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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 Not even an archived version of the site will remain, according to an official at AHRQ.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.
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
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
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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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"
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.
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
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).
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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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.
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!
Yes, because we have discovered everything we'll ever need to know about medicine and treatment, and no bad actors are going to put up a revised version on AwezomeHealthCare.com.ru .
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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"
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.
Not a doctor yet, but I am a biomedical nerd and aware of how useful those in the research area tend to consider best practices guidelines--and my first question about this actually was "Why is this not at NIH?"
The general rule of thumb is that the lag time is too long between where the research says are the medical best practices and what any published list anywhere will say--part of this is because, to put it bluntly, most doctors aren't particularly into research and don't keep up with it. Those best practices databases aren't going to be getting kept up-to-date and current, and I honestly don't think there's a solution for this short of starting from scratch--if nothing else, because each and every entry should have a date on it saying when it was last checked on and it should be routinely gone into to add data. There is no such thing as too much data if you're trying to figure out what works in which populations; the more you have, the more certain you can be...and the more likely you are to be able to pin down which populations that have strange responses, which is pretty much a basic requirement if you want to do anything more than shrug and move on...and it's also a requirement for improving and fine-tuning the evidence.
Personal insults do not help rational debate.
Is it widely used
It says 200,000 users per month in TFS. That seems pretty significant.
... 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.
You can't necessarily crawl it and put it up elsewhere. If articles in the database were contributed by individuals for the express use for that database and no other purpose then replicating them could be an infringement of copyright. There may be a number of issues like that to be worked out, and apparently this is being looked at.
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."
lol. That page looks like it was designed by the Time Cube guy.
I don't think I've ever seen a vitamin-shilling crank on slashdot before. Congrats on breaking new ground!
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. . . .
Calling for political violence? You're no better than an actual 1940's Nazi. "Antifa" routinely uses Nazi tactics against nazi's.
Fixed that for you. NAZI's were enemies of this country, in a war that killed over half a million US service people. ANYONE who defends nazi's or neo-nazi's should be considered enemies of this country. That antifa you whiny bitches complain about.... 70 years ago they were called the US Armed Services. So fuck you you fascist nazi piece of shit. If you hate the US so much, get the fuck out.
Fascism: An authoritarian and nationalistic right-wing system of government and social organization. See also: NAZI's
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
Because BUSINESS needs to make a profit. So you're left with charities many of which are just as anti-science as the fucking idiots in the Trump administration.
What i think we need to do is let republicans pass all the laws they want, BUT, they one apply to republicans. Want to cut social security... go for it... BUT, those cuts only affect republicans who get SS. Lets see the fucking conservative base have a collective head explode when they realize what fucking assholes they are.
For this it'd be simply: you vote for this administration, well, sorry.. you don't have to pay for insurance or that pesky ACA.... BUT.... hospitals don't have to treat you unless you're paying cash up front. AND, your debt can't be written off through government subsidies (like they are now). They don't give a shit about anyone else, let them pay up or die.
As for the value of this database.... YOU are a fucking idiot. I can only hope that someday you are in a position where your life depends on something that you fucking conservatives have fucked up and is no longer there. That's the only way fucking idiots like you seem to learn.
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
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."
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.
AHRQ said it's looking for a partner that can carry on the work of NGC, but that effort hasn't panned out yet.
So it's a vitally important and singularly useful repository of medical information, but NO ONE wants to take it over?
If only a fraction of the energy invested in bashing the current administration for closing the resource went towards creating a new home for this repository there'd be no issue - but what's the fun in that?
Ken
Explain this quote from the summary:
AHRQ said it's looking for a partner that can carry on the work of NGC, but that effort hasn't panned out yet.
It's simultaneously a vital, important resource garnering 200K hits/month AND unappealing to anyone in the private sector to take it over?
Ken
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...
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
Well you have provided an excellent illustration ot my point that many Trump supporters are delusional.
SJW n. One who posts facts.
..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.
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.
I'm guessing AHRQ said "No ads or tracking cookies allowed." and no one in the private sector wanted anything to do with it after that.
-=This sig has nothing to do with my comment. Move along now=-
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
Very true:
Hillary told lies so I voted for an much bigger liar. My point exactly.
SJW n. One who posts facts.
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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An insurance company makes more of a profit the less it spends, if the database were valuable that's why a group of insurance companies would maintain it - to lower cost of care. Again as I said to store the data would be absurdly cheap, compared to the return any medical group would get form the data... IF IT WERE ACTUALLY VALUABLE DATA.
But then I guess you and other Slashdot readers are either too stupid or blinded by hate to take just one step beyond the first one in analyzing what is going on here.
Truly I am t he one-eyed man in the land of the blind... that's the last response I have on the subject since none of you can seem to follow the most basic logic anymore. Sad.
"There is more worth loving than we have strength to love." - Brian Jay Stanley
> . 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.
The amazing thing in the summary is that NO ONE wants to take it over. They get 200K hits/month for a hand-curated list of research available elsewhere on the web. Sounds labor intensive and not very profitable.
Ken
Since the subject is a database, can't you guys organize a 'database download and cloning' party instead of name-calling on slashdot?
Luckily for us they gave a couple of months warning and put the web site source code and multi-terabyte SQL file on an FTP server so we could get ourselves organized and make sure we don't miss anything.
Oh, wait... my bad! They're just going to unplug the server a couple of days from now.
No sig today...
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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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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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.
Fuck NAZI's, fuck NAZI apologists, and fuck NAZI sympathizers.
Fascism: An authoritarian and nationalistic right-wing system of government and social organization. See also: NAZI's
Which is why I think, in every country with socialized medicine, there should be a feedback mechanism: you go to the doctor and at the end you get a receipt with a code, some time later, maybe more than once, you receive an email that simply asks you if the treatment was effective. Simple yes or no answer, with possibly bonus questions about side effects etc... It would be invaluable to find useless drugs, side effects, bad doctors, groups of people with different drug reactions than others, etc... And if you never answer you get a blame or something; I mean, at least you give something back this way.
Non-Linux Penguins ?
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...
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?
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.
Which is why I think, in every country with socialized medicine, there should be a feedback mechanism: you go to the doctor and at the end you get a receipt with a code, some time later, maybe more than once, you receive an email that simply asks you if the treatment was effective. Simple yes or no answer, with possibly bonus questions about side effects etc... It would be invaluable to find useless drugs, side effects, bad doctors, groups of people with different drug reactions than others, etc... And if you never answer you get a blame or something; I mean, at least you give something back this way.
Well, you'd also need to randomly ask the doctors, too, to control for some patients confusing 'effective' for 'functioning potion of cure-everything.'
Overall, though, improvements in study design protocols would go a long way here too--within-subjects designs will give you good data even if you've got a total sample of one person, though this will limit your ability to generalize the results since the rule of thumb is that your sample must represent the population it's supposed to be from. (Yes, this means representation is incredibly important: A sample made up of White male college students can only tell you about White male college students. Not bad if you mostly are trying to show that your experiment can be done in the first place, but very bad if you want to directly apply the results to, say, elderly African-American grandmothers.)
However, it's a lot faster and easier to run between-subjects studies, because those designs are a lot simpler. For the same reasons, there's quite a bit of research where the sample is quite representative...of the population who might pass through a particular hallway at the local university, or other strangely specific populations. This also is a reason some studies' results are not replicable--different population is different.
moar dead humans.
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.
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."
I'm sure blockchains will come to the rescue.
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?