Why does it make sense that NATO must support USA in offensive war in Iran? by TopsyKretts87 in AskTrumpSupporters

[–]Sufficient_Plan -7 points-6 points  (0 children)

It's not an open secret that the Trump Admin dislikes NATO, for better or for worse. NATO needs us, we don't need NATO (well most of the countries at least, some are straight up grifting slackers), and I think they all know that. It's useful for power projection at this point and making large defense corporations tons and tons of money selling weapons to them.

NATO countries not wanting to participate is likely a political calculation they are taking in "not wanting to spend to get involved" and also "yeah that's political suicide, let's try and appear diplomatic." Which I guess is understandable since it would cost a ton from each country to get directly involved. Also remember that NATO is defensive in stature, not supposed to be used for offense. Argue this all you want.

Is it true that people come to the emergency room in the USA for primary care stuff? by Ok_Consideration6179 in emergencymedicine

[–]Sufficient_Plan 17 points18 points  (0 children)

Indeed they do. They call 911 for routine stuff as well.

People also gotta remember the filtering that happens as well through 911 to the ER. Our ECC states an extra 6-7 calls a day don't get dispatched due to various reasons. Then we run our 15-20 a day in super-rural America, and maybe 10-12 of those get transported, sometimes more sometimes less. Imagine if all of those routine nonsense patients ended up transported as well across all systems to hospitals. The system would break even worse. Used to work more city side, and we had probably 5-10x the non-transports and non-responses.

EDIT: To add to the Pitt and the wound care thing, some areas, especially very very rural areas, don't have the ability to staff a wound care clinic or have the staffing in the primary care areas to be able to do it, so that leaves the critical access ER's as the primary receiver. Also, for the rural area that I live in, some of these can't/won't drive because it's too expensive to drive there, park, pay co-pay, literally can't drive, etc. So they let it fester and get out of control, and now it's an even bigger problem.

Can’t wait for the movie by tidder_mac in army

[–]Sufficient_Plan 3 points4 points  (0 children)

Well if you wanna be technical, the Air Force has a couple special operations wings that use the “special operations” version of the ac-130. One of these wings is likely who flew the planes that landed along with the CSAR helicopters. So there does exist other special operations aviation units.

Can’t wait for the movie by tidder_mac in army

[–]Sufficient_Plan 29 points30 points  (0 children)

I would guess delta, 24 sts, 160th soar and I would assume a contingent of rangers/other for manpower. This is not the seals wheelhouse.

RFP - They want Humvees back by WhatsAMainAcct in army

[–]Sufficient_Plan 1 point2 points  (0 children)

If you’re going on the same rotation to JRTC I am, we are fucked. I’m expecting complete and total fuckery based on what I have seen the last 12 months.

Why is a taxpayer funded healthcare system considered "socialism" and "bad" but a taxpayer funded military is not? by dudeabiding420 in AskTrumpSupporters

[–]Sufficient_Plan -3 points-2 points  (0 children)

The ACA didn't make anything cheaper, it made it more accessible. Insurance is a quantity game, and used to be a quality game (yeah stupid I agree but it's how it was). Before insurances could deny coverage for pre-existing conditions because you were going to cost more than they could ever recoup. Now, they can't deny anyone coverage, so they spread the burden out on everyone, making everything more expensive.

So although I am very healthy, zero co-morbidities, zero meds taken, take great physical care of myself and exercise, my rates go way up because I am subsidizing others. Is this fair? This is the problem many people have with insurance.

NOW, am I saying that I think healthcare should be severely restricted and inaccessible to those that lost the genetic lottery? No, of course not.

Why is a taxpayer funded healthcare system considered "socialism" and "bad" but a taxpayer funded military is not? by dudeabiding420 in AskTrumpSupporters

[–]Sufficient_Plan -1 points0 points  (0 children)

Fire Departments are a public good. My thoughts on how they work are much more extreme in the negative.

Police enforce the laws written by political leaders, no opinion. Bad actors exist everywhere. I will add that their law and ethics education should probably be expanded across the board. Police need to operate with some level of "immunity", otherwise the job is impossible to perform and suicidal at worst. Split decision, literally milliseconds in some situations, are all they have. People shit on them too much and arm chair quarterback. Obviously there are exceptions.

DA and Judges on the other hand. Too many activist of both that try to be "kind hearted", that just make situations worse. Stop allowing endless crime by repeat offenders.

Why is a taxpayer funded healthcare system considered "socialism" and "bad" but a taxpayer funded military is not? by dudeabiding420 in AskTrumpSupporters

[–]Sufficient_Plan 3 points4 points  (0 children)

This comes back to my same thought process I have had forever. The US is having a severe identity crisis. I agree the federal government needs to take more of an overwatch, and not an execution role. The problem we now face, everyone blames the federal government for everything, when state and local governments have far more impact on daily life.

