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HHS Plans To Delete 20 Years of Critical Medical Guidelines Next Week (thedailybeast.com)
An anonymous reader quotes a report from The Daily Beast: The Trump Administration is planning to eliminate a vast trove of medical guidelines that for nearly 20 years has been a critical resource for doctors, researchers and others in the medical community. Maintained by the Agency for Healthcare Research and Quality [AHRQ], part of the Department of Health and Human Services, the database is known as the National Guideline Clearinghouse [NGC], and it's scheduled to "go dark," in the words of an official there, on July 16. "Guideline.gov was our go-to source, and there is nothing else like it in the world," King said, referring to the URL at which the database is hosted, which the agency says receives about 200,000 visitors per month. "It is a singular resource," Valerie King, a professor in the Department of Family Medicine and Director of Research at the Center for Evidence-based Policy at Oregon Health & Science University, added. [She] said the NGC is perhaps the most important repository of evidence-based research available.
Medical guidelines are best thought of as cheatsheets for the medical field, compiling the latest research in an easy-to use format. When doctors want to know when they should start insulin treatments, or how best to manage an HIV patient in unstable housing -- even something as mundane as when to start an older patient on a vitamin D supplement -- they look for the relevant guidelines. The documents are published by a myriad of professional and other organizations, and NGC has long been considered among the most comprehensive and reliable repositories in the world. AHRQ said it's looking for a partner that can carry on the work of NGC, but that effort hasn't panned out yet. Not even an archived version of the site will remain, according to an official at AHRQ.
Medical guidelines are best thought of as cheatsheets for the medical field, compiling the latest research in an easy-to use format. When doctors want to know when they should start insulin treatments, or how best to manage an HIV patient in unstable housing -- even something as mundane as when to start an older patient on a vitamin D supplement -- they look for the relevant guidelines. The documents are published by a myriad of professional and other organizations, and NGC has long been considered among the most comprehensive and reliable repositories in the world. AHRQ said it's looking for a partner that can carry on the work of NGC, but that effort hasn't panned out yet. Not even an archived version of the site will remain, according to an official at AHRQ.
They just can't stop themselves. Sad.
So the traitors make it no longer work, so they then can continue blathering how government does nothing good as they drive down the highway drinking their potable water like fucking socialists. Republicans are morons and now? Traitors, directly.
When Trump gets hung from his bitch traitor neck maybe they'll take stock of their trajectory. Maybe. I think that's charitably estimating their introspective faculties, given they're actively traitors now more than not. Fuck em, let them die.
The problem is our society goes with the poor dumb sons of bitches. Everything that made our country great, they've sold cheap.
Stupid is as stupid does.
Nix has been helping coordinate an effort to get some outside stakeholder to take over the site's operations. She said she's still hopeful, and even days before the siteâ(TM)s scheduled demise, AHRQ spokesperson Hunt told the Daily Beast that the search continued.
So if it were truly a valuable resource where are the charities or groups of large insurance firms or hospitals willing to pay for this to be kept up?
The article mentioned how the database had been heavily politicized in the past, is it possible the value of this database is less than we are being told by the article writer?
"There is more worth loving than we have strength to love." - Brian Jay Stanley
Everyone knows good people don't get sick, unless it's God's plan. You shouldn't interfere with the will of God! #MAGA
If it is too big for a single group or site to pull, then coordinate, distribute the slice load, and differentially pull the needed slices.
Then, once the data is secured, see about establishing a trust or group to maintain it free of tiny orange hands.
This sounds like just the kind of content a private company would love to host. Lots of influential, wealthy eyeballs on it each day. Hell, they could probably sell a backup of the site to someone to get them a quick start.
Nullius in verba
Stupid Americans never know which way is out. BrExit NOW! And Visit Moscow in the summer!
It's going to take the next administration (if there is one) years to fix all the things that the trumpies have laid to waste, if they can be fixed at all.
and anti-science administration. I'm not saying this to troll. We (or the 45% who voter for him) knew exactly what they were getting. Americans have been kicked around non stop for 40 years and unfortunately instead of blaming the billionaires that outsourced their jobs and brought in cheap labor to replace what they couldn't outsource they blamed "elites"; e.g. scientists and college professors. You know, nerds. And, well, this is the result.
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This retarded treasonous faggot bluelip needs his oxygen supply cut off. It certainly doesn't deserve medical attention under any circumstances. Kill the faggot by its own treasonous ideology.
Test anyone who wants to become a doctor.
Have anyone interesting in entering medicine in the USA pass exams before getting accepted into starting any US medical education.
Accept only the very best. Cant pass an exam on merit and be in the top percentage? Consider further university education outside medicine.
Keep the testing and standards up until the medical professional has gradated.
The person now allowed to practice medicine in the USA should be able to understand, learn and study at a very advanced level for decades.
Make entry into any field of specialization in the USA even more difficult. More exams to sort the best from the best and constant peer review.
Want to work in the USA as a doctor? Pass the same exams as the US doctors did to the same standard.
Such a system has a few unexpected results.
Doctors face no competition and can enjoy can set and good wages due to their advanced level of education.
The medical profession would have the tested ability to study, learn to a very good academic standard. No letting demographics set getting into medicine.
The "sitting around a table" is peer review. That is what ensures the experts can look aver all the work in their teaching hospital and track all the results of all their staff.
Domestic spying is now "Benign Information Gathering"
Actually the article makes clear that this source is particularly good because it makes a serious effort to vet articles
Which is before the followup part which explains how in the past it has been politicized...
Again, it comes down to the simple point - if the source is "particularly good" who would not want to host that, it would be widely used. And yet, no takers...
There may be yet, they seemed hopeful. But why is this database not better hosted by some industry association further removed from the effects of political winds that have DEMONSTRABLY as the article states affected the content?
What I see on Slashdot is an awful lot of non-doctors (myself included) pontificating on this move. Is it really widely used? I don't know. All *I* (and the rest of you) have to go on is the demonstrated value which currently is zero as there are no takers to carry on this data.
