kenesom1
The 1997 cap on medicare-funded residency slots has remained in place since that time, unchanged despite population growth and an aging population. The current crisis and physician shortage is in large part a result of that two-decades-old legislation which was engineered by the AMA and other major medical groups.
Based on your comment history, you trained as a doctor, which is great and absolutely commendable [1].
However, do you feel compelled to troll and post obviously slanted information due to your personal association with the AMA?
For the record, I think doctors should get paid well and more than they currently do. Clinics should be run by physicians. But allowing guilds like the AMA to artificially restrict the availability of critical healthcare has resulted in millions of avoidable deaths and serious suffering across the entire population.
"The predicted physician shortages will result in decreased access to care for millions of individuals. [...] [A]dding one PCP per 10,000 people would reduce predicted all-cause mortality [...] by 5.31 percent. Translated nationally, this would avert 127,617 deaths." [2]
[1] https://news.ycombinator.com/item?id=16337410
[2] https://web.stanford.edu/group/sjph/cgi-bin/sjphsite/the-loo...
[1] http://articles.baltimoresun.com/1997-03-01/news/1997060012_...
[2] http://www.nytimes.com/1997/03/01/us/doctors-assert-there-ar...
[3] https://www.cnn.com/2017/03/13/health/train-more-doctors-res...
See also the 1997 senate finance committee hearings on graduate medical education [2].
[1] http://annals.org/aim/fullarticle/717927
[2] https://www.finance.senate.gov/imo/media/doc/hrg105-901.pdf
[0] http://www.latimes.com/business/hiltzik/la-fi-mh-why-voter-i...
For instance, this was the first election in Wisconsin where voters were required to show a photo ID, a measure which barred 300,000 people from voting. Trump's margin of victory in Wisconsin was only 22,525 votes.
In addition to voter suppression, there were also large unexplained discrepancies between exit polls and vote counts. [1]
[0] https://www.thenation.com/article/the-gops-attack-on-voting-...
[1] http://www.alternet.org/election-2016/can-we-count-election-...
As a thought exercise, think about what you'd need to do to double or triple your sales. A bigger marketing budget? Institutional clients? More staff? Content? The details will depend on the specific nature of your business. Once you have one or more scenarios laid out, work backwards and figure out what's required to get there. The result will give you a good idea of what investments to make to grow your business.
First, the ability to be self-sufficient is curtailed by the government through entitlements granted to a select few by the ruling class.
The Enclosures in England [1] are the canonical example. Agricultural land once used by everyone is privatized. With their livelihood threatened, the rural populations are driven to the cities to seek employment in dangerous factories.
Most industrial societies are based on this concept. The sweatshop isn't doing anyone any favors. They are simply another side of the same coin.
[0] https://en.wikipedia.org/wiki/Good_cop/bad_cop
[1] http://fff.org/explore-freedom/article/enclosure-acts-indust...
Whether they want them or not...
"There are an average of 45 lightning flashes per second around the world. [...] The radio signature (like a fingerprint) of a lightning strike can be detected around the world [...] [R]eceiving ELF/VLF waves allows us to determine the exact location of most lightning strikes on the whole planet, with just a small number of ELF/VLF receivers [...]"
http://vlf.stanford.edu/research/introduction-vlf
http://vlf.stanford.edu/research/global-lightning-geo-locati...
http://aida.wss.yale.edu/~nordhaus/homepage/documents/statis...
A lot of it is down to the short-term objectives of most property development projects, management companies who are unwilling to properly maintain buildings, and shoddy building standards in the US - flimsy materials, stick-built buildings instead of concrete, etc. The housing stock is in terrible shape and current policy encourages the development of disposable buildings that are barely livable.
Poor noise control in building designs results in:
Everyone's Upstairs Neighbors - https://www.youtube.com/watch?v=4IRB0sxw-YU
http://sirf-online.org/2015/10/19/hidden-in-plain-sight-vale...
