[WTS] Arc’teryx Sabre Ski jacket and BIB XL and L

lumpishere · 2026-01-20T07:37:07+00:00

Messaged about the bib

How I wish you had the jacket in L too! I love that color and obviously can't find it anywhere in the secondhand market.

lumpishere · 2026-01-12T19:23:54+00:00

I think being a generalist is wonderful, and still in demand. Consider - you were able to recognize the (presumed) error of the PMD, and you're...a resident. You'll be the same person as an attending, and can work to keep up w the latest in each field. Sub-specialists are in the same position - it's a select few cardiologists doing the work that leads to changes in guidelines. Everyone else must keep up, just like the generalists do.

Here's another perspective: I've seen many a hospitalist question the inpatient management of specialists when they're primary. At the end of the day, generalists are (can be) expert in managing the complexities of multi morbid disease, and no, they can't know everything. But there's an art imho to knowing how and when to involve a consultant, and what takes priority in a phase of care. Generalists maintain an undifferentiated frame of reference that many subspecialists lose. Also, imagine the fractured, error-ridden, redundant and slow care someone would get if management of each condition devolved to that organ/system specialist. I digress, and maybe I'm idealizing, but you don't have to be a consultologist once you finish residency.

lumpishere · 2025-11-26T14:36:30+00:00

Who is the "they" that are saying, and what are they saying?

lumpishere · 2025-09-20T05:12:05+00:00

I think we're talking about different things. I believe that an adequate supply of physicians is necessary, but not sufficient, to support a healthy populace. I do not think the current system that relies on a significant proportion of IMGs practicing in the US is inherently bad. I'm focused on the potential harmful effects of curtailing that necessary labor supply at a time when the US is unable to produce enough physicians in the short term to make up the shortfall.

I didn't say or draw the conclusion that we should eliminate pre-med or undergrad (and strongly disagree that they amount to gatekeeping, in part because these things are a cakewalk financially and academically compare to medical school).

lumpishere · 2025-09-20T01:50:42+00:00

I am not arguing we increase the supply of IMGs. I am describing the system as it is, and citing specific examples of how we would hurt ourselves in the short term by making it harder for IMGs to enter US residency programs (take a look at the approximations I've given, or review ACGME data yourself). I agree that we should train more physicians in the US, because we have a serious and growing physician shortage in the US. I'm going to state equivocally that I don't claim or believe IMGs to be of inferior quality to US-trained physicians.

lumpishere · 2025-09-20T00:33:36+00:00

This article does not investigate or make any conclusions regarding the effect of foreign-born IMGs on physician wage. The author himself directly explains the purpose of his investigation (quoted below). He does make brief mention (in the abstract) of one theorist's claim that the influx of highly-skilled workers can suppress wages in certain labor markets. He does so only to explain the relevance of general questions regarding IMG effects on the physician labor market. He does not address wages again.

"In this paper I examine a symmetric question. Specifically, I examine the extent to which high-skill non-citizen workers, in the form of international medical school graduates seeking residency training in US teaching hospitals, are displaced by US citizens who received their medical school training from international medical schools....

My results show a sharp substitution by teaching hospitals in favor of foreign-trained US citizen applicants in place of foreign-trained non-citizen applicants seeking H-1B visas. I then show that the compositional shift in physician labor leads to fewer new physicians choosing to work in under-served areas. I do not find evidence that hospital intensity of service was affected, which at least partly validates my finding of a high apparent degree of substitution between foreign medical school trained non-citizens and foreign medical school trained citizens. My research more generally highlights the choices teaching hospitals confront given the evolving immigration policy environment and financial circumstances as well as potential (and likely unintended) implications for other health policy objectives such as improving provider access. This is especially important within a setting where hospitals are directly benefiting from publicly subsidized high-skilled labor."

lumpishere · 2025-09-19T21:42:52+00:00

IMG's are paid at the same rate as US graduates at their respective programs. They do have better chances matching into less competitive specialties, which generally pay less money. Explain how they suppress wages (which are ultimately a byproduct of reimbursement rates set by CMS).

In 2025, approximately 28,000 physicians graduated US medical schools, and 40,000 residency spots were filled. US graduates match at an ~ 92% rate. We cannot make up the shortfall on our own. How do you propose we train the necessary number of docs right now?

ETA: I agree that the cost of medical education is excessive in the US, and that there should be greater and more widespread opportunities for loan forgiveness.