Hell, why don't YOU offer to take it over if you truly think it's valuable? The agency claims it would cost "hundreds of thousands" to host this data further as just an archive, which every single Slashdot reader knows has to be absolutely bullshit. Where are the Slashdot readers offering to host this "valuable" content???????
Oh look, the value is further diminishing already....
"There is more worth loving than we have strength to love." - Brian Jay Stanley
It may have no commercial value, so no-one can make a profit from it.
But it can still have huge social value as general knowledge for medicine.
This is just the kind of thing the government should do.
This was announced officially back in April.
Back in February the HHS, which runs the office which runs this, released its budget request for the upcoming year. In it, they identified this as being duplicated in other governmental agencies and requested money to transfer the duties and money to different offices or agencies.
The office than in April decided to kill this database even before any of that request to kill it off was approved by Congress and divert the money they were spending on it to something else.
The article being linked to is yet another worthless opinion piece being passed off as actual journalism. The truth is no one really cares about this database and given four months for someone to come forward take it over no one has. The only reason it is being posted here is as a political hit piece.
At the bottom of the linked article, the agency says it would cost them "hundreds of thousands of dollars" each year to host even a static archive of the site - some text..
If the agency is telling the truth, they don't know how to have a static site hosted for less than hundreds of thousands of dollars, somebody else should be doing it rather than them. That statement indicates they are either incompetent, dishonest, or both.
Smells. Do you enjoy smells?
From the outside looking in, it was pretty depressing how few votes went for anyone else. There's something really broken when with such shitty candidates, only roughly 1% voted for other.
https://en.wikipedia.org/wiki/Inverted_totalitarianism
There are times when I trip, take a serious tumble and end up with my face near my ass. The exertion from the entire affair inevitably forces a fart from my derriere. And it always smells so wonderful.
I imagine we have more than a few things in common.
for one thing less than 50% of us choose that fate. It's only because of a messed up political system designed specifically to favor wealthy land owners (seriously, look it up, the electoral college, senate and even the SCOTUS were all checks not on the president but on the voters).
There's a lot out of folks hands. Hell, I'm stuck in a red state with a ton of problems I wouldn't have healthcare wise if I lived back east or even California. Why am I stuck here? Mom moved me here when I was 6 and by the time I was old enough to know better I couldn't afford to move. This country crushes people, and when it does you can't just go where life doesn't suck. You've got to make due with what you got.
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or hell, even Hilary Clinton. Yeah, she's a right wing corporatists bitch, but at least she isn't openly anti-science. As terrible as she was/is it's always better to pick the lesser of two evils.
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I wrote-in Bernie. Living in North Georgia, I knew that Trump would win Georgia anyway so I voted for the guy who would have wiped the floor with Trump.
I say that knowing that 90%+ of Trump's vote was actually ABC (Anybody But Clinton).
Privatization is wholesale robbery of resources from the public for the gain of few.
As usual, the ideal is moderation and balance. You cannot operate a country of 300+ million people with pure privatization. The end result is a country enslaved to work. We are not machines, and should not treat each other as machines.
you do know we just spent the last 40 years systematically dismantling the social safety net so we could make way for tax cuts for billionaires, right?
In the entire history of humankind charity has never once solved any problem long term. It's always been civilization in the form of government that did. A few nice people at the middle can't make up for the bad done by folks up at the top. Complex, widespread problems (like public health) need comprehensive solutions done an a society wide scale. You and me dropping change into a plastic bucket twice a year is not a viable solution to the world's problems.
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"When we already live in a world where AI does a better job of diagnostics than humans"
Which world is that and how do I book a flight there? In *this* world, doctors are far more interested in protecting each other's diagnostics rather than learn new things.
"until they can all be replaced, as they should be"
They are; by younger doctors. Even though I'm over 40, I'm convinced the only way to get a chance at actual medicine is a doctor under 40.
A lot of Canadians and Alaskans have found out the hard way that the various USRDA andd.gov guidelines on vitamin D have been total shii.., er, dead(ly) wrong for decades... 200 iu, 400 iu, 600 iu, 800 iu - they're all way wrong.
vitaminDwiki can set you more straight on the subject.
> it's scheduled to "go dark"
So anyone can crawl it now and it's just going offline, probably due to the maintenance staff cost and traffic cost. I don't see the huge deal here, since it will just pop up again somewhere else.
And yet planes aren't crashing into eachother, you retarded Republican traitorbait faggot who belongs in FEDERAL PRISON because yes, you're THAT STUPID.
Supported by dumb people. Soon theyvwill have lifespan way shorter than the rest of the world and consequently even dumber. Maybe it will provide some jobs for a short period. Bad that administration will isolate the country and make their economic go backwards in the next couple of years. Its just wait and see.
Don't interrupt the 2 minutes hate!
On the Oregon Cost born and raised, On the beach is where I spent most of my days
When does Revenge of the Nerds happen with the large party and the beer? Does it have to take place in India?
Is there any chance they will let the public sector copy this database before they just burn it along with all the books?
That is all the democrats...errr journalists... are capable of any more, hit pieces. If this had happened when the last guy was in office it would be held up as model of government efficiency and success by the same people now condemning it (FOX would complain loudly about it loudly though). Salve sclave.
Any other Republican in the primaries except for Cruz.
Everyone pretends it was only a Trump or Hillary choice. That was the choice only after months of primary campaigning. Either all the normal, fiscally conservative, patriotic, and rational Republicans stayed home in the primaries or the GOP really is totally full of sh--heads at this point.
Obviously you've read TFA, understand the backstory, can think logically without political bias, and can compose a coherent sentence without scatological references. Why are you confusing the regulars?
Go take over the hostig of this.
Put it in the philanthropic budget.
Not really needed by some pharmaceuticals lobby, maybe?
https://www.propublica.org/art...
Also you should remember:
"Price was the first director of HHS, AHRQ's parent agency, under the Trump Administration, before resigning under pressure last year over his spending on chartered flights."
And of course people appointed by Trump Administration think it's a duplicate. How convenient... Less money spent in research, more budget available for chartered flights!
Calling for political violence? You're no better than an actual 1940's Nazi. "Antifa" routinely uses Nazi tactics.
