You can already hear the pseudo-theories, justifying the differences for eternity. Blue blooded, of lazy blood, etc. Apply yourselfs and you will win.. adding insult to injury, when you can not win, you must in addition be lazy with only yourself to blame.
Except in the United States it is true. Something like 80% of new military recruits come from military families (parent, sibling, uncle/aunt, or grandparent).
Similarly over the last few decades the number of medical doctors who have immediate family who are also doctors has grown.
Social and economic class in the US is increasingly set in stone and hereditary.
I wonder how much of this has to do with seeing someone you are close to work as a doctor makes being a doctor (or military recruit, SWE, etc.) seem real and achievable to you. When I was little I wanted to be a firefighter purely because my father was a firefighter; it wouldn’t surprise me if the same goes for a lot of other people.
I can't prove it, but I've heard more than one story of those with relatives in the military managing to get someone to pull rank and put them on better and upwards promoting assignments.
Obv not a great sample, but within my peer group, none have parents or siblings. I have an uncle. Grandparent is a weird one - for anybody born in the 70s as I was, it’s almost a given to have a grandparent or four who served. Being European, all of mine served at the tail end of WWII or immediate aftermath.
In the United States i suspect some portion of this is due to "legacy" admissions whereby some child is admitted to a competitive program or given very advantageous scholarships not because of their hard work and displayed competence, but because of their parents. I know that it will be very possible for my children to end up at ivy league if they take the legacy advantage I've given them, even though ivy league has been completely off the table for me my entire life. They'll start _much, much_ higher on the ladder than I could.
I'm not sure what you're trying to say here. They were not "removed", they were made to be disallowed if and only if the school wanted to receive a certain kind of government funding. Some schools have enough money that they can ignore this. Notably, Stanford said they would give up the funding to keep their policy of legacy admissions.
So the richest, most prestigious schools where legacy admissions are a gateway to the upper classes, will keep the policy.
Medical schools require a lot of volunteering and things like 'slinging hot dogs to pay tuition' don't count unless you grew up without clothes surviving on rabid dogs in the holler of W Virginia working the coal mines from age 8. We all know who has time to volunteer or do minimum wage healthcare instead of work the best paying shitty side job they can get: the rich.
It's set up heavily tilted so you have to be rich, or dirt poor enough for a sob story, or a desired minority. Even if you do volunteer a lot and are middle class, you probably didnt know anyone that could help you into the most prestigious positions. A middle class person of equal aptitude would likely go into something like engineering or law which have fewer class-signalling non-academic purity tests.
That gating on medical training has always been there (at least for 40 years, if not more). But the number of doctors from doctor families has increased.
And just generally, socioeconomic mobility has decreased in the US across the population.
Always been gated. But the slider has been dragged even further in the purity test direction. The intelligent un-pure now tend to become NP or PA, those programs still let you practice independently and slide more towards academics and less at whether a rich person set you up to be taken care of while you play mother Teresa until the switch flips the day you are accepted.
Because there are so many applicants that have good grades.
A more cynical view is that the governing boards want a way to pick and choose who they let in. So they create "holistic" application systems to get "360 degree view of the candidate".
No matter how many have good grades, you can always pick the top n by grades—unless there's a ceiling that the top m > n have all hit. Which, if you're talking about "grades" as in GPA, is plausible.
MCAT seems more relevant, though. According to Claude: "Roughly 0.1% or fewer of test-takers score a perfect 528 in any given year — typically only a few dozen individuals out of the ~120,000 or so who sit for the exam annually." So it should work fairly well for them to sort by MCAT and take however many they have (or expect to have) room for.
I think OP's point was that the governing boards don't want the people with the top n grades. They want certain people, and by making the admissions criteria fuzzy, they can pick and choose those certain people and then say "well, our admission criteria is subjective," and "we are looking for 'well rounded people," and all kinds of other vague weasely ways to let them legitimately shape the student body in the way they want.
One of my roommates who was premed had a "hot car" poster as a motivational study aid. After a short term as a candy striper at a local hospital, he changed majors. The system works! ;-)
At a certain point, grades become arbitrary and won’t necessarily select for the best candidates. Obviously the current system doesn’t, either.
The actual solution is to increase the number of slots for training doctors to match the huge number of qualified applicants. It makes even more sense given that there is a shortage of doctors and health care costs are astronomical.
I want a doctor who was a strong student with diverse experiences, lots of soft skills and can handle the entire psychological spectrum of being a doctor, not the doctor who was solely the best at exams.
There are all kinds of doctors though? The ones who don't have soft skills or diverse experiences can go into pathology or other fields that don't involve as much patient interaction. Why lose out on their gifts altogether if they're genuinely interested in medicine.
