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The important question isn't how to keep bad physicians from harming patient; it's how to keep good physicians from harming patients. Medical malpractice suits are a remarkably ineffective remedy. (In reference to a Harvard Medical Practice Study)... fewer than 2 percent of the patients who had received substandard care ever filed suit. Conversely, only a small minority among patients who did sue had in fact been victims of negligent care. And a patient's likelihood of winning a suit depended primarily on how poor his or her outcome was, regardless of whether that outcome was caused by disease or unavoidable risks of care. The deeper problem with medical malpractice is that by demonizing errors they prevent doctors from acknowledging & discussing them publicly. The tort system makes adversaries of patient & physician, and pushes each other to offer a heavily slanted version of events. ↗
The hand that rested on my shoulder rubbed it a bit, comfortingly. Then it gave my shoulder a little squeeze. I leaned into him. Maybe it was that I was broken. Maybe it was just that I was out of my mind. But it occurred to me that I was going to kiss him. The thought just arrived, certain knowledge, delivered from some greater, more knowledgeable place. I was going to kiss him. Stephen would not want to kiss me. He would back up in horror. And yet, I was still going to do it. I reached over, and put my hand against his chest, then I moved closer. I could feel just the very tips of the gentle stubble on his cheek brushing against my skin. "Rory," he said. But it was a quiet protest, and it went nowhere. For the first few seconds, he didn't move-he accepted the kiss like you might accept a spoonful of medicine. Then I heard it, a sigh, like he had finally set down a heavy weight. I was pretty sure we were both kind of terrified, but I was completely sure that we were both doing this. We kissed slowly, very deliberately, coming together and then pulling apart and looking at each other. Then each kiss got longer, and then it didn't stop. Stephen put his hand just under the edge of my shirt, holding it on the spot where the scar was. Sometimes the skin around the scar got cold-now it was warm. Now it was alive. "So Thorpe says that-Seriously?" Callum was in the doorway. Stephen mumbled what I think was a very obscene word right against my mouth. "You realize I now owe Boo five pounds?" Callum said. "Boo! I owe you five pounds! ↗
In Venezuela Chavez has made the co-ops a top political priority, giving them first refusal on government contracts and offering them economic incentives to trade with one another. By 2006, there were roughly 100,000 co-operatives in the country, employing more than 700,000 workers. Many are pieces of state infrastructure – toll booths, highway maintenance, health clinics – handed over to the communities to run. It’s a reverse of the logic of government outsourcing – rather than auctioning off pieces of the state to large corporations and losing democratic control, the people who use the resources are given the power to manage them, creating, at least in theory, both jobs and more responsive public services. Chavez’s many critics have derided these initiatives as handouts and unfair subsidies, of course. Yet in an era when Halliburton treats the U.S. government as its personal ATM for six years, withdraws upward of $20 billion in Iraq contracts alone, refuses to hire local workers either on the Gulf coast or in Iraq, then expresses its gratitude to U.S. taxpayers by moving its corporate headquarters to Dubai (with all the attendant tax and legal benefits), Chavez’s direct subsidies to regular people look significantly less radical. ↗
They called themselves the Munrungs. It meant The People, or The True Human Beings. It's what most people call themselves, to begin with. And then one day the tribe meets some other People or, if it's not been a good day, The Enemy. If only they'd think up a name like Some More True Human Beings, it'd save a lot of trouble later on ↗
Like the famous mad philosopher said, when you stare into the void, the void stares also; but if you cast into the void, you get a type conversion error. (Which just goes to show Nietzsche wasn't a C++ programmer.) ↗
Sed nescio quo modo nihil tam absurde dici potest quod non dicatur ab aliquo philosphorum. (There is nothing so absurd but some philosopher has said it.) ↗
...they say if you don't vote, you get the government you deserve, and if you do, you never get the results you expected. ↗
#democracy-voting #election #elections #false-promises #government