The article is about deleting a valuable health database. Your response is to blame the unions. You're a moron. An abject shithead. For goodness sake, don't have children.
Since the subject is a database, can't you guys organize a 'database download and cloning' party instead of name-calling on slashdot?
If the 'medical cheat-sheet', as TFA has put it, is on a government server, it should have an 'open-access' license.
In other words, that database shouldn't carry some 'copyright' restrictions, barring others from copying it.
If that database is as valuable as TFA has put it, and if that database has no copyright on it, hey, you guys should just download and copy that database, and stick it up on another server.
Stop all these name-calling nonsense, please !!!
Your economic paradigm is as simplistic as your support of a traitor who earned so little of his still-exaggerated wealth, Donald Jumpsuit Drumpft, AKA Prisoner SD-4823-001
It's so nice when you inbred red state trash faggots come on slashdot to whine. I love it. It reminds me of all the ways we are empirically better than you backwards trash-living inbred traitor supporting faggots in your welfare red states, sucking off the tits of California and New York like bitch puppies destined for a Chinese handbag with Trump's whore daughter's label on it, you actual traitor faggots. #Enjoy Life in Federal, State can wait lol!
TFS says they're dropping the URL. Nothing about the database being deleted.
And then there's TFA, which says that the group that maintains the database are looking for someone else to host it. Again, no suggestion that the database is being deleted.
So, chill, people. It's not the end of the world. It's not even the end of medical science....
"I do not agree with what you say, but I will defend to the death your right to say it"
Privatization is wholesale robbery of resources from the public for the gain of few.
As usual, the ideal is moderation and balance. You cannot operate a country of 300+ million people with pure privatization. The end result is a country enslaved to work. We are not machines, and should not treat each other as machines.
Don't worry anon, once AI and the robots arrive, the masses (preferentially poor, black, muslims and asians) will be sent to the death camps.
And let everybody who cares half a millifuck torrent the shit out of it. So much winning for everyone! Bigly so!
You should probably get psychiatric help.
Personal insults do not help rational debate.
... guess people are backing it up.
Liberty - Security - Laziness - Pick any two.
AI is better at diagnostics in certain areas where the classification task is relatively well-defined, but not necessarily general practice, or recommending a course of treatment. At the moment AI is limited to things such as interpreting a scan and asking a question such as "Is this cancer?". This may, and is likely to, change over time, but I wouldn't overstate it. Indeed, I worked on AI with a doctor who was also working in AI on systems that beat humans in some diagnostic tasks over 20 years ago, and then we worked on cancer detection in scans, and also beat humans about 15 years ago, yet we don't have ubiquitous AI in healthcare, as the tasks are not always so clear-cut.
I say that knowing that 90%+ of Trump's vote was actually ABC (Anybody But Clinton).
I really don't get the attitude of "we hate clinton so much we'll vote for someone far worse!".
I also don't get the hate for Clinton (actually I do). I mean she's basically another poltician and has the same sort of patina that people grudgingly accept on most other politicians. And yet she gets far, far more hate for it. I wonder why...
SJW n. One who posts facts.
I really don't get the attitude of "we hate clinton so much we'll vote for [anyone else]!".
I'm not sure very many people have that attitude. The Trump supporters I know actively like him (that's why they're supporters). Everyone I've talked to who voted for him can articulate some reason why they think he is better than Hillary. It's not always a fact-based reason, but they feel like they voted for the best candidate.
"First they came for the slanderers and i said nothing."
Your current system guarantees nutball vs shithead elections.
You need a preferential voting system. Only your main parties can field candidates with any chance of winning and thus every vote for an alternative is a lost vote. You need a system where voting for a minority party is not equivalent to putting your vote in the bin.
Also you need compulsory voting. Your main parties no longer target the middle. They target the extremes. And the extremes DO NOT want to vote for anyone who would compromise with the OTHER guys. Until you force the middle to vote, nobody will want to attract their votes (by being centrist).
You are destined for the toilet unless you can get some centrists voted in. The only way to do that is to fix your voting system.
Or just give in and have that series of secessions and/or civil war that seems inevitable at this point.
Multiple Choice Quiz
With regard to healthcare, the current Administration and Majority Party (not to name any names) doesn't really care about anyone: [select all that apply]
(A) poor
(B) sick
(C) both A and B
(D) all of the above
It must have been something you assimilated. . . .
One broken government does not contradict the idea that government is useful (or frankly, essential).
Government *is* essential.
There are things that are useful for society but difficult to commercialise. Those things are ideal for government.
There are also things that are automatically corrupt if done privately (policing, military). BTW, your private prison system... Eeeww!
Some might say you threw your vote away, but I like how you gave it meaning when it had no chance to affect the outcome of the election. I wish people would vote their conscience more often.
Any sufficiently unpopular but cohesive argument is indistinguishable from trolling.
I don't think it's because she's a woman, if that's what you mean. Remember Sarah Palin? And Obama was, well, you know...
There were a few iffy things in her past - nothing proven, but mud sticks. She has the charisma of a tepid lettuce. And the whole dynasty thing, though I suspect we ain't seen nothin' yet on that front.
The survivors in 2050 or so might speak of 1776 as being the First American Revolution.
Confucius say, "Find worm in apple - bad. Find half a worm - worse."
True, but sometimes people are so fucking stupid you have to keep reminding them that they are truly fucking idiots. I believe it's part of the social compact that we try to get those with cranial/rectal inversion syndrome to pull their heads out.
Fascism: An authoritarian and nationalistic right-wing system of government and social organization. See also: NAZI's
It's not the servers and all that. it's the data, and especially the quality of the data. That requires people. Trained people.
Would you trust your life to the database that anyone can edit, and probably did?
Confucius say, "Find worm in apple - bad. Find half a worm - worse."
Clinton had to fix what Reagan and Bush sr did driving up the debt; Obama had to fix what Bush Jr did basically fucking up everything, crashing the economy and driving up the debt.... he just didn't have enough time; for Trump, it's going to probably take 16-20 years of democrats to fix his fuckups so far, let alone all the shit he's going to fuck up tomorrow.
This country works much better under Democrats...except for the neo-nazi's and other fascist and bigots, but they all need to go fuck themselves.
