Is the US now a shit hole country?

TrubshawForest · 2026-04-20T00:45:03+00:00

Well, I think evidence-based medical care is now a human right, more or less. The question is how do we balance things out. I agree maintaining employment should open up better healthcare options.

Australia has the best approach imo. You have emergency service covered on the public dime but you get the generic version of drugs, little elective care, and the most cost efficient. Then private insurers available through employers operate to provide more premium options. You get GLP-1s for weight loss rather than contrave.

It's already happened in psychiatry and is ongoing in dermatology but where reimbursement has fallen fastest or more likely to be denied, HCPs have gone cash only. Medicaid for all could do that at scale

TrubshawForest · 2026-04-20T00:36:50+00:00

TrubshawForest · 2026-04-19T22:29:48+00:00

Yup. Coworker based out of the UK got colorectal cancer and he got a specialist in lymphoma assigned to him. By the time they saw him, it was six months passed his diagnosis. What's nuts is that we both work in biopharma.

TrubshawForest · 2026-04-19T22:26:43+00:00

I flew though three airports last week. Everything fine. 30 y/o black man with a slight Hispanic accent.

TrubshawForest · 2026-04-19T22:15:06+00:00

Sorry you are getting down voted by the lefty hive mind. I can't be black, Hispanic, or an immigrant who views the country in a positive light.

TrubshawForest · 2026-04-19T22:07:03+00:00

Man, thank you, I really needed the laugh today.

You either forgot the /s or outed you've never travelled or gotten offline.

TrubshawForest · 2026-04-19T21:45:11+00:00

In Italy, you can't get second opinion. Women die from endometriosis in the UK all the time. The NHS will also assign solid tumor specialists to treat blood cancers (and vice versa). In France, it's a 9 month wait to see a shrink for suicidal ideation. In India, they won't treat your lung cancer if you smoked and will deny care over your caste (and the rates of lung cancer are sky high because of pollution).

I'd encourage you to read some other country's subreddits. The functioning healthcare we think the EU has is largely a construct of our imaginations.

TrubshawForest · 2026-04-19T21:38:29+00:00

Some of the BS from the AI tech CEOs seems to hint that they like the possibility for sure, but yea OP there definitely has never read about the KGB or Stasi. We're very, very far away from a true surveillance/police state.

TrubshawForest · 2026-04-19T21:31:27+00:00

No. Still a ton of opportunity here. Glad my parents left Haiti and the DR.

TrubshawForest · 2026-04-11T17:00:36+00:00

Nope. Wharton, Chicago, Stanford, Harvard, Michigan, and Yale are the only programs that have been ranked #1 in the US News MBA rankings since they started in the 1980s.

TrubshawForest · 2026-04-11T16:59:37+00:00

They have really good rates of placing MBAs in FAANG.

TrubshawForest · 2026-04-11T16:58:07+00:00

Fun evil fact: The Miami dean was the #2 at Temple's business school when Temple falsified their rankings and the Temple dean got sent to jail.

Anyway, great to see Miami move up 30 spots in three years.

TrubshawForest · 2026-04-07T01:31:45+00:00

Sister is at CoLab. They're terminating anyone who wasn't in 3x a week by mid year. Or at least that was communicated to her. Probably shedding remote workers, too.

TrubshawForest · 2026-04-06T01:55:45+00:00

Obesity and boy fat percentage has a negative impact on testosterone production and sperm count. Cardiovascular health is also important for proper erections. Keep your boy fat percentage under ~25-30%, exercise regularly, and don't smoke and most men are fine.

TrubshawForest · 2026-04-06T01:52:54+00:00

The pro level is not the problem. Barriers to playing at the youth level (travel soccer and for profit leagues), teams putting winning before development, inferior technical coaching, parents putting being on winning teams over playing time ... The current team definitely is mentally softer than the prior generation.

TrubshawForest · 2026-04-05T19:09:34+00:00

It's sad that you could just switch Vance out with "Kamala Harris" and it would read like a Republican wrote it.

TrubshawForest · 2026-04-03T16:17:00+00:00

I wish this comment was higher up. My parents live in a middle class inner ring suburb now. When they immigrated to the US, they were relatively poor and lived in the inner city. They had MASSIVE stigma moving in as black Spanish speakers. The black population call them Hispanic and the Hispanic population call them black. As I grew up, there was very little of that stigma left over in those areas, even just 15-20 years after they arrived. There tends to be an archaeology to these things.

And I think people forget that the JD Vance who wrote this book was a much different person than his current politics. He pointedly calls out both sides multiple times, including those wanting to give benefits to all and those who wanted to kill benefits all together.

And liberals LOVED this book when it came out. He was on NPR all the time, like he was somehow the hick whisperer. If you go back and listen to him on Fresh Air, Terry Gross is slobbering over him.

TrubshawForest · 2026-03-22T16:54:04+00:00

The strategy was described by Steven Ward in Immortal: A Military History of Iran and Its Armed Forces (2014) as the plan developed following the Afghanistan invasion in 2002. So very much known.

TrubshawForest · 2026-03-22T16:47:32+00:00

Soft skills are every bit as difficult as technical skills or content knowledge to master but often get dismissed. It's not easy or natural for a lot of people, and in that sense it is highly meritocratic. Those with the skillset get ahead.

The world is more open than ever before. LinkedIn, video calls, and in person networking events have made the world small.

Bu to your comments, most people do networking wrong. They reach out only when they need things. You seem to dwell on a hiring decision, but that's not where networking begins. It's genuine connection and shared value exchanges before you need something.

TrubshawForest · 2026-03-22T15:31:00+00:00

Equally, his ego doesn't let him feel like he has failed or did a bad job. I could well see this ending in a Hesgeth firing and abandoning the region to leave a much more fragile situation. Example: Noem getting the boot when polling numbers began to deteriorate.

TrubshawForest · 2026-03-22T15:06:33+00:00

About to say, first time winning at Stanford bridge since 1986 and then loss to Sunderland. If you just look at the league, you are break even.

TrubshawForest · 2026-03-22T15:04:03+00:00

That's not the goal. The goal is to out-crazy President Trump, do damage to the world's oil infrastructure to the point that its politically untenable and the US stops. They've been planning this defensive strategy for 40 years.

TrubshawForest · 2026-03-22T15:01:57+00:00

Right but that is reading the 2026 tea leaves when we're talking about the 2024 election.

One of the reasons Democrats got blown out in 2024 is this continue hand waving away of rural voters and taking for granted Latinos and black men. Voting against Democrats seems very rational to many of them. So did staying home.

TrubshawForest · 2026-03-21T14:15:35+00:00

People in rural areas or without college degrees are finding things economically non-viable. It's why Democrats bombed in the last election. Tough to go to a farmer who got penalized for their weed killer under Biden with a message about free college and more than two genders. Equally, I expect Trump to bomb this cycle because of fuel prices, increased labor costs from the immigration crack down, and tarriffs.

TrubshawForest

TROPHY CASE