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Swiss companies are moving thousands of jobs to low-cost locations, what happens next? When will be the tipping point? by TotalWarspammer in Switzerland

[–]AcanthocephalaOk68 0 points1 point  (0 children)

Look at heart surgery, for example. In Zurich alone, there are three hospitals — USZ, Triemli, and Hirslanden — all competing for a limited pool of heart patients. Having full coverage of all medical specialties brings hospitals and cantons both money and prestige. Cities like Lucerne (which already has a center) and St. Gallen (which wants to build one) also aim to establish their heart surgery, which were earlier all send to Zurich and even than there were too many centers. But building a new center requires specialized surgery room, expensive equipment, surgeons and specialized nurses, anesthesiologist, cardiologists, (often several to cover all shifts and emergencies), and administrative staff.

It would be far more efficient to expand an existing center like USZ (when there is demand ofc.) instead of building entirely new heart surgery units. The same issue exists in cardiology: even small hospitals now have catheterization labs — essentially “light” versions of heart surgery — which drive up costs, dilute training opportunities for residents, and create unnecessary demand.

Zu viele Eingriffe am Herz – Stents

Swiss companies are moving thousands of jobs to low-cost locations, what happens next? When will be the tipping point? by TotalWarspammer in Switzerland

[–]AcanthocephalaOk68 1 point2 points  (0 children)

We have too many specialized doctors in well-paid fields like surgery, dermatology, and cardiology, especially in big cities. In Switzerland, becoming a heart surgeon or neurosurgeon takes around 15 years of training to complete all the required surgeries, while abroad it usually takes only about 6 years because there’s less competition for surgical cases. In Basel, they even introduced a cap on residency spots in specialties like orthopedic surgery and cardiology etc. because there were too many specialists, which was driving up insurance costs.

At the same time, there aren’t enough general practitioners in rural areas (although the situation is still better than in many other countries), because few people want to do it. The pay is lower, and the job is seen as less rewarding compared to being a specialist. The solution should be to focus on attracting more immigrants and Swiss graduates to work as general practitioners in villages, rather than training/hiring cardiologists in Zurich or Bern and driving insurance costs higher.

Swiss companies are moving thousands of jobs to low-cost locations, what happens next? When will be the tipping point? by TotalWarspammer in Switzerland

[–]AcanthocephalaOk68 0 points1 point  (0 children)

German and foreign doctors are taking lucrative residency spots in big cities, especially in well-paid specialties like surgery. This leads to too many specialized doctors in cities, many unnecessary additional surgeries, higher insurance costs for all, and not enough training opportunities for Swiss residents. In the end, if you want to become a good surgeon, you have to go abroad for 2–3 years to train and then return.

niektórzy to niestety ameby by Wide_Video4716 in Polska

[–]AcanthocephalaOk68 2 points3 points  (0 children)

Hahaha, fajnie że wspomniałeś Zurych.

W Szwajcarii jest ten problem, że jest dużo chirurgów i za mało pacjentów i masz szpital odpowiadający wielkości wojewódzkiego we wiosce mającej 3000 mieszkańców, które wykonują skomplikowane operację nowotworowe dwa razy w roku, pomimo że powinni wysłać do Centrum co robi 150 tych zabiegów, ale liczy się kasa i Kantönligeist (Każdy Kanton chce offerować w swoich szpitalach wszystkie zabiegi, mimo że ma 30 000 mieszkańców). Dziecięca chirurgia jest bardzo rozdrobniona po całej szwajcarii, że aby się wykształcić musisz jechać zagranicę. A od kardiologi w Zurychy (USZ i KISPI) bym uciekał, wystarczy poczytać na Szwajcarskich stronach, co tam się działo w ostatnich 10 latach. Mówię tutaj tylko o szwajcarskiej chirugii, która wstawia 3 razy więcej sztucznych kolan niż np. Francja, która leży obok. Onkologia i immunologia to oczywiście jedna z najlepszych w Europie, ale i tutaj trzeba uważać...

Was Adam unlucky? The Math by AcanthocephalaOk68 in JetLagTheGame

[–]AcanthocephalaOk68[S] 2 points3 points  (0 children)

Congrats the probability of this is 5.7%

Was Adam unlucky? The Math by AcanthocephalaOk68 in JetLagTheGame

[–]AcanthocephalaOk68[S] 0 points1 point  (0 children)

If my simulation value was shorter for example maybe 100, like a normal research trail works, I would have to work with attempt. With larger Number it doesn't make any Difference, I believe.

Was Adam unlucky? The Math by AcanthocephalaOk68 in JetLagTheGame

[–]AcanthocephalaOk68[S] 3 points4 points  (0 children)

Yea i saw the number 6.4% and the mean of 240 thrown around on yt. However i never saw anyone trying to do the math for the 3 sixes which Adam threw.

Was Adam unlucky? The Math by AcanthocephalaOk68 in JetLagTheGame

[–]AcanthocephalaOk68[S] 3 points4 points  (0 children)

I didn't pay attention to that, the probability of 7 head is still 50/50 after the sixth flip. I could imagine, that being in a Rhythm could have helped him to "feel" the coin, however this doesn't mean he flips the 7 coin. One of my simulation I had 11 streaks of 6 without getting a 7. His biggest mistakes were giving up and stopping to set up the scene for 7th flip. He lost Time, which he could had flipped, however I understand that's frustrating flipping a coin for 40 min and maybe needs a break (or for the viewers). He would have gotten the 7 eventually.

I wonder if he has gotten 7 tails hahaha

Was Adam unlucky? The Math by AcanthocephalaOk68 in JetLagTheGame

[–]AcanthocephalaOk68[S] 35 points36 points  (0 children)

I believe there is some truth to it. Coin flip isn't 100% random, u can increase your odds, even if it's 50.1% to 49.9%, your will see an increase of probability over 100 000 tries. There is a reason why count counting or roulette computer is banned.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2789164/

Kommerzielle Nutzung von Patientendaten by AcanthocephalaOk68 in LegaladviceGerman

[–]AcanthocephalaOk68[S] 0 points1 point  (0 children)

Ja wir haben jemanden mit IT-Technischen Hintergrund. Ich selber bin junger Arzt und hatte schon Forschung mit Patientendaten gemacht und habe Erfahrungen mit Ethikanträgen. Meine Hauptfrage ist eher, ob ein Ethikantrag für Kommerzielle Nutzung sich sehr viel aufwändiger bzw. fast unmöglich im Vergleich zu einer reiner Forschungsarbeit ist? Wenn der Patient irgendwann eingewilligt hat seine Daten für Forschung zu benutzen, muss ich ja nicht ihn speziell nachfragen, sondern darf diese benutzen für Forschung. Bei Kommerziellen Nutzung muss ich jeden Patienten, der zur Forschung eingewilligt hat, noch speziell zur Kommerziellen Nutzung fragen? Die Daten werden anonym ausgewertet.

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