Fascism: An authoritarian and nationalistic right-wing system of government and social organization. See also: NAZI's
It's not the servers and all that. it's the data, and especially the quality of the data. That requires people. Trained people.
Would you trust your life to the database that anyone can edit, and probably did?
I'm not sure if you're aware of this, but wikis don't actually have to be editable by random anonymous nobodies. This database is already essentially a wiki; one which only medical professionals can contribute to and curate.
I'm not sure what you think it is that I'm proposing, or how you think it differs from what they currently have, so, just to be clear, the only suggestions I was making was that:
1. It can't possibly be significantly more expensive to run on a per-user basis than Wikipedia; and
2. If doctors truly do find this to be a valuable resource then there is absolutely no reason why it couldn't be funded via donations from the users.
Whatever else you've read into my comment is entirely due to your own imagination.
Everyone I've talked to who voted for him can articulate some reason why they think he is better than Hillary. It's not always a fact-based reason,
Well, that's part of the problem. Lots of people here seem to be willing to believe outright lies in order to justify the thought that Trump was less bad than Hillary. The thing is they have an irrational hatred for Hillary and won't vote for her no matter what.
SJW n. One who posts facts.
There were a few iffy things in her past - nothing proven, but mud sticks.
See this is the thing. A lot of people who said "Hillary did X so I'm voting for trump", in most cases Trump did X or worse. Yes there were iffy things in Hillary's past; Trump's past is FULL of iffy things. Hillary wasn't against offshoring; Trump has actively offshored labour. Hillary is in the pocket of big corporations; Trump IS a big corporation (that cuts out the middle man at least).
And so on.
so, I think those reasons are not actual reasons but rationalisations.
Which means there's an underlying reason.
And the whole dynasty thing, though I suspect we ain't seen nothin' yet on that front.
that is a problem in American politics for sure.
SJW n. One who posts facts.
Bernie. Yet another sad possible outcome.
I object to power without constructive purpose. --Spock
They voted for him because the left gave him boatloads of free publicity.
Also the left seemed to hate him the most, which interestingly gave him more legitimacy to the right.
When 2 groups become highly antagonistic like what is occurring in US politics, people will sometimes reflexively do the opposite of their competitor, even if that action has some detrimental effects to themselves.
An example of this can be seen in the strong rejection of socialist policies in the US when they were in a cold war with the Soviet Union, while before there was much more acceptance like "the New Deal"
I also don't get the hate for Clinton (actually I do). I mean she's basically another poltician and has the same sort of patina that people grudgingly accept on most other politicians. And yet she gets far, far more hate for it. I wonder why...
Most politicians can fake a smile when they're unable to honestly produce one.
Hilary's 'smile' is enough to give me the collywobbles...
That's one of the thousands of things that governments have no business doing. It's just a drop in the ocean.
This is literally the thing government does best, hosting a database of medical guidelines which have little economic value to a single company but for society as a whole it has great value, and the cost for the government could be enormous if the lack of access to these guidelines would increase the sickness absence with just a fraction of a percent due to less taxes.
In many cases it is better to spend some money to maintain things what you lose by them not being there or have to pay to fix any later problems.
Hopefully, other things such as air traffic control will be privatized next. They are still using 1960's technology for Christ's sake.
And what would a company gain from running such a business? And if there are multiple companies, what incentives do they have to upgrade all the technology? It has to work with all the other companies, as well as the planes (which themselves belong to a lot of different companies around the world).
You take a complex operation that we do not tolerate would fail, and sprinkle the magic "privatization" on it and VOILA! it is solved! God, why don't you apply the same magic to your own intellect? It needs some serious fixing.
What you say is true. The way they go on about Benghazi you'd think she was on sentry duty. But she somehow failed to win people over on those issues. A lawyer who can't defend herself, FFS! Maybe she was just too old, by about 8 years.
The way the primary (I almost wrote primatary - Freudian slip?) was biased against Bernie probably turned some natural Dems against her too.
300 million people and those two were the least bad they could find? Then again, Boris ...
Confucius say, "Find worm in apple - bad. Find half a worm - worse."
It doesn't seem like an excuse for rudeness to me. I do my best not to be.
Which part of "trained people" did you fail to understand?
Confucius say, "Find worm in apple - bad. Find half a worm - worse."
The Clinton crime family is still upset they couldn't steal the election, even with help from corrupt FBI agents.
Libtards are just plain fookin' stoopid.
You know the part where you're saying stuff which has nothing to do with what I said? Yeah, that bit.
What you say is true. The way they go on about Benghazi you'd think she was on sentry duty. But she somehow failed to win people over on those issues. A lawyer who can't defend herself, FFS!
Of the things that made a difference, I think there are a whole pile of reasons.
Some of it was flat out anti-estblishmentism (Trump isn't from the political establishment, though one could argue the buisness establishment is awfully close). Likewise there was an anti-dynastic element.
Some of it is some people will never accept Hillary no matter what (irrational dislike).
Some people were pissed at not getting Bernie and through a tantrum voting "anything but democrat" no matter how bad.
The late announcements by the FBI didn't help.
Trump is solidly populist and those unachievable, simplistic promises go down well when people feel things aren't going great (the wage stagnation, for example)---Hillary didn't offer any easy, simple and wrong solutions.
And finally there's the odd historical artifact of how the US president is actually selected from the votes.
Maybe she was just too old, by about 8 years.
Though Trump is a couple of years older.
The way the primary (I almost wrote primatary - Freudian slip?) was biased against Bernie probably turned some natural Dems against her too.
Yep. There's a pretty common out and out stupidity in some voters (equally present in the UK) which is if people don't get what they want they throw some sort of tantrum and vote massively against what they want in general just out of spite.
Thing is though the Democrat party (and it's the party not overall voters who select the candidate of course) was biased against Bernie since he's not a Democrat. I think the claims of unfair process however are fairly overblown partly by the irrational "never hillary" crowd which infests both sides of the political divide.
And Sanders is even older!
SJW n. One who posts facts.
