pettusftw

It seems like an unaccounted for confouder that LCD/NCD/MUE denials are the bread and butter of a claims clearinghouse and the claims would not be sent to the payer if they failed those tests. My bias may be showing, but it doesn't seem like they accounted for that at all..

I am also not nearly educated enough, and also following this work very closely. With the strides made in the past several years I'm always surprised I don't see it being discussed more (outside of a niche of academics)

Proponents of electric cars love to talk about daily commutes and charging at home over night and how they never have to "fill up", while either never leaving a 200 mile bubble around their home, or pretending they're okay with paying an extra $1k+ to rent an ICE car for road trips.

As someone who does not have a commute and mainly owns a car for the 600-2000 mile road trips I take _at least_ every ~6 weeks. I'd much prefer a PHEV, which incidentally can drastically increase range while also handling the ~30 mile average daily commute electric-only quite easily.

The absolutism is tiring.

Not to challenge your perspective because I agree to some degree, but hemp roots grow >=3,<=6 feet down due to the tap root.

That's an interesting perspective. So you would say any economic disincentive used against a country is a violation because the population is impacted by the economic pains? Are reparations a violation of the same in your mind?

It seems any/many actions taken against an adversary will have knock-on effects of the population of the adversary, whether financial/economic or militaristic.

Does the focused nature of the sanctions thus far not change your calculus? Or is it SWIFT only that you're referring to? What about: banning private Russian flights from air space throughout Europe; FedEx refusing to make deliveries to Russia; Arming Ukraine to enable a quagmire, costing the Russian government several billions per day to sustain their effort, and harming their economic position; even broad and impactful tariffs could be seen as a Collective Punishment?

I'm having a hard time determining what actions are not a violation of the Collective Punishment ban under your generous interpretation, short of direct military conflict. I don't think incentivizing hot war was the intention of those rules. My understanding was that they are meant to apply to POWs and noncombatants under rule of a warring party.

> It should be on the ground in Ukraine, but it can't because it is spent.

Should it? That's not a foregone conclusion. Your justification for why it "can't" is also quite debatable.

> Meanwhile, the enemy steadily built up a far larger arsenal of weapons that while more primitive were also more reliable." Ironically, the "advanced" technology isn't advanced anymore: the weapons are out of date.

How so, can you expand on justification for this line of thinking?

> 50% of the population believe that the election was rigged.

Not true, but I agree with your overall idea about the extreme levels of division.

> how can it keep promises it made to Ukraine?

What promises? If you're referencing denuclearization in the Budapest Memorandum, my understanding that it was not an assurance of protection from third parties, only an assurance of non-aggression from each signatory. Meaning the US made no guarantee to protect Ukraine from Russia if Russia broke the pact, which they have. Do you have any reason for disagreeing with that assessment?

The following is US centric because that is the only resource extraction I'm personally familiar with.

Coal should stay dead. It has no redeeming qualities except that the cost is largely in externalizations.

Oil and LNG output is constrained by price. More and more shuttered/untapped wells will go online as prices rise and they become economically viable. This is already in progress at current prices.

I'm not sure what you meant by pride, but we don't need to drill/frack protected areas because they're cheaper to get resources out of. If protected areas are not what you meant, rest assured that unprotected areas will be "gone all out" on based on the economic calculus of extraction and there are plenty of untapped areas[0].

Price is the better incentive because it's elastic in response to demand like that created by embargoes on Russian resources, and also incentivizes a move away from fossil fuels by nature of its high price. It will be costly to average consumers at an already precarious time, but at least it aligns incentives with a more sustainable future instead of sacrificing unreplaceable ecologies by "going all out" as you describe.

[0] https://www.usgs.gov/centers/central-energy-resources-scienc...

It is so bizarre to me how he consistently and entirely disregards the idea of Ukraine's sovereignty and right to self-determine. Imperialism as inherently justified seems to be a foregone conclusion. If they want to join NATO, or do anything else, Russia does not have the right (not desire) to invade to prevent it, which seems to be his entire thesis. His correlation to a pro Russo-China Canada seems absurd to me because he assumes the US would invade Canada in a similar way but with wide support from The West. I do not agree.

I interpret it as eliminating the barrier to entry to those that know how to set up custom equipment. I haven't tried, so I don't know how large that barrier is, but it seems safe to say there's a very low probability a random person could accomplish it now vs when it's default hardware and requires no technical expertise.

