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Cake day: June 30th, 2023

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  • This is simply not true

    Modern meat is generally pretty safe and chicken tartare is definitely a thing. Is it something you should do if you are immunocompromised, a child, or elderly? Probably not. Is it something you should do if you are unsure of how the meat was handled? Probably not

    But if you buy quality chicken from a trusted butcher, freeze the surface, blanch it for a few seconds, you can pretty safely eat it raw assuming you’ve done a good job keeping your surfaces and hands clean. You could probably do it with grocery store chicken tbh but the risks are much greater because you have no clue if the $12/hr kid packing chicken breasts properly washed their hands (handling is overwhelmingly where foodborne illness is going to come from in this scenario)

    Is it going to be safe 100% of the time? No, of course not. But neither is eating medium rare steak, or eggs with runny yolks. But could you do this every day for a year with issue? Probably.

    Although I wouldn’t necessarily consider this the same over the next 4 years of american deregulation

    Raw chicken is kind of like scallops btw



  • The dot com bubble was this crazy time where for a brief period a generation didn’t know about this thing that the generation after them was increasingly and rapidly interested in.

    So like people use the whole “Wild West” metaphor and it’s really apt. Conglomeration was happening in the 90s with the rise of walmart, home depot, etc and it was becoming clear that opening a retail store was a dying business because the “big guys” were destroying towns. Like it was only a matter of time before a walmart came to your town and shuttered main street

    But the internet was different. All these established entrenched companies didn’t care about it, yet. So you could make bank with basic ideas. Like oh, clearchannel owns 70% (now like 95%) of the radio stations in the us. Trying to start anything in that space is foolish, plus there’s all these regulations. But internet radio? Boom, millionaire. Petco and petsmart are rising and putting pet stores out of business. But pets.com? Had prominent national advertising including a float in the macys thanksgiving day parade, a Super Bowl ad, and was listed in nasdaq. Boom, millionaires. Busted after 2 years and now redirects to petsmart tho

    Some of them stuck around. Like banking was obviously entrenched with old money but then a couple of rich kids were like what if we use daddies money to do internet banking? Then x.com and PayPal started and now we have elon musk and peter thiels reign of terror

    AI seems to have some similarities in that there’s the whole “what if we apply AI to x” thing and VC dummies throw cash at it but it’s not as broad so the bubbles not as big and frankly it’s not as definitively revolutionary. The internet was clearly a game changer. Like anyone with half a brain who used it saw the potential early on; it was a new modality for communication with an unprecedented speed and dearth of information. And after it had matured a few years people started to see how fast it was progressing, especially via stuff like games. We went from doom to quake to final fantasy 8 and everquest in the span of the 90s and anyone paying even a lick of attention saw the potential for things like facetime, netflix, youtube, etc eventually.

    But with AI it’s harder to picture. There’s the narrative that it will eventually do stuff and it can do impressive things but for the most part most people’s experience with it is that it’s like having a mediocre employee. Their work is okay but you have to constantly check it because they always make stupid mistakes. They tell you they’ll learn to stop doing that but it’s been several years now and they keep doing it. Just like teslas will self drive in 2018, chatgpt will reach agi any day now, maybe, or maybe it’s an illusion and it’s really just a bunch of if>then statements that are constantly trying to fix themselves but messing up others in the process.


  • I’m sorry you had such a bad experience. ABA is just a science though, and it’s the way it’s applied that can be good or bad.

    ABA should not be used to tell someone to not to like the transformers as a teenager. There are clear ethical guidelines about this. But supervision can fail, unfortunately. You could report your practitioners I suppose. But is that what actually happened? Why did they restrict you from transformer movies?

    I have seen unethical practitioners that work with parents who say “this is age inappropriate, my teenager shouldn’t be watching Sesame Street anymore” and try to discourage it. But this is rare these days and the field discourages practitioners from doing this. However, depending on how old you are and where you live and just because shitty people exist this could very well be the case

    But I’ll be real with you: I have seen people who are critical of ABA say things like what you said and it turns out they were not given access to their favorite movies because it was made contingent reinforcement. This is how ABA works, it is operant conditioning. But what these people are leaving out is that they were having major functional impairments that required some kind of enticement and there weren’t many things that motivated them to expend effort. They would only shower or brush their teeth once a week or less, they would not do homework ever to the point of failing classes, they would exhibit violent behavior that was dangerous to themselves or others, serious communication deficits, etc.

    the way we would encourage the behaviors we needed to see more of and discourage the problematic behaviors was through reinforcement based systems. Of course, reinforcement can always feel like punishment when one fails because a true reinforcement system requires one to withhold reinforcement when necessary so the learner can conflate reinforcement with punishment pretty easily

    And I would suggest maybe talking to someone about this, you’ve got a real chip on your shoulder about this. I merely asked you a sentence it and you went into a paragraph long diatribe assuming a great deal about my history. You don’t know me or my experience. You’ve clearly got some trauma, maybe it’s time to deal with that?



