do opioid addicts even like being addicted or is it just a system 1 need-drug-now thing
i feel like the second is pretty solvable without limiting patient autonomy
man there has to be a better solution to opioid addiction then "make doctors a cartel"
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RT @mattyglesias
What happens when physicians face new competition from expanded scope of practice for nurse-practitioners?
Physicians hand out more prescriptions for addictive painkillers and for combo prescriptions of opioids opioids and benzodiazepines. 😬😬😬
https://www.nber.org/papers/w30889
https://twitter.com/mattyglesias/status/1628211303415177224
maybe the correct way to design this as a social technology is to start out as making it a sex party and then iterate tamewards
I suspect there's a tendency when doing this sort of thing to forget/discourage that discomfort is an emotion that belongs at the table too
i didn't realise i was allowed to ask for things asking for things sounds scary
but i am allowed to state True and Relevant facts about the world
“Conservatism consists of exactly one proposition, to wit: There must be in-groups whom the law protects but does not bind, alongside out-groups whom the law binds but does not protect."
etc.etc.
now we get arguments about "are people who commit crimes Same Tribe or Enemy Tribe" instead of like actual practicalities
man i feel like the way our criminal justice system works is trying to direct the part of our brain that used to think about Enemy Tribe towards criminals and therefore completely borked our ability to think about morality
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RT @pawnofcthulhu
@xphilosopher seems to me social punishment is much more likely to serve some other purpose (community is audience and this helps the community understand a norm/prevent future harm from this …
https://twitter.com/pawnofcthulhu/status/1627067582531633152
seems difficult to draw a principled line between it being ok to tie kids up (assuming clothes remain on) and it being ok to tickle kids, except people are much more familiar with one of these things
"let's teach kids how to do kink (for some values of kink)" seems like an excellent weirdtopian proposal at the very least tbh
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RT @niall_gooch
Love it when you get articles solemnly intoning that "The Right is waging war on literature", & claiming that conservatives just hate book-larnin', then you check which volume has actually been removed from a school library, & it's "Bondage: A Guide For 9 Year Olds" or something.
https://twitter.com/niall_gooch/status/1626340452340273152
lets maintain a sense of proportion mk
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RT @alexandrabotez
Over the years I’ve heard many stories from girls in the chess community regarding often prominent men in our industry. When encouraged to speak up, most are worried that the backlash and lack of consequences will render doing so pointless. 1/5 https://twitter.com/jenshahade/status/1625873098581983232
https://twitter.com/alexandrabotez/status/1625993900690182144
even if it's against newspaper policy you run into the "so fire me, i am sure that will give you a reputation for being very free speech" problem
tbh this seems like an enormous improvement on the previous method of complaining about media bias which was "i will quit this newspaper and urge no trans person to talk to you so you can't write positive pieces even if you wanted to"
that seemed ... counterproductive
queering the randos in my dms asking for nudes/ randos in my dms asking for math advice binary
twitter: pawnofcthulhu