Isn’t the US leading the world in AI? How else will the world access chatbots that make confidently make shit up?

So the only people going to the Dunkin’s in the office building are office workers. If we don’t go back, that Dunkin’s could go out of business. Is that something we can really allow on our collective conscience?

constantly comparing themselves to empires.

Good thing empires never fall, right?

Many if not most men are like this. It’s usually their wives or another woman in their lives that drags them in when something is about to fall off. It’s another way in which husbands leave 71% of a household’s ‘mental load’ on their wives, down to their own well being.

From personal experience, the vast majority are practicing out of scope. It would cost them a ton of money in overhead to have a cardiologist deny a claim for cardiology related testing or treatment so they just wing it. In some cases it’s not even a physician, it’s a nurse, NP or PA.

This is where government needs to step and regulate but we all know that isn’t going to happen.

It was made by the creator of ente which is a free (5 GB) open source alternative to Google Photos. There are paid plans for more storage.

The creator was a Google developer who left after he found out Google was helping the US military train drones with AI.

Hey at least it’s interesting to watch an empire crumble, right? Right?

China is already ahead on EV production and adoption.

The US has space and AI and the latter hasn’t produced anything meaningful, besides accelerating enshittification.

What you are saying is generally true. The only real oversight in ensuring things are moving forward is us ourselves as patients. It’s our responsibility as patients to take charge of our health.

That being said, P2P is sadly a standard aspect of American medical practice. Essentially anyone in a direct patient contact position position has done them. In the clinic or hospital, it may be your primary clinician handling it but it doesn’t necessarily have to be. It can be handled by other clinical staff or a group of nonclinical doctors also.

You dont have to worry about P2P since it will get taken care of (whether the service will be covered by insurance is another story). Instead I’d focus on keeping disconnected parts of the system abreast of your medical conditions and current list of medications. Because health information is protected there really isn’t a great solution for centralizing this data yet so if you go to a clinic that’s on a different EMR, they’re not going to have all of the necessary information available to them.

This is advice for doctors, not patients.

Usually doctors do the peer to peer and then the patient can appeal once services are denied (which is almost always the case if you’ve reached the peer to peer stage).

I’ve used this before with mild succees. It’s far from reliably effective. You’re more likely to get the decision over turned at the appeal stage, the problem being that precious time is lost while going through that process.

I do like to schedule an appointment so that patients are part of the peer to peer call. That way they can tell the doctor, nurse, PA, NP or whichever other service reimbursement bouncer the insurance company has hired that they’re putting a curse on them and their family.

Generally the hospital has checks and balances to prevent fraudulent billing (well not in this case, apparently).

My bigger issue with the RVU system is how it promotes sub sub specialization into procedure based specialties which are the antithesis of preventative medicine. The system valuee family medicine doctors the least despite the massive shortage in their services (especially in rural communities).

So, the surgeon that fixes the broken hip gets paid more than the doctor that gets the bone density scan done and starts meds that support bone health. The cardiologist that opens up the blocked vessel gets more than the PCP who takes the time to counsel on athersclerotic cardiovascular disease and controls risk factors medically and with lifestyle.

I’m not saying the surgeon / proceduralist shouldn’t get paid more. I’m just saying that when your system incentivizes ‘wait for the problem to happen and then fix it’ you’re going to have some bad health outcomes.

Bill Gates’ net worth has grown substantially despite his philanthropy, rising from $126.8 billion in early 2023 to $156 billion in December 2024.

Regarding COVID-19 vaccines, Gates actively opposed patent waivers and influenced Oxford University to privatize its vaccine through AstraZeneca rather than keep it open-source. He pushed for maintaining intellectual property rights through COVAX, despite public funding supporting vaccine development.

Not a good guy by any metric.

Yea exactly! The user sets an interval and then the app sends a push notification saying ‘its been x hours since last feeding’ or diaper change etc. Ideally can choose ringtone, vibrate or of its just a regular notification and it would be available for specifically recurring activities (feeding, diaper change, sleeping and pumping).

Also an option to record in imperial units (ounces) would be great too!

It appears that the home screen doesn’t refresh upon adding an entry also. Have to toggle to a different view and come back for the timer and summary to refresh. Ideally it would update immediately.

Great app! Especially like the timer from last feeding, diaper etc. Would it be possible to institute an alarm / notification after a certain time [set by the user] as a sort of reminder tool?

Just installed it today. Significantly improved voice typing over Google and its processed locally on your device, not server side like everything Google.

American culture magnifies it.

Pickup trucks have evolved from work vehicles into powerful status symbols in American culture. While 75% of truck owners rarely or never use them for towing, they purchase these vehicles as symbols of success, masculinity, and lifestyle choice. In urban and suburban areas, professionals spend $70,000+ on trucks as alternatives to luxury cars, particularly in Southern states where they represent wealth and power. The trend continues growing, with trucks now accounting for 20% of U.S. vehicle sales. Despite minimal towing usage, truck owners display the highest vehicle loyalty rate, with nearly 80% choosing another truck when replacing their current one.

Meanwhile China is slowly working towards global dominance in the EV space which we all know is the future.

The American empire is in that stage of decay where the men are actively lying to themselves about their greatness. The whole manosphere (which originated in the US) is based on that premise.

As they feel themselves sliding further and further into the periphery of relevance, they’ll elect increasingly fascist leaders to try and reassert their dominance, only to be swindled by those they put into power.

It’s all downhill from here.

80% of Latinos are citizens and those that voted must hold citizenship. Expressing shaudenfraude over the possibility of denaturalization is a level of capitulation so profound it makes it feel as if some of our liberal brethren are invertebrates.

White liberals taking joy in the fact that they and their families can have freedom of choice reinforces age old racial hierarchies. Yes, your uncle might be a racist, sexist, narcissist, but no one is going to question their citizenship over it.

Meanwhile, PoC must vote Democrat and if they don’t, their white liberal compatriots will applaud when they’re put in cages and extricated from the country. The racial hierarchy is reinforced when PoC are not granted agency.

They must vote the way I think is right. Otherwise, I will join hands with my regressive conservative kin and shamelessly capitulate as we take glee in the racial purification of America.

Do you all even believe in what you say you believe in? If these are our allies, who needs enemies?

I find that in many cases, if you actually click the link to find the sourced information, it’s not there. I’ve experienced this with nearly every LLM front-end platform.

https://streamable.com/36e2vk

Can I access it via Eternity app? Is it basically another instance?