All of Wbrom's Comments + Replies

Wbrom7828
  1. VCs are already doing this. They have offered to buy both the oral surgery practice and the dental practice I use in town.

  2. The care they provide turns worse and worse because the model you envision turns a professional (someone who should have a fiduciary responsibility to the patient's best interest above their own) into an employee of a non-professional corporation. All of the pre-and postoperative care that you envision being done by less highly paid individuals in order to free up the surgeon to "generate profit" gets done cheaply and more slapdash

... (read more)
6GeneSmith
This is interesting, thanks for sharing. I asked my friend about your other concerns regarding enshittification of the dental industry. If you're interested, this was their response: Patients tend to do better with DSOs. There’s a number of reasons: 1. The first is doctor supervision—when doctors have their own offices, no one checks their work or holds them accountable. In a corporate setting, there is typically a clinical director that the doctors will report to. 2. The second issue is that the worst case is actually the doctor being the owner—that’s when they have the strongest financial incentive to do bullshit. The more the doctor is removed from being the owner, the less I think their judgement is influenced. Now in nearly all DSOs and private practices, revenue is the chief KPI for doctors. So the pressure is there still to a degree. With us, revenue is not a KPI—we don’t ever tell the doctors how much they produce And so we remove the financial biasing of their diagnosis and treatment. But we are unique in this—definitely an outlier in how much we are trying to have the doctors be unbiased by the finances. What’s also ironic about some of the replies is that our lobby goals are to actually get real regulation put into place so patients are protected from doctors doing whatever to maximize revenue But these somewhat personal ideals and goals being acted out—that do run counter to the pure capitalist logic
2RamblinDash
Those kinds of VC-run business can also often have other problems. For example, Aspen Dental was sued for deceptive marketing.
5RHollerith
Investors have offered to buy both, but why do you believe those investors were VCs? It seem very unlikely to me that they were.
Wbrom1818

I think you are vastly overestimating the 2001-2010 internet's ability to preserve and catalog evidence.

Wbrom3218

I would like to add a small element of purely anecdotal evidence to this debate as an avid follower of the "warblogs" and discussions at the time which is slightly different from the "he was pro torture before he was against it" take in your post. My general understanding is that Hitchens was always against "torture" (disagree with Nance's take on this) but there was both a legal and moral debate about water boarding qualifying as torture. For example see this NPR story from 2014: https://www.npr.org/2014/01/07/260155065/cia-lawyer-waterboarding-wasnt-tort... (read more)

1alexey
Was this post significantly edited? Because this seems to be exactly the take in the post from the start: to the end

This matches my memory as well.

Wbrom94

It's articles like these that make it clear that trying to extend rationalism to every aspect of the human condition is doomed to fail, and not only to fail, but to make anybody who makes the attempt seem like an alien to normal people.

There are people who have been Talking about the different types of love and what love actually means thousands of years. The Greeks talked about the difference between Eros and Agape. Today on poly forms, you can see people talking about all the different types of love they have for their partners throwing around words like... (read more)

4SpectrumDT
As far as I can tell, a lot of romantic relationships are highly dysfunctional, and it is widely agreed that good communication is vital in a relationship. Given that, I think a lot of people would benefit from thinking more clearly about what love is supposed to be and what they expect from it. If you mean "most people and situations don't need more clarity than that for human relationships to procreate", then I agree. But I think we can aim higher than that.
Wbrom2-1

The FDA does not provide good guidance on what treatments should be applied in what situations. They approve drugs for a limited set of uses and that's it. Most drugs are applied "off label" which the FDA rules that drug companies specifically cannot comment on -- so not only does the FDA not provide guidance on the most common use for most medications, they actually prevent that guidance from being provided.

1Ponder Stibbons
My understanding is that off-label often means that the potential patient is not within the bounds of the clique of patients included in the approved clinical trials. We don’t usually perform clinical trials on children or pregnant women, for instance.  Alternatively, strong scientific evidence is found that a drug works on a related disease to the actual target. It may well make sense to use drugs off label where the clinician can be comfortable that the benefits out-way the possible harms. In other cases, of course, it would be extremely poor medicine. In any case, having statistically significant and validated evidence that a drug actual does something useful, is non-negotiable IMO.
4jmh
One reason the company might not be allowed to comment on is that they lack the knowledge in that space so would only be marketing from a basis of ignorance. However, the FDA does not prevent such guidance as a quick look at sited like WebMD or PDR will generally include information on off label use.
Wbrom-40

You mean the Theranos that is specifically regulated by CLIAA and Medicare which did nothing to stop them until they actually destroyed people's lives?

Wbrom-42

Or you can buy UL listed ones that work. The UL is a private organization. Which again goes to prove his point.

2CronoDAS
Well yeah, but some people just put a fake label on their product and call it a day. UL can't stop outright fraud.
Wbrom71

Why are you nervous to predict the drug doesn't work? Your take seems reasonable and opinion isn't liable so?

Just going off a hunch, mostly the asymmetry of risk and award?:

Award: Spread the gospel of probabilistic truth, personal intellectual growth potentially

Risk: retaliation (especially if the author is in the field), harassment, threats, law suits, wait… just more kinda of retaliation really. And potentially been seen as some one against the field of anti-aging despite an attempt at doing good science.

Wbrom27

Because you can't make money off of it (by definition) so no-one wants to work hard enough on it to make it work. Sort of like communism itself.

