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Alternatives to congress
  • I can't say that I'm very familiar with the UK laws in depth other than that they have been in operation for many years and are generally considered effective.

    For referenda there's no reason you can't have a publicly funded campaign for yes and no and limit private advertising, we have something like that here in Australia.

    Sortition, random selection, when combined with an elected body has a lot of benefits. It has the advantage of having professional politicians with institutional knowledge and relationships while also having a body the that is actually representative of the larger population.

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    What things from the 2020s do you think will age horribly?
  • 100% agree!

    As an addition to this I firmly believe medical marijuana is a phase.

    Now I've made people angry here's the nuance.

    CBD/THC combinations certainly have a role in some patients with chronic pain, especially where it's use can avoid or reduce the use of opioids.

    There are clear specific uses such as intractable epilepsy where it is clearly the best treatment. It is effective for glaucoma but there are better treatments available.

    I'm highly suspicious of marijuana having any role in mental health and there are, in my opinion, no convincing studies published showing that it is useful at all despite the fact that large studies have been done and presumably file-drawed.

    The idea that smoking is an appropriate delivery method for a medication when other methods are available is insane. Very few things are as bad as tobacco smoke but inhaling smoke is bad for you.

    My prediction is that in 20 years we will have cannabis derivatives in capsules that fulfil the specific purposes and the idea that any doctor prescribed marijuana to smoke will seem insane to younger doctors.

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    Alternatives to congress
  • A bicameral legislature, one house elected by mixed member proportional system and the other selected at random from the voting age population. Legislation must pass both houses, if it passed one house but not the other it can go to referendum at the same time as the next general election.

    You can also have things like citizen initiated referenda. Campaign finance laws similar to those in the UK are also desirable.

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    Alternatives to congress
  • No. This sort of arrogant rubbish needs to be shut down.

    In my job - a doctor - I routinely discuss difficult and complex topics with people of all backgrounds and education levels. With very few exceptions people are able to understand difficult topics.

    It is my experience that the most difficult people to work with are not ordinary people but those who hold the opinion that everyone else is stupid.

    With very few exceptions sortition and participatory democracy have worked well whenever they've been tried.

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    how do I accept that a doctor earns more than double what I do?
  • I'm a doctor and my partner is a nurse and the size of the difference is straight up injustice. Join your union and vote for militant leaders that will push for better conditions and salaries. If you don't fight you lose

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    How could you best spent one million dollars, to materially help the world in a lasting way?
  • I have an idee fixe that I could set up a non profit that bought homes and rented them at a price somewhere between the maintenance cost and the market price. It would make a profit and slowly expand providing more and more affordable housing. Ideally it would start with more than 1 million but doesn't need to.

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    What is something you SHOULD cheap out on?
  • Also anything potentially breakable. Crockery, glassware etc. Best to have something that's already been stress tested in someone else's home.

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    Australians should be angry about Coles’ latest billion-dollar profit. But don’t blame the cost of living
  • Could you expand on what you mean by presuming human entitlement can subsume the laws of nature? I'm always interested in a good critique.

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    would it be a dumb idea to continue my education paying it myself even though there's no guarantee I'll be hired afterwards?
  • Australian doctor here, certainly in Australia There are dozens of jobs for nurses that require minimal or no patient contact.

    Things like administration and management would usually require at least a reasonable amount of experience but clinic work is very different to hospital work.

    My own fiance works in infection control which is a lot of reviewing charts, advising ward staff on isolation protocol, ensuring staff vaccinations are up to date.

    Just quit nursing is a little otp.

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    Election Promise Tracker | RMIT ABC Fact Check
  • Very interesting and deserves to be in the spotlight.

    I'd highlight that two of the broken promises seem to be ending high income tax cuts which were a ridiculous inclusion in their platform and another is that they didn't meet the deadline on urgent care clinics.

