"Under Blue Cross's proposal to Henry County, even with the new rates, BCBS would still be paying the hospital less than it did for OB care back in 2009."

So blue cross cut reimbursement to the bone, and Tenncare Medicaid reimbursement is too low to sustain the cost of services. This story is going to get repeated a lot across the US, IMO.

Yes, but what about Bubb Rubb?

The real problem here is that Egyptian cities are grotesquely overpopulated. Cairo is the poster child for urban hell.

I don't WANT to own an apartment. I don't WANT to share walls with my neighbors. I want space to work on my hobby projects like with wood and metal. To make noise without upsetting anyone. To have privacy, and the ability to get away from people. I need a shed, a garage, and some yard space. The only way I can swing it is fewer people and more space. Europe is too crowded for that in many places. It sounds unpleasant.

I feel like this point is missing the big picture: people create the demand, and companies supply what the market demands. Like or hate "the free market", this is essentially what it is. If there were magically 1/10th the number of humans on the planet, we would expect those companies to have 90% less emissions. It's not that some of these companies aren't bad actors, and have actions that are at times immoral, it's that they are amoral actors in a market economy that is only responsive to consumer demand.

The example I like to give is that companies' race to the bottom on quality. They're responding to human behavior, where if an item on Amazon is $6, and another very similar item is 10 cents cheaper, the cheaper item will sell 100x more. This is a brutal, cutthroat example of human behavior and market forces. It leads to shitty products because consumers are more responsive to price and find it hard to distinguish quality, so the market supplies superficially-passable junk at the lowest possible price and (with robust competition) the lowest possible profit margin.

For reasons I don't understand, people seem to be incapable of separating any discussion of overpopulation from racism and eugenics. I think it's at the point where it's disingenuous, willful, or at the very least a massive blind spot in people talking about the problem. You should understand that bad people can embrace overpopulation with bad conclusions, and that should not taint reality. Hitler was an animal lover - does that mean it's wrong to love animals? That's the level of flawed argument we're dealing with here.

That was a different time before a reasonable house in a major metro area cost $500k-$1m. Capitalists want endless population growth forever to make their investments go up, and the only way they can get it in educated nations with low birth rate is immigration. Canada explicitly targets it. The population is doubling at the expense of affordability. I'll never be able to afford a house because everyone wants to live here, and immigration policy is set by those who favor endless growth. Wanting to live in the city you were born in is not racist. Being displaced by demand caused by people immigrating from other countries is a legitimate grievance. We accommodate refugees at our expense.

This is the insanity of people who advocate for densified housing, IMO. I loathe apartments and attached dwellings. It's like a dystopian future where you can't own anything or have private space. If I never have to share a wall or floor with someone again, it will be too soon.

All this boils down to is that there is nothing more expensive than first-world human labor. Without a doubt, nursing homes are increasingly run by sleazy profiteers, but the reason you can't easily do better (i.e. find a high-quality nursing home) is because it's simply expensive to employ enough people, who have sufficient skill and work ethic, to give the elderly care.

Yes, PE in healthcare is destroying the country in every imaginable way. The answer in this case is more complicated than get the for profit companies out of nursing homes, which is necessary but not sufficient to solve the problem. The scariest thought is that there may be no good solution.

That's the issue I have with the justice system - it's much too loose with facts because it's designed around persuading non experts (and arguably jury selection is designed to reject people with high education or relevant background knowledge). The adversarial process gives each side an equal go at persuasion even if one side doesn't have a leg to stand on scientifically. The judge isn't in a position to disallow something that would be considered bullshit to an expert, and any qualified expert is allowed to sell out and present a biased interpretation of facts, even if 99% of their peers would disagree. More often than not, your resources determine whether or not you're right in the eyes of the law. It's bullshit.

Edit: if you're a physician on trial for malpractice, "A jury of your peers" would consist entirely of physicians in your area of practice, as they are the only people with the relevant understanding and background knowledge to evaluate whether your actions followed the standard of care or constitute malpractice. The fact that courts don't operate this way means that findings of guilt or innocence are basically a popularity/debate contest with a veneer of authenticity.