I decided to look at website and I must say it is underwhelming. Judge for yourself. Go there, select guidelines by speciality and see the numbers and articles. Under neurology there is one document. ONE. The others aren't much better containing 2 or 3 documents.
If this information IS so critical for doctors than some one would preserve it. Fact is, that what little is hear is most probably ALL duplicated in the CDC and other health agencies and is not maintained as well as it should have been.
The prior politicization of the NGC is also somewhat notable:
So your solution is a dictator who lies almost every time he opens his mouth, and makes the US look bad to the rest of the world? You think that starting fires and bomb throwing is great, but it doesn't make trump look like he's smart or the US is great. It makes us look stupid for allowing the Russians to manipulate people like you into voting for him. In your house, a gun and a bible verse may solve all problems, but the world is more complicated than that, in spite of what the Russians, your church leaders, the NRA, and Fox(aux) News want you to believe.
I wonder if you'll still support him when he has taken away your health insurance and his trade wars have caused your crop prices to fall...
Very true:
“I remember landing under sniper fire. There was supposed to be some kind of a greeting ceremony at the airport, but instead we just ran with our heads down to get into the vehicles to get to our base.”
–Hillary Clinton, speech at George Washington University, March 17, 2008
As you get older you start to realize that sometimes for someone to take notice you have to be a bit more rude than you should have to be. That's kinda where i'm at, although i do have to admit, i absolutely hate liars (which a lot of the conservative commentators on this site continually do bringing up debunked bullshit that they get from fauxnews and Hannity the neo-nazi sympathizer https://rationalwiki.org/wiki/...) and i hate nazi's (again, a number of right wing commentators on here seem to follow that line of politics, and lets e honest, if you defend war time Hitler, you're a nazi plain and simple).
So, while it's sad and unfortunate that that such language has to be used, some wothless shits can't seem to understand anything else. Of course, those shits then seem to complain a lot... almost like they want people to be "more PC" to them all the while being absolute shits to other people. So eventually you get old and start saying "fuck the nazi sympathizers."
Fascism: An authoritarian and nationalistic right-wing system of government and social organization. See also: NAZI's
Trump is solidly populist and those unachievable, simplistic promises are being realized.
FTFY
Well you have provided an excellent illustration ot my point that many Trump supporters are delusional.
SJW n. One who posts facts.
There are a couple of very successful models for hosting this kind or data: a for-profit archive like lexusnexus or a donation-funded archive like Wikipedia.
Given that the actual cost to host is fairly low and the medical sector is fairly rich, I think that they should be able work it out.
If it's really that useful then there is a huge business opportunity for someone. (AMA? , AARP?, anybody?)
..biased against Bernie..
Uh, yes, who would imagine a political party that was against being hijacked by an independent who was blatantly using you for the votes over a candidate who actually supported the party? Bernie Bros need to get over that, make a Bernie party and then see how popular your guy is, stop whining that the Dems didn't like you poaching their voters when they already had a candidate.
Your brother wants to keep more of what he owns? Gee, how novel.
Yes, there are lots of novels about people who want to own things without paying for them.
You want to steal more of what your brother owns. You are a thief.
Taxation is not theft, it is payment for services rendered. If you are not satisfied with those services, then you have every right to protest, but it is completely different from theft.
Just because it's doctors that access it, doesn't mean they are the only ones who benefit from it. Anyone living in the US will probably benefit from it at some point in his or her life.
If we were to "charitize" all government services, how much time would it take to donate to all of the various organizations that would be created if we got rid of government? Would you remember all of those organizations? Or would you forget some, or just say "I've spent a week donating to charities. There must be some better way..." I have a hard time just tracking 5 charities. Imagine if that were 500?
- various medical research programs
- various tech research programs
- various energy research programs
- various military research programs
- various infrastructure maintenance programs
- general military support
- general law and order support
- legislation
- trade regulation
- weather monitoring
- communications regulation
- environmental regulation
and that's just the stuff that comes to mind quickly.
Yes, there are bad parts of our government. Getting rid of it will create even bigger problems.
Using the majority is useless. In 2016, 65,853,514 votes were cast for Clinton. Trump received 62,984,828 votes. There were 2,868,686 more votes cast for Clinton than Trump, enough to fill a football stadium with 57,373 people in each of the 50 States.
https://en.wikipedia.org/wiki/United_States_presidential_election,_2016
While 39.6% of the total population of the United States voted for either of these candidates (65,853,514+62,984,828)/325,700,000 (est), there were actually 250,056,000 (est) people of voting age population (VAP). That means among eligible voters, (65,853,514+62,984,828)/250,056,000 or 51.5% actually voted. However, that leaves 48.5% of voters on the sidelines.
There are two simple things that we could do to resolve both voter apathy and make the electoral college more representative. First, require all eligible voters to vote as they do in Australia. There is a financial penalty for not voting.
Second, increase the number of representatives to 900. This would also affect the electoral college, has been done many times in the past, is constitutional, and addresses an imbalance in both State apportionment for national elections and Gerrymandering within each State. This would require the repeal of the Apportionment Act of 1911.
https://en.wikipedia.org/wiki/History_of_the_United_States_House_of_Representatives
Both of these remedies would be opposed by Republicans as they depend on voter apathy and disproportionate representation to win elections.
It's not a Clinton specific thing, although she is an extreme example of it. However, as far as I can tell from talking to people, the majority of presidents in my lifetime have been voted in mostly because people were voting against their R/D opponent, rather than voting for the guy who won.
This was announced officially back in April.
Back in February the HHS, which runs the office which runs this, released its budget request for the upcoming year. In it, they identified this as being duplicated in other governmental agencies and requested money to transfer the duties and money to different offices or agencies.
The office than in April decided to kill this database even before any of that request to kill it off was approved by Congress and divert the money they were spending on it to something else.
The article being linked to is yet another worthless opinion piece being passed off as actual journalism. The truth is no one really cares about this database and given four months for someone to come forward take it over no one has. The only reason it is being posted here is as a political hit piece.
Thanks for an informed and interesting comment
What you should also observe based on the ongoing discussion
1. Whining about the poor suffering Trump administration as its defenders and apologists fervently try to make themselves the martyrs as usual.