    I'd also like to highlight the implicit promise of an allegedly "Labor" party to be pro-union. I'd suggest that removing the elected leaders of a union and appointing their own due to the alleged misconduct of individuals is a broken promise far more serious.

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  • johnquiggin.com Australians should be angry about Coles’ latest billion-dollar profit. But don’t blame the cost of living

    The latest massive $1.1bn profit reported by Coles will doubtless produce a new round of hand-wringing about the “cost of living”. Governments will produce initiatives aimed at capping or…

    Quiggin with some interesting thoughts on cost of living.

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    What's your most important/valuable file you own and use regularly?
  • I know some nurses that know them pretty good, it's not that outrageous to know the schedule by heart if you use it most days. I don't use it most months though.

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    What's your most important/valuable file you own and use regularly?
  • Nearest thing I can think of is a running file with medical guidelines I use occasionally but not often enough to want to learn, childhood vaccination schedules, colonoscopy follow up timelines, lots of imaging follow up guidelines.

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    What was the path like to your current career, and what parts would you recommend for or against another person following?
  • I grew up on a small family farm in southwest Western Australia, both my parents are university educated and expected me to go to uni, but as the oldest son I was also expected to take over the farm.

    Did okay in high school, wasn't all that dedicated of a student. I was accepted into a double degree studying environmental biology and cultural anthropology, because why, not the point was to get an education, not a job. I did fairly well at school but I struggled to get a part time job as a shy 18 year old, I couldn't get student allowance as I was technically part owner of several million dollars of land through a family trust, and my parents couldn't support me because of a couple of bad seasons and anyway it's a pretty asset rich/cash poor business.

    Because I liked science I applied for a job as a lab tech at a winery, failed to get that but the offered me a job as a cellar hand and I spent 4 months working 12h shifts. Left that job with more cash in my pocket than I've ever had before so I spent the rest of that year travelling around Australia and then Europe.

    Running out of money I came back to Australia, I had a friend who was washing dishes at Ayers Rock resort, I joined him. Someone in HR noticed on my resume that I had a truck license and forklift ticket and I was promoted to delivering in-flight catering to the airport. Got sick of the bosses nonsense so a girl I was seeing got me a job doing stargazing tours, spent the next several years in various tourism jobs.

    Decided at that point I might as well get that education I was wanting. I enrolled in a double degree again, this time in Economics and International Development, it turns out International Development is code for tedious human geography so I changed to Political Science. During my final year a friend of mine was applying for medicine, I thought that sounded interesting, decided to sit the entrance exam and drop economics as I didn't want maths heavy, complex Econ to tank my GPA.

    Didn't get into my first choice of med school so moved across the country to study, wound up in the rural and remote medicine track. After doing my hospital time I started working in general practice, I found the culture of GP so disgustingly focussed on manipulating Medicare that patient care took a back seat, also on one occasion I was told I needed to start charging a patient a bigger rate because "having patients like that in the waiting room isn't a good look".

    I decided to leave GP and return to the public hospital system, a mentor of mine thought that'd be a shame and found a small town practice owned by portly British West country ex-navy surgeon who described himself as a cloth cap socialist. I obviously took that job.

    He sold the practice a couple of years later, the new owner is as penny pinching and money grubbing as my first GP employer but I now have the confidence to stand up for my patients, I also now know that management telling individual doctors how to bill is considered price fixing by the ACCC. I also have enough experience and reputation within the community that it is best impossible for them to get rid of me.

    I probably would have been happy as a farmer, or as a medical specialist or a surgeon although the training might've killed me(at the time it was common for surgical trainees to work 24h shifts). As it is I don't my time between chronic diseases, preventative care, palliation, paediatrics, mental health, and emergency. I can't imagine a better place to end up.

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    What's your favorite war to discuss and what are some interesting facts about it?
  • I agree and I'd like to add that education systems that treat WW2 as the war to understand is actively harmful.

    In part due to characteristics of the war and in part due to how it is taught and remembered.