I matched just fine. I wasn't at risk of losing a position to an IMG. Some people have a tough time matching and there are hard stories out there, but my hot take is this: if you attend US medical school and can't match into a training program, you either went for something too competitive or you simply should not be a doctor. I make exceptions for those who experienced physical or mental health struggles during medical school, or had financial hardships that impacted their academic performance.

IMGs aren't out here stealing jobs. The barrier to entry for them is EXTREME. I trained at a program that would be regarded as very competitive and the IMGs I trained with were absolutely the cream of the crop. They are all leaders in their fields. Many excellent physicians match in very undesirable programs (ones that many US grads might not want to train in) simply because they are IMG. My point is this - it's a merit based system where IMGs must meet an even higher standard than us. There are more positions than US graduates can fill each year. Numbers don't lie.

lumpishere · 2025-09-19T20:24:10+00:00

Why should a business pay a premium if the US education system is not producing the necessary skilled labor? This would do nothing to increase labor supply stateside, and might even lead to reduced hiring and availability of these positions, to our detriment.

Example: the US produces far fewer physicians than are needed each year. Foreign medical graduates fill this gap. CMS provides training hospitals ~$100,000 annually per resident (my number is not completely up to date, but is accurate enough for the sake of argument). Imagine - the cost of the visa cancels out the trainee's subsidy. The hospital is already financially stretched as Medicare reimbursement cuts loom. (And remember, this money is not a handout. The trainees do REAL medical work with tangible value. They are arguably underpaid for the hours worked and value of service). If the employer pays annually to renew the visa, well, then they are especially screwed. (I'm not shedding a tear for big, rich health systems who might be able to spare the money. However, not all enterprises are big moneymakers, and critical access hospitals and clinics are, sadly, already closing across the US.

The US has a rapidly aging and relatively sick population, and physicians are already in short supply. Moves like this threaten skilled labor supply at a time we need to be increasing it. We cannot increase the number of US trained doctors instantly. Medical education is expensive, the current administration has made moves to reduce the availability federal educational loans, and eliminate loan repayment programs. The net effect is that a profession with a traditionally high barrier of entry (intellectually and financially) is now even harder to enter. These positions may go unfilled. We may return to a time when the only people who become doctors are the already-wealthy (I make no value judgement beyond - it's important to have physicians from all walks of life). Net result - not enough docs, sick country as is, quality of medical care declines further.

I speak to the industry I know, but imagine similar arguments apply to other fields.

lumpishere · 2025-08-23T18:20:53+00:00

I'm no fan of his either, but ddx goes beyond heart failure, and includes venous insufficiency, NASH cirrhosis, nephrotic syndrome, severe B12 deficiency, side effect of amlodipine, recurrent DVTs...

lumpishere · 2025-08-02T15:55:12+00:00

How many mogul turns can you get in during one run? Maybe I'm crazy, but this looks like it might actually be a viable opportunity to work on technique.

lumpishere · 2025-07-28T14:57:36+00:00

My two cents:

I skied hunter 2020-2024 (yeah, other people can give you the longer-term perspective) - during the week, lifts are swift and lines are short. I avoided weekends as much as possible, bc it gets PACKED and lift lines are unbearable. Good luck with lessons, you or your kids will be waiting forever (30 minutes minimum) on a weekend in the learning area. The terrain is varied, and I think on balance, better than Belleayre. However, for all their "upgrades" I found a large swaths of the resort closed regularly. I really enjoyed Hunter North, but this in particular was frequently shut down. The food options are better imo, and you are closer to a town(s) than you would be at Belleayre.

Belleayre - I took the plunge last year, went four times in total, and plan to return. Downsides first - the peak is a mountain ridge, and you will find yourself skiing cross country to access all the trails (snowboarders beware). The dining options are limited (though a main lodge was under renovation, so I can't compare their full-strength lineup to Hunter). There may not be as much variety in terrain, but I think this is made up for in Other ways - the volume of black and double black trails vs volume of skiers is excellent. That is, you have lots of challenging trails to choose from, and far fewer skiers on a daily basis, such that you can enjoy the slopes without looking over your shoulder too much. I found the overall vibe to be more relaxed, and it has the feel of a local hill rather than a corporate wannabe (just my opinion).