Wbrom107

There is a difference between normal language evolution and forced changes as a tactic in the post-modern power struggle game. These are usually signaled by the fact they are strongly advocated by a small minority of activists, often not even of the group affected. They are at best generally used to signal allegiance to a certain in-group and "other" less enlightened people. Examples are the term "Latinx" which most Hispanic people dislike. Attempts to rename the homeless a "unhoused" or "people experiencing homelessness" are also noted.

3[deactivated]
My contention is that this model of the process is basically just wrong for the examples of minority group labels that have actually caught on.
1[deactivated]
This doesn't apply to more central cases like "gay" and "Black".
Wbrom90

Hi there. I'm confused about the units you are using through the post. You start using milliliters (mL) as a unit when referring to the KCl salt that you were putting on your food. Was it a liquid supplement? If not did you mean milligrams? How did you measure?

Do you have an estimate of the total milligrams or milliequivalents per day?

Thanks for the post!

1CuoreDiVetro
You are right that KCl should be measured by weight if you want to do it properly. But I used measuring spoons to measure it, not a scale which would have been a lot more tedious. Thus I really mean 2 mililiters which was roughly 3.2g of KCl (at least with my crystals) which corresponds to roughly 1600 mg of K.  For comparison, my typical potato meal was 500g of potatoes which corresponds to 2700 mg of K.
Wbrom76

I am a physician trained in bariatric surgery but do not do it as part of my practice. That being said, on a population level and until the recent introduction of the GLP drugs bariatric surgery is the only thing that actually results in long-term weight loss for morbidly obese people. It does, however, have significant risk of early and late complications and vastly changes behavior, which some people find it hard to deal with. Early complications include leak with about a 2% risk, death with about 1/500 or so, and various and sundry other minor complicat... (read more)

Wbrom0-1

About 80% of this could (and was) said about the development of the printing press. Smart people trying to ban new technology because it might be bad for the proles is a deeply held tradition.

4Martin Randall
Are you referring to the concerns of Conrad Gessner? From Why Did First Printed Books Scare Ancient Scholars In Europe?: If so, I don't understand the parallel you are trying to draw. Prior to the printing press, elites had access to 100s of books, and the average person had access to none. Whereas prior to AI romantic partners, elites and "proles" both have access to human romantic partners at similar levels. Also, I don't think Gessner was arguing that the book surplus would reduce the human relationship participation rate and thus the fertility rate. If you're referring to other "smart people" of the time, who are they? Perhaps a better analogy would be with romance novels? I understand that concerns about romance novels impacting romantic relationships arose during the 18th and 19th centuries, much later. Aside: I was unable to find a readable copy of Conrad Gessner's argument - apparently from the preface of the Bibliotheca Universalis - so I am basing my understanding of his argument on various other sources.
7Roman Leventov
Sorry, but this is empty rhetoric and a failure to engage with the post on the object level. How did the printing press jeopardise the reproduction of people in society? And not indirectly, through a long causal chain (such as, without the printing press, we wouldn't have the computer, without the computer we wouldn't have the internet, without the internet we wouldn't have online dating and porn and AI partners, etc.), but directly? Whereas AI partners will reduce the total fertility rate directly. The implication of your comment is that technology couldn't be "bad" (for people, society, or any other subject), which is absurd. Technology is not ethics-neutral and could be "bad".
Wbrom10

This sounds like a more serious take on “Meditation for Fidgety Skeptics” which I really enjoyed.

Wbrom20

I generally agree with the above post however I disagree that ending the CDC addiction moratorium was political in any way. It takes forever to get a case on a federal docket. As soon as the rule got to court it was struck down.

Answer by Wbrom30

Once the hypothetical girlfriend has been on antibiotics for 24-48 hrs she is no longer contagious and to be extra careful the imaginary boyfriend could pop one of her antibiotics an hour before snogging.

Wbrom80

It is implied in some of the things you said but to be explicit, always have your own video and audio recording of any interview.

Wbrom220

It sounds like they found the room design pretty but not useful. Optimization problem.

1micchr
I was surprised, that my brainstorming could have actually been tried before, so I looked into the paper, but I could only find that they used different instruments and added noise. Clearly, 1000ms of noise is not much. I think I could remember a note after hearing 1000ms of noise. Nonetheless, if volunteers with a limited amount of time and motivation can show an improvement, somebody with dedication and lots of time, can learn it too. I heard an anecdote of an old punk band lead singer who claimed, that after 30 years of playing, he finally learned absolute pitch. But that wasn't the question. The question is, how to make learning more efficient.
Wbrom20

Have no information or opinion on the main issue. However in regards to the question about the community, As someone who got into the community late and alone I will tell you that yes, LW is exactly like that.

Wbrom340

Your premise that “permanent death is the only brain state that can't be reversed, given sufficient tech and time” is absolutely without basis. A technology that could reverse “a million years of terrible pain” is indistinguishable from magic and therefore assuming it could resurrect people (or at least their minds) is at least as plausible.

5RomanS
I think it's useful to distinguish between 2 types of death: 1. common death (i.e. clinical death) 2. permadeath (also known as information-theoretic death) The first one is reversible, if some advanced enough tech is applied. The second one is non-reversible (by definition), regardless of any future technological progress.  If a million years of terrible pain permanently destroy human mind, then it is counted as a permadeath. Thus, if some action results in 1 saved life and 2 such tortures, then we must avoid such action, as the action results in 1 net life loss.  On the other hand, if a million years is not enough to permanently destroy human mind, then the action is better than non-action, as it results in 1 saved life (and 2 damaged minds which can be repaired). There might be technologies that could repair a heavily damaged mind but can't repair a mind that is thoroughly erased from this universe.