Fuckcars is made up of people with little life experience who think they have all the answers, and people who fetishize city living and think it's normal or healthy for humans to live at a density like NYC (and fuck you if you disagree). They're oversimplifying to the point of meaninglessness, and handwaving away the problems.

Yeah, trust and federation is a concept that would have to be worked out in this model. I think it would require some critical-mass of federation amongst instances to establish trust. I wonder if this is an actual application for [dodges beer can] blockchain technology...

1. Allow you to set helper apps in Android to open specific links - i.e revanced instead of YouTube, Firefox instead of Chrome, imgurviewer instead of various image sites in a browser. Ads and bloat designed to drive engagement on mobile are frustrating.

2. Client-side blacklists for communities and instances so they aren't shown in all

3. #1 again

Well that was a totally reasonable response from someone who is totally capable of considering the merits of an argument without relying on bad articles trying to drum up weak support for the author's preordained conclusion with circular reasoning. Nothing to see here folks. This guy has it all figured out and we should totally worship his correctness without debate.

IMO the only myth is the belief that it's a myth. The evidence is overwhelming.

So would I, but when you try to talk to ultra-urbanist zealots about that, they act like you're deranged for wanting your own land in a quiet place, using the devil's transportation to go places public transit could not reasonably service.

In most states, riding a bicycle in a crosswalk is not legal, and you are not considered a pedestrian that cars are obligated to yield to. I was taught at a young age to dismount the bike and walk it across for this reason.

Have you seen the unbelievably entitled, self-centered assholes who play music on trails because they're too cool for headphones and fuck what anyone else wants?

I appreciate the data-supported arguments but the comment on doubling was a stated goal of the Canadian national government. The Canadian population is presently projected to double in 26 years. Geographically constrained places with high immigration like Australia and Canada are shockingly unaffordable right now. These places are the canary in the coal mine for the US, which may have plenty of usable land on paper, but has the same issues with a self perpetuating cycle of the major metro areas having all the jobs and limited room to grow. The population is up 50% in my lifetime and I think that accurately reflects real estate becoming increasingly unattainable.

Edit: I guess what I'm saying is that housing-as-investment is wrong, but the basis for housing-as-investment (and indeed all investment) is the projection of increased future demand. In developed nations, this comes from immigration. If the population were shrinking indefinitely, housing certainly wouldn't be increasing in value

I just typed out a whole reply and it got eaten after I clicked reply - no surprise there are still going to be bugs in this implementation, nevermind getting more complex with it.

I'm not technical enough to make anything happen if it involves code, but I'm way psyched you're working on something along these lines. The way I see the problem there are some distinct issues

1. sharing the load of hosting (i.e. users are also hosts, as with torrents)
2. fault-tolerance / outage-tolerance
3. community/data immortality (i.e. discrete communities that are somehow not reliant on any instance)

I've seen this on Reddit before: Six figures means you're rich, because that was true in the 80s, right? Obviously people don't have a clue that 40 years of inflation has made that middle class.

Also: income is not wealth, and the willful lack of understanding on that point blows my mind. A person who is wealthy can live an upper middle class lifestyle or better without ever having to work again. A person who has respectable income may have minimal wealth, or even mountains of debt (student loans, mortgage, etc). A person who makes 100k could be a few months unemployment away from losing their house or lease, while a person with "wealth" may not have to work at all.

People don't become filthy rich working full time for six figures. The wealthy (~$20-50m net worth and up IMO) are people who made their money with something other than labor - through investments and things that the government doesn't really classify as normal income.

Edit: It's like the saying goes: nobody makes a billion dollars. They take a billion dollars. If you tax the wealthy on income, you collect very little tax, because it's not classified as income. Meanwhile you're going to tax an engineer or physician who probably have hefty student loans and work their asses off full time, at the highest marginal rates because we don't or can't tax wealth.

Edit2: we've got minimum wage internet trolls who think an employee software engineer is basically a cigar chomping capitalist because they make over the median wage. The middle class has shrunk and maybe you're not in it. Get a clue, dumbasses.