  • This was probably all in the phrasing or maybe people just don’t understand the reality of the situation?

    I worked for several years doing mobile therapy that included a significant amount of homeless outreach and crisis management. Everyone deserves to be housed, bottom line, but what it takes for that to happen is a complex situation

    There’s the “xxx,xxx amount of homeless but xx,xxx,xxx amount of empty homes in america” statistic that people throw around. I forget the exact numbers but I’m pretty sure thats the scale, if not the take away is that you could literally give each homeless person a free house and still have millions of empty houses. But this would not solve homelessness, at least in the current system. The overwhelming majority would be back on the street fairly quickly. Even if you eliminate the need for mortgage there’s still the need for property taxation; if you eliminate that then communities start to get real shitty. Even if you eliminate that there’s still utility and food costs. Even if you eliminate that there’s still maintenance and not actively destroying the place.

    Institutionalization isn’t necessarily the answer although in extreme cases it can be. We had supported rehabilitation programs that were pretty successful, basically apartments with staff that would keep tabs on you, help you budget, do resumes, help you get to drs appointments, make sure you took medications (but didn’t force you to unless there was a court order/probation situation and even then it wasn’t like a “force” situation although there was inherent coercion as not taking meds would be reported to po/court), apply for section 8, etc. you would stay there for a year or two and then move to a more independent placement once supports were in place.

    There were also longer term programs for people who genuinely struggled and just couldn’t get that step down to work. These were similar but had less focus on connecting to services and were more akin to nursing homes with more psychiatric care

    But then there were also more intensive residential programs we referred to for people with more serious mental illness or addiction issues

    The issue, of course, was funding. We had like 32 beds in the short term and 11 in the long term. Funding was like 50% state funding, 20% grants, 30% donations and fundraising and the budgets were tight. Meanwhile the town probably had 30-50 actively homeless at any given point on top of whoever wasn’t in the program and another 50-100 with insecure housing. Even the intense programs, which generally had more secure state funding, still had an overall lack of beds and would have very long wait lists. Sad stuff.

    That was about a decade ago now, I feel like it has to be worse now post Covid and trump. I can only imagine what the next 4 years will do to their funding



  • You should go to a drum corps rehearsal or elite piano/violin recital. Shit or even an arcade hosting a bemani tournament. Like not one of the places where their parents are forcing them but somewhere where people are just doing it because they want to, even if it sucks sometimes to play for hours and hours and hours

    I used to teach lessons and you do have a point, a lot of people want to be good without doing any work. That’s true of any endeavor that requires effort. A lot of people covet the reward without paying enough mind to the serious amount of effort that one undertakes to get to that point

    But some people actually do want to achieve greatness, some people want a sense of accomplishment, some people want a deeper understanding of their instrument, etc

    Even if you’re an electronic producer that only ever uses the piano roll you would still benefit from a better understanding of theory and improvisation. This doesn’t come from nothing; it comes from grinding. You don’t necessarily need to read theory books and practice piano of course, you will gain a sense of these from writing songs and getting feedback, but you still need to write and/or play a lot

    The rise in electronic artists is arguably more to do with accessibility. literally everyone has a computing device and free music making software is relatively abundant, instruments are expensive and loud, practice space is hard to come by especially in urban environments. Additionally electronic music has a huge factor of cultural relevance in terms of trends from production styles being popular across genres.

    AI music is a tool and it’s impressive but the results are mostly derivative, which makes sense given how it works. it would be really cool to see more resources invested into spaces for people who actually wanted to pursue the arts to be able to do so as this is likely the way music (and other art) truly moves forward and actually innovates instead of just hashing out the same tired shit





  • quixotic120@lemmy.worldtoLefty Memes@lemmy.dbzer0.comwewes
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    5 months ago

    I was decidedly anti gun until I moved to a solid red town. Population of 400 and yet there’s probably 1,000 guns in this town, maybe more

    Pandora’s box has been open. Until regulation occurs (aka never) it’s the only way to protect yourself. Many of the people in this town are okay but there are a some very paranoid people itching for something to do vigilante shit over. What am I gonna do when one of them googles me, finds out that I provide trans affirming care to pediatric clients, and then puts me in their sights? Karate? Guns beat karate every time.

    I have cameras and motion activated floodlights all over my property and I have a gun. I’