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10 sats \ 0 replies \ @gmd 14 May \ on: Half of South Africa's population are 100% dependent on state welfare (2023) econ
I'm sure things will get better after they get rid of farmers...
Add me to the camp that thinks the trend of people drinking less might be bad for society. Just one more excuse for people to stare at their phones and not go out and socialize.
Especially when you're young it's fun to go out and have great stories getting drunk with your friends.
As I get older I find a drink or two messes with my sleep and makes me tired the next day, combine that with the price tag it's enough to discourage me.
what a fascinating individual. so smart but can barely function in real life. i’m always amazed at people with such high iq that choose to spend their lives solving riddles 99% of the population can’t understand instead of making millions in AI or finance etc. their kids will probably be super geniuses.
Yeah some real kool-aid being drunk here. TBD how our economy responds to these new policies, half of which seem half baked. Ports are empty, negotiations seem to have stalled as countries look for workarounds to avoid us due to uncertainties. Praying I'm wrong.
Thankfully we're not as dumb as Germany.
Statins have been generic since forever, there is not much big pharma profits to be made there any longer.
It's really hard to quantify "enormous health benefits". Much of what we do has a significant placebo effect. You will see a lot of plant zealots make similar claims (I am skeptical). If you've lost significant weight that's awesome. Otherwise most people <50 are mostly healthy to begin with. Having more energy doesn't necessarily mean you live longer.
I would say if you are one of the "hyper responder" that sees your cholesterol levels skyrocket, it might be worth reconsidering the diet or re-evaluating benefits or intervention (even if that means trying more fiber). While cholesterol might turn out to be more correlation than cause of cardiovascular disease, in every other disease phenotype (familial hypercholesterolemia, etc) that shows markedly elevated cholesterol levels we see rapid progression of cardiovascular disease.
tbh i haven't heard any really good defense from the authors, but only following peripherally. burying the primary outcome is just basic corruption as a purported scientist.
I encourage patients to look into keto especially those who are obese and diabetic- I was a big fan when I first heard about this study and was really hoping to be able to more enthusiastically advocate for it.
Yup same article. Surprised it has not been retracted yet from what's a rather large journal. Controversy continues to unfold on twitter...
Interesting... do you need to watch the other Z-nation series to get into it? Those don't seem great..
Generally most retailers don't charge fees specifically geared towards credit cards. Instead they have increased their prices to account for credit card fees, knowing that people want to use credit cards for the convenience. So if you use a credit card with rewards (2-5%) you get something back. If you don't you get nothing.
In the US the added prices are pretty much built into the system. If you don't use a credit card with rewards you are basically subsidizing 2-5% for the rest of us that do.
In addition (it's a fun hobby for me) I'm doing the sign-up bonus churning which nets me ~$2-4k/year in tax-free bonuses.
Doctor's generally don't make any money from these scans unless you own an imaging center which is rare. It's a difficult 10x longer conversation to convince a family they don't need a CT and you are often met with scorn.
Combine that with ridiculous malpractice settlements ($29M here) that demand perfection beyond standard of care you are too often forced to pull the trigger on the donut of truth.
Rewatching the Last Kingdom.. Uhtred would have been saddened to see his hard fought land given away like this.
I don't understand why people don't use common sense. The US has succeeded because of selective immigration of people with American values. You don't just let in unvetted people that refuse to integrate and hope they become productive when they can collect welfare instead.
It's just not practical or possible. When you are expected to see 30-40 patients a day, older patients come in with a list of 10 things they want to talk about, you have to negotiate them down to the top 2-3 items, reconcile meds and refills, redirect and listen to them ramble about irrelevant nonsense and suddenly you're all out of time and you have a waiting room of patients who are upset you are running late (and then demand more of your time in return).
PCPs are just fighting to stay afloat in clinic. There's a reason my PCP always bugs me to schedule an appointment every year- she knows I'm younger, fit an healthy and it's an easy booking for her.
The loudest voices on social media are young people <50 who want to talk about how amazing their secret sauce is for staying healthy, but the reality is you generally don't need a doctor when you're young (outside of women's health issues). Don't get fat is all most of what you need to hear, which is advice that can be given by anyone. They don't see the 90% of other health issues that physicians actually deal with as patients get older.