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Cake day: January 13th, 2024

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  • I have the suspicion that you aren’t really familiar with what rural poverty looks like. These are people that cannot qualify for credit cards, get taken advantage of by payday loans, and struggle to meet the basic necessities that don’t actually even add up to a reasonable standard of living. These are people that can’t afford to put enough gas in the tank of their car to drive to those other stores, and literally their only source of groceries is likely to be a Walmart if they’re lucky enough to have one in their town.

    There is a good amount of Schadenfreude to be had when it comes to Trump voters, but when you’re in the position of trying to help them control their diabetes and high blood pressure on a diet of cheap, processed, high-sugar, high-sodium crap, you’ll lose that spiteful glee real quick. These are people that are inextricably trapped by poverty, food deserts, healthcare deserts, and failing education systems that never really had a chance and it’s hard for me to find any real satisfaction in seeing them suffer.


  • No there are not. In many smaller/rural communities, the nearest non-Walmart store can be up to hours away and be more expensive. If you’re barely scraping by and you have to work long hours or multiple jobs to do so, you don’t have the time or spare income to tack on an extra 2 hours to your grocery shopping and pay 10-20% more. Walmart has done an exceedingly good job at wiping out the competition in small communities that have no alternatives. That’s why you don’t see as many Walmart stores in larger, more populated areas…their entire business model relies on killing the competition.

    And that’s not even getting into how their new employee orientation has to include information on how to sign up for food stamps.






  • I didn’t say they paid no taxes at all, but I was explaining how the bottom 50% of earners in the country pay very little, if anything. The 19.3% is the bottom 19.3% of earners in the country, not a percentage of the bottom half.

    I would argue that if you get everything (or most of your withheld taxes) back on your return…that means that you effectively didn’t pay federal income taxes or paid very little. If you get most of your withholding back every year, you could look at how you filed your exemptions on your I-9 and increase the number to the maximum allowable. I know some people that put the maximum allowances so that no federal tax is withheld from their paycheck and they just pay the balance at the end of the year when they file their taxes instead of getting a return.




  • And that’s not even getting into state income taxes, Medicare taxes, and Social Security taxes. Those all have different brackets and some states are more regressive than others. There are states like Texas that don’t have income taxes, but they make up for it by taxing everything else through things like sales and property taxes.

    Of note: sales tax is always the most regressive taxation model, and tariffs are basically sales taxes on steroids.


  • For something very relevant to health: cooking, knowing how to measure food, and how to read a nutrition label. Obesity would be much less common if people were able to cook their own food more often, and knew how to actually measure out accurate portion sizes.

    I totally get that time, upfront costs like cookware, and access to decent ingredients are MAJOR factors in whether or not someone can learn how to cook, but anyone can and should know how to read a nutrition label and know how to measure accurate portion sizes for the things they eat. If you are trying to lose weight or work on healthy habits, a food scale is infinitely more valuable than a body weight scale. Most people do not know what 28g of chips looks like.


  • medgremlin@midwest.socialtoLemmy Shitpost@lemmy.worldOof
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    3 days ago

    The bottom 50% of Americans make less than $40k a year. They do pay some federal taxes, but with the standard deduction, the 19.3% of working Americans that make less than $15k a year don’t pay any federal taxes. The standard deduction goes up to $22.5k for a head of household (i.e. a single working parent). Given that the federal minimum wage still works out to $15,080 a year, that means a full-time minimum wage worker doesn’t make enough to get hit with income taxes.

    Edit: Here’s a wikipedia article with the numbers I pulled and the tax bracket info is on the IRS website: https://en.wikipedia.org/wiki/Personal_income_in_the_United_States


  • It is absolutely nonsense. People are subjected to stronger, more direct magnetic fields all the time in MRI’s, and MRI’s are substantially safer than most other imaging modalities in medicine (besides ultrasound). The amount of radiation from non-atmospheric sources vastly outweighs the cosmic (non-UV) radiation humans are subjected to, to the point that it’s not really even worth considering outside of maybe astronauts or people who take long-haul high altitude flights extremely frequently.

    The amount of ferrous material in blood is negligible at best, and there’s an estimated 3 to 4 grams of iron in the entire human body. The pressure from your heart pumping and the relatively high percentage of blood’s mass that is not iron (about 5kg) means that the effect of the iron if it was responsive to magnetic fields is slim to none.


  • medgremlin@midwest.socialtoLemmy Shitpost@lemmy.worlddoctors
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    8 days ago

    For a lot of doctors, the incentive to not do risky procedures is the fact that you have to live with the guilt of your patient’s death, even if you did everything perfectly. Or, you do everything perfectly, but they still have a poor outcome because they weren’t healthy enough to go through the procedure and the recovery, and you get sued for millions of dollars because you didn’t spend 4 hours going through the informed consent with the patient to ensure that every single possible complication was adequately discussed.

    I’ve worked in emergency medicine and I’ve had patients die in my care that we had absolutely no way of saving. The screams of their families still haunt me and I will carry those cries of anguish and loss to my grave. I would not perform a procedure that was not 1000000% necessary if the risks are too high because I have enough blood on my hands already, and I haven’t even finished medical school.