Where has all the empathy gone? And common sense? :(
Contrary to popular belief, I don't think common sense has gone away. It just has been deprioritized at the altar of profit. It'll be visible loud and clear the very instant if/when the lives of the assholes chasing profits was on the line.
> Contrary to popular belief, I don't think common sense has gone away. It just has been deprioritized at the altar of profit.
Or perhaps it has been left to starve due to apathy and an unrelenting pursuit to reduce the difficult job of leadership into a much simpler one based on arbitrary numeric values which are defensible to those higher in the managerial food chain.
Defensible on account of discharging their relentless duties of generating shareholder value within legal limits... i.e. profit.
The fact that it is done in a lopsided way at the expense of everything else is just sign of societal decline due to deification of money and letting the tiger of capitalism roam without boundaries.
It’s somewhat the point of democracy to maintain a limit on rent seekers’ and wealth extractors’ power on the political process. It should come as no surprise that the individuals who have grifted and extorted their way into power are also fiercely antidemocratic. The xenophobes and bigots that have hitched their wagons are equally deplorable.
but if you can't see the stark difference in pro-mega-corp policies and blatant pay-to-play corruption in the last 1.5 yrs with the previous 4 years, you're clearly not paying attention
the fact that BigCorp couldn't wait to get rid of Lina Khan, and found a willing ally in Trump, is just one tiny example
But the similarities stop there. The party platforms are in stark difference, and the GOP is now literally a cult of personality run by a mob boss. The naked corruption is off the charts.
In fact right now Trump is working to cancel or refusing to acknowledge mid-term elections and acts as if he were king.
I say this as someone who used to be a Democrat but left in disgust when Clinton remade the DNC into pro corporate puppetry. Partisan politics is a cancer on the citizenry and may very well be the end of what we call democracy in the United States.
I've tracked presidential politics since watching the Watergate hearings and what is happening today is beyond the political pale.
My pushback is that now is not the time for both-sides-ism. It needs to be addressed but most voters are poorly informed or vote their emotions and that talking point needs to go in the back pocket for later, if there is one.
I get your point, and the other one stating that Democrats are not "the left", but they are the the least worst option that a 2 party system offers.
The game is rigged, but this quote nails it:
On Undecided Voter s: "To put them in perspective, I think of being on an airplane. The flight attendant comes down the aisle with her food cart and, eventually, parks it beside my seat. “Can I inter est you in the chick en? ” she asks. “Or would you prefer the platter of shit with bits of broke n glass in it?”
To be undecided in this elect ion is to pause for a moment and then ask how the chick en is cooked.” ― David Sedaris
Actual US identity expression "issues" (visible drag queens, actually trans people, sports questions) seem to be small number small beer problems that should fall under US principles of "We let Nazi's march, so why not Furries" ?
"woke" has been a goldmine for the Right. Who needs policy when fear, panic, and anger get the voters in those booths? After all, drag queens and trans people are scary -- think of the children!
That phrase gets used a lot, I'm curious what you mean by that.
If you mean "woke", then you're probably missing the irony of how that is actually used politically. Based on the phrasing of your question, I'm guessing you might have an irony deficiency. But please go on.
Political discussion here is frowned upon because it usually devolves into partisan name calling -- which justifies it not being tolerated.
But if you want to discuss policy or "hacking society", please do. I am of no political party and am more than happy to acknowledge the foibles of those I might associate with, as well as any of my own because everybody makes mistakes, no?
I ask because as an outsider I overwhelmingly see US identity politics issues being raised by the new "Republicans" and to a lesser degree by the old Republicans.
> if you materially make peoples lives better they will vote for you.
This doesn't explain the last election in the slightest unless relaxed to "if you pinky promise to materially make peoples lives better..."
