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Joined 8 months ago
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Cake day: January 13th, 2024

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  • Usually, when I disagree with something, it is because it is incorrect, lying, or particularly mean-spirited. I disagree with people that do not think that every human deserves the same rights. I disagree with people that push for ideologies that would strip other humans of their rights, or that would inflict needless suffering. I don’t downvote people when I disagree with what media they think is good or something. I downvote those that express ideas that are antithetical to what I see as basic human decency or that are factually incorrect.


  • Personally, I use downvotes to say “I disagree with this and/or it is a stupid/bad/bigoted/etc take, but I do not wish to spend the time and effort to respond and get dragged into a text-based mudfight with someone who is unlikely to speak to me politely, no matter how polite I try to be in my rebuttal.”

    I like having a way to say “no, bad, stop that” without having to spend time trying to explain things or engage with someone who I think is beyond convincing anyways.



  • I’m in my third year of medical school, so I’ve just started my clinical rotations, but one of the things that shows up on almost every reference table for physicians regarding treatment options is information on the price for the patient. I’m rotating in a family medicine clinic right now, and we pretty frequently prescribe the best possible treatment, and then when the pharmacy runs it through the patient’s insurance and finds out how much it’s going to cost, we then start working down the list of next-best alternatives until we can find something the patient can afford. Because there are so many different insurance plans out there, we have no idea how much something is going to cost until the insurance tells us.


  • Medical field here: The vast majority of us are not in it for the money. Physicians have to spend 3 to 9 years after medical school working for a wage that works out to about $5/hour to gain certification and a medical license in their specialty. And that’s after 8 to 12 years of undergraduate/graduate/doctorate education that basically has to be paid for with loans unless they’re in the military or come from a rich family. So, yes, physicians do make high salaries once they’re established, but there was a lot of work and sacrifice to get to that point, and very few people are masochistic enough to put themselves through that just for the money.

    Also, the most expensive parts of a medical appointment/surgery/ER visit etc is the administrative overhead, inflated prices of drugs and supplies, and insurance company bullshit. Very little money from that price tag actually makes it to the healthcare workers. Your average EMT on an ambulance makes between $13-20/hour depending on the state minimum wage.

    If you have a problem with your healthcare costs, that’s something to take up with your representatives in government, not the EMTs, CNAs, nurses, and physicians providing your care.