firstplacelast

Check out the comments over on /r/medicine and you will likely be horrified. It is career over everything. There was even a thread this week about how you should NEVER correct someone above you (med students should never correct a resident and a resident should never correct an attending).

That mentality is terrible for everyone and every thing, except the physicians' careers.

I don't know if we need to select for better people when admitting them to medical school or if the culture is just completely fucked.

Everyone is paid based on supply/demand or rather how much leverage they have.

It would take a team of scientists and analysts to properly measure how much value each employee creates (and even then, probably wouldn’t be 100% accurate).

If you can’t even measure how much each employee’s contributions are “worth” to the final product, how the hell are you supposed to pay people based on those metrics?

The answer is, you don’t.

So if you want to get paid more, don’t worry about creating more value, worry about increasing your leverage. Form a union or guild, learn a skill very few people have, form close relationships with your customers, etc.

That's probably because the rest of the job posting doesn't sound that difficult.

And you may even say you want "rock stars", completely forgetting that actual rock stars don't need 5 years of experience to do an exemplary job with a new tech stack.

Most job postings are complete BS, cut through that and the quality of candidates will likely improve.

It's all 3.

>but more importantly because they're willing and able to become experts in the things you need to be an expert in in order to be an effective lawmaker.

Did you not watch the latest Zuckerberg deposition? Most of our officials do not care about becoming experts in anything. They're old, tired, and ignorant and they are mostly concerned with maintaining power, not learning new material.

I agree it's terrible, people should really look out for these multi-billion dollar companies more.

That’s because business in America allow everyone to fail upwards after you hit a certain echelon.

There’s no accountability and it’s about protecting everyone in that class at the expense of all other employees and consumers.

Yay, America!!

Wouldn't hiring people with integrity mean hiring executives that write memos that they actually agree with ?

>Bosworth distanced himself from the memo, saying in a Twitter post that he hadn’t agreed with those words even when he wrote them.

That is scary as shit. That they think the leaker is the one without integrity and not the executive team.

What terrible people.

Doesn't this already happen online? Websites can figure out you're on a Mac or in certain zip codes, etc, and some of them alter pricing depending on that metadata.

I don't know how you could bring that into the physical world successfully. But I always thought it would be cool if gas prices changed depending on the type of car you drove up in. Or if ATM fees changed based on how much money you have in your account.

It's basically the reverse of gouging people with low credit scores.

Is this where coastal elites in one of the most privileged professions of the 21st century declare that there is no problem with American inequality and lack of opportunity?

Also gay, I think it is much more to do with our "delayed adolescence" and childless-ness. Or at least in the US that's what I see. The older I get, the more blessed I feel to be gay. I can move to any medium to large sized city tomorrow and probably find tons of guys in my age range that are looking for friends and shared-activity partners.

I have many child-free gay friends in their late 30's-50's and their social lives are often 5x those of their straight counterparts.

Fraternity hazing was originally and still is intended to do this (though it is sometimes taken out of hand), force bonding in an expedited process through shared misery. A lot of the tools were derived from boot-camp and military training, where I believe there is some of that intention, as well.

That's like saying physicians have a responsibility to not care about money.

If the money was in "preventing infant deaths" then physicians would specialize in it. But when you have a huge supply of people willing to spend hundreds of thousands on fertility, lots of docs will respond to the market.

I get your point, it would be nice. It would also be nice if everyone working at facebook and snapchat would work on making our healthcare system more efficient. But money talks...

In my experience, the CxO's would likely chuckle if they found out (AND all your actual work is being done 100%). Middle management would likely not be very happy.

I used to spend at least half my day wandering around our campus because I could get everything done in 2 hours and would typically do another 2 hours because that would double my output. I couldn't get a 400% raise and I was satisfied with the amount of work I did, management wouldn't fire me because I was providing them with an awesome deal, etc.

I didn't tell them I did not work half the day. There's a lot of unspoken bullshit in the corporate would, normally it works against employees and I think it's okay for it to work for you sometimes, too.

Wait...except the decrease in care when transferring a patient to a new doctor is the EXACT reason health care professionals say we can't put a cap on working hours and introduce more doctors to help with the work-load.

They always says it hurts the patient's care. I think there is some truth to both sides, but we'll probably never know. Too many people are making out like bandits in the current health care system.

Why can't all the employees just walk out and start a new business that directly competes? Cut out the founders completely.

>industry stuffed with the finest minds

LOL. I worked in pharma/oncology. There are a lot of very smart people, but no risk takers and the smartest people I was schooled with do not work in life sciences research. Research, and by extension pharma, does NOT pay very well compared to most industries. If you are literally 'brilliant' it is a really terrible ROI for you. Additionally, if you are of the type that likes to take moonshots and think outside the box, pharma is not for you (though research in some other areas may be more fitting).

For some reason, every other industry talks about how they need to pay well to attract the best talent. Biotech/pharma/life science researchers talk about how terrible someone must be as a researcher if they care at all about money. It's quite frankly, disgusting.