    Just 2 examples

    • WW2 can be quite easily presented as having clear good guys and bad guys which makes it fairly unhelpful to study to understand modern conflicts.
    • Chamberlain is consistently painted as a naive idiot for trying to prevent a war through diplomacy. Whether or not it was futile in that case isn't really relevant, when WW2 is the only war most people study in any depth then all attempts at avoiding conflict get characterised as naive appeasement.
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  • johnquiggin.com Czech nuclear deal shows CSIRO GenCost is too optimistic, and new nukes are hopelessly uneconomic

    I’ve written another piece on the uneconomics of nuclear power in Australia The big unanswered question about nuclear power in Australia is how much it would cost. The handful of plants completed r…

    Just in case anyone here still thinks nuclear is viable.

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    Is there any real physical proof that Jesus christ ever existed?
  • I'll give you the benefit of the doubt here but both Suetonius and Pliny are talking about Christians in the 2nd century, Tacitus speaks about Christ only in the context of Nero blaming Christians for the great fire. These are literary evidence for the existence of Christians in the second century but are not direct literary evidence of the existence of Christ as an individual which was the question I was addressing.

    I'd be delighted to be shown to be wrong but I believe my original post stands.

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    Is there any real physical proof that Jesus christ ever existed?
  • I'm by no means an expert but I was briefly obsessed with comparative religion over a decade ago and I don't think anyone has given a great answer, I believe my answer is correct but I don't have time for research beyond checking a couple of details.

    As a few people have mentioned there is little physical evidence for even the most notable individuals from that time period and it's not reasonable to expect any for Jesus.

    In terms of literary evidence there is exactly 1 historian who is roughly contemporary and mentions Jesus. Antiquities of the Jews by Josephus mentions him twice, once briefly telling the story of his crucifixion and resurrection. The second is a mention in passing when discussing the brother of Jesus delivering criminals to be stoned.

    I think it is reasonable to conclude that a Jewish spiritual leader with a name something like Jesus Christ probably existed and that not long after his death miracles are being attributed to him.

    It is also worth noting the historical context of the recent emergence of Rabbinical Judaism and the overabundance of other leaders who were claimed to be Messiahs, many of whom we also know about primarily(actually I think only) from Josephus.

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    Which is older an infant or a baby?
  • This is the correct answer. At some point paediatricians and other folks interested in child development standardised the meaning of infant as above but unless you're a paediatrician they are completely interchangeable.

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    Need to register a domain for business and get a simple website up and running in the USA - tips?
  • I have a personal website, not a business one but if all you want is to display some information and contact details etc then Hover for domain hosting and Squarespace for the website, they are easy to use and relatively cheap for a simple website that looks professional. If you want things like e-commerce or online booking you might want something else although linking to another service from a Squarespace site could work.

    I'm currently shifting to self hosting and having troubles with Hover, but for an easy to use service that doesn't require any technical knowledge it works fine. They also offer email@yourdomain.com which I use as my main personal email with no worries.

    Please don't just have a Facebook page, it becomes a real pain for non-facebook users, especially on mobile, and it makes you look like a complete amateur.

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    What is an easy instrument to learn?
  • Guitar and ukelele are relatively easy to learn and don't require reading music. Ukelele would probably be a bit easier on your joints though.

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    If you had to give one piece of advice that is pretty much universally applicable, what would it be?
  • I think we mostly agree.

    For context I'm a doctor who is constantly pushing back against profit driven motives.

    Being time constrained is an effect of capitalism but that doesn't mean that there isn't real work to be done.

    People can and should take time out to express their personalities, hopes and frustrations and bond and be together in the workplace. That said, personal communication in the workplace and professional communication are different beasts.

    Not thinking about what you're trying to say or what information you need leads to rambling tirades in person and paragraphs that could've been sentences in emails, this is not being a machine, it is wasting my time and the time of my patients(whose rambling tirades it is my pleasure to listen to😉)

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