jamst174

I just prefer old fashioned ponzi schemes like Agway and Herbalife

Having a 7 yo and 4 yo, this completely tracks.

Nice work.

i don't think we'll go through 6th grade ($$$$), but we have our youngest in Montessori pre-K and love it. Since our local school doesn't have full day kindergarten, we'll likely keep him there through that as well.

You're not alone. I like the occasional soda, but the sales are always "buy 2 get 2 free".

I don't need 4 cases of soda, but I'd take a BOGO if I could split the deal with someone.

I completely sympathize with this. I had to kick the ipad off the network an hour ago so I could get the 6 yo to stop playing roblox and go somewhere with me. This was after asking numerous times over the course of 5 minutes and while trying to get results without yelling as often.

Anyone judging and trying to lecture on how doing actions like this is actually counter productive - well, chances are you don't have kids or you yell a lot.

-> most EMR software is a billing system with record keeping attached

not really. Maybe that's how they started, but that's not what they have evolved into.

-> the software is always purchased by administrators, typically with little input from doctors.

again, maybe that's how it used to happen but anywhere that I've worked or consulted on has a myriad of doctors, nurses, etc that have input. The last hospital I worked for wouldn't even let us change a single field in the EMR without it being approved by a committee of nurses.

-> In most implementations, neither Cerner not Epic encourage structured data recording except for billing codes.

This is not true at all. In fact, it is the clinicians' preference to write or dictate notes that is the reason for this. Both Epic and Cerner provide digital forms that allow for selections from lists or checkboxes which are then stored as discrete data elements in their respective databases. I'm not going to say either are perfect and - surprise! - clinicians hate change so they always hate their EMR, but it's not for the reasons you state.

I'm curious which division of Google you work for and how much experience you have working for an EMR vendor or healthcare system.

Glad I just bought this a few months ago...

Instead of having thousands of families eking out a modest but sustainable life, you have a handful of corporate entities and their shareholders making millions. Simple unfettered capitalism at work again (and I believe in the power of capitalism, but not without some boundaries).

For perspective, my dad and uncle were forced to sell my grandfather's farm and equipment when my grandfather got sick and he needed 24 hr care. My grandfather had sold the cows years before, but I have lots of good memories of visiting them and helping out during the summers.

Yeah, that's the first thing I thought of when I read that everyone has 8 hours a day of "me" time. Nope, no we don't.

630a - 8a: get myself ready, get kids ready

8a - 630p: commute and work (yes, the author does say she eliminated her commute, but this isn't feasible for everyone)

630p - 8p: dinner, get kids to bed

8p - ~9p: dishes, general cleanup, pay bills, etc...things most adults have to do to live

9p - 1030p: 1.5 hours of "me" time if we're going for 8 hours of sleep...no, more like...

9p - 12a: really the only window I have to live. often spent doing more work and really, usually too brain dead to start a side project. again, adulting and parenting are hard and energy intensive. Netflix sounds really good at this point.

1030p - 630a: 8 hours of sleep (haha - i'm really trying to live somewhat of a life so 1130/12 is a more regular bedtime)

I've been considering the 10p bedtime/5a wake up so I can do side projects in the morning, but this still only adds 1.5 hours of time for a total of 3 hours a day.

I was a huge Ayn Rand devotee until I realized it tried to see the world in black and white...and we don't live in a black and white world. This is my view of her philosophy after reading Atlas Shrugged and the Fountainhead multiple times as well as all her other essays and smaller fiction books. Like most other philosophies such as communism, it can sound good in theory and works on a small scale if everyone agrees to play by the rules. It would never work in a country of 330 million people.

The idea is that the free market is able to solve every problem. Businessmen will serve their own self interests but that is OK because in the process - others will benefit via the goods they produce and the jobs they provide. So businessmen will always offer fair wages and benefits to their employees because if they don't, those employees will go work for another business owner that does offer them and will get the benefit of more motivated workers. The best workers will always be offered the best wages, again because this benefits the owners bottom line to have the best employees. (collusion between businesses to depress wages, people stuck in locations with few employers and no competition for wages, the reality of businesses paying off politicians - are just a few real world flaws here IMO)

As far as regulation goes - the government does not need to be involved there. The free market will sort it out! Businesses that offer dangerous products will not get any customers so the incentive is there to only provide safe products (of course, what happens to the people that initially buy those products before people find out how dangerous they are or never find out about the dangers at all until it is too late? How do you fight a polluter that ruins the water source in your town, especially if they are also the main employer?).

As far as social programs - again, the government need not be involved there. All the rich (as well as the other people just trying to get by) will help their neighbors out of the kindness of their own hearts. Or not! Being forced to be altruistic ruins the whole point and regardless of the benefit to society, is one of the worst sins to a Randian. There are many references to money being taken from the wealthy via force - at the end of a gun. How a society handles the disabled, the poor, the elderly - if everyone doesn't out of the kindness of their own hearts - was never really addressed and was the final flaw for me. Just let them die I guess?

I'm sure I'll get some flack for this from the true believers and many will say I have it wrong. I guess I'd say that it is a great personal philosophy if you want to use it that way, but to try to apply it to governing or to any large scale modern society is impractical and, in the end, just downright cruel. Just one man's thoughts.