"Philidor" ["Francois-Andre Philidor was an 18th century French Chess master"]
"BQ6 Media" ["named after the chess shorthand for Bobby Fisher's legendary move against Russian chess master Boris Spassky in 1972"]
"End Game LP" ["stage of a chess game when there are few pieces left"]
"KGA Fulfillment Services Inc." ["popular chess move is the King's Gambit Accepted, or as it's often referred to in chess notation, KGA."]
"Isolani LLC" ["Isolani refers to an isolated queen’s pawn."]
"Lucena Holding LLC" ["Lucena position - one of the most famous and important positions in chess endgame theory"]
"Back Rank" ["a checkmate move in which a rook or queen takes the king on the back row of the board."]
[1] http://sirf-online.org/2015/10/19/hidden-in-plain-sight-vale...
[2] http://www.theglobeandmail.com/report-on-business/valeants-s...
[3] http://www.propublica.org/article/pharmacies-valeant-affilia...
[4] http://sirf-online.org/2015/10/25/the-kings-gambit-accepted-...
It's profitable and worth something to buyers. The engineering team alone would be worth a fair amount per head in terms of recruitment. You can delegate the leg work to brokers if you don't want to spend that much time on an acquisition.
It's not important to have an exit per se (though nearly any transfer of assets can be called an exit). The experience of running a business (a profitable one at that) is a positive signal to future partners/investors.
Occasionally large-scale corruption comes to light such as when a Boston crime lab falsified drug tests on a massive scale [2] or New York state police were found to have fabricated fingerprint evidence for nearly a decade [3]. The "forensics" field has been embroiled in a steady stream of scandals [4]. Far from being isolated incidents, this is the norm within law enforcement.
[1] http://www.tandfonline.com/doi/abs/10.1080/0731129X.2013.817...
[2] http://www.policeone.com/csi-forensics/articles/5956534-Mass...
[3] https://en.wikipedia.org/wiki/New_York_State_Police_Troop_C_...
[4] http://www.abajournal.com/magazine/article/crime_labs_under_... http://www.theatlantic.com/politics/archive/2015/04/csi-is-a... https://www.nacdl.org/criminaldefense.aspx?id=28286 http://listverse.com/2015/02/06/10-heinous-cases-of-miscondu...
Forrest spent a year at the Department of Justice before being confirmed as a federal judge in 2011. Her handling of the case was pay back to her sponsors at the DOJ.
From the transcript: "No drug dealer from the Bronx selling meth or heroin or crack has ever made these kinds of arguments to the Court".
Her comments smack of racism and classism. She reveals her implicit belief that since illicit drugs are associated in the media with oppressed minorities or less affluent communities, Ulbricht isn't entitled to such an "uppity" defense. She clearly can't fathom any possible reason why anyone might be opposed to prohibition and mass incarceration.
The transcript: "What Silk Road really was was a social market expander of a socially harmful drug that we have deemed in our democratic process to be unacceptable"
Except polls show that most Americans are opposed to US drug policies, even for "hard" substances like heroin [1]. Any discussion about drug laws that doesn't acknowledge its racist roots or the commercial interests involved is missing the point.
[1] http://www.drugpolicy.org/news/2014/04/new-pew-poll-confirms...
Substance abuse education can't be entrusted to the government given how easy it is for public programs to be corrupted by interests who are opposed to public health and safety.
Even the latest passive safety proposals like liquid fluoride thorium reactors don't conclusively solve the fundamental problem of overheating after a cooling system failure [1].
[1] http://www.americanscientist.org/issues/pub/2010/6/not-so-fa...
The money is not diverted from other needs - it's spent on renewable infrastructure instead of non-renewable infrastructure.
The worst case scenario for an accident at a solar power plant or a wind farm - nothing like that.
Today's nuclear power plants are inherently unsafe. Most that are in operation depend on active cooling systems to prevent a meltdown. If these cooling systems are interrupted for any reason (e.g.: power failure, loss of coolant, pump breakdown, loss of pressure control, control rod failure, backup power source failure, control systems failure, natural disaster, attack, etc.) - even for a short period of time - then the fissile material will likely overheat the reactor and result in a core meltdown.
Sheer luck prevented a catastrophe in the case of the 2006 electrical failure at the Forsmark plant in Sweden. Two of the four backup power systems failed to activate [1].
