prostheticvamp

Counteroffer:

I use Kiwi to create a personal wiki on my phone. It sits in a Dropbox folder I always have open as a project in Sublime. It’s also the folder that my NotePlan app uses - so my todo list, calendar, and wiki are all the same set of markdown files.

It’s super portable (just a pile of markdown docs in a Dropbox folder), does knowledge base management, and ties my knowledge base directly into my todo/project management/time management. And it costs peanuts (kiwi is buy-once; I don’t remember what I paid for NotePlan).

People remember wikis, right? “Interconnected markdown” isn’t some new feature, and sure isn’t worth a monthly subscription fee.

18 microRogans.

For what it’s worth, I didn’t mean it as an insult.

I have the strong suspicion this person doesn’t participate in book clubs. Or much in the way of social events.

Mistaking “book club” for “book class” isn’t a small category error.

But a big part of how it’s doing that is using technologies to unbundle functions, that used to be bundled for practical reasons, to create new efficiencies and value.

So...

> On the other Hand people like Dr. Erickson get censored, because they simply dare to question the lock down

Erickson, among other things, makes provably false statements about the prevalence and mortality of covid19. You’re allowed to be misinformed as a private citizen; you’re not allowed to grandstand in public as a physician and spread misinformation. He’s lucky he only got deplatformed, rather than have his license taken.

You make it sound like he was expressing an unpopular interpretation of the data, rather than actively spreading untrue assertions.

I read the linked article and it was terrible. It kept playing a sleight-of-Hans between him being an example of what monopolies empower (which he is), and he as somehow the cause of monopolization (which it doesn’t support at all, it just makes meaningful glances in that direction). Quite a lot of its arguments boil down to “he’s rich,” as though that were a sin in itself.

No one who went into that article without a pitchfork in hand is likely to emerge with one.

Sorry, I was unclear.

I meant that aside from the conflict over PPE - which has happened more than once - I am not aware of instances of the state and federal government working against one another.

CMS, as a regulatory agency, does have a high priority in making sure it’s got the legal right to make regulations pertaining to a thing. Because otherwise those regs are illegal, which causes lawsuits and chaos.

You make it sound like they spent months trying to finagle a way out of working.

I mean... your example is /true/, but I’m hard pressed to think of a second one. One example isn’t a trend.

As someone who was involved in the evolution of HL7 from the policy/medical side, I can tell you:

EMR systems lock us (healthcare systems) into proprietary formats to make migration to new clients difficult; likewise, we don’t (didn’t) push for interoperability because exporting data to other healthcare systems cost us more than it benefited us (we didn’t fight it, we just weren’t gonna spend our money to make it happen).

HL7 and other interoperability tech only emerged because CMS reps made their way to -a lot- of conferences and, with varying levels of bluntness, said “find a way to improve interoperability on your own, or you’ll see it show up in federal regs 12 months from now.”

This is a change that came from active regulators doing their jobs correctly, in spite of the active efforts of the tech industry and the indifference of the hospital industry.

So, I rarely say this but, thank you CMS.

That’s one of the dumbest platitudes ever deployed to deflect criticism, and I wish people would use it correctly.

“This thing has absolutely no evidence of reliability or safety in a critical environment” is not criticizing it for being less-than-perfect. It’s criticizing it for being possibly inferior to the status quo.

Here’s one simple example:

Staff gowning up for routine rounds are much more careful, and safe, than staff rushing into an emergency code. If this thing throws up even the occasional false alarm, its cost to staff (in exposure) could easily outweigh, massively, and reduced rounding requirements.

That’s not “oh, well that’s not perfect.” That’s “oh, that might be worse, masquerading as better.”

“Perfect is the enemy of the good” is a wildly irrelevant comment.

If you mean airport screenings, one presumes the usual pre-gate screenings.

If you mean visas and the like, also yes; to go from Egypt to Israel requires both an exit visa from Egypt and a tourist visa from Israel.