Omniusaspirer

To the parent posters credit, he's very honest that he developed a personal complex against doctors when he was a poor student. He just sees it as a way to lash out at American doctors, the irony being that foreign medical graduates leaving their families and communities to practice in America largely do so because they are exceptionally money motivated. That doesn't make them bad doctors, but there's certainly less likelihood they're doing it purely for the love of medicine or a desire to care for their communities.

I do agree with the sentiment though that the US needs to fund more residency slots as it's an asinine professional barrier, and that we would benefit from more physicians coming from more diverse financial backgrounds.

CEOs are probably by and large less technically competent than the average technical line employee, but what companies are actually paying for is personal connections to power structures that can be leveraged for profit. Look at someone like Condoleezza Rice- almost certainly her political science doctorate imparted her with no real technical knowledge, yet she's served on the boards of C3.ai, Chevron, HP, Dropbox, Transamerica, Charles Schwab and a million other vague leadership positions for other entities in fields she almost certainly lacks any competence in.

If you feed Fable or Opus primarily handoff documents from a previous context instead of human written prompts and are working on something sophisticated it rapidly reaches a level where it's hard to actually comprehend for a non expert. I've received incredibly obtuse outputs that contain more mathematical formulas than English words with programming workloads.

Anyone seriously building out AI infrastructure I presume is paying nowhere near $.38/kWh which is extortionate. Utility scale solar is closer to $.02-.03/kWh, then maybe around ~$.10/kWh for natural gas peaker plants.

I'll add some praise- thank you for taking a stand. I trust the employment will work itself out as it tends to for smart and principled people.

I went from being a largely self taught software dev with a small 1-man software business to working as a nurse in the US, and a lot of the motivation to make that change was that I wanted to spend my time doing work that I felt genuinely made the world better. Tech has incredible potential for good but the actual industry itself in my eyes has extremely perverse incentives and no strong moral foundation like that which exists in nursing/healthcare. Nurses broadly consider themselves to be patient advocates and the voice for people who often can't have their own voice. As you can imagine, this culture is not in line with the modern pursuit of healthcare profits but yet nurses stay fighting the good fight. I see these battles play out nearly every day I go to work and while it's usually done professionally these are real battles with jobs on the line.

In a perfect world I think the software industry would have instilled these same virtues- software is just as (or more) capable of causing harm as poor healthcare. Yet we seem to be racing to a dystopian future at record speed courtesy of the tech industry, and our modern egalitarian societies will not survive that transition.

You won’t find much quality in lay discussion boards, but magazines like The Economist and Foreign Affairs are worth a subscription. I’ve cut back my internet time and incorporated these into my routine, would strongly recommend if you want actual knowledgeable opinions on world affairs.

Not seeing the economics for this ever truly working out, CO2 PPM is very low despite our best efforts and the amount of energy required for separation is substantial.

In most of the country, California unions have largely negotiated for .5x pay while on call making it quite popular.

Sounds like hospitals, but at least healthcare pays.

Not just 4K- all resolutions and it's getting worse with plenty of comparisons available online for those who care to look. Streaming video quality has generally declined across all platforms in the last few years with the exception of Apple TV+ and contrary to this puff piece it's to the point it's very noticeable to the discerning end user.

Enshittification continues relentlessly.

This- the barriers to solo founding and funding a brand new business working with physical assets are insane in much of the US.

For the most part you’re required to deal with all the same laws that a multi billion dollar incumbent is, and often times even more (zoning, permitting that are hard law for small players and easily flexed by local government for dubious jobs claims by large players). Many areas charge fixed annual fees for incorporation that are notable for an individual but irrelevant at scale. Rigorous accounting and record keeping standards. High salaries even for uneducated manual labor work. Building any modest physical structure requires what amounts to most middle class individuals entire expected lifetime earnings and you largely aren’t able to legally do any of that work yourself.

There’s a good reason California startups exist in the way they do, and if you aren’t doing software or running an unlicensed pop up fruit stand or flower shop you often look elsewhere.

You will almost certainly never see at home versions of these drugs, the risk profile is far too great. Roughly 13% of strokes are hemorrhagic and that's just the first and most obvious hazard.

Copying an old comment of mine regarding EU vs US nursing salaries:

"...our incomes are comically higher for skilled persons than European salaries. I literally make 10 times what my French counterpart would in my profession and with a much lower tax rate so the real difference is even larger. I could work for 5 years and retire in France wealthier than if I had worked a 40 year career in France."

This is assuming only 40 hours a week, pick up more shifts and the numbers become even sillier. I suspect that most (if not all) professions could say the same although the magnitude of difference might be a bit smaller. Even if I lived in the EU and never wanted to leave, I'd ride out some years in the US to get life properly rolling back home.