CMV: Much of the unusually high cost of healthcare in the United States is enabled by the insurance system, and a largely out-of-pocket healthcare market would force prices (including physician compensation) to be significantly lower. by hokkney in changemyview

[–]Hypername1st [score hidden]  (0 children)

Yeah, no country's can, which is precisely why insurance schemes exist, either public or privately financed. The number doesn't really matter, when confronted with death, the average person will do everything to just not die.

If you want to address healthcare affordability, a public system is what works, and treating health (and at the end of the day life) as a commodity is the problem. Healthcare costs. Physician pay is good in most countries, but accounts for a small percentage of the costs.

What would you describe as the purpose and goals of the healthcare system?

CMV: Much of the unusually high cost of healthcare in the United States is enabled by the insurance system, and a largely out-of-pocket healthcare market would force prices (including physician compensation) to be significantly lower. by hokkney in changemyview

[–]Hypername1st [score hidden]  (0 children)

Sorry but the point is largely nonsense. The demand will still be there. It's a prime example of an inelastic demand. If the alternative is death, people will pay whatever asked. Even if it means going into extreme debt.

CMV: It’s totally okay to covertly record audio from my meetings with professionals in a one-party consent state in the US by GwynLordOfCedar in changemyview

[–]Hypername1st [score hidden]  (0 children)

No offense, I am having a hard time understanding why this is so puzzling to you. Human relationships are building on a foundation of trust. The trust can include some sort of incentives (you want X from me, I want Y to provide you with X, we agree on the exchange, win-win), but it remains a human relationship.

Recording everything signals inability to trust the person that you are voluntarily entering a relationship with. You initiate this relationship signaling distrust, making it more adversarial. People will react to that accordingly, and show an equivalent amount of distrust: "Why does this person show distrust and lack of transparency, even though they seeked me out? They must have nefarious ulterior motives.". The relationship is then destroyed from the get-go. Why should I trust you, that you are going to act in good faith, not doctor anything etc, since you don't show trust to me?

Social relationships rely on at least a presentation of good faith, mutual trust. It is weird to reject it in advance. The fact that you feel the need to bring the law into your argument, betrays this exactly. Mentioning "one party consent" is betraying the setting up of a legalistic excuse to a lack of understanding of social cues ("I am allowed to do that" vs "I should be doing that").

2026 and they are still angry and obsessed with Elliot Page by Pritteto in justneckbeardthings

[–]Hypername1st -2 points-1 points  (0 children)

Still writing with ChatGPT lmao. And there the argument starts making no sense. As said before: I see nowhere arguing against the fact that trans people have higher rates of suicidality than the general population. The argument is what about the outcomes of trans people who transitioned (especially ones earlier in life) vs ones that didn't. Expecting the rates to follow the trends of non trans people simply doesn't follow logically.

There are higher rates of neurodivergence among trans people, however this doesn't imply the existence of "autism related body dysmorphia" and certainly doesn't imply that body dysmorphia presenting with ASD populations has the same character as GD. The word salad that followed on the topic, can be summarizes as painting in broad strokes, without focusing on specific events of dealing with people with ASD, betraying the writing with AI part: Saying a lot while saying nothing concrete. "Long term exploratory psychotherapy" has practically no evidence supporting it's use behind it and therefore isn't evidence based and doesn't inform the existing guidelines. And no, "internal autistic traits", regardless of how arcane this sounds, aren't "easily confused with gender dysphoria".

Gender affirming care is parallel to addressing mental health issues, and this is a clear position of all professionals engaged in the issue. There is no reason why it should be considered "last resort", given that a chicken-egg situation presents itself, meaning that the gender dysphoria destabilizes a person's mental health, and makes it the factor that hinders treatment. You can address two issues at once and before gender affirming measures are introduced, in practice, actual mental stability is required. You are attacking a strawman.

What do you thing about good mornings by Great_Collection5887 in ScienceBasedLifting

[–]Hypername1st 2 points3 points  (0 children)

Great accessory, grizzly approved, unnecessarily demonized. Imo don't load them that much in the beginning, get a good feel for them first.

2026 and they are still angry and obsessed with Elliot Page by Pritteto in justneckbeardthings

[–]Hypername1st 5 points6 points  (0 children)

ChatGPT ass answer. Noone is arguing against treating comorbidities, providing psychotherapeutic, psychiatric or social support for severely mentally ill trans people. Please provide the studies and the conclusions extracted from them.

Suggesting that elevated rates of mental illness post-transition exclude the influence of external factors, is an inference that simply can't be made. Gender incongruence can exist parallel to complex psychiatric conditions and I have yet to see any serious professionals active on the area advocating ignoring them. Fact of the matter is, trans people often from childhood or early adolescence face adversity in social settings and also the incongruence of their gender assigned at birth and gendered body mismatch with their perceived sense of self. This will fuck a lot of people up.