> No matter how many have good grades, you can always pick the top n by grades. Which, if you're talking about "grades" as in GPA, is plausible.
I live in Ontario and we're there. 40% of Waterloo students had above a 95% average in high school. The average GPA to get into UofT med school is 3.94/4.00 GPA.
What has happened as a result is students killing themselves and each other. If you fail one test in any course, you cannot move to the next level.
So, if you go on the UofT subreddit there's endless stories of pre-med students sabotaging each other. Faking friendliness, destroying notes, etc etc. This is arguably rational because the pool is small and there's little to gain by studying harder if you already have a perfect GPA.
You don't want this type of person as a doctor. They will sabotage others because that is how they got ahead in the past. In a medical environment that kills people.
That would increase competition and thus depress wages for existing doctors, who are the ones who make the decisions here. I heard, from a medical school attendee, that she overheard some doctors discussing whether it would be a good idea to require a fifth year of medical school to become a general practitioner (luckily, they were like, "Eh... nah"). It did not seem like it bothered them that this would make it even harder for civilians to get medical care.
Theoretically yes. But I think at least part of the decision they've made is to delegate a chunk of the decisionmaking to doctors' guilds. Which—on the one hand, they are experts of a sort, but on the other hand, they have an obvious conflict of interest.
> “The United States is on the verge of a serious oversupply of physicians,” the AMA and five other medical groups said in a joint statement. “The current rate of physician supply — the number of physicians entering the work force each year — is clearly excessive.”
> The groups, representing a large segment of the medical establishment, proposed limits on the number of doctors who become residents each year.
> The number of medical residents, now 25,000, should be much lower, the groups said. While they did not endorse a specific number, they suggested that 18,700 might be appropriate.
I've read about that before. I personally am of the belief that Medicare funding for residency slots should be eliminated over time. Also freely allow the opening and expansion of medical schools and teaching hospitals. Over time things should settle into a comfortable equilibrium of enough doctors making decent wages for everyone to be treated at a reasonable cost.
But maybe that's a free market fantasy. Who knows.
Or the alternative. Government-owned everything healthcare - facilities, hospitals, med schools, doctor practices. Doctors only work for the government.
The current system is neither here nor there and is designed for maximum profit.
Military academies are not upper class at all, mostly middle class folks. Officers are generally of the same stock as any other white collar job in engineering, law, business, etc.
They are synonyms as that includes "nearly the same."
The only difference I can detect is that "class" allows members to move between groups and "castes" do not; however, all the outcomes are identical. So they are absolutely synonymous in most peoples eyes.
As I read through the distinctions between "class" and "caste" helpfully provided by search engine AI, a sensation that formal caste systems are more honest than inexplicit "class" systems grew in my mind.
The claims are that different outcomes in income, occupation, education, marriage, etc can result in changes in a person's "class." But even in the statistically insignificant number of Horatio Alger stories, did the person's class really change? Did Eliza from Pygmalion change classes or just learn how to "code switch?"
It's the people with the guns (and muscles) that have the literal physical power. They could shoot the aristocrats dead if they wanted to.
The aristocrats' "power" is make-believe like the rest of their papers and numbers: The various psychological barriers which dissuade the gun-bearers from ever reaching the "want to" part.
Which is why power is much more complex than brute force. Sheer physical or military power is not the be-all and end-all, just a facet of the total picture (and in fact, social creatures that humans are, even just adversarial aspects of power are a subset of power).
> It's the people with the guns (and muscles) that have the literal physical power. They could shoot the aristocrats dead if they wanted to.
What matters is not raw power, it’s balance. The power of one guy with guns is kept in check by the power of other guys with guns who stand to benefit from the status quo. The aristocracy’s game is to play with this balance to make sure that no other rival force emerges. They do not need any actual physical power themselves to play it.
This is true up until it isn't. Their security is through obscurity. Being able to deflect the masses. Manipulating the balance, if you will. But they are not special. They are still unprotected sacks of flesh. And we've recently seen just how vulnerable they are. If that desire spread, you will see more.
Indeed. Then, there’s a revolution and heads start rolling. But again, this does not happen when power disappears; it happens when the balance changes, e.g. when a significant chunk of the army sides with a part of the people.
> Their security is through obscurity
Not at all. They can be very blatant about it. Look at Iran for example. Or Russia. Everyone knows who controls what, there is nothing obscure about it.
Reminds me of the riddle[1][2] from Game of Thrones / A Clash of Kings:
Lord Varys: Three great men sit in a room: a king, a priest, and a rich man. Between them stands a common sellsword. Each great man bids the sellsword kill the other two. Who lives, who dies?