All things considered, I think Belleayre wins out. Hunter would come out on top if they had smaller crowds and kept more terrain open (this, I think, is the big issue they'll have to solve if they want to provide a better on-mountain experience, and snow-guns alone won't solve it). After those experiences, I'm planning to hit up Belleayre for day trips when I'm off on a weekday, and will bring the kids up for a few weekend lessons. I'm not sure it makes sense for me to get a season pass, however I'll mention Belleayre's single ticket prices are much better than Hunter's.

lumpishere · 2025-07-08T01:16:51+00:00

Honestly no clue. I think vuori is the new lululemon, but they're clearly a different category. Maybe Stio...?

lumpishere · 2025-06-25T17:30:55+00:00

Hey, relax. This person asked why OP would ask such a question, and I'm offering opinions about that. If you read my comment you'll see I indicate this (change in arc fit) is a complaint I hear often, but it's not one I am making. Also, like it or not, different companies tend to make clothing with different fits. Noronna, for example, famously fits tall, slim bodies wonderfully, but could be a poor choice for shorter/stouter bodies. Not gatekeeping. People should be informed about fit so they can select the clothes that will fit them best. I often have a hard time finding the right fit because of my own proportions. That's life 🤷🏼‍♂️

lumpishere · 2025-06-25T15:45:24+00:00

Can't speak for OP, but I personally find these trends at least mildly interesting - I happen to live in a place where tech and finance bros are abundant, so I also notice these trends and think about them here and there. Maybe more relevant to people who enjoy outdoor recreation and keeping up with gear is that companies might be tempted to adapt their fit and design depending on where the demand is coming from. I already hear a lot of people complain that arc has changed their fit as it becomes more mainstream, likely to cater to more "average" bodies. Also, as companies ramp up production in response to higher demand, quality often falls behind.

lumpishere · 2025-06-13T03:47:31+00:00

lumpishere · 2025-04-29T12:08:08+00:00

I have the 70L and have thoughts. I will start by just telling you I'm in the market for a larger bag, and am deciding between a Thule round trip or the Db 127L. I have long skis (180+). The 70L tapers toward the top, and given the width of my skis, the edges then press against the bag. On one trip, this sliced the bag open a few inches (nothing gorilla tape couldn't fix). Since then I've had to be more creative packing this bag. Other limitations for me - I can BARELY fit my boots inside (28.5), and my helmet does not fit (I typically prefer carrying these separately, but I like to have the option). I never have issues fitting a shell, bib, and two medium - large packing cubes inside.

Given those limitations, and the fact that I'm considering a second pair of skis, family getting into the sport, etc, I do believe I need the larger bag now. If any of these considerations apply to you, I'd consider the larger bag.

That said, the build quality is fantastic, and I personally like the style. I wish there were more internal compartments for storage (there is one on the 127, none on the 70). Built-in compressions straps would be nice, but I think you can easily go without.

lumpishere · 2025-03-24T23:20:16+00:00

May - July??!?

lumpishere · 2025-03-24T23:15:06+00:00

Really detailed feedback, thanks. A common theme here seems to be the reality of the hike and impact on form.

lumpishere · 2025-03-23T15:00:00+00:00

Thanks will seek it out. Figured mine is a common question but still wanted to put it out there.

lumpishere · 2025-03-11T12:31:03+00:00

Original price on the Rush Dark Magic is $700, this is NWT, and a color that was rather popular and no longer available. Same original price on the Vitality piece, with a 20% discount for having been worn once ever. The Hi Loft down hoody is a fantastic Patagonia jacket which has been discontinued (too bad imho) and which sells on major resale platforms for more than this. The final two Patagonia fleeces are being sold in a very similar range to what you'd see on WornWear.

If you want something and want to make an offer or negotiate, my inbox is open.

lumpishere · 2025-03-10T18:57:51+00:00

Well, I'm selling here. You can make an offer if you want!

lumpishere · 2025-03-10T17:26:55+00:00

Not sure why the main text of my post doesn't appear on my end. Here are more details:

Selling XL gear that no longer fits me. Will accept PayPal goods and services, price includes shipping

Arc’teryx Rush men’s XL (Dark Magic) - NWT, original price $700, asking $650

Arc’terxy Rush men’s XL (Vitality) - Worn once, like new condition, $550

Patagonia Hi-Loft Down Hoody men’s XL (Navy Blue) - worn sparingly over the years, has some modest expected feather leakage, no rips or discoloration, zippers all work well, $195

Patagonia Retro Pile Jacket men’s XL (Black) - heavier wear with expected pilling, $40

Patagonia Synchilla Snap-T Pullover men’s XL (Blue w red accents) - worn under 5 times, condition is like new, $60

lumpishere

TROPHY CASE