2. Blind attacks on the mere existence of government, reliant on empty rhetoric like taxation is theft and government is the problem
3. Declarations that this must not be valuable because they haven't found anybody to take it over, so let's just stop it anyway.
4. APK, Creimer and weird Templar spam.
>the NGC is perhaps the most important repository of evidence-based research available.
The Alt facts party is seeking to eliminate those pesky facts, both in medicine and climate studies.
Very true:
Hillary told lies so I voted for an much bigger liar. My point exactly.
SJW n. One who posts facts.
Because he wasn't worse. We were tired of the constant parade of identity politics being shoved down our throats in an attempt to divide the country and weaken it.
We were tired of politicians who supported offshoring everything, resulting in the destruction of the middle class.
We were tired of politicians who put the interests of other countries and peoples ahead of ours.
Trump ran a platform against all of that. That's why he won.
That that might be shown in the February request for funding. However, none of that is in effect and would not be until next years funding.
It looks like it is a duplicate because no one is wanting it.
Next time Trump goes to the doctor he's getting leaches!
That was the turning point of my life--I went from negative zero to positive zero.
I am browsing the site just to see what is on it. It is really really slow. Was it always like this? I wonder if various groups are hitting it en-mass to download the articles. There's only 2 days before it goes down. If it is really so valuable, I am surprised they aren't selling it. Hopefully someone in the medical field will chime-in here.
about "fiscal conservatives" is while claiming people will take that extra 25% and solve the world's problems they simultaneously believe that raising wages (especially the minimum) is pointless because prices will just go up.
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Turd Sandwich. Weren't you paying attention? Didn't you vote?
God, *you* must be the fucking stupidest cunt in the world.
Yes, you stupid cunt, you are fucking right. Of course, only in your stupid mind.
[AC to preserve moderation]
The next industry that Silicon Valley seriously needs to disrupt is health care. Taking over this database would be a good first step.
> . Web protocols and web browsers change.
Yeah the http (web) protocol has changed as follows:
1991 0.9
1990 1.0
1997 1.1
2015 2.0
Yeah, every five years or so you need to run "yum update http" in order to support the latest version of the web protocol.
> The data needs to have search requests and transmissions encrypted because it can be packet sniffed
We charge $15 for a TLS cert and $25 to set it up. We suggest getting a 3-year cert, so that comes to $20/year.
The summary says 200,000 visitors per month. Guesstimate 10 pages deep, so 2 million pages. One VM with 1GB RAM running Apache can serve about 150 requests per second of static content. If your joining database tables, get 2-4GB of RAM and call it 100 rps. 100 requests per second is 260 million pages per month, so about 100 times as much as you need.
> These "small servers" are not free
Right, they are $120 for managed hosting of a dedicated server.
https://www.hostgator.com/dedi...
The $20 VPS would probably be sufficient for only 200,000 visitors, but let's over-engineer by two orders of magnitude and get a managed dedicated server.
We were tired of the constant parade of identity politics being shoved down our throats in an attempt to divide the country and weaken it.
So you voted for a candidate who co-opted the identity politics and divided the country while selling out our economy to his own personal interests while attacking the middle class?
It is different than theft, it is robbery (the taking of something by force or fear of force).
I would agree, but you buying into the Russian influence conspiracy theory doesn't help your message.
the "why" might be related to the quarter billion dollar project, much of which was your federal dollars, to bath mouth clintons.
it elected the more pro-business, pro-oligarch candidate.
Hilary one 48% to 46%. Almost 3 million more people vote for her. The fact that we still end up with Trump shows how unfair things are in America. A voter in, say, Montana has around 46 times more voting power than one in California.
Again, this is by design. When the constitution was drawn up the wealthy's interests were aligned with rural voters. So our government was specifically built to give them more power. As time went on it became easier to mange those rural voters and control their voting. Easier to keep the wrong ones from voting (e.g. voter suppression). Easier to gerrymander their districts (fewer people to fight back and with less money to do it) and easier to blitz their media (mostly talk radio and TV).
If we had a functioning democracy Hilary would have won. Hell, if we had a functioning democracy _Bernie_ would have won (thanks, Democrat Super Delegates).
The left wing of the Democratic party is trying to kill super delegates. If it works then Trump won't have a second term. If it fails they'll bury Bernie in the next primary and say hello to Trump term 2. You do not want this. Look into his fiscal policy and compare it to the run up to the 2008 crash. We are all screwed if he gets a second term.
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The guidelines are really proof that you can automate 99% of what doctors actually do. It's very rare that they take the time to study YOUR problem; they just follow the guideline, wham bam, thank you ma'am.
Why does Trump want to delete the medical guideline? The guideline for the 20 years has been regularly updated.
Was the medical guideline created by Democrats?
Taxation is not a payment for service. Taxation is armed robbery under the guise of a protection racket.
Jeff Bezos can't throw you in jail for refusing to pay Amazon.
I have no fear of force, because I don't try not to pay into the collective fund that keeps everything running.
Even if there were no government, you would still get your ass kicked for not contributing to the common good. It's just how the great apes work. And it's why we cover the planet.
my other fav contradiction is that they like to claim that raising minimum wage will cause prices to spiral out of control while also arguing that the only people who earn min wage are high/college school kids doing it for videogame/beer money and bored retirees.
So which is it? Are Minimum Wage employees the bedrock of our economy without whose sacrifice at the alter of capital inflation goes crazy or are they a bunch of kids and bored retirees who hardly matter? It can't be both.
You'd be amazed at the convoluted logic I hear trying to justify _why_ it's both when I point this out to the "fiscal conservative" crowd...
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we need less government.
its ironic, the unions have a lot of pull when it comes to something getting done or not getting something done. they somehow have the City of Reno Fire Department on the hook for some self inspection whooo-haaaa...
here in Reno, we have this new Fire Department self inspection program that costs $25 for you to self file some 3 page form. really? its not online? and free.. paper and pen? envelope and stamp, and then some staff has to open and process them all manually... really.. REALLY??!! It's a sham anyhow... $25 times 80,000 small businesses +/- 5,000 annually to the Fire Department is like the $75 per year per businesses that have alarm systems ergo Reno Police Department's False Alarm Registry Database that goes to Colorado to get payment processed... --- another government ticky tack fee that does not go through the legislature nor gets ejected, rejected and denied through the US Department of Common Sense...