Tyrion Lannister: Depends on the sellsword.
Lord Varys: Does it? He has neither crown, nor gold, nor favor with the gods.
Tyrion Lannister: He has a sword, the power of life and death.
Lord Varys: But if it's swordsmen who rule, why do we pretend kings hold all the power? When Ned Stark lost his head, who was truly responsible? Joffrey? The executioner? Or something else?
Tyrion Lannister: I've decided I don't like riddles.
[pause]
Lord Varys: Power resides where men believe it resides. It's a trick. A shadow on the wall. And a very small man can cast a very large shadow.
Historically aristocracy was the military class. Nowadays in authoritarian societies it looks like it's mostly matter of time before military takes the lead.
China dervies a ton of authority and Legitmacy from the PLA (peoples liberation army) and Russia is run by from Inteligence service members of the KGB low level ones to be sure but I don't see how China and Russia are counter examples. The US isn't their yet we will see if the backslide happens in the next two years but I think its of a different qualia than we see in the "typical" Authorithian State.
Ironically I was watching Nuremberg last not and is is schocking how close some of the leaders of this country are to characters like Hermann Göring, or Hitler himself in talking points. They are certainly populists but the language they used is MGGA (make german great again) so to speak. And factually that were not particular that good at it either most of Germans recovery is really due to the liberal government that pass laws that built the Autobahn were laws not by the Nazi party. They certain jumped on them and accelerate them but effective governence is not really for the populist
In fact, the current administration, not headed by someone from the military (and VP has military credibility but not leadership) is not at all aligned to the military except in that their base appreciates the imprimatur of honorable military service. In fact, Trump 1 was in many ways a huge refutation to Trump of the idea that the military guys were leaders he could count on. Their brain-trust positions had more left-alignment than he maybe imagined. His administration, in 2025, fired high-ranking officers in a way that suggested he entered with the reverse conclusion: not military leaders as high-competence straight-shooters, but as all being suspect for having risen unstoppably in a system pervaded by partisan platitudes and shibboleths. Fortunately, the administration didn't take the Soviet approach of purging all those under suspicion.
They just finally had to fire their SecNav because reality butted heads with their ideological conclusion was that business experience was more conducive to military success. Unfortunately for their very-much-not-military-led plan, SecNav probably needs a bit more user experience from time in Navy leadership to successfully work within that labrythine bureaucracy.
A military coup in the U.S. is imaginable, which probably explains some of the top brass purges (until recently, where it's probably an attempt to deflect blame for the massive Iran fuck up).
Putin did it better; he kept the military weak and aggressively managed the risk via the FSB.
I don't think it's plausible, but an authoritarian president invoking emergency powers and deploying military and paramilitary forces to exert control on the streets is, on the basis it's already going on at a limited scale. All it takes is for that scale to gradually dial up over time until the frog's cooked.
The problem you have is these elected kings. Not just any king, pretty specifically the majority of the powers enjoyed by George III in the 1790s. The fact that you still have this, unreformed over 200 years later and still think that somehow your constitutional system is modern, is a matter for despair. Get yourselves a proper parliamentary system, with maybe a head of state as a figurehead.
Your main point is valid, but I'd argue it's less the power of the President and more the two-party system and the weakness of Congress that is the root of many American governance problems. Executive power has grown in the vacuum of Congressional impotence.
As far as reforms, we need more to be sure, but there's at least the 22nd Amendment, formalizing the two-term tradition that Washington initiated and FDR abrogated into a hard limit, that means Trump can't legally keep power past 2028.
>The problem you have is these elected kings. Not just any king, pretty specifically the majority of the powers enjoyed by George III in the 1790s. The fact that you still have this, unreformed over 200 years later and still think that somehow your constitutional system is modern, is a matter for despair. Get yourselves a proper parliamentary system, with maybe a head of state as a figurehead.
What a poorly thought out and questionably motivated take. It will no doubt be well received here.
In any case, reconstructing out legislature to copy european stuff isn't gonna change anything if the legislature still sees fit to vest so much power in the executive.
I think, despite all the furor whipped up and attempts by high-ranking officials to foment a coup, the military is actually very unlikely to disobey Presidential orders; this is based on my frequent interactions with military officers over the last ten years. Do you perceive some other, more likely, coup scenario?
A coup from the same military that happily deployed foot soldiers into American cities to perform law enforcement duties they were not trained to perform? And is happily killing boat-people in the Caribbean? And ran a covert operation to kidnap a foreign head of state? And ran another covert operation to assassinate political leaders in another sovereign state and are now bombing that same state into rubble for no publicly disclosed reason?
