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Comment: Re:One small post for man (Score 1) 173

by charyou-tree (#45645333) Attached to: How China Will Get To the Moon Before a Google Lunar XPrize Winner

4 decades ago the US landed a man on the moon. They couldn't do that today - heck we couldn't even get a man into low earth orbit today. So being 4 decades behind the US space program doesn't sound like a bad thing.

The US could put a man on the moon fairly easily, and soon.

We just choose not to, because it's expensive, and as a nation we've judged that there's no point in going there for an afternoon of tourism. Especially considering our reduced tolerance for the risk of a blow'd up spacecraft and messily killed astronauts, risks that were easily accepted in the 1960s.

China's still in the "tourism is a useful learning experience" stage with expendable human cargo.

I know it's Slashdot-fashionable to downplay US abilities and stature in the world, but don't conflate the different goals and attitudes into a statement on capability.

Comment: Re:hemoglobin test (Score 1) 282

by charyou-tree (#45476533) Attached to: Affordable Blood Work In Four Hours Coming To Pharmacies
Uh, they have a licensed pharmacist right there to analyze the results, in the rest of the world a pharmacist can basically do everything an NP can do because they have to know medicine and pharmacology to do their job.

As a physician, every time I read something like this, I think ... when the day comes that people get their "free" and "efficient" healthcare from the "friendly" and "responsive" NPs and other midlevels who "spend more time with me" and "empathize", they are going to get exactly what they deserve.

Kind of like that old saw about people getting the government they deserve. You're going to get the health care you deserve. The notion of a pharmacist making a diagnosis of anything based on blood work is just so far out into the realm of absurd that it all I can do is shake my head.

Consider the possibilty that you don't know what you don't know.

Comment: Re:Wow. (Score 1) 333

by charyou-tree (#45272763) Attached to: How Kentucky Built the Country's Best ACA Exchange
Medical specialty board certification doesn't work that way.

It is not (NOT!) required to practice medicine.

State licensure and credentialing by each facility is required to practice medicine.

Board certification for many specialties is not even possible until the physician is 2 or 3 years out of residency training. Of course they are working and practicing in the specialty during that time. These physicians are usually referred to as "board eligible" because they're in the examination process.

There are many phsyicians in all specialties who are not "certified" by their respective specialty boards. They may have been unable to pass the exams. They may have never bothered to take the exams. They may have been certified previously, but chosen not to pay the high fees and jump through the hoops (many of which are silly) to recertify. They can still practice medicine. There is something of a growing stigma to not being board certified, but it isn't unheard of.

Full disclosure: I'm a physician, certified by my specialty board. I value board certification and think it means something when it comes to the competence of a physician. But it's not the end all, be all.

My specialty's board can be an expensive pain in the ass. More than once I've wished I could just give them the finger and get certified by a competing organization ... but there is no competing organization.

Comment: Re:Thank goodness (Score 1) 999

by charyou-tree (#45156155) Attached to: US Government Shutdown Ends

It continues to astonish me to hear (presumably) smart people parrot this damn lie of statistics.

"The US has worse infant mortality than Cuba" and variations of that theme.

Never mind that a premature infant that dies within 24 hours in Cuba is marked in the "stillbirth" column. Never mind that a 25 week preemie who dies despite extraordinary NICU care in a US hospital is marked in the "infant death" column.

Yeah, our "infant mortality" is worse - because we count them as infants and not stillbirths!

Never mind reality. Never mind facts. Let's just parrot the same statistical LIE that advances whatever argument you emotionally favor.

Squaaawk! Infant mortality! Ssquaaak! Cuba! Squaaaaaaaaawk!

One of the most overlooked advantages to computers is... If they do foul up, there's no law against whacking them around a little. -- Joe Martin