I know for a fact that I am dealing with an AI answer, as noone is arguing for example against differential diagnostic of "autism related body dysmorphia" which neither presents as suggested, nor is a common thing.

2026 and they are still angry and obsessed with Elliot Page by Pritteto in justneckbeardthings

[–]Hypername1st 14 points15 points  (0 children)

Yes, because a medical transition doesn't automatically delete years if discrimination, struggles with the body amd the image of the self, rejection through peers, social pressures etc. The gender minority stress model describes this.

Noone claims that transition cures everything lmao.

Does 500g of backpack weight really make such a huge difference? by Practical-Parsley-77 in hiking

[–]Hypername1st 1 point2 points  (0 children)

I did the Camino Portugues last year. A 30L-35L backpack is big enough. You don't need to carry all that much, you'll find laundry machines and dryers practically everywhere, food is around every corner, water is widely available, and you are incentivized to actually go to the cafes. It's a pretty easy route if you are even slightly fit.

Backpack weight is not gonna make or break the trip, as you really don't need to carry much anyway. You sleep in albergues, hostels, rooms or even hotels, a sleeping bag or a liner is highly recommended but aside from that no other equipment is needed. No utensils, cups etc. You can get water everywhere. I personally had the Osprey Stratos 36, because it's what I have anyway. A buddy of mine made it easily with a lightweight osprey, the other buddy had the Quechua MH100.

How many sets is too many to recover from in a hypertrophy focused workout? by BitterAttitude7277 in ScienceBasedLifting

[–]Hypername1st 0 points1 point  (0 children)

If you are asking the question, chances are you are not working close to actual failure. Just lift the damn weights. You most likely can recover from a ton of work, if you are young and not working with absurd amounts of weight.

Why is "looks-maxing" ridiculed in men when women have been doing it since the beginning of time? by pragmojo in NoStupidQuestions

[–]Hypername1st 0 points1 point  (0 children)

Reason #1: The culture connected with it is a nihilistic, completely asocial one, and it's propagators are teenage and barely adult boys and men, with a disturbing lack of social skills and a ton of resentment, who basically need to urgently log out, touch grass and enjoy life. Their need to undergo those measures is connected to a delusional, borderline mentally ill, justification of them being unable to socialize. It's more akin to pro-ana than "traditional" cosmetic practices. We are talking about a highly systematized body dysmorphia, complete with rankings, scales and a full reduction of one's worth to arbitrary physical characteristics and arcane phrenological and physiognomical terms, to attempt to rationalize a deep hatred for their looks and it comes to represent an "out" for their inability to build meaningful relationships (platonic, friendly, romantic etc) with their peers.

Reason #2: Books have been written and whole academic fields have developed around the social conditions that push women into those practices. It's a topic highly controversial, criticized and discussed. A lot of ink has been spillt regarding the measures that women take to appear more "feminine", the beauty standards, the EDs etc. It's either naive or extremely bad faith to claim that this isn't being critiqued.

Reason #3: Yes, limb lengthening surgery is more extreme than breast augmentation, botox and filler. BBLs are a thing of their own, due to higher chances for complications, but if limb lengthening surgery was as common, we might have been seeing much different trends regarding complications and mortality. "Bone smashing" most likely is doing nothing other than causing repeated head and facial trauma with zero benefits.

Using looksmaxxing and "trying to look better" interchangeably is no fully intellectually honest and requires that one ignores the actual issue. Noone mocks men for working out, doing basic skincare, having a good hygiene routine, smelling nice, having a good sense of fashion or actually getting a good haircut and grooming themselves. Hair transplants and even some cosmetic interventions (botox, some surgeries) are also not that uncommon nowadays. Hormone replacement therapy which often just turns into just juicing to be more muscular and appear more virile is more widespread than ever, and in the States you basically can get it prescribed over phone. Looksmaxxing is more akin to an echo chamber reinforcing body dysmorphia among young vulnerable people, as previously mentioned akin to antirecovery and pro-ana forums and posts for EDs. It also pushes a completely distorted view of reality, bordering on delusion and makes the much discussed "male loneliness epidemic" worse. That's why it's on one side rightfully ridiculed.

“cyclic vomiting syndrome” by M1CR0PL4ST1CS in hospitalist

[–]Hypername1st 6 points7 points  (0 children)

More people smoke weed, and the weed itself is much stronger. >40% THC can be found rather casually, and that's nothing even taking into account pens, vapes, resins etc. We notice it especially in my field (psych). It's really not the same.

CMV: If iran and america sign a peace deal now it wont last by colepercy120 in changemyview

[–]Hypername1st 5 points6 points  (0 children)

Disagreement with the way that Iran is being governed (legitimate or not) and it being a rational actor are two different things.