Yeah, no coup is happening here. Our military is built around civilian control via the White House. That ain't changing any time soon. Ignoring the various uses of force above, when the generals were called before Hegseth to bend the knee, all but one of them did.
People with guns don't stand much of a chance against people with armies. Sure armies can turn on an individual, but that just means that particular individual has lost power, and that power has been transferred to whatever new individual commands the loyalty of the many. It's not imaginary, it's emergent.
And how are the people who shot these politicians doing now? How about the US and Japanese governments? Clearly shooting a politician doesn't mean either that you gain their power or that the power structure they led evaporates.
That is exactly the type of pacificity that plays into their hand. Life is good and bad at the same time. It is important to hold those two at the same time.
The vast majority of people don't want to take the bet of a tiny chance of doubling their lot in life for the downside risk of literally being tortured and dying and probably ruining the life of any loved ones.
Most people aren't degenerate gamblers.
The workaround is organization. With sufficient organization, you can start to drag the tiny chance to a slightly bigger chance, and slightly reduce the downside risk maybe.
Some parts of American society are absurdly bad at organizing, and basically gave up 60 years ago.
Not at all. In a caste system a lower caste person will get attacked if he (or especially she) has any success at all. Whether or not what they did was legal or not does not factor into the equation. First priority is that the highest up dalit is lower than the worst drunkard brahmin, even if they have to kill them.
Tulsa once had what was known as Black Wall Street. There were too many successful black men, so 1921 in the whites massacred everybody. They even brought in planes and dropped bombs.
Here's a contemporary opinion, from the state attorney general at the time, the highest ranking person in a judicial apparatus that didn't prosecute anyone for participating in it. Looks like the fact that "the Negro" was so rich he didn't "accept the white man as his benefactor" was a pretty big deal...
The cause of this riot was not Tulsa. It might have happened anywhere for the Negro is not the same man he was thirty years ago when he was content to plod along his own road accepting the white man as his benefactor. But the years have passed and the Negro has been educated and the race papers have spread the thought of race equality.
Well, I am also having trouble with stating it as a fact, that the reason was they were too wealthy. Might have played a role later, but that is not clear to me from what is stated on wiki:
"The massacre began during Memorial Day weekend after 19-year-old Dick Rowland, a black shoeshiner, was accused of assaulting Sarah Page, a white 21-year-old elevator operator in the nearby Drexel Building.[25] He was arrested and rumors spread that he was to be lynched. Several hundred white residents assembled outside the courthouse, appearing to have the makings of a lynch mob. A group of approximately 50–60 black men, armed with rifles and shotguns, arrived at the jail to support the sheriff and his deputies in defending Rowland from the mob. Having seen the armed black men, some of the whites who had been at the courthouse went home for their own guns. There are conflicting reports about the exact time and nature of the incident, or incidents, that immediately precipitated the massacre.
According to the 2001 Commission, "As the black men were leaving, a white man attempted to disarm a tall, African American World War I veteran. A struggle ensued, and a shot rang out." Then, according to the sheriff, "all hell broke loose."[26] The two groups shot at each other until midnight when the group of black men was greatly outnumbered and forced to retreat to Greenwood."
So you take issue with the idea that an out of mob that burned down 35 blocks of a mid sized city was motivated by envy and resentment of the prosperous black community.
Instead, you assert it was a mob that assembled to lynch a young man who was arrested for assault after he stepped on the foot of or grabbed the arm of a white female elevator operator when he tripped in the elevator. I guess they got out of hand when there was resistance to their murdering the kid.
I take issue with the statement "There were too many successful black men" and wikipedia as proof for that.
Honest representation of facts is important to me in general.
"After an all-night battle on the Frisco Tracks, many residents of Greenwood were taken by surprise as bullets ripped through the walls of their homes in the predawn hours. Biplanes dropped fiery turpentine bombs from the night skies onto their rooftops—the first aerial bombing of an American city in history. A furious mob of thousands of white men then surged over Black homes, killing, destroying, and snatching everything from dining room furniture to piggy banks. Arsonists reportedly waited for white women to fill bags with household loot before setting homes on fire. Tulsa police officers were identified by eyewitnesses as setting fire to Black homes, shooting residents and stealing. Eyewitnesses saw women being chased from their homes naked—some with babies in their arms—as volleys of shots were fired at them. Several Black people were tied to cars and dragged through the streets."
---
"One kid groped another kid" is an insufficient explanation of this kind of violence and looting.
Oh it was becuase of their race for sure. For the type of man who joins a lynch mob, the only thing worse than a black man being black was him being “uppity”.
The black community resisted the lynching and stood up for the poor bastard they wanted to murder. Their prosperity as a community and individually gave them the fortitude to fight back.