Switching the emtire world's energy consumption over to safe, renewable energy sources would only take 20 years and cost $100 trillion (money which would be spent anyway on non-renewable energy infrastructure) [2]. There is no need to continue building unsafe coal and nuclear plants.
[1] https://en.wikipedia.org/wiki/Forsmark_Nuclear_Power_Plant#J...
[2] http://web.stanford.edu/group/efmh/jacobson/Articles/I/sad11...
To stop procrastinating:
- Stop doing things that are painful. Do other things instead.
- Improve your pain tolerance by becoming stronger, better rested, etc.
(Disclaimer: haven't read the article yet.)
"Accuracy of recall was not related to body mass index in that the obese men recalled food intake as accurately as the nonobese men." [1]
Accelerometers were used in the Chinese study to measure physical activity:
"No differences in PA [physical activity] and SB [sedentary behavior] were found across different BMI categories." [2]
A European study where the childrens' parents were doing the reporting rather than the subjects themselves concluded:
"The data suggest the belief that overweight children eat more than non-overweight children is not correct." [3]
Studies on identical twins showed that caloric intake didn't account for differences in weight between twins. Specific types of gut bacteria present in low-weight individuals were found to have a protective effect against obesity however. [4][5]
There is little difference between the energy intake of most overweight people and their normal weight counterparts. Factors like gut biology and intestinal absorption play a much more important role.
The Nutrition Science Initiative was developed to address the need for more clinical research in this area. [6]
[1] http://www.ncbi.nlm.nih.gov/pubmed/15054345
[2] http://www.ncbi.nlm.nih.gov/pubmed/11753586
[3] http://www.ncbi.nlm.nih.gov/pubmed/24527563
[4] http://www.amazon.com/The-Diet-Myth-Science-Behind/dp/029760...
[5] http://www.sciencedaily.com/releases/2014/11/141106132204.ht...
A major factor that contributes to excess weight is the absorption rate of dietary lipids in the gut, which can be influenced by anatomy, gut microbiota, genetics, and other characteristics [5][6][7][8][9]. The rate at which the body absorbs fat from food during digestion plays a key role.
[1] http://www.ncbi.nlm.nih.gov/pubmed/24527563
[2] http://www.livescience.com/23057-overweight-teens-kids-calor...
[3] http://www.ncbi.nlm.nih.gov/pubmed/22006481
[4] http://www.ncbi.nlm.nih.gov/pubmed/23320866
[5] http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3601187/
[6] http://blogs.scientificamerican.com/brainwaves/the-food-figh...
[7] http://www.scientificamerican.com/article/how-gut-bacteria-h...
http://pulitzercenter.org/reporting/north-america-united-sta...
How many lives has the pharmaceutical industry destroyed by selling harmful substances?
http://www.amazon.com/Bad-Pharma-Companies-Mislead-Patients/...
[1] http://www.fatalencounters.org/shocking-police-homicide-perc...
The intrusion in this case was most likely done by an insider, the feds themselves, or a hacktivist group. The feds routinely break into private systems and are known to go to great lengths to construct elaborate string operations [1].
The timing of the press release is highly suspect. An investigation into an international security breach can take months or years. The feds rarely comment conclusively at the outset because such statements can compromise the investigation. They've provided no evidence whatsoever to support their claims.
Tipping off the purported culprit in this way by claiming to have identified their tell-tale attack signature would make it harder to track future breaches. (It's like publicly announcing that a suspect's phone is being tapped.)
This press release violates standard operating procedure. And why haven't the feds filed charges if the investigation is all "wrapped-up"?
If a foreign nation was involved, there's no evidence that's the case. NK has been the subject of scathing media criticism in the west for years, but other critics weren't targeted in this way.
As others have pointed out [2], the intruders initially demanded a cash ransom. The theory that the attack was linked to a movie release was originated and spread by the media.
[1] "The Terror Factory: Inside the FBI’s Manufactured War on Terror" - http://trevoraaronson.com/book/
[2] http://krebsonsecurity.com/2014/12/fbi-north-korea-to-blame-...