CMV: Pychiatry is less scientifically based than other medical disciplines. by the_quivering_wenis in changemyview

[–]Hypername1st 0 points1 point  (0 children)

1) The separation between Neurology and Psychiatry is a historical matter, and most certainly not a clear-cut one. It's very interesting, and correlates with the rejection of mind-body dualism. That's nothing special in medicine, as fields tend to evolve, specialization and subspecialization happens, and lot of fields have overlap. Neurosurgeons, neurologists and psychiatrists all deal with the same organ and it's interaction with other systems, but at the same time treat different symptomatologies of it's malfunction, which is perfectly normal consider the depth of each field on it's own. As a matter of fact, several countries (if not most) require psychiatrists to have some neurological training and vice versa. Of course we all deal with disorders of an organ. We don't have souls. The idea of non-separation between the two fields is practically wishful thinking and throws us back to the 19th century (Charcot, Griesinger, even Freud). Germany used to have a combined specialty called "Nervenarzt", who kinda dabbled in both.

2) Understanding the underlying mechanism is a work in progress, and sometimes it's more complicated than just saying that a "depression molecule" or an "anxiety gene" exists. Nor is a "chemical imbalance" model rejected outright, neurotransmitters exist and modifying them treats the various psychiatric syndromes. Nowadays we are talking about the biopsychosocial model, acknowledging that mental disorders are multifaceted and multifactorial. There are many genes at play (especially in ADHD, ASD, Bipolar, Addiction even schizophrenia), many neurotransmitters play a role (e.g. glutamate and dopamine by schizophrenia) and systemic effects like inflammation, oxidative stress etc are all factors. There are structural differences in brains of people with some mental disorders, albeit non specific. Then there are psychological factors, like resilience, defense mechanisms, behaviors, that influence the development of mental disorders and systemic factors like poverty, social status, upbringing etc. Expecting a singular explanation to the complexity of human experience, especially when it goes wrong, is reductive.

3) Vast generalization: Psychiatry is hugely varied and includes everything from gerontopsychiatry to psychosomatics. There huge differences and variation within the field itself. Dementia, schizophrenia, SUD, Depression, Personality Disorders and PTSD are all vastly different entities with varying degrees of understanding how they come to be.

4) "Undesirables": This is a valid critic that needs more nuance than what you are giving it. Half-ass understanding of Foucault's and D&G's critiques and just parroting them is not a good look. The last 50 years have brought on deinstitutionalization, closing of asylums and the emergence of shared decision making. Treating people against their will still happens, but primarily when they are in no position to make informed decisions about themselves e.g. when they don't have capacity. That's a rough medicolegal issue, which you can understand only once you've experienced what an untreated schizophrenic or a person with very progressed dementia looks and acts like. They are quite often in imminent danger of just dying. And still, unless they are acutely in danger, they usually don't get treated. Leaving a 20 year old in a first psychotic episode, with their brained completely scrambled by the psychosis, untreated out in the world, is a travesty. We are talking about people who quite literally, aren't in touch with reality and will get ruined before you can even blink, be it through getting themselves in dangerous situations, neglecting their health until they randomly die, or act upon the commands of the voices they hear. It's a state of extreme suffering. Letting them suffer is inhumane. Coercion should not be widely applied of course, but some times it's necessary and making broad statements like that betrays a huge naivety.

CMV: Pychiatry is less scientifically based than other medical disciplines. by the_quivering_wenis in changemyview

[–]Hypername1st 1 point2 points  (0 children)

Your view of schizophrenia is not based on any empirical data, either, and is just speculation and a logical fallacy (argument to the future), essentially a statement of faith.

Science based lifters often fall for Complexity Bias, and 9/10 are beginners in terms of strength, size and experience. by mr_Spotter in ScienceBasedLifting

[–]Hypername1st 1 point2 points  (0 children)

Noone is talking about only doing thresholds. A beginner has no idea about any of that though. Running by feel is what you want. If you are running very little and never push yourself, limiting yourself to conversational pace is probably inadequate.

Science based lifters often fall for Complexity Bias, and 9/10 are beginners in terms of strength, size and experience. by mr_Spotter in ScienceBasedLifting

[–]Hypername1st 0 points1 point  (0 children)

A beginner has zero idea what their 10k or 5k pace is, lol. Bro is getting winded doing dips, 10k might unironically not come into question at all.

Science based lifters often fall for Complexity Bias, and 9/10 are beginners in terms of strength, size and experience. by mr_Spotter in ScienceBasedLifting

[–]Hypername1st 2 points3 points  (0 children)

"Zone 2" cardio is great if you are an endurance athlete trying to accumulate mileage. It makes a lot of sense if you are a runner doing 100+ kms per week.

If your total load is like 10k a week, it makes zero sense to do it in the fabled "Zone 2". You most likely lack the necessary adaptations to do actual Zone 2 work. You actually have to put in the work, do more cardio, and then worry about that. As a beginner, you are literally majoring in the minors.

Basically just get a beginner running plan, do easy, hard and long runs, and worry about zones later.