I had felt the same for the past 10 years (wow!). But the past year I have been thinking about unsubscribing because I end up with so much knock off crap that breaks OR the item I order gets delayed for a month before the seller cancels the order (bc the item was likely stuck in China - yet the shipping estimate was originally 2days).

Anyway, have been debating cancelling the last several months and this headline was the impetus I needed.

Sister is a travel nurse. She does not prepare for interviews and typically has several a year. Her entire interview process goes: call the agency and tell them she is looking for a new position, have one to several 30-45minute phone calls with hiring managers at the hospitals she is interested in (she actually took one once in the middle of a wine tasting - and got the job), then wait to hear back.

That's what it's like for many other in-demand and well paying industries (she's mid-20's and makes low six figures in San Jose). Stop pretending like everyone else has to deal with the same bullshit as you, hiring in tech is BROKEN. Other industries do it better.

People's lives are dependent on how well she does her job. Are the hoops you have to jump through justifiable for how "important" your job is?

Would be interesting to look at this through the lens of 1 vs. 2 working adults in a household.

I grew up solidly middle class and we never went out to eat besides occasional fast food if we were on a roadtrip, I wasn't even allowed to purchase school lunches. However, I had a stay at home mom that cooked everything!

Now, that I am an adult none of my friends that I would call "middle class" have a spouse that stays at home. Only those families that are very well-off have 1 adult that doesn't have to work and they tend to be rich enough that cooking most meals vs. going out doesn't matter much for them.

I think this is a case where "middle class" can mean a million different things. I don't think someone is colloquially middle class if they can't afford the crappiest house within 2 hours of their office (slight exceptions for major cities), yet others define it differently.

And there's a well-known surgeon in my hometown that slipped at the hospital, fell, and damaged his hands. He sued and won for 10's of millions. His kids are hardcore awful people and that lawsuit enabled them to be worse AND gave a very rich surgeon even more money from the seemingly unlimited pit of healthcare funding.

Doctors are patients too.

In America, we hate poor people. I mean, none of us say it. In fact, most of us state the opposite. However, a good chunk of us vote for politicians and work for companies that exacerbate the problems of the poor.

That opinion stems from a place of privilege and over-entitlement. UPS drivers would get fired for ALL of that behavior, to not hold yourself to that standard at a minimum is shameful.

If it is a question of 'not having enough doctors' so we need to keep bad physicians around, then that's another reason that we need to drastically increase our enrollments for medical school. We certainly have enough willing and able Americans that would be ecstatic for the opportunity.

I assume physicians have something like law-enforcement's 'blue line', but it's pretty imperative that professionals like you hold each other accountable.

As a scientist that has worked for a medical lab and pharma in the past, I actually have somewhat similar reasons for leaving the industry and I actually feel like my reasons are controversial and I’m “not allowed to talk about them.”

Scientists get paid like children, seriously most in medium size cities can’t afford a mortgage on the crappiest house in the cities they work in. I will not build products to extend the lives of NIMBYs that vote against high-density housing and public transportation all for a shit salary that can’t even get me a house!

I’m basically extending the lives of selfish people while simultaneously making it harder for me to ever buy a home. Die NIMBYs Die. I’d love to help you live longer if you’d let me own a home, but you’ve proven you’ll prevent that as long as it benefits you.

So, die NIMBYs die.

As someone that used to work in healthcare and left after my company was bought out by a multi-national pharma, if you’re contributing to the American healthcare system you are likely doing extremely evil things everyday if you account for opportunity cost.

Sorry, raise our bar. There’s no way to “do good” in the American healthcare system unless you are attempting to break it down and re-make it.

The medical industry has done a superb job of convincing everyone that “patients are their number one priority” when in reality they have all worked to have their own little monopolies.

From physicians to pharma companies, everyone is focused on leverage and ensuring they control the supply in their vertical.

Everyone pretends like the next round of drugs will make us so much healthier/live longer/etc. But we could have 0 innovation in medical/pharma technology in the next 20 years and if we instead focused on innovating in efficiency, expanding supply of docs and healthcare workers, and building a sustainable system, we would all be better off for it.

The next new procedure or pharmaceutical can’t do jack shit when most people that need them can’t get them in a timely and affordable manner.

Raise the bars for what you contribute to, folks!

It’s kind of sexist too. I would like pretty male models to look at please.

All of their reasons why social media is bad for middle schoolers are all highly relevant to many/(most?) adults I meet. Not sure if that says great things about middle schoolers or bad things about adults.

In my experience, parents like these that need to turn their child into an “other” and can’t see how their own behavior is very similar if not the same as the child 20-30years their junior, are just really bad parents. They’re very oblivious. Maybe that’s why they have to write these articles so they can try and signal to people that they aren’t as awful at parenting as they truly are.

It’s something I’ve wondered too. If no one uses for a long time, why would anyone be incentivized to store that block chain?

Could anyone explain?

By that same vein, citizens have a civic duty to pressure their masters to do the right thing.

Hell, I even believe citizens have a civic duty not to contribute to corporations that make the nation a worse place. You are as selfish as your most sociopathic executive. You both contribute to the same bottom line, it is only compensation that is different.