The idea that there are any significant number of people out there deliberately hurting themselves for hate's sake is a complete myth. People reach for it because it feels good to imagine that your opponents are hate-warped idiots, but there is not a shred of evidence to support such a claim. When you actually talk to people (and not just assume you know what's in their heads), you find out that they, like you, are just trying to do good in an imperfect world.
Of course nobody's going to vote for a candidate who doesn't promise what they want. But if the promises are lies and never honored, and instead the winner does things that leads to making things worse for them, they have effectively voted against their own interests.
Very little of what Trump promised was related to the common voter's best interests:
* lowering prices and inflation
* ending the war in Ukraine (in one day, to boot!)
* "fix" US trade
Most of the other stuff was ideological red meat, much of which he actually has done, but I'd argue that it wasn't in the interest of the common person in the end (tariffs fucked up US manufacturing and businesses, and in the end was revoked because it was illegal).
Meanwhile, he started a new war with no clear way out, has ballooned the national debt, destroyed the US's relationships with our allies (likely permanently), etc. In the interest of brevity I'm just putting some relevant nuggets, but the list is quite long.
If you look at his promises and platforms, a majority of it was a revenge and hate spree, and the hunger for that hate was actively indoctrinated into his base.
If you read through any of the DNC talking points of any given campaign, you're not going to see much on social issues until you maybe get to Kennedy. It's just not really something that's a pressing issue for a presidential run.
And honestly, I can't think of any social policies in the last 50 years that was seriously pushed by a sitting president. They at best pay lip service by painting a rainbow on some building, often years after the actual legal and legislative battles were won.
----
Now, to directly answer your question: I'd rather not rely on deplorables to vote progressive. the nature of how they approach life simply won't allow that, even if they are otherwise in full agreement with every point. We need to energize the entire 3rd of the country that took one of the most important elections in the past 60 years and simply shrugged, staying home. We need to give them someone who will fight for them.
Of course, and that line of reasoning has consistently failed at the polls since it was deployed as a readguard attempt to bolster Clinton's failed presidential campaign. Like, how many times does the DNC have to stick a fork in this particular outlet before it becomes transparent that this line of rhetoric simply doesn't produce the desired results?
Not only is it absolutely time, it is well and truly past time to underline the functionally identical economic policies of both parties, how the economic turmoil this causes drives identity politics and political division in this country, with a clear eye towards bringing an end to all of that through any means available.
A two party system is a rigged game. Period.
The Democratic party absolutely needs to be taken to task and none of their bullshit should be tolerated or defended, ever, except one small exception: election day, in the general election -- because we can't fix the government if it's no longer a democracy.
We are in violent agreement in all but this: I refuse to reward the Democratic party for putting a gun to my head. If they as a political organization are willing to literally risk our democracy when the alternative is assembling reforms that clearly address the imbalances in our society then we can all burn together because I refuse to continue to reward their brinksmanship.
I want to point out that there were enough viable voters for Harris to win (but I am in the camp that believes there was actual election fraud done by Trump supporters).
The anger at blessing Harris without a proper primary, the genocide in Gaza, and the "everything's fine in the economy because the market is doing great!" -- none of that should be tolerated, and I recognize the anger leading to not voting for her because of that.
But by not voting in that unpalatable compromise we have an administration that is as evil, corrupt, and anti-democratic as could be. It's not clear if we can ever wrest control again. I'm frankly terrified.
We have to be strategic in our opposition, but that involves all of us reading from the same script -- a power that the Right excels at and the Left seems incapable of doing.
Case in point: "wokeness". It's been artfully weaponized by the Right and is the Achilles heel of the Left. It's the GOP's golden ticket to victory.
One of the superpowers of "wokeness" is that it's definition is never acknowledged on the Right other than "shrill libruls trying to boss everyone around and make everybody transgender and gay". That vagueness is intentional. To the Right it's an opaque blob of hate that requires no thought, no reason, other than "I hate that shit".
As "woke" was really about becoming aware of the institutionalized racism of the US I would call myself "fully woke" in that regard. But as it's more of a amorphous entity now I'd call it "human decency".