It wasn’t “because they were rich”. It was because they had agency and dared to stand for their rights as a community. For a person who believes that the color of your skin makes you an inferior or superior human, that is an unforgivable affront.
you are incredibly naive, ignorant or oblivious if you dont think a primary reason was because of their race in TULSA in 1921. Cmon man -read some history
Your refusal to interact with subtext has me guffawing. I wonder if you even recognize what you're doing.
In the history of revolution, there is never (except in elementary school) all that much weight put on the singular act which instigated the final result. The conditions in place (Jim Crow laws, Southern pride, etc.) lead up to a final moment which our monkey brains like to point to as the cause but in reality there is a simmering cultural froth which could boil over in any number of ways: it just happens that one of the ways is what's described in the Wikipedia article, but it could have started many other ways. All of our understanding about the experience of being Black in the US during that time helps to contextualize the extreme and disproportionate outburst of violence by the White population as racially motivated, serving under an ideology best described as ur-"Great Replacement Theory".
In simpler words, the destruction of Black Wall Street is not without precedent, indeed this was merely one of the more famous and complete examples of destroying the wealth that Black people enjoyed, if only briefly due to the hate of those visiting violence upon them.
But you are doing the same as what you are complaining about.
Racism is a complex phenomenon not limited to the simplistic view "they don't like black people". This representation is doing a disservice when some truly racist people are then justifying their actions and beliefs by saying "I cannot be racist, I'm friend with the garbage man who is black: he is a good black man, is polite to me and stay at his place. So, if I'm not racist, what I'm doing is just legitimate".
In the context of Tulsa, it is difficult to believe that the frustration of racist people seeing black people more successful than them has not contributed to the situation. It seems very natural and logical (and that's even the core of "white supremacy": it clearly states that white people deserve a better position in the social hierarchy than black people: white supremacy framing is all about how some classes are reserved to white people and not black people), and if you are claiming that it is not the case, you are the one with the burden of the proof.
While you have a point on raising that racism should not be reduced to only a class issue, you should have raised that as a precision around the discussion instead of presenting it as if racism has absolutely nothing to do with class and class sentiment.
To take back your parallel, what you do can be seen as:
"A person entered a bar and was raped" (what you say)
vs
"A woman entered a bar and was raped". While nobody here claims that men cannot be raped, there is social phenomenon that create a gender imbalance, and it is important to not reduce the situation to "it has nothing to do with gender and the social norms around it".
In the rest of your comment, you, yourself, are doing a lot of interpretations. The fact that someone noticed that a class factor may have had an impact does not mean that they or all readers will conclude that it is the only way racism can happen (that is a huge stretch: if they know what happened at Tulsa, they very probably know a lot of other cases where the "only due to class" theory does not hold up).
Same for "victim blaming": the fact that they were successful were obviously not used to excuse the massacre or pretend that somehow it was the black people's fault, the context is clearly to condemn the white racist people (and the success of the black people seems to be presented as an obvious additional factor on the racists, as it is obviously unfair to pretend that some people don't have the right to be successful).
I think the first comment was not totally perfect and would have been 100% fine if they would have simply added "class was one of the factor". But I think your reaction has way more problems and does a bigger disservice by reducing racism to a framework that can easily be instrumentalised by real racist people.
It is not difficult to believe that the frustration of racist people seeing black people more successful contributed to it. In fact, it's the most obvious and straightforward explanation for it, given the fact that it's 1)1921, 4 or so decades before the Civil Rights act, and in freaking TULSA lmao
Would you feel bad if it was actually true? Would it pose even a minor inconvenience for your life if that was exactly the case? What's the problem anyway.
Are we now not at all allowed to reference problems in other societies? We can complain about western society, and complaints from 100 years ago, when even my grandfather wasn't born yet, are valid criticism of America/Europe/... but things that happen today in India, Pakistan, Turkey are off limits?
No one did of course, but it's a common tactic of distraction to try to focus the attention on something else.
That way people don't have to experience the discomfort thinking about the negative thing going on in their own society.
People died, yes. But there was no white supremacism. There was no Wall Street. It was just like any high street. It was triggered by an attempted rape.
People were murdered and homes and businesses destroyed by a white mob because they were black. How is that anything but white supremacy?
> There was no Wall Street. It was just like any high street.
It was one of the wealthiest black communities in america at a time. “Black wall street” was a nickname, not a literal description of a stock exchange.
> It was triggered by an attempted rape.
No, it was triggered by an attempted lynching of a black man. Or if you want to be more specific, because the community there stood up to protect the arrested man. It was triggered by a black community stopping a lynching.
Your assertions are an ahistorical revisionist fantasy.