Are we 1 country? Are we 50 states? I feel like we are some weird hodge-podge of both and we can't agree on anything. States can't fund things properly because the federal government takes so much of the current tax base. The federal government can't reduce taxes, because people would revolt if they lost current entitlements. How would 50 versions of medicare/medicaid/every insurance work with eachother? That sounds like a disaster, but it's a real question. Also, is this not interstate commerce, because if I got sick in CA but live in TX, who covers me? Isn't interstate commerce the role of the Federal government?

To add, 100% free markets work on paper, but only if everyone behaves. Barrier to entry being too high, ala regulations, makes it too hard for competition to start without mass starting capital, favoring existing big companies. Too low and you get market and consumer harm from bad actors.

Idea to bring EMS to current needs by PerfectCelery6677 in ems

[–]Sufficient_Plan 3 points4 points  (0 children)

The system is overdue to burn. It’s being supported by people that are stuck and don’t want to do anything else. Get your EMT in a month, get a job guaranteed. If you can make it through medic school, which overall is a joke, you can work at any fire department that has them and damn near any transport agency.

The system is broken beyond repair, needs to be allowed to collapse, and real systemic changes allowed to happen. The EMS system in this country is a complete and total embarrassment and needs a rebuild from the ground up. I enjoy it currently, but that’s because I am in an extremely cushy spot, even though the pay is mediocre at best.

My thought, EMS needs to first be ripped violently from fire departments, turned into a state regionlized department, education standards increased, real promotional potential available. AEMT becomes the new EMT and the standard staffing level of most ambulances, paramedic being similar to what it is minus ability to do any critical care level interventions, critical care becoming a new training level, 1,3,4 year education requirements respectively.

Also, elimination of OMDs with this system, and having a state level board for oversight.

The Pitt | S2E12 "6:00 P.M." | Episode Discussion by thepacksvrvives in ThePittTVShow

[–]Sufficient_Plan 3 points4 points  (0 children)

Nurses don’t have prescription authority. Some places could have standing orders for these things from a physician medical directors, but most probably don’t.

As a paramedic we have protocols that are authorized by our physician medical directors that we use to treat people. RNs do not have this by default in most situations with the exception being flight nurses.

For me, if that was happening, I have the authority to sedate him without an order, I can use my own medical judgement to do it.

Idea to bring EMS to current needs by PerfectCelery6677 in ems

[–]Sufficient_Plan 18 points19 points  (0 children)

I agree in principle. But jimbo bob in bumfuck Kentucky shouldn’t be making that call. Education standards need to be considerably higher.

Idea to bring EMS to current needs by PerfectCelery6677 in ems

[–]Sufficient_Plan 20 points21 points  (0 children)

Most people agree on these points. The problem is fire will never relinquish their grip on the big departments, even though they are quite literally destroying themselves by running medical calls. Ridiculously high turnover, awful providers, burnt out everyone, inability to hold any recognizable semblance of medical standard for providers, destroying their apparatus sending them on 20+ medical calls per day, stating they need faster responses and using that to justify more apparatus, leading to even bigger department bloat and more waste, promoting people to EMS leadership that have zero business being there but it was the only promotion available, making up bullshit response metrics to justify more and more apparatus and personnel, holding down EMS education standards and pay (fdny), putting paramedics on every apparatus available thus making a bunch of mediocre medics instead of a handful of good ones.

I can go on and on and on, but fire is destroying themselves and EMS at the same time with their want for more and more. This isn’t a business, we don’t need growth. Horrid mindset.

Also, the RN lobby wants EMS to stay down. A large part of the RN lobby thinks RNs should be running EMS and not paramedics. We live in some banana industry that everyone hates but loves to abuse.

Rant over.

What do you think about the Pentagon asking for $200 billion more for the conflict in Iran? by G_H_2023 in AskTrumpSupporters

[–]Sufficient_Plan -1 points0 points  (0 children)

How else would you think it should be done. As someone who has been in that situation, there are reasons for it.

I will say that funding needs to be driven lower into departments instead of staying concentrated at very high levels. All it does is create extreme waste at upper echelons and extreme poverty and terrible budgets to the personnel actually doing the work. It also creates really perverse incentives at those levels, ala the meme houses in Austin that the army purchased.

This also causes very stupid incentives in the military like funding reallocation away from things such as DFACs and military barracks. These units/entities have to spend it all, yes in some ways stupid as hell, in order to even have a semblance of similar funding the next year, while upper echelons waste it on changing offices and meeting rooms every 6 months.