That said, I believe the Dems need to bail on "woke" and follow the model of the Tea Party, where a subgroup can espouse the more "extreme" stuff, and the main party can say "oh those silly people, that's not us, we're the serious party of populist economics and foreign policy"; then once that is framed in the public's eye, to go "oops, the extremists made me do this".
Politics means 2 distinctly different things: tending to the rules of governance, and tribal warfare. It's the latter that makes people hate talking about it.
This is all a game, a very important game, and a very strategic game. The rules used to be more clear but now its Calvinball.
Our only viable choice is to play the game the best we can, and recognize and act on what will help us "win".
Disclaimer: while I shit on the GOP, I recognize the value of "conservatism" and would love to see a GOP that existed to be the check and balance of any follies that the Dems enage in. If we're stuck with a two-party system, that would be our best bet for the country to survive, let alone succeed.
There is nothing sweeter to the oligarch constitunecy than the idiots who can't see shades of grey.
But the real crime is that the left never exploited that. If I was in charge, I’d have mountains of draft legislation vetted, proofread, run by every lawmaker, and printed out years before any potential majority just in case it ever came about. Whoever was in charge of the DNC in 2009 should feel ashamed of letting a generational advantage largely go to waste.
Fillibuster is a senate procedure rule. That's about the weakest a thing could be. At any point Democrats could have gotten rid of the filibuster with a 51 majority.
Democrats would much rather let congress do nothing than do something. It's hurt their reputation so much.
I like the idea of the filibuster, but like most things it degraded from a way to force the stand to consider your ideas at all costs, to a blatant stalling tactic, to a lazy button to push against anything you disagree with. I'd rather throw it out these days than keep it, but ideally we'd completely revamp it to close such obvious loopholes and bring back some skin in the game.
development of power can be based on all sorts of things, it depends on the framework.
a nurse who is utterly incompetent will be fired quickly.
after a certain threshold though, obviously, competition won't be about 'ability' so much - but there are baseline ability and professionalism thresholds.
Most of the replies are large pop subReddit level junk.
You can't rely on asking the customer. When they're upset (they often are in these calls), they'll lean towards the negative regardless.
I don't know how well these AIs evaluate, but if they're even a little bit good, it makes sense to use it to screen for outliers, then have a human listen to those outliers and judge.
Patient or customer? I even struggle with that, but I guess that’s what people are in a privatised healthcare system.
I definitely want to be a customer.
If you outsource that work to customers/patients, you'll end up with the car dealership model, where the sales rep begs you to give a 10 on every single question including on the interior design so they don't get fired.
That's the part most of this discussion misses. Supervisors exist for a reason. Congrats on your flat org structure, you fucked up an important feedback channel.
Oh yes, and the nurses did employ strategies like that pre-LLM (don't know if they still do). They had to be very strategic about it (you can't just say "Rate me a 10.")
Repeated unprofessional behavior with no discernible change after trying to address it. My take is that the Kaiser nursing org has a serious discipline and customer (patient) focus problem.
The necessity of teaching nurses that doctors orders are not sacrosanct comes from the bitter experience of doctors giving orders that are wrong.
Asking for clarification is great, but doctors can be very reluctant to hear. The bottom line is that the nurse must not do certain things and the certification exam is there to make sure they know it.
Think of it in relation to the “anybody can stop the assembly line” part of quality control.
You can ask the customer enough times that unreasonable customers or surveys are averaged out.
A good question might be "why are you upset?"
A significant fraction of the calls they answer are patients shouting at them because of:
- Long wait times
- They don't like their doctor
- They don't like the advice they're given (sorry, but we're not going to book you as a high priority appointment if all you can tell me is you have a headache. Sorry, we're not going to prescribe a narcotic for a scraped knee.)
- Several reasons that have nothing to do with the nurse, but the customer will still blame the nurse.