I like the idea of a self awareness program that is somewhat compliance based, but that is like making everyone take a CPR class once per year....
alas... i did digress..
i blame union leaders, not unions. and I blame union lawyers, not unions.. unions can be good.. you make good points, and I have to agree I am an R and professional, and the debate on property taxes funding public schools is always easy subject to argue and explain that is not worthy of my brain power. actually, we have old systems for old dead wood thinkers. most of the systems are archaic and private schools put out better kids because they don't have to wait for the party of old and slow thinkers to come around and realize we will always have winners and losers,... the bell curve, 80/20 rules... they just exist for a good reason..... get over yourself .
I'm old enough. Disliking a person shouldn't be the default response because you dislike their views. Sometimes people have particular views but can be persuaded to change them. Not that I am going to claim that there is an objectively good set of views as to some extent they stem from the set of principles which you hold dear.
I'm always quite confused about you and your postings. You do this literally every single time such an article comes up.
You first say I personally am to blame because I won't get out and vote, despite the fact I did vote and it was not for Trump.
Then next you say votes don't even matter nearly at all based on where you live.
You even need to claim you are not trolling when you go on your "it's your fault for not voting" rants posted early, again in literally every single political article that comes up...
Do you not realize all of us are very aware that what we vote for, and what numbers the government types into an excel file to decide who is elected into office, have nothing to do with each other?
Even you are now replying to your own threads admitting this, as if just figuring it out now.
That's why you get modded as trolling.
The identity politics started long before Trump entered the race. Once he did, the people where were practicing that shit turned the dial up to 11. They're still doing it. Everyone who doesn't agree with them is accsued of being a: nazi, mysoginst, white supremacist/nationist, bigot, racist, or something-o-phobe. Any attempt to refute the bullshit results in these idiots playing the projection game and accusing the sane people of practicing identity politics. It is utter insanity.
When you start resorting to hyperbole for that which is obviously not true, don't be surprised when people turn on you. They also claimed trump would start world war 3, crash the economy, and lock citizens up in concentration camps. None of that is true, although I could see the economy crashing at any point, not due to trump, but due to the decades of malfeasance and fraud that is rife within the system and has only been kicked down the road instead of ever being addressed.
Captcha: Tribes
The userd are the doctors!!!!
Why the fuck should they fund something that either should be funded by the patients, their health insurance or their government? For what actually are you paying taxes?
Cost free eBook I read (by iBook/Kobo/Amazon/ObookO/Gutenberg etc.): "The Green Odyssey" by Philip Jose Farmer.
Gerrymandering has almost ZERO impact on US Presidential elections.
Unless one considers state borders to be gerrymandered. Because 48 states use a winner-takes-all method for allocating electoral college votes. That is, the person receiving the most presidential votes within a state gets all the EC votes from the state. Maine and Nebraska have different rules that are impacted somewhat by district lines, but they have so few districts that its hard to figured gerrymandering has much impact. Maine has all of two districts, with Augusta and Portland and the section of the state between them comprising one district, and the rest of Maine the other, and Nebraska has 3 and their map is hardly what I'd consider gerrymandered, with the tow countries comprising Omaha in one, the suburbs of Omaha in another, and the rest of the state comprising the 3rd.
Further, gerrymandering does not impact Senate seats either. Senate seats are at-large within each state (no districts, only state borders).
Gerrymandering does impact the House of Representatives. It also impacts State legislature seats.
But please stop throwing gerrymandering around as a problem for Presidential elections...
I need equipment and training and materials for my job. Why the fuck should I fund that? Government should pay every one of my costs!
Obama gonna pay my mortgage!
California passes legislation that allows the governor to simply appoint the state's electors. Perfectly Constitutional..."Each State shall appoint, in such Manner as the Legislature thereof may direct, a Number of Electors,..."
Had this been in effect this election, we can assume Jerry Brown would have appointed 55 Democrats for Sec. Clinton.
The EC remains unchanged, but the "popular vote" swings to Trump by about 1M. Without popular votes from California, Sec. Clinton would have 8.7M fewer popular votes and Mr. Trump would have 4.4M fewer popular votes. So the final tally would be Clinton with 57M and Trump with 58.5M.
I notice that Democrats have no problems with Sec. Clinton winning only 3/5ths of the California vote but getting 100% of the 55 of the state's electoral votes...
You're suggesting a strong social safety net with guarantees of healthcare, food and shelter would result in miserable and isolated people. As if people can only make friends if they're in a constant state of desperation. No matter what you saw in a jug band once poverty does not bring people together. Money is the #1 cause of divorce you know? People can be economically secure and happy.
/.?
San Fransicso's problem is that it's stuffed with people who don't want to live there but do so because that's where the work is. They're unhappy because the city is a bad fit for them, but when you've got no social safety you can't take risks like moving to a smaller city with less job opportunities and worse schools for your kids. So you suck it down. For the people who _want_ to live in San Fransisco it's a paradise and they'd never leave.
Basic income's a great way to solve this. People could live where they want to instead of where they have to to find work. Also, it would be a nice way to distribute the productivity gains from the last 40 years (which have doubled).
Or we could do your way and keep giving all the gains to the rich plus a huge chunk of what the working class already has. That's what we've been doing for 40 years. How's that turning out for you, Mr takes time out of their day to post a bitter rant on
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Is there anything stopping somebody from just downloading everything and hosting a mirror?
The identity politics started long before Trump entered the race.
Yes, that is why I said he co-opted them for his own use.
Once he did, the people where were practicing that shit turned the dial up to 11. They're still doing it.
You mean 12. Or 100. Trump is that tremendous.
Everyone who doesn't agree with them is accsued of being a: nazi, mysoginst, white supremacist/nationist, bigot, racist, or something-o-phobe. Any attempt to refute the bullshit results in these idiots playing the projection game and accusing the sane people of practicing identity politics. It is utter insanity.