I think an important distinction is not really the class matter, it’s really more a jealousy and spite that the political and bureaucratic betters could not profit from it, not that he did so much.
If he had had the means of letting all or maybe just a relevant and important enough cadre of aristocrats know the inside information, he would have surely not been prosecuted. I know this from first hand knowledge.
It may seem the same or like a distinction without a difference to some, but that is really how things work and why he was prosecuted, not because he profited, but because he did not let others in on it and they really want to discourage that behavior, hence his flogging and his public flogging at that. And yes, if you get the sense that it’s like organized crime, then yes, that is and long has been how the US government and many other governments have functioned for a long time now. It’s what also makes them so easily controlled by the US. It could have easily also been swept under the rug while still sending a signal within the system, but it wasn’t and we were all told about it.
And that is how the ruling parasites really get rich, none of that hard work and smarts stuff; those are the stories told to keep the peasant cattle voting for the slaughterhouse, dreaming of the wide open pastures of also becoming rich by working hard.
Fraud, cheating, lying, manipulation … that’s the name of the American dream game.
I again apologize to anyone who feels what and how I say things is “flame bait” or a personal attack, it’s simply just how I speak and like to challenge people’s comfortable assumptions. Feel free to dismiss what I say of you disagree with me. No offense intended and no flaming or whatever necessary, it’s just people speaking to each other or not. We’ll all be fine if we keep talking, even if you don’t like what others have to say or want to control how they say things.
Not so much class or caste, but a dual-state where an elite have a normative or lawless state, and specific or arbitrary others suffer a parallel prerogative or punitive state. This is the essence of corrupt authoritarianism.
Most Americans share a delusion of perpetual glory days like a former star high school football quarterback with the refusal to accept factual reality that their country isn't uniformly excellent and is terrible in many ways including being extremely superficial, corrupt, dangerous, unhealthy, unhappy, paranoid, over-reacting, immature, selfish, unfair, disinformed, and unequal.
More like three. One class where you can do whatever you can pay for, another with a set of annoying but almost reasonable rules and the last one for whom any actions and their mere existence is illegal, but whose presence is very much relied upon to do things.
Frank Wilhoit: “Conservatism consists of exactly one proposition …There must be in-groups whom the law protects but does not bind, alongside out-groups whom the law binds but does not protect.”
soldiers are disposable, they prolly threw him under the bus hoping that would be the end of the matter and they could walk away with the rest of the money.
At the risk of going “No True Scotsman” on this assertion, I would point out that providing such services has been increasingly lucrative and it is a growth industry where new providers are arising constantly, and existing ones are expanding vigorously.
That means that the space for fraud, waste, and abuse is gigantic. I have, on occasion, perused the FOIA lists of de-licensed providers, and this list reads like a watchlist of dangerous religious cults, because that is literally what they are.
Imagine if the state and taxpayers could fund a variety of new religious movements in efforts that would be lauded as “health care”. It is absolutely amazing.
Many unlicensed or unscrupulous recovery facilities have been scooping addicts off the streets, because you taxpayers are funding “housing” and “treatment” that is so attractive to client and provider alike. Drug-addled Indigenous men willingly hop into unmarked vans that cross state lines to drop them into homes (literally looking like private homes in residential neighborhoods) where they supposedly get treatment “for free”.
Those outpatient facilities that are invisible only need to get a patient hooked so they keep coming back every month, and that’s a guaranteed paycheck. Everyone you see living under bridges and in sewers, they represent billable hours for outpatient clinics. They are far more valuable than they appear because of the taxpayer dollars that support their ongoing “treatment” and “recovery”. It’s probably not worthwhile to get them off the streets, because of how valuable they already are!
Reagan moved to close the asylums after One Flew Over the Cuckoo’s Nest, but if you drive through the cities today knowing what to look for, you’ll see enormous BH facilities going up like mu$$$hrooms, literally.
Not to mention the unspoken costs to sanity of the workers themselves. BH is always hiring and there are always job openings, even for the mentally ill themselves to be “peer support”, so often your treatment will involve one or more people with mental illness already. Nurses and doctors burn out. Have you ever seen Harry Potter and how many teachers for Defence Against the Dark Arts he had? It’s exactly like that.
In fact, the new national crisis line is established as a funnel, to funnel new and existing clients back into the “treatment and recovery” systems, because there is so much profit in keeping them there.