I'd guess most people have had a situation where there's a corporate problem, the support person you talk to literally doesn't have the tools or the agency to fix it, but then you're asked to rate their performance on whether or not they solved the issue, with no option to say "Actually they did their best but this isn't their fault."
In this case, the lack of such an option is obviously a flaw in the assessment system.
How to fix that? Major political issue, I suppose.
I suppose it is political because these companies rarely want accurate assessment of their labor to begin with. They want any justification needed to lay anyone off at any time while minimizing legal liability.
Can’t believe nobody noticed this was a joke
How would you want yours rated? By someone you have communicated with, or some data centre somewhere?
I suppose you could do that with the survey as well. It'd be an interesting study to see which is more reliable.
By a knowledgeable/skilled person who listens to the call. (Which the AI solution provides).
Can you point me to the information you evidently have about which models Kaiser is using? All I can find is that they're using innovaccer, which can use any of anthropic, openai, and meta models on AWS or azure. Even their published papers don't seem to specify a particular model or capability level, just "AI". For all we know it's a gpt mini or similarly cost-effective model that has the context awareness of a Labrador hearing the word "walk".We don't know, so let's not pre-judge.
Are you saying that the AI is the same as a knowledgable/skilled person?
Sorry, I parsed this as claiming ‘the AI solution provides a quality of results the same as a human.’
Are you actually saying that the AI solution should provide a human with the calls it identifies as needing a human review?
Hospital systems are incentivized to avoid the real problems with healthcare. People want timeliness and they want quality care which hospital systems are not incentivized towards in the US. The incentives are profit, which given budgets means corners cut.
Triaging is an opaque system to the patient. It's an important process to doll out finite resources but it also very frustrating to be told, "soon" when you've been waiting 15 hours to see someone. Frankly, if I were King for a day, the first thing I would do is break up the monolithic hospital systems and build out more urgent care.
I would also try to find a way to facilitate transferring less critical patients from ERs to urgent care centers. Right now a hospital won't take the risk, especially if you are sitting in waiting room because beds are full. You can't easily punt a patient because them leaving would be against medical advice.
Get the doctor to assess the nurse. Or the head nurses if you don't trust doctors. The nurses have managers, and if none of the doctors or head nurses can be trusted with a simple matter like assessing whether nurses are doing their jobs then you got bigger issues.
Oh no, the boss might play favourites if it's not an objective measure! Oh the injustice /s
But stupid rules or KPI also allow favourites. You can use an officious 30 point checklist and play favourites while ticking boxes. You can even rig "objective" data by controlling other factors (e.g. giving someone difficult customers do deal with).
Yeah, data driven would be nice, if you have good data. But data driven is a power tool. You don't measure SLOC or reward token use in software because of perverse incentives.
But evaluating tone and empathy? Great, now every nurse is gonna be wasting their time and energy making sure to recite the best canned, optimized text-adventure incantations for the KPI every time they enter the room instead of using their brains to see what the patient actually needs.
"Hello Mr. Smith our patients are our top priority at Kaiser and your nursing staff here at Kaiser Raccoon City are here to make sure you are cared for, comfortable, and safe. If you have any concerns or are feeling anxiety be sure to press the nurse button and we will be happy to assist you, we appreciate the trust you place in us and are eager to celebrate your recovery with you." < nurse now realizes Mr. Smith has been choking and losing consciousness while she was reciting that spiel >
Definitely don't do this. I know doctors. I know nurses. Plenty of doctors view nurses as their slaves.
And besides, doctors aren't qualified. These are different roles.
It’s not even been five years of AI, and we’ve already arrived at the point where the human is wrong and the AI is right.
Mind you this is in an area where the benchmark is the opinion of the human ! So if the customer is saying you’ve shown enough empathy but AI says you haven’t, then you take opinion of the AI?
Soon we’re going to have a situation where the patient is breathing, but the AI says he’s dead.