• 1 Post
  • 473 Comments
Joined 1 year ago
cake
Cake day: June 1st, 2023

help-circle


  • If you count cars: A Skoda Octavia PHEV.

    I love Skoda. I love the Octavia. It was my fourth Octavia and I already ordered two more for my staff. PHEV would have been ideal for our use case.

    Well,things didn’t go as planned.

    The whole car was bugged with software and hardware problems from day one - controll units randomly crapping out, when my dealer wanted to replace them he often had to get 5 units because four would be DOA and the one that worked kicked the bucket before I left his premises. Highlights:

    • A steering wheel coming loose (only slightly,but still)
    • The main display that shows your speed,etc. randomly shutting down. (Especially nice as I live close to Switzerland with their exorbitant speeding tickets)
    • Randomly playing a screeching sound at full volume (especially nice at 3am or when on a highway)
    • Randomly shutting of AC, some motor controls , etc.

    It took 12 months for VW to take that steaming pile back, and only we sued them (Shortly before the hearing).

    Second place goes to LG which sold me a OLED TV for 2k that randomly showed faulty pixel lines exactly 3 years and 3 days after I bought it (so it’s out of the extended warranty programs as well). And when asked for a quote for the repair they had the audacity to ask for almost the new price for the TV back then, aka 150% of the current market value - without even looking at it first. Good way to make sure that I never buy LG anymore.




  • At least Mayo has decent healthcare most of the time, that’s at least what I hear from my colleagues. The elephant in the room in the US is not only the affordability and access, sadly it’s also very often the quality.

    As someone who has changed roles from an actual healthcare provider to a healthcare economist/manager in international health(amongst others)I am often appalled by the qualify some US facilities provide - while others offer astonishing levels of care. And often the former are the more expensive ones.



  • Both.

    The US never had a comprehensive EMS system as it was never seen as an essential service, both because EMS is expensive to run (especially in the healthcare/insurance/taxation environment the US has) and because there was significant lobbying against it (there is money in EMS on a large scale if you operate it in a very cut-throat way).

    But the recent downturn in healthcare availability and county-tax-income in rural regions and the dwindling volunteer numbers and enshitification of medicine have all done their part in making the whole situation so much worse.

    There is actually a good study showing “ambulance deserts”. (Just as a reminder: That does not mean that no Advanced life support provider comes…it means that no Ambulance is available at all. So not even one staffed by an EMT-B and an emergency medical responder. And we’re not talking about "what happens if we need two ambulances at the same time)


  • A EMT is in no way qualified to handle emergencies on their own (and yes,I know their curriculum very well). And no, the majority of ambulances are not paramedic-staffed in the US - Actually only 25% of all licenced providers are Paramedics and there are large areas which have only BLS available in a reasonable timeframe. Or no EMS at all, as ambulance services are NOT an essential service in most states. (Only 11 States see it differently).

    So no, not even remotely “most ambulances” are paramedic staffed. Mathematically impossible.

    Besides: The shortest current timeframe in the US for paramedic training is 6 months.

    That is incredibly short in international comparisons, especially when one does compare it to the skills allowed with it.

    Comparison: Australia: 3 year bachelor degree to even make it on a Emergency ambulance (not counting very rural WA&NT), a master degree for the more serious skills.

    Germany: 3 Year apprenticeship to be in command in the ALS ambulance, but emergency physicians are tasked to more serious cases

    Switzerland: 3 year degree, emergency physicians being somewhat common, though, often additional nursing and critcare degree required for more serious cases.

    Hungary: 2 Year EMT course for EMT, 4 year Bachelor for Paramedic

    Poland: 3year Bachelor as minimum.

    South Africa: 1year minimum for the entry, 2 year’s for most jobs, 4 years for paramedic.








  • philpo@feddit.detoScience Memes@mander.xyzElsevier
    link
    fedilink
    English
    arrow-up
    2
    ·
    8 days ago

    Well, we could assign the reviewers more “significance” here. We could give them points and if they “upvote” a paper it gives the paper a bit more visibility/reputation. If the reviewer has actually reviewed the paper it gives the paper more points.

    How much a reviewer is able to “spend” could be based on the reputation of the institution, their own papers in the same field and the points they get for their reviews by other users.

    Just a raw idea,but it seems possible, indeed.



  • philpo@feddit.detoSelfhosted@lemmy.worldTwo definitions of self hosted
    link
    fedilink
    English
    arrow-up
    8
    arrow-down
    1
    ·
    9 days ago

    You forgot the “basement dwelling gatekeepers”, there are the ones whose minds never left their parents basement and whose social skills aka lack thereof is evident in their gatekeeping.

    Their way is the only correct way and Linus has actually no idea how to run Linux, hardware manufacturers don’t know anything about their products, anyone using not their service of choice is automatically an idiot and if you don’t know how to compile xyz yourself by using a self taught technique you really should get off the internet right now.

    Often their advice is inefficient, sometimes it’s outdated and some even blatantly lie (had one boast in a discord that he has a myriad of secret user accounts where he intentionally gives bad advice to a FOSS product he hates).

    Some also intentionally make whatever the goal is appear much harder in an effort to look smarter (that behaviour is often found in the professional world as well*)

    They are the cancerous sore of FOSS and social media,imho.

    PS: Anecdote: I work in healthcare,not IT originally. Everything I know is self taught, therefore. Started a new consulting gig and one of these guys, very much a “IT gatekeeper” always made the company he worked for think it takes a massive effort to install a certain product. Which made everyone’s life much harder because yes,he did install it, but he manually compiled it which took him weeks at a time, while his other work piled up. So they tried not to use this essential product whenever possible and worked their way around it.

    I came there, saw that I needed said product and had it installed within 20min. The CEO sat right next to me and was stunned. “You prepared that, right?” “Uhm,no? You can just download and install it like this?”

    IT-Gatekeeper was asked to join the meeting asap and told to explain why they need so long. His only excuse was “I need to review all the code” - which he did diligently, but he always reviewed ALL the code not only changes, according to his notes.

    I made the mistake of saying to myself a bit to loud “but if you compile that stuff yourself then you are liable if it breaks,if you use the advised packages from the manufacturer they are”(medical device law can be interesting). IT-Gatekeeper exploded and screamed at me how I have no idea how IT works,etc.

    He was let go shortly after that.