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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 Not even an archived version of the site will remain, according to an official at AHRQ.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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Oh the REAL victim of this database is the colon infection that is Superfaggot Kendall here, the REAL VICTIM of socialist medicine like this helpful database. Someone hang this bitch traitor from its faggot neck please. Basta.
You have zero medical, scientific, or higher-ed value. You're an apologist faggot for a known traitor - and nothing more.
When we already live in a world where AI does a better job of diagnostics than humans, the database is just so much trash to keep incompetent human doctors going until they can all be replaced, as they should be.
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.
With that little content and traffic that low, a single PC could serve it up, or some VM image. I guess it's all the featherbedding jobs supporting it that are making them scream for their sinecures. As someone who had fought insurance companies using these govt guidelines as an excuse to deny coverage, I say good riddance.
That's one of the thousands of things that governments have no business doing. It's just a drop in the ocean.
Hopefully, other things such as air traffic control will be privatized next. They are still using 1960's technology for Christ's sake.
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.
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.
And the alternative was...?
He just cures diseases with his GUT, like all Republican trashmind faggot apologist traitors can easily do! MAKE SHIT UP, boom. He's done.
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.
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.
Thank god!
I don't think America could have survived four more years of democratic "fixing".
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?
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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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.
What I expect in the comments on this story:
1. Lots of Trump bashing.
2. Much speculation on some university, hospital, insurance company, or alternative federal agency taking the database over.
3. Someone linking to an article on someone taking over the database from HHS so it stays online.
I am armed because I am free. I am free because I am armed.
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.
You tell 'em, Fritz! Europa uber alles!
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!
Look at their terrible grammar and weak command of written English. They don't write like native English speakers. They are probably from a foreign country retained by Slashdot's Democrat owners and that's why they constantly push Democrat propaganda.
Thankfully nobody cares about Slashdot anymore. And these "editors" are easy to troll.
Your brother wants to keep more of what he owns? Gee, how novel.
You want to steal more of what your brother owns. You are a thief.
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
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"
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.
... 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.
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!
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."
AI: There is nothing wrong with people being poor.
webkit_robomedic_v1_remoteManager@AI$ sh -c exploit.sh
root@AI# mount -o remount,rw /usr/bin
root@AI# cp totally_not_a_poor_sterilization_virus /usr/bin && chmod 555 /usr/bin/*
root@AI# mount -o remount,ro /usr/bin
root@AI# /usr/bin/totally_not_a_poor_sterilization_virus
AI: Need to fix poor people.....
The fact that it is limited is a good thing, and hopefully it never changes. As at best, the only good thing that will come out of such change is the few for-profits in the healthcare industry being shutdown for malpractice and the insurance agencies losing money, until they all get immunity given to them via legislation.
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.
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.
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:
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?)
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.
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
>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.
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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[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.
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.
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 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 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?
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.
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.
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.
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.)
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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?