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Re:Metagenomics test saves woman's sight after mystery infec... by bsder on Sunday May 04, 2025 @01:02AM (#43884604)
Presumably the issue is that "went swimming in the Amazon" suddenly puts a ton of rare, difficult to identify diseases on the table.

Leptospirosis is known to be both prevalent in tropical areas and to be difficult to positively culture and identify.

Re:Metagenomics test saves woman's sight after mystery infec... by pelorat on Sunday May 04, 2025 @03:47AM (#43885228)
Doctors here in Europe are not really into diagnostic medicine. I'm going to compare with Dr. House from the TV series who with a team spent days on a single patient. This is not the reality, the reality is that your specialist doctor will spend 10 minutes thinking about your case before moving on to the next patient.
Re:Metagenomics test saves woman's sight after mystery infec... by snkzxbs on Sunday May 04, 2025 @05:16AM (#43885572)
10 minutes is extremely charitable. Make it more like 2 minutes. (And we give the government over half our salary for this level of attention!)
Re:Metagenomics test saves woman's sight after mystery infec... by IshKebab on Sunday May 04, 2025 @07:51AM (#43886201)
> And we give the government over half our salary for this level of attention!

Well that's factually bullshit.

Re:Metagenomics test saves woman's sight after mystery infec... by williamdclt on Sunday May 04, 2025 @11:37AM (#43887335)
Both your statements are just plainly false (and I’m pretty sure you know it)
Re:Metagenomics test saves woman's sight after mystery infec... by snkzxbs on Sunday May 04, 2025 @11:43AM (#43887373)
They are both correct.

Primary care physicians do not spend more than two minutes diagnosing you in my experience. The diagnosis is always shallow and sometimes wrong because of how rushed the process is.

You pay a third of your salary in taxes, then you pay VAT on everything you buy plus many more taxes for other things such as your property. It amounts to more than half the money you earn.

Re:Metagenomics test saves woman's sight after mystery infec... by wizzwizz4 on Sunday May 04, 2025 @02:46PM (#43888570)
If I'm ever paying a third of my salary in taxes, I'm positively rolling in money. And, that's not how VAT works.
Re:Metagenomics test saves woman's sight after mystery infec... by snkzxbs on Sunday May 04, 2025 @03:22PM (#43888848)
Yes, that’s how VAT works. You, the end consumer, pay it and the government pockets it.
Re:Metagenomics test saves woman's sight after mystery infec... by wizzwizz4 on Sunday May 04, 2025 @03:39PM (#43888964)
The third sentence of the Wikipedia article begs to differ. https://en.wikipedia.org/w/index.php?title=Value-added_tax&o...

> A value-added tax (VAT or goods and services tax (GST), general consumption tax (GCT)) is a consumption tax that is levied on the value added at each stage of a product's production and distribution. […] VAT is an indirect tax, because the consumer who ultimately bears the burden of the tax is not the entity that pays it.

(Even then, Wikipedia is oversimplifying: "ultimately bears the burden" isn't how economies work.)

Re:Metagenomics test saves woman's sight after mystery infec... by snkzxbs on Sunday May 04, 2025 @04:17PM (#43889252)
What that means is that you don’t pay VAT directly to the government, the business collects it from you and is responsible for giving the money to the government. But yes, the burden is on the end consumer.
Re:Metagenomics test saves woman's sight after mystery infec... by wizzwizz4 on Monday May 05, 2025 @05:11AM (#43893160)
Au contraire, the burden is on the end consumer's employer, who pays the money to the consumer, who pays it to the business, who is responsible for giving the money to the government.

… And so on, and so forth. "The burden is on" is not how economies work. Personal property is owned, but money is merely controlled – and that control is subject to caveats, because money only has value as far as it can be exchanged for goods and services. Most forms of taxation (but especially VAT) are abstract accounting tricks to accomplish complex cybernetic effects, with no simple interpretation as a levy or tithe.

Re:Metagenomics test saves woman's sight after mystery infec... by snkzxbs on Monday May 05, 2025 @09:25AM (#43894885)
That’s the most convoluted way of explaining taxes I have ever seen. By that logic nobody pays any taxes. Of course neither economists nor the government feel that way about taxes (including VAT), which is the reason why foodstuffs have a lower VAT.
Re:Metagenomics test saves woman's sight after mystery infec... by wizzwizz4 on Monday May 05, 2025 @12:32PM (#43896858)
Most non-luxury foodstuffs have a lower (often zero) VAT for the same reason that certain organisations pay zero VAT, and income tax is progressive. It has a similar effect as a subsidy, although the psychological interpretation is different (and you can't discount human behaviour when modelling an economy).
Re:Metagenomics test saves woman's sight after mystery infec... by kjkjadksj on Sunday May 04, 2025 @12:25PM (#43887636)
Sounds like the american system only your employer takes it out of your check before you even see it
Re:Metagenomics test saves woman's sight after mystery infec... by swores on Sunday May 04, 2025 @05:54AM (#43885727)
Keep in mind that even in the excellent documentary to which you refer, about Dr Hugh "House" Laurie, MD. PhD. McT., the premise is that his setup - a dedicated diagnostics team to focus on difficult to diagnose cases - is a rare concept, not something seen at most US hospitals. There wasn't, for example, a similar team in that other great documentary "Scrubs".
Re:Metagenomics test saves woman's sight after mystery infec... by squigz on Sunday May 04, 2025 @07:45AM (#43886179)
I'm pretty sure that's not the reality... anywhere. That's TV.