Yes, Trump and his followers are utterly insane. That's why they do project all their malfeasances onto others who they accuse of being racist, bigoted, intolerant, America-hating, unpatriotic or the like.
When you start resorting to hyperbole for that which is obviously not true, don't be surprised when people turn on you.
Yes, Trump is quite guilty of World War 3.
They also claimed trump would start world war 3, crash the economy, and lock citizens up in concentration camps.
Actually, it is Trump's own supporters who have called for the last one. They really hate Democrats, Homosexuals and Puerto Ricans.
Trump has also stated his belligerence on many occassions, but he also claimed Hillary would start World War 3 and crash the economy.
None of that is true, although I could see the economy crashing at any point, not due to trump, but due to the decades of malfeasance and fraud that is rife within the system and has only been kicked down the road instead of ever being addressed.
Yes, Trump's businesses are rife with corruption, fraud, and malfeasance. They may indeed crash due to his actions.
Well; thankyou for proving my point:
We were tired of the constant parade of identity politics being shoved down our throats
So tired of it that you voted for the guy who does that more than anyone.
We were tired of politicians who supported offshoring everything, resulting in the destruction of the middle class.
So you decided to vote for someone who not only supports it but actively does it.
We were tired of politicians who put the interests of other countries and peoples ahead of ours.
So you decided to vote for the guy who only puts his own interests first.
Trump ran a platform against all of that.
If you looked at any of his actions you'd know he wasn't against any of that he active is all that. The only reason you refused to acknowledge that was because you have an irrational dislike of Hillary (only one reason I can think of) and want to rationalise your decision to vote for Trump.
SJW n. One who posts facts.
moar dead humans.
Nazis: members of the fascist BIG GOVERNMENT party which ruled Germany in the early 20th century.
You are literally one of the most incompetent people on planet Earth if you think anti-government = neo-Nazi. An elementary school student is capable of recognizing this difference. You are incapable of rational political thought have no credibility.
Lots of people here seem to be willing to believe outright lies in order to justify the thought that Trump was less bad than Hillary. The thing is they have an irrational hatred for Hillary and won't vote for her no matter what.
I will just pick one thing; unless you want to argue that the FBI lied, all it took for me was reading the FBI report about the death of Vince Foster.
No mod points, but this is spot on. Compulsory voting and an amendment that money does not equal speech and corporations do not have rights as people.
Cheap storage VM.
Social *contract*, not 'compact.' If you're going to call other people idiots, best be on top of your game.
Nothing to see. They're just removing a useless site. I checked. Seems everything there I was also able to easily find using google because the guidelines are there to begin with. They are on the subject area's web sites.
... and therefore thinks he's doing "right by the people" when he's doing what he wants.
... a popular president at the end of their second term who everyone loves more than the incumbents. I think Barack would have won over Hilary and Trump. That might have been good for a term, but eventually the man would have been corrupted by power and start to turn the system to himself like the two parties have done for themselves.
Not what I meant and you know it. Compare her to when she ran against Obama. Can't you see the difference? She's clearly past her prime.
Same with McCain. I think he'd have been better than Shrub, but when he ran with Palin he just looked kind of frail. Then again maybe it was being around her...
Confucius say, "Find worm in apple - bad. Find half a worm - worse."
The Republicans have been building a hatred for Hillary Clinton since 1993 when he took office. The 2016 elections were over two decades of hatred erupting. You can see it how they still go on about Hillary even after she hasn't been in or running for public office for 20 months. They will STILL go on about her supposed crimes and how horrible she is. They turned her into a boogeyman (boogeywoman?) representing all evil in the world. Now that she's gone from public life, they need someone else to focus their hate on. Yes, they can direct hatred at Nancy Pelosi, Chuck Schumer, or Elizabeth Warren, but it's not the same as the hatred they've had for over 20 years.
My sci-fi novel, Ghost Thief, is now available from Amazon.com.
Hillary and Trump really represented two opposite types of people. Hillary loved getting into the details on policy and learning everything about it. Her problem here, though, was that she wasn't really good at boiling that policy knowledge down to catchy statements and energizing speeches. "Read my twenty page policy proposal on Immigration on my website" doesn't exactly draw crowds to the voting booth.
Trump, on the other hand, has zero knowledge of policy and no desire to learn. He seems to go based on whatever pops into his head at that moment or whatever someone told him last. However, much as I hate him I've got to admit that he seems to know how to fire up a crowd. He might not know how to deal with the complex immigration issues, but he can shout "Build that wall" and get people cheering for him.
This election was between no flash/all substance and no substance/all flash. Flash won and substance lost. Yes, this is a huge simplification, but I think this was a big part of it. Trump actually won by about 77,000 votes in Pennsylvania, Wisconsin, and Michigan. Had just over half of those votes gone to Hillary instead of Trump, she would be President now. Had Hillary been able to resonate more with those people, she might have won the election. Sadly, this isn't the only instance. All too often, Americans seem to go for a flashy option even if the "more boring" option is better in other ways.
My sci-fi novel, Ghost Thief, is now available from Amazon.com.
Fine. Random people can't edit it, but could drug companies? Could a company looking to push Drug X as a treatment for Condition Y give a big donation and have the Condition Y page edited to say that Drug X should be used? Alternatively, could a group of page editors, set in their ways, keep control over Condition Y's page and keep any new treatments from being listed because they think Drug X is the best and that's how they always treated it? (Much like Wikipedia has some editors that control pages and will refuse to change those pages even when confronted with actual experts.)
My sci-fi novel, Ghost Thief, is now available from Amazon.com.
And the problem is always that, as the Democrats clean up the messes the Republicans left behind, they sometimes have to make some unpopular moves to tidy things up. Then the Republicans come in blaming the Democrats for the mess and claiming that they aren't fixing it right. People - who tend to have short memories - then blame the Democrats and vote Republican. The Republicans take office and mess things up again. And thus the pattern repeats. The Political Circle of Life.
My sci-fi novel, Ghost Thief, is now available from Amazon.com.
Subject about says it all. Can someone explain this to me? What in the FUCK would you remove this treasure trove of information that doctors use? What possible reason could they use that could even be REMOTELY valid?