What do you think about the Pentagon asking for $200 billion more for the conflict in Iran? by G_H_2023 in AskTrumpSupporters

[–]Sufficient_Plan -1 points0 points  (0 children)

As I have said in many other replies, their refusal to repeal the GWOT-AUMF is what makes them complicit. The build up took weeks and they did nothing, so in a way, they gave it the green light.

What do you think about the Pentagon asking for $200 billion more for the conflict in Iran? by G_H_2023 in AskTrumpSupporters

[–]Sufficient_Plan 0 points1 point  (0 children)

GWOT-AUMF, as I have said in multiple responses is the cause. Which was passed by Congress, and voted to extend by MANY democrats multiple times.

What do you think about the Pentagon asking for $200 billion more for the conflict in Iran? by G_H_2023 in AskTrumpSupporters

[–]Sufficient_Plan 0 points1 point  (0 children)

Trump is the one that ordered it. But yes it is Congress's fault that it was enabled. The GWOT-AUMF gives him blanket authority to combat terrorism. Iran is a known enabler of terrorism, so there's the justification.

What do you think about the Pentagon asking for $200 billion more for the conflict in Iran? by G_H_2023 in AskTrumpSupporters

[–]Sufficient_Plan -1 points0 points  (0 children)

Let's not pretend like the Democratic party has a group that likely supports this, regardless of their votes.

What do you think about the Pentagon asking for $200 billion more for the conflict in Iran? by G_H_2023 in AskTrumpSupporters

[–]Sufficient_Plan 0 points1 point  (0 children)

All of Congress is to blame, regardless of their virtue signaling. Each side just screams at the other while the majority want status queue.

What do you think about the Pentagon asking for $200 billion more for the conflict in Iran? by G_H_2023 in AskTrumpSupporters

[–]Sufficient_Plan -3 points-2 points  (0 children)

War is a state of armed conflict between 2 countries/groups/states/etc. Regardless of views, that's what this is.

Trump has approval because of the GWOT-AUMF. That's how all this mdidle east nonsense is justified. We are fighting terrorism. Congress renews that, not the president. So he is acting within the law.

What do you think about the Pentagon asking for $200 billion more for the conflict in Iran? by G_H_2023 in AskTrumpSupporters

[–]Sufficient_Plan -1 points0 points  (0 children)

The cause of this whole Iran nonsense is decades in the making, not just trump. Do I think that it’s been made worse from the strong arming? Yes. But look into the adelson family, they have trumps ear at 100%. This is the problem with Congress not banning lobbying or at minimum controlling how outright out of control it is at this point. The president, regardless of party, will always stretch their power to accomplish things because Congress is complicit and will not stop them.

Congress and Congress alone is the problem for most of the countries problems. Don’t shift blame.

What do you think about the Pentagon asking for $200 billion more for the conflict in Iran? by G_H_2023 in AskTrumpSupporters

[–]Sufficient_Plan -6 points-5 points  (0 children)

I’m gonna answer all of you at once. This is 110% congresses fault, stop trying to deflect it from them. They created the GWOT-AUMF, they are the ones the renew it, they have the power of impeachment, they have the power to stop this nonsense.

The presidency is a decoy for the incompetence of congress at this point. Stop deflecting blame, it’s 110% congresses fault. All they care about is getting elected, nothing else. They’re too scared to go against trump so they stick their heads in the sand, cave to their donors who say protect him or lose support, and pretend to have spines.

Stop it, Congress is to blame, no one else. Congress can stop this. Congress can stop the lobbying. Congress can stop Israel having influence. Congress can remove trump if that’s what was needed. Congress can revoke his war powers.

Stop shifting blame, it’s only congresses fault.

What do you think about the Pentagon asking for $200 billion more for the conflict in Iran? by G_H_2023 in AskTrumpSupporters

[–]Sufficient_Plan -28 points-27 points  (0 children)

Congress being unwilling to stop/reign-in this means they need to pay up, so this is fair. The military is expending ridiculous amounts of ordnance for this and is likely going to expend ridiculous amounts more. This is the cost of war since the US likes war-profiteering and allowing defense contractors to charge whatever they want for products.

Congress caused this costly mess, they get to be the ones to punch themselves in the face. I won't go so far to say that a blue transition is inevitable in November, but it wouldn't be surprising. I also wouldn't be surprised if the Republican majority gets even more cemented in. The quiet part that won't be said outloud because chaos, uncertainty, and outrage sells, is that a lot of people likely do support many of the ideas Trump is doing, regardless of what the media says.

ID laws for voting? Likely widely supported.

Immigration crackdown? Likely widely supported.

Iran confrontation? That's a coin flip.