As a counter-anecdote, I purchased a Sceptre monitor in the 20"-30" range in 2010 and used it through 2015 when I gave it away. It's still in daily use and working fine for what it is.

To add an anecdote, I attempted to rent almost 2 months ago and there was zero availability within 150 miles of a major city.

Yes. Sort of. Oklahoma saw an incredible number of earthquakes from wastewater disposal, it has since died down after being regulated so its pretty clear that was the cause

https://www.usgs.gov/faqs/oklahoma-has-had-a-surge-earthquak...

Interesting. I've wondered about this sort of pivot before. Coming from Oklahoma where O&G reigns supreme it seemed natural to galvanize that same workforce for this type of clean energy, and with the explosion of horizontal drilling and fracking over the past couple of decades I often wondered why no one had targeted geothermal in earnest yet. Glad to see it's being worked on and gaining steam.

There are plenty of people who work in O&G that wouldn't mind one bit if their skillset was driving a green technology. They're most protective of their "way of life" and if they can see themselves as creating and leading a new industry their fed egos could benefit everyone rather than just their midstream uncles making millions and their roughneck cousins making slightly-less-than-millions.

IIRC there is an intranasal expected to be approved mid next year. I can't find the source I read that in, so take the timing with a grain of salt. Another source I can't find at the moment mentioned questions about the duration of protection from that method of vaccination as well.

I would guess the push for intramuscular was driven for multiple reasons, the first being ease of development and the second to keep hospitalizations and death at a minimum.

Opposing governmental mandates is one thing, but eschewing personal responsibility is supposed to be the antithesis of these folks worldview. It's a bit baffling, though sadly not surprising.

And to be clear, the majority of the conservatives I know personally are vaccinated and wear masks, by virtue of their belief in personal responsibility.

Judging by your stance across this thread I doubt it will matter, but I'll share it anyway for the readers. Take it for whatever you think it's worth.

My anecdotal experience via my SO who is an ICU nurse is that what you've read is not accurate. In the ICU I'm familiar with they do not have fewer beds available due to the covid protocols. The protocols do make their job more difficult and time consuming, but they have more beds than ever. Still, they're at capacity across our state due to an extreme influx of severe covid cases since delta made its way here over the past 6 weeks. Previous to that this particular ICU was ~20% covid, 60% capacity. Now it is ~90% covid, 110% capacity. This is not just because they tested positive - these are people on various levels of oxygen. They are intubating covid patients in the ER because there's no room anywhere else.

I'm in arguably the reddest state in the US where most people share your views. I'm not sure how you can say apathy toward spreading a contagious virus is not societies "fault".

PS: they are throwing truckloads of money at doctors and nurses, luckily for us.

The 2013 Moore, OK tornado was 1.08 miles (1.74 km) wide at its peak.

https://en.wikipedia.org/wiki/2013_Moore_tornado

That's nowhere near the widest, just the widest F5 that comes to mind. 11 days later the widest tornado on record struck on the other side of the OKC metro, and would've been an F5 in a populated area:

Officially, the widest tornado on record is the El Reno, Oklahoma tornado of May 31, 2013 with a width of 2.6 miles (4.2 km) at its peak. This is the width found by the National Weather Service based on preliminary data from University of Oklahoma RaXPol mobile radar that also sampled winds of 296 mph (476 km/h) which was used to upgrade the tornado to EF5

https://en.wikipedia.org/wiki/Tornado_records

Do you believe the alternative is the town dying? I come from a place that is the furthest from a tourist destination you can imagine, and it was booming with local businesses in the 70's and 80's and they died all the same, they just weren't replaced by anything.

How does this square with the pharmaceutical manufacturers averaging a 26% profit margin, health insurers averaging 3%, and PBMs 2%?

https://www.americanprogress.org/issues/healthcare/reports/2...

Pharmaceutical companies are actually far more profitable than I imagined.

Pharma companies enjoy a profit margin averaging 26%, medical device companies 12%, and hospital groups (which includes non-profits) 8%. Insurance companies are closer to 3%.

https://www.americanprogress.org/issues/healthcare/reports/2...

Depends who the developers are. My company has been acquired several times over the past decade and it has been for our backend. The frontend has been largely left to rot and is a seldom used nightmare at this point. Our backend devs that use Rust may be asked to build a simple SPA for a client relatively soon, so you can understand why they _may_ be happy to give this a try for the POC. My initial impression is that it would require a lot less KT/overhead to at least give them this option before shuffling another team in that really doesn't have the roadmap bandwidth to begin with.