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Cake day: September 24th, 2023

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  • I have an honors minor in medical humanities and took several medical policy courses. We looked at this exact graph from previous years as well as several other huge sets of data/graphs/studies and anything else related to insurance you can imagine. Insurance is not a standard market commodity and does not follow the same trend or logic. The only way you can lower premiums in insurance is by reducing the risk in the pool, or increasing the pool size to dilute the risk. This is either increasing the total pool size by increasing premiums, getting more people, or being selective about who joins the risk pool. The third one was what was called “preexisting conditions” and kept high cost people from entering the risk pool and draining the funds. This got banned and increased premiums. By increasing competition you end up splitting up the pools, making everyone’s premiums go up. This happened multiple times post ACA after the GOP started stripping out the funding and safeguards to prevent this. More and more competition opened up with artificially low premiums being subsidized by federal dollars, but then when the subsidies ended the premiums started jumping. Then when the premiums were jumping, new companies opened up to make more competition advertising lower rates, but then further fractured to pool sizes, leading to premiums skyrocketing. If you look back just 10 years ago there was a 3-5 year stretch of premiums increasing almost 30% year after year. It was due to all the competition opening up every year. This is why single payer systems have the lowest rates. If you have even one private company monopoly with a regulated cap on profits you would still end up with lower premiums. Then, if this single paying company was nationalized to take out the profit making middle man, the premiums are that much lower because your risk is spread across a massive pool. More competition in insurance makes the problem worse. I would agree with your stronger regulation though. There is a lot that can be done there.



  • They also cost as much as 3 samsungs. I am all for buy-it-for-life, but when I can buy a nice Samsung with bells and whistles, have a better wash, lower energy use, and more flexible options on how the clothing is being washed- then why would I not buy the Samsung? My Samsung washer was 800 and the dryer was 600. A speed queen starts at 2400 each. I could buy 3 washers and then 4 dryers for that. Plus I save money on the energy cost with my Samsung eco settings.

    I have a house filled with buy it for life where I can and where it makes sense. And when I bought the washer and dryers I looked into speedqueen. It didn’t make sense. And before people start saying things like “good luck replacing them in 3 years” they are already 5 years old. My 1400$ is 5 years in and doing just fine.they could break today and need to both be replaced, and I am still ahead. I think speed queen is one of the few BIFL brands that I disagree with.





  • In 2000 the Afghani was worth 75,000 to 1 USD. During ISAF occupation it was fixed at 50 to 1. It is now at 70 to 1 and dropping. Let’s stick to one argument at a time rather than playing the whataboutism game. You said the USA destroyed their economy, yet the evidence strongly says otherwise. Before 2001, Afghanistan was the second poorest country in the world. When ISAF pulled out it was ranked at about 40 (I say ‘about’ because it was still growing and changing faster and the rankings were uptated). In the short time of Taliban rule they have dropped back down to sub 33 with exact number still to be determined. (The sub 33 ranking is important because there are only 33 countries on the UN “least developed countries” list).

    I would spend time debating topics like this with educated people and those that are open minded, but you do not seem like you fit either group. Do not expect a reply.


  • It was a few steps further than talks to make the sequel. It was going to be a Netflix/streaming series (6-10 episodes). They had funding lined up. They had scripts written but still being massaged and finalized. They had almost gotten everyone signed on and was finalizing details for the last signature. -then Alan Rickman died. Then it all fell apart, scripts would have all had to be redone and the whole story line redone, and thus funding pulled out. Then that was the end of it.


  • Funny you say that- that isn’t far from how it was made. Someone wrote a spec script about a human war with space bugs, independent of starship troopers. When one of the production people read the script they brought up the point that there was a book that they remembered that was kind of like it. When they checked, no one had the film rights to it so they bought it for cheap. They then did a quick rewrite to slap in the character names and basic/cheap/easy things from the book to make more of an appeal to the book fans. Then when the director came on board he was a fan if the book but also wanted to do his own thing. So you now had at least 3 different directions the story was going and it was simply held together by the loose premise of starship troopers.



  • Death toll as of yesterday was reported around 8,000. The US/coalition 20-year war in Afghanistan was (rounding UP) 50,000. That puts it at an average of 2,500 civilian deaths per year. Even THAT number was high enough for people to call for war crimes investigations. Now Israel has reached over 3x the yearly average in only 3 weeks. On track to pass 10,000 by the one month mark, too. I’m not saying that Isreal doesn’t have the right to defend its self, or even defense through offense, but there is a point that we need to agree is too far; and I think we are a bit past it.




  • Unlike the othe comment, this DOES sound like it could be BPPV, where something like the epley maneuver would work. Typically we would use the Semont-plus maneuver (same idea, slightly different). Or there is a fun half somersault maneuver the person could try on their own.

    Bppv will be brief but intense episodes lasting seconds with lasting nausea for minutes and exasterbated by head movements. You will also see their eyes jumping or flicking (nystagmus).


  • The epley maneuver is to treat BPPV- where an otolith becomes dislodged and then finds its way into a semicircular canal (normally the latteral canal). If it was causing vertigo it would have to be the posterior canal. Not to say it isn’t possible, but it is the statistically least common canal to happen in. Not only that, but the epley wouldn’t treat it. Even then, this strongly doesn’t sound like BPPV, whose episodes would last seconds to minutes. If the episodes are lasting minutes to hours it is a short list of other possible things. best case this is vestibular migraine of it was vestibular related. More likely this is central involve ment and the person needs to see a neurologist. I have seen patients like this before for balance accessments. We will do the testing on them(VNG and caloric testing), but then have to tell them to go to a different department because it isn’t part of the vestibular system causing the problem. I would push to see an ENT/neuro/PCP sooner than later because worst case is it is a developing vestibular schwanoma (non cancerous tumor) and the sooner the better to take care of it or at least monitor it.