There is a unique character to grifting and fraud in the BH industry. Look at other entitlements such as housing. With HUD/Section 8 they pay for rent, and it goes to housing or it doesn't. It may go for low-quality housing or overpriced housing, but typically it puts a roof over one's head. Or SNAP: it pays for food. Fraudsters may find a way to trade it and use it illicitly, or purchase nothing but tri-tip steak, candy and Sprite, but that's food and it goes in your belly. Any cash-based entitlements that go into a citizen's pocket, they have qualified and applied and run the gauntlet of paperwork for that; generally they spend that money on well-being, but that's personal money in the bank, and will not fund institutionalized fraud.
With BH treatment, what is paid for? What efficacy does it have? How does it work? Nobody really knows. Is more better? What are the best methods? Nobody really knows. BH success comes down to obedience and compliance.
Furthermore, we've discussed mass shootings in here a bit, and I just want to mention how the BH system encourages and increases mass shootings. There is nothing like a melange of psychoactive drugs in someone's system to give them S.I. and H.I. We saw it as early as Charles Whitman and we saw it again at Columbine. Listen to the news: anytime an active shooter "had a history of mental illness" they were probably hopped up on drugs to do the deed. There's a Broken Window Fallacy at work, only it's about broken lives, human violence, and hospitalization. So think about that when you call for more funding, more legislation, more treatment: it's an ourobouros that would make Trent Reznor suffer.
Clinics, as I said, are new religious movements. HUD and SNAP cannot fund the establishment of new religions. What could possibly be more ripe for exploitation than vulnerable religious adherents and cult members (who firmly believe that they are medical paitients!) and juicy tax dollars that pay for amorphous "services"?
My partner in the USA texted a state-wide hotline for mental health. What she got was a simple not-even-chatGPT chatbot that ignored everything she said and, quite frankly, made it worse. It makes me absolutely furious.
I think that the people inside the US healthcare system mean well, but unfortunately the system itself is setup purely to generate exponential profits off illness. I think that the range of therapy, and sometimes medication that we have available to us is a fucking godsend and I'm glad that it's improving, but the number of gates in front of getting any of it are often completely impossible for someone who is in physical or mental peril.
Both me and my wife have been homeless, and there is -no support- for this. There's "support" on paper, but the reality of it is that most shelters have turn you away because they're underfunded and overfilled. Receiving support is a difficult thing to navigate when you're doing well, which makes a lot of the hurdles impossible to navigate when you're not doing well.
It would be cheaper and vastly more effective to simply give people UBI, a place to stay (there are hundreds of thousands of places with no homeowner and actively rotting in the UK, because they've been bought up by a conglomerate and neglected), and addiction support/mental health support. The research even supports the efficacy of doing this, and various pilot programs show that it's vastly more effective and cheaper. But hah! It doesn't seem like it should work because of the lies that have been told about the homeless, and it's not convenient to the narrative of "you just gotta work harder. I guess it's your fault you're poor" so I guess we're not getting it anytime soon.
Stop blaming the working class. We need jobs to pay our bills.
Regulate capital, force them to follow the law, force them to be ethical, and use all the force of the state for doing so.
To blame employees for the capital behavior is absurd and solves nothing. Put the high up decision makers in prison. Punish the real criminals and we will get back our privacy and our rights.
If you keep expecting the morals should be coming (only or mainly) from the top, you get trump and all related shitshow and many other beautiful things. Thats not how healthy societies work, and same can be said about companies.
Somebody making 300-500k+ yearly is hardly working class, in same way bezos or zuckenberg are not working class yet they do spend some time working on their businesses.
We all make our choices in our lives and shape it accordingly, at least have a pair and own your decisions.
Several reports say even a mid-ranked engineer at Meta can earn $200k in salary and another $100k in stock and bonus, every year. And that's not some rare, mega-senior E8 architect either.
Is there any point where a person stops being working class? Can I be chauffeur-driven to the opera in my gold-plated Lamborghini and still call myself working class?
If you work to earn a living, you're working class. If you use capital to pay your bills, you're a capitalist. So I'd say someone with that kind of salary and stocks is probably halfway to not-working-class. If you already have 1MM in stocks then you're not working class anymore, you don't need to work at that point.
Stop using bills as an excuse to be on the wrong side of history. Were the nazi soldiers innocent for gassing jews? Or were they also just "following the law"?
Being ethical is hard, but it's not an excuse. Yes, I judge people that work for FAANG, I judge colleagues for extensively rely on LLMs, and Big Corps for that matter.
> Regulate capital
How? Oh, right, by not using these products or working for the mentioned companies.
It's so easy to shift blame on other's and mark it as "not my problem lol"
Neolibaralism is a failed ideology. That most western countries are holding on it shows how low we have fallen.
Socialists democracies with high social support is what we know that works. They provide to their citizens, keep corruption in check and steer away from wars that are not for self-defense.
Destroying the world and killing innumerable amounts of people so the top .1% can accumulate more wealth is going to fail. Society will collapse as it cannot maintain such direction for long. High debt, massive layoffs, over-investment in AI, ... everything is done for share prices to go up at the cost of productivity and human suffering. Energy markets are like any other market just a excuse for that .1% to extract more money from the system. Disaster is being create on purpose.
There is no true democracy until we democratize the workplace and the economy. To claim we live in a democracy while we submit to the dictatorship of capital for eight hours a day is absurd.
Many of the countries suffering the most from this in Asia lean heavily socialist, and modern Europe is hardly a bastion of neolibralism. No economic system is immune to something like a severe energy supply shock.
Almost all the criticisms I see of liberal economics these days are complaining about factors that any economic system is vulnerable to because they are basic economic and human behavioural issues.
I think Thatcher/Reagan neoliberalism has run it's course though, nobody is actually following that script anymore. Certainly not the last few Republican administrations in the US. Trump is instinctively state interventionist.
> When I joined the workforce a long time ago, I went in with the mindset that: Their property, their equipment, their right to monitor (or even keylog).
Why do you renounce to your rights to privacy so easily? You are an employee not a slave, sometimes I have the feeling that Americans do not know the difference.
> If you want to rant about the company, do it outside the company!
You have a right to organize inside the company, and for that the most efficient easy way are the internal company communications. Communications with the purpose of unionizing should be private and the company accessing them should be punished, and if needed C level should go to prison for their crimes.
How do you organize otherwise? How do you contact your colleagues about grievances about the company?
It is mind blowing to see this capitulation on personal rights. It seems that corporate rights are more important than anything else in the USA. It is a pure dystopia.
> Tbh that's to be expected, the work machine is the company's property and there shouldn't be any expectation of privacy.
> I work at a tech firm in India
First I wondered how can you have such a low expectation on privacy, then you answered my question. What you need in India is more unionization and fight against corruption. It is becoming worse here in Europe but in India you do not have the protections that we have. Without that you will have no rights.
You will have to fights to get rights at your job. In the same way that Europeans are going to have to fight to keep them.
I am a European in Europe and I expect the same. Why would I assume otherwise? The company laptop is full of spyware, starting from the OS. I have no reason to consider it "mine", and no desire to do so. If I want to do anything private (including things that my company would not like) I can do so from my private devices.
Europe is a big place, but in my area of Europe it is very illegal to monitor employees this way. If you were to be fired for something that illegal surveillance turned up, I would consider it a good thing - with the settlement money you could take a couple years of vacation.
> with the settlement money you could take a couple years of vacation.
In many EU countries even if privacy protection is strong on paper, the settlement will be so low compared to US that you won't afford to take any vacation.
I've never worked a software development job where I didn't have a company-provided machine that I installed Linux on. I installed the OS, I have root on the machine, I wiped it and returned it empty when I was leaving the job.
Lucky you, I guess. In all the companies I worked for I have had a company-provided Windows laptop where the OS was managed by IT. The degree of freedom (e.g. what software could I install, what websites were blocksd) varied.
Oil countries (that includes the USA) buying political will in Europe is nothing new. The EU was already fighting against its own internal corruption and inequality, the state of the world is not helping at all.
As inequality grows in any part of the globe that money will be used to corrupt the rest of the world. The EU is not immune to it.
So, we all need to fight against wealth accumulation, inequality and corruption.
I would blame the monopolization of the economy. A few corporations purchasing big chunks of the industry control the job market create a bottleneck where supply of jobs is controlled by a few corporations. Once all jobs are controlled by a few decision makers the precarious work conditions, diminished salaries, abuses, etc. come naturally.
> Unfortunately, with credential inflation, this cycle will escalate.
Even if everybody had high education, companies would still compete for the best employees. There is no competition for employees because large corporations have agreed to not do so.
Apple, Google, Intel... discussed no-poach as a way to keep salaries low. Has anything changed?
> Even if everybody had high education, companies would still compete for the best employees. There is no competition for employees because large corporations have agreed to not do so.
Yes, but the degree itself used to be a signal. Of course the school mattered, but getting the degree was considered something. Now the only thing that matters is the school.
> Apple, Google, Intel... discussed no-poach as a way to keep salaries low. Has anything changed?
They wouldn't be able to do that if supply was low. In the 70s-80s, PhDs could incorporate themselves and consult to a very comfortable middle-class living. Nowadays, that's basically impossible for an average PhD. Supply really does matter.
The OS should start labeling everybody as a child by default. Forbid Facebook to show ads and any harming content by default. The OS has little less to lose with this approach than FB.
This is how a caste system works. People is not judged based on their actions but their relationship to power.
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