I am not a doctor, though I have many friends that are either med student or residents and do hear about the harrowing workload and stress quite a bit. I just want to point out the sentiment expressed here should all sounds very familiar to anyone who has ever had a job.
The managing class (Company CEO, Hospital/University administrators) is ever in the pursuit of more profit, euphemized as "efficiency" or "optimization", at the expense on everything else. How can we squeeze the employees a little harder so we don't have to hire as many? How can we increase "productivity" so more patients can be seen(and pay up)? How can we eliminate waste (lower cost of care as much as possible so we can make more) to the patient? How can we make more money by tweaking our charging model (Insurance rewarding loyal customer by charging them more, Hospital Chargemaster etc)? Oops, I see people are complaining a lot. Let me pay some lip service about appreciating our employees and valuing our customer/patients. Heck I am feeling extra generous right now , let's put up some cheap program they can participate in. There, they should feel happy now.
This is all too familiar in the corporate world. Any employees with a half a brain will get the message loud and clear: employers do NOT care. Or maybe they do, just nowhere near money. See, their incentive is aligned quite nicely: cost cutting/profit increasing actions are how they justify their pay and the profit it generates is how they pay themselves. Everything else can be sacrificed.
Caring for a patient is a very intellectual, specialized and dare I say it creative task. Doctors are paid well above many other professions though one can argue it is not for the years they have to invest into training and the work hours. The point is, at the end of day they are glorified laborers, being told by their boss what to do, just like the rest of us. Prestige has shielded the medical profession for decades but now the grip of corporate America has finally caught up. And lo and behold, what scant voice and influence do we have!
We absolutely do need managers/administrators. We need them to make sure companies/hospitals are running smoothly, is well funded and serve the customer well. But the lack of voice and the power imbalance in employment is suffocating. We are partners not servants or slaves. And the all consuming focus on money has got to stop. Human welfare deserve to be at the top. not profit.
Same as you, not condoning piracy. However, in my opinion it is very unlikely we are paying for "the persons who worked hard on creating this content". Sure we are paying for them, but I think most of the money goes to the person whose capital "worked hard on creating this content".
I think it's more like you create demand for them. I doubt any of your bill actually goes to the creator directly in most licensing setups. Or is that wrong?
It is useful when you are trying to type a character that you cannot quite pronounce/pronounce erroneously. It happens quite often even with Chinese people. With this input you can simply imitate the strokes.
Great points. Also a "free" market in practice will always tend to lead to extremes. For example, monopolies naturally form when economic power start becoming concentrated. That's why government regulations were put in place.
Your points are great and all, but what about the local folks that the engineers displaced? The people who has lived in SF for decades, contributed to its wonderful culture but failed to catch on to the tech boom. After being pushed out by the high living cost you cannot just expect they will seamlessly move right back when the prices/market calibrates to normal.
Bike infrastructure is being built. Bike ridership is up, all great news.
However, there remains a fundamental problem. As packed in as NYC is, it is still a huge city designed for automobiles. Many people lives 10, 20 miles away from their jobs.
It is obvious from the picture in the article that many cyclists gear themselves up for a long arduous ride. Unless one is into biking or exercise most people is just not up to that kind of ride. I do not think a 20 mile ride is what the average cyclist in Amesterdam or Berlin imagine their commute to be.
>a huge city designed for automobiles. Many people live 10, 20 miles away from their jobs
I think a majority of workers in New York commute using public transit. It might be a minority of people living 10 or 20 miles out, but if so, it's still pretty close.
The managing class (Company CEO, Hospital/University administrators) is ever in the pursuit of more profit, euphemized as "efficiency" or "optimization", at the expense on everything else. How can we squeeze the employees a little harder so we don't have to hire as many? How can we increase "productivity" so more patients can be seen(and pay up)? How can we eliminate waste (lower cost of care as much as possible so we can make more) to the patient? How can we make more money by tweaking our charging model (Insurance rewarding loyal customer by charging them more, Hospital Chargemaster etc)? Oops, I see people are complaining a lot. Let me pay some lip service about appreciating our employees and valuing our customer/patients. Heck I am feeling extra generous right now , let's put up some cheap program they can participate in. There, they should feel happy now.
This is all too familiar in the corporate world. Any employees with a half a brain will get the message loud and clear: employers do NOT care. Or maybe they do, just nowhere near money. See, their incentive is aligned quite nicely: cost cutting/profit increasing actions are how they justify their pay and the profit it generates is how they pay themselves. Everything else can be sacrificed.
Caring for a patient is a very intellectual, specialized and dare I say it creative task. Doctors are paid well above many other professions though one can argue it is not for the years they have to invest into training and the work hours. The point is, at the end of day they are glorified laborers, being told by their boss what to do, just like the rest of us. Prestige has shielded the medical profession for decades but now the grip of corporate America has finally caught up. And lo and behold, what scant voice and influence do we have!
We absolutely do need managers/administrators. We need them to make sure companies/hospitals are running smoothly, is well funded and serve the customer well. But the lack of voice and the power imbalance in employment is suffocating. We are partners not servants or slaves. And the all consuming focus on money has got to stop. Human welfare deserve to be at the top. not profit.