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0·4 months agoThe problem is there is no recourse like in a normal job. It’s not like you can just say, working conditions here are bad I’m going somewhere else. Working conditions are miserable everywhere for residents, 80 hour weeks are a norm not an exception, and switching to other programs is near impossible. There’s a specific exception in US anti trust law that helps keep this all going and make it so programs effectively don’t need to compete with each other on things like pay and benefits. If a resident were to leave their program, they’d be saddled with 6 figure student loan debt, be unable to use their degree for the most part, and be very unlikely to be picked up by any other program. And if they did, it’d likely be an even worse situation (why else would the position be open?). Though some programs may be better than others, even the best case scenarios are ridiculous and unsafe to any reasonable person looking at them. It’s this bizarre case of group insanity where people figure it must be reasonable if so many people put up with it, but anyone outside of medicine would be horrified. The entire residency system is broken, has been from the start, and all the external incentives on the residency system are pushing it to get even worse, not better. Need change forced by law from above, the monopoly ended, or resident unions, all three really.
I understand the sentiment but it’s not really helpful. They’re still the ones on call, they need to talk to you, and will be writing your orders and things anyways. Not really like they can just say, oh yeah I am tired I’ll just go home and sleep and abandon all these patients here, why didn’t I think of that?
Helpful things would be writing congressmen and senators about reform to the residency system, supporting unionization efforts. Change will only come if forced from above or if residents get more of a say. Ideal situation in my mind would be a more typical work schedule capped at closer to 50 hours a week, maybe with increased residency training time overall and increased pay during that time to compensate (need to keep up with cripplingly high student loan debt for those who didn’t have wealthy parents who payed for medical school).
Even attending physicians will really need to start unionizing if they don’t want to get totally lost in the shuffle, since they’re mostly employed directly now instead of running their own practices or specialty group, they get very little say in how things are done.
Unfortunately a common experience. While they don’t tell you to lie, the system is set up to make that the only reasonable option. And even if they were holding to 80 hour max (open secret this limit is broken many places) it would still be too much for any job, let alone something high risk like a doctor in training. If you were on a plane with a pilot in training who’d worked almost 80 hrs and been up for 20 hours straight already, you’d rightfully be very concerned.
Don’t forget mandatory resiliency lectures after your 24 hr shift to really rub it in and gaslight you that all of this is somehow your fault.
Residents in the US have 80 hours with maximum of 28 hour shifts, not a ton better. Though average salary is better at 58,000. Still, considering the hours worked and 8 years of schooling up to that point, ugh.
Residency is just a terrible idea through and through, absolutely insane. Where else could you start a job and be told “right so you’re new here, this is life and death decision making, we’d like you to stay up working for 28 hrs straight doing this. Alright, get to work!”
If a resident gets two days off, it’s called a “golden weekend.” What most people refer to as, a weekend. It’s just exploitation. There’s even an exception in US anti trust law to make the system legal. Glad more residents are unionizing here as well. Residency is horrible and needs to go.
https://www.acgme.org/globalassets/pfassets/programrequirements/cprresidency_2023.pdf
Kind of? They call it that sometimes but it doesn’t look like a true no first use policy in the same vein as China’s and India’s. Putin also threatens nuclear weapons if NATO troops were to get involved in Ukraine, and openly questions the policy.
https://www.cnn.com/2022/12/09/europe/russia-putin-nuclear-weapons-intl/index.html
I’m not sure any nuclear country would stick to these policies if they truly faced an existential threat, whether that threat was nuclear or not. Russia’s policy has a carve out for any existential threat including conventional weapons. US and Russian policies are pretty close, basically okay to use for any existential threat. Doesn’t hurt to try and negotiate more no first use policies and reinforce the norm though.
Looks like the UK, France, and Pakistan also lack no first use policies.
https://en.m.wikipedia.org/wiki/No_first_use
As far as I can tell the article is correct, China and India are the only current nuclear powers with true no first use policies. If that’s incorrect happy to learn more though. Israel not on here cause officially not a nuclear power, but hey we weren’t born yesterday.
6·5 months agoAn annual screening mammogram is automatically covered. If it’s a “diagnostic” mammogram following up some specific issue or complaint, then it would then fall into whatever normal policy rules you have with your insurance company for imaging tests. That’s more likely the case here since this person had to go on to have an ultrasound as well.
If you have insurance but get billed for an annual screening mammogram, it’s possible it was coded improperly by billers and you should definitely check up on that before paying.
3·5 months agoNot your fault, they’re deliberately named that way to be confused with an actual government agency. And yes, they suck.
Forer’s motion will likely face legal hurdles, because the law only permits lawmakers to be expelled for racist incitement or for supporting armed struggle against Israel, and it is not clear whether Cassif’s actions meet these two conditions.
That’s quite the stretch. It would just be extra judicial facist nonsense if they actually go through with this.
According to their website it could roll out to more states as soon as mid March of this year.
“Lose weight and rejuvenate dry leg skin with this one weird trick!”
Russia invading neighboring countries “could provoke military incidents,” NATO warns
Periodic reminder to please directly subscribe to quality news sources to help fund good journalism. Especially local newspapers which have been really struggling. They are often the only ones holding your local elected officials accountable or reporting on them to any degree.
41·6 months agoJust to be clear on the first two points, you can designate anyone as your health care proxy. Check your state for specific applicable forms. In general if no one is designated though it will default to a spouse.
Health care proxy is also different than power of attorney, which sometimes people get confused on.
Google it yourself for other sources then, not hard to find info on the many anti democratic actions Hungary’s leader has taken or his rollbacks on human rights over the past decade. I don’t think even his supporters contest that, they just contest if it’s wrong to do or not.
A lot. Hard to know where to start.
Here’s somewhere to begin at least:
They started screaming “stop the count” in that one as well, but that time unfortunately were successful in doing so. Many of the rioters who attacked the counting center got nice political appointments by the Bush admin too.
https://en.m.wikipedia.org/wiki/Brooks_Brothers_riot
Roger stone involved in both of course.
“Most moral army in the world?”
That doesn’t even make sense. Just going full trumpian, not only am I not guilty of what you accuse me off, I am the most opposite of that in the entire world. It’s about as believable for them as it is when Trump says it. What on earth is their strategy here? I mean rhetorical question I guess, strategy is just spewing BS it seems.
29·6 months agoComment from a ublock developer on this:
There is a lot of chatter in the last days about how Youtube is slow with content blockers. Those performance issues affect only the latest version of both Adblock Plus (3.22) & AdBlock (5.17), and afflict more than just Youtube. uBO is not affected.
They aren’t expected to do more here. Not sure what they’re on about.
This is bizarre, I looked and Rochester Minnesota has multiple high speed providers, including two that offer fiber.
And the isp you have is a wireless isp that doesn’t even list Rochester as within its coverage area, they’re intended to serve more rural areas west of the city. On their map it gets close to but not quite in Rochester, but maybe they’re still able to access it (slowly) since it’s a wireless provider.
I’m guessing this is a whoever owns your Airbnb problem rather than a Rochester Minnesota problem. I don’t understand why they would be paying for this rather than use any of the readily available high speed options there.