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Meaningness's profile
David Chapman
David Chapman
David Chapman
@Meaningness

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David Chapman

@Meaningness

Better ways of thinking, feeling, and acting—around problems of meaning and meaninglessness; self and society; ethics, purpose, and value.

meaningness.com/about-my-sites
Joined September 2010

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    1. bucket of kets‏ @bucketofkets 29 Jan 2019
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      Replying to @webdevMason

      While there most certainly could exist a market for un(der)qualified doctors, I don’t think I would ever want to use them. Also seems like it would cause healthcare to inevitably become even more class stratified than it already is

      1 reply 0 retweets 0 likes
    2. Mason  💦 👏 &  🏃‍♂️ ✂️‏ @webdevMason 29 Jan 2019
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      Replying to @bucketofkets

      I genuinely do not believe that anyone needs to go to school for the better part of a decade to handle nearly any medical problem someone like me has ever had. Thinking otherwise seems absurd on its face.

      4 replies 0 retweets 17 likes
    3. Patrick McKenzie‏ @patio11 29 Jan 2019
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      Replying to @webdevMason @bucketofkets

      Pro case: You’re substantially right that all issues you’re likely to have in a year could get diagnosed and treated by an EMT at $20/hr. Con case: You demographically represent a tiny, tiny portion of healthcare spending, and the supermajority is folks whose situations need MDs

      2 replies 0 retweets 20 likes
    4. Patrick McKenzie‏ @patio11 29 Jan 2019
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      Replying to @patio11 @webdevMason @bucketofkets

      The insurance layer is a bit of risk pooling (1 of every X0k Masons hits a $100k++ issue this year), a bit of enforced savings disguised as a wealth transfer, and a heaping helping of cross-subsidy for old folks and folks with chronic conditions.

      2 replies 1 retweet 11 likes
    5. Mason  💦 👏 &  🏃‍♂️ ✂️‏ @webdevMason 29 Jan 2019
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      Replying to @patio11 @bucketofkets

      I don’t mind risk-pooling/subsidizing the unfortunate, I just wince at the $XXX-XXXX that *somebody* is paying out every time I get a minor infection or what-not. This seems very silly

      2 replies 0 retweets 11 likes
      David Chapman‏ @Meaningness 29 Jan 2019
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      Replying to @webdevMason @patio11 @bucketofkets

      “Nurse practitioners” are non-doctors who can handle all the routine stuff (at a lower price). There’s an ongoing war about how much they should be allowed to do. Smart knowledgeable people tell me that if you get a choice, on average they do a better job than PCP docs.

      7:32 PM - 29 Jan 2019
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      • Bushra Farooqui knight of cups Blair Drummond Tim Buckley Absurd and Worse Corn Woman 🌽 Tikhon Bernstam Uncarved Bitmap JJ 「cιtιƶεɳƒιvε」 🏴‍☠️
      3 replies 0 retweets 21 likes
        1. Stephen Pimentel‏ @StephenPiment 29 Jan 2019
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          Replying to @Meaningness @webdevMason and

          I have personally found nurse practitioners to be excellent, even for not entirely routine stuff. Plus, they are the first to escalate to the doctor when they judge it appropriate.

          0 replies 0 retweets 4 likes
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        1. The End Times‏ @TheAgeofShoddy 29 Jan 2019
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          Replying to @Meaningness @webdevMason and

          Fun parallel to the question of what paralegals/law clerks/legal services should be allowed to do in law, with the same underlying issue of cheap services for the public vs. the usefulness, or not, of restrictive guild rules.

          0 replies 0 retweets 1 like
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        1. JJ 「cιtιƶεɳƒιvε」  🏴‍☠️‏ @CTZN5 30 Jan 2019
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          Replying to @Meaningness @webdevMason and

          admittedly a low bar but yes

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