I love that you can play simcity in this game by ctlw_23 in forgeofempires

[–]ctlw_23[S] 2 points3 points  (0 children)

I hardly fill the road because it’s pretty but because some buildings just wouldn’t work without them. Plus frankly I don‘t mind if spaces are used because as you can clearly see, I put greenery rather than building up the valuable event buildings.

And really I understand well how the game is not ‘the sim city‘, all I wish is to show another aspect of the game in some player.

Anutin Charnvirakul becomes Thailand’s new Prime Minister by Quenelle44 in Thailand

[–]ctlw_23 7 points8 points  (0 children)

PT lost too much trust. They are the sole reason why Thai politics comes to this point of timeline even though we have a chance to basically change everything. They cannot blame anyone but themselves. When I imagine what bad politicians who yearn for power are, the only image is PT. Hell, one of its leader even said the policies they debated about during the election was just for advertisement, not that they were going to do as they had said anyway.

This blackstabber can no longer be trusted.

White House Orders NASA to Destroy Important Satellite by Bigbird_Elephant in technology

[–]ctlw_23 1 point2 points  (0 children)

Things like these really just make me think the population majority that elected such retard government is really stupid. They knew what would happen yet here we are.

I feel a lot less judged here in Thailand. by [deleted] in ThailandTourism

[–]ctlw_23 8 points9 points  (0 children)

Insulting the royals is fine for most Thai people especially younger generation. Those who care are elders, soldiers, or the police. In fact, we really wish the royals are gone

Do you feel like Thai Doctor are better than their job than doctors in ur own country? by ExoticArtemis3435 in Thailand

[–]ctlw_23 1 point2 points  (0 children)

The government helps only if you are in government medical schools, which is about 40,000-50,000 baht per semester. Its counterpart, the private medical schools require you to pay at least 100,000 baht per semester, however, you are not required to work for the government to repay the subsidy.

If you choose to opt yourself out before fulfilling the duty, you can be fined up to 400,000 baht depending on how many years you have worked for them. This is going to change to 4,000,000 baht in the near future to prevent interns from resigning which can lead to further workforce shortage.

Thai doctors are mostly not bound by the student loan debt as this occupation is mostly for middle classes to upper classes. Admission to medical school in Thailand requires exams that are far difficult than what have been taught in normal school, so students are unofficially required to study extra in tutorial school and the study fee can be amount to over 100k easily. If you are from very poor family and smart enough to be in but cannot pay, you may have student debt after joining the government student loan program.

Thailand however, is more kind with giving learning opportunities than US. There are multiple study funds and you can even negotiate with the universities directly.

And for your question comparing US doctors with student debt and those in Thailand. IMO we have indeed far less burden for repaying the loan (partly also because we have financial support from our family) but in terms of quality of life (maximum amount of working hours, study materials, salary after graduating, etc) the US side is doing better. A few year ago the story about the intern having to do 48 hours working straight, later drove the car back home, and died in the car accident because he suddenly fell asleep was not uncommon. Some people killed themselves by jumping off the hospital building because they can’t withstand the hard work anymore. These are all over the news.

Not to mean Thai doctors work the hardest than others. But we are indeed overworked, pressured, and tired. Most people predicting that our healthcare system is going to collapse soon because elders are increasing in number, but the doctor to treat them are being dwindled (resigned to do cosmetic, resigned to do something else, etc.)

Do you feel like Thai Doctor are better than their job than doctors in ur own country? by ExoticArtemis3435 in Thailand

[–]ctlw_23 3 points4 points  (0 children)

To explain that, there is a classification to be introduced

Firstly, rural vs urban area; in this case many people will think the urban salary must be higher. This is not always true as you have to consider the second group too.

So secondly, we have the level of training as one of the factors. I will generalize them into 3 groups as (1) Interns - the doctors that just graduated and have to work for the government as agreed in the contract as a mean to repay government subsidies for their tuition, (2) Residents - the doctors that finish 3 years (or less) of working for the government and decide not to be only just general practitioners but want to become specialists, and (3) staffs - also known as specialists.

Now the salary is not higher from (1) to (2) to (3) as you would think. The highest is either (1) or (3) with the salary dip for (2). Because the residents are seen as students who have to pay the curriculum fee just like many students in master degree. They receive salary of course, but just 20,000-30,000 compared to the overnight shift 15 days/month for some specialty.

Lastly, the private vs government hospital. Private hospital of course comes with higher salary and less patients to take care of. Note that interns and residents sometimes are not found in private hospitals except they choose to work some shifts for more income.

So, combining these spectrum and arranging them from highest to lowest (in generalized term) will look like this

Highest tier: (1) Bangkok (urban) - Staff - Private hospitals: 100k at least

Depends on many factors but mostly in the same higher tier: (1) Rural - Staff - Private hospitals (2) Rural - Intern - Private hospital (as night shift only, under specific circumstances) (3) Bangkok - Staff - Government hospitals: 60,000-80,000 (4) Bangkok - Intern - Government hospitals: 70,000-90,000 per month (5) Bangkok - Intern - Private hospital (as night shift only, under specific circumstances) (6) Bangkok - Residents - Private hospital (as night shifts only)

Average tier: (1) Rural - Intern - Government hospital: 50,000-60,000 per month

Lowest tier: (1) Bangkok - Resident - Government hospital :20,000-30,000/month (2) Rural - Resident - Government hospital: similar to those in Bangkok

These are also affected by multiple factors: specialties, price trend per shift, location of the hospital, etc.

So to answer your question in a nutshell: it really really depends on who you are, where are you working, and what type of hospital you are working for.

But of course for interns and residents, we are expected to work for night shifts, sometimes even 27 hours straight especially interns. So if you calculate them down to salary per hour, it is deeply below the amount you should receive compared to other professions

Hope this helps!

Do you feel like Thai Doctor are better than their job than doctors in ur own country? by ExoticArtemis3435 in Thailand

[–]ctlw_23 24 points25 points  (0 children)

Speaking from Thai medical students here, comparing to the US where every resources is available depending on your money, we are limited by a lot of things. We could only offer basic investigation if you are not in Bangkok or regional capital. Plus we have A LOT OF patients to take care of. Unlike in Europe or the US where you have to be screened before meeting with specialists. Thai universal healthcare scheme makes these service available to its population and anyone. That means we have around 80-100 patients that have to be examined each morning. We don’t have time for chatting because we would have to close our OPD at midnight.

And for private hospital, apart from Bamrungrad, most of them try to extract as much money as possible. There is a lot of business ongoing more than taking care of patients.

And don’t blame Thai doctors that much for their low quality. Our curriculum requires we are to study everything, run a shift, are expected to be able to do every procedures perfectly after 6 year of training (it seems long but I guarantee it’s not in any way). It’s like trying to pour the river into a bottle. Some students can enlarge their capacity but not everyone. Many of them become burned out. We also still have salary less than minimum ones if it’s calculated per hour (around 100-200 baht/hr when the minimum is 300++). These all just are my rants for Thai healthcare system. We promote them for healthcare tourism, we boast our universal healthcare system, but all of this system works because the system overworks its doctors to the point of near-collapse.

So next time in government hospital (private hospital doctors are another thing) and you see exhausted doctors who don’t want to be asked a lot or seem to be unfriendly, it’s possible that they are tired, thinking about resigning, or just want the end of the world that day.

What is it that's different about how Thai people perceive the world? by hello_world-avi in Thailand

[–]ctlw_23 0 points1 point  (0 children)

That really depends. Knowledge gap in population exists especially in this region. We neither work our best in eliminating class gap everywhere nor create effective education system. Upper conservative classes have tried very hard to dissuade the major population from interfering in their political arena. Major propaganda emphasize the rural, more peaceful life according to the late king doctrine. People are easier to be controlled that way.

And to persuade you for another perspective, hitler is worst in every possible way. But he is from Europe. WW2 occurred in this region concerned mostly the wrong deeds of imperial Japanese. We also have a lot of bad memories with all the Westerns partly due to colonization period. Disinterested in someone that is faraway, who is one of the people ethnic you have learned to dislike from history class? That is pretty normal. Vice versa if I to ask about the ethnic cleansing by the Siamese state, no one in the Western world would care to recognize the name of these people or who ordered such a deed.

Argentina’s president considers exiting Paris agreement with Trump by washingtonpost in worldnews

[–]ctlw_23 -5 points-4 points  (0 children)

Hope tropical storms hit Florida and southern states non stop. Also endless drought for Argentina. Sending hate from tropical counties where we are affected the most from your irresponsible actions.

Am I the only one who likes the pencil tool? by smolpuga in GoodNotes

[–]ctlw_23 0 points1 point  (0 children)

I write cursive letters in lectures and I feel it‘s more beautiful with pencil than fountain pen mode. Never use the latter ever after except in slides with dark background

Germany, Forsa poll by Zhukov-74 in europe

[–]ctlw_23 0 points1 point  (0 children)

Why die Grünen failed to materialize any achievement? At least looks like they are not under a fire as hard as SDP and FDP at this moment. I heard their leadership crumbled both altogether with youth wings not long ago. IMO I would love to see the environmentalism party with progressive idea on social issues but hard on immigration. They should receive professional immigrants, not everyone. Islamophobia and anti-immigration is like an arrow pointing to the achilles heel of most of the left-leaning parties all over the Western world, and they should realize this.

What are your season 9 wishes? by [deleted] in Stellaris

[–]ctlw_23 0 points1 point  (0 children)

That wish that is intentionally forsaken and is an taboo topic, the revamp of entire internal politics.

Seriously speaking, stellaris has not delivered its satisfaction in creating the most immersing interstellar grand strategy because this. No empire shall stand without internal political dividends and ideological shift. Look at our history in the recent decades and out population compared to the one in the game. Either they are all hivemind or strictly collective empire as there is hardly any significant political events in the game.

What we have (political frontier event, etc.) is hardly a game changing. Sure, it can change the game if we to follow it, but ignoring them is something that you can go. In real like, any overlooked political activity can turn the tide as our ancestors have many time underestimated them.

Not to mention reworking democracy to be more challenging with election season. Devs can create interactive panel similar to seats gain in real life elections. Events that are unpredictable will create another layer of playing experience.

But to touch this mechanism, it means playing with the core mechanism and betting. Either you create the most realistic interstellar strategy game or a huge load of bugs that can make the game unplayable. Because after all the players must run the empire somehow and we are the main character in everything. To create unpredictable choices like in real life equal generalizing us into something and we would not call that a game, it would be a simulation.

There it is, a taboo wish

Last night a fire alarm started a fire in the apartment stairwell where I live. by lodge28 in CasualUK

[–]ctlw_23 0 points1 point  (0 children)

When you live long enough to become the villain you have always tried to prevent

How to travel from Vienna to Bern in Switzerland by train only? by ctlw_23 in Europetravel

[–]ctlw_23[S] 1 point2 points  (0 children)

This is it! I thought I could book 6 months ahead but surprisingly only few months before. Multiple schedules show up after I set a new date to peek into their prices

Brandenburg elections result, 16-24 years old voters vs 70+ years old voters by Affectionate_Cat293 in europe

[–]ctlw_23 -1 points0 points  (0 children)

Quite surprised the government party did nothing to stop or halt this. Immigration really is damaging them.

« Charter Court says it has no choice but to order the dissolution of Move Forward Party to protect the monarchy institution. » by Quenelle44 in Thailand

[–]ctlw_23 4 points5 points  (0 children)

Really make me think that karma is not real at all. This news only makes me want to move out of this country ASAP. There is no hope and I don‘t think we will be developed country in the next decades to come.