally believe humans (specifically these humans) have more moral worth than "digital beings." In fact, digital beings only have value to me insofar as they help humans and don't harm humans. I'm a human chauvinist, and proud of it.
ravel-bar-foo commented on No, 15-Minute Cities Aren’t a Threat to Civil Liberties   bloomberg.com/opinion/art... · Posted by u/helsinkiandrew
ravel-bar-foo · 3 years ago
Wait, I thought the 15 minute city idea was about reasonable mixed-purpose zoning and public transit, and now it is about limiting car access to cities?
ravel-bar-foo commented on How to Engineer Buildings That Withstand Earthquakes   scientificamerican.com/ar... · Posted by u/pseudolus
rr888 · 3 years ago
The main problem is the average wage in that part of Turkey is a few thousand dollars a year. In Syria of course is a fraction of that. You just aren't going to get Japanese/Chilean/Californian quality construction.
ravel-bar-foo · 3 years ago
That also means engineering, management and labor for construction are much reduced in cost, provided you can find domestic engineers working at domestic salaries and management which isn't corrupt.
ravel-bar-foo commented on Internal review finds falsified data in Stanford President’s Alzheimer research   stanforddaily.com/2023/02... · Posted by u/haltingproblem
zadler · 3 years ago
I’d be the dude calling it out right there in the lecture and getting fired for misbehavior…
ravel-bar-foo · 3 years ago
What would your goal be in calling it out? Admin mandated ethics training, so it is either going to happen or it is going to "happen".

Professor is not getting grants to make research ethics slides, so he's not going to do it. The group needs a volunteer, but everyone else is already busy with assigned tasks. Would you volunteer to run the ethics training and do it properly?

u/ravel-bar-foo

KarmaCake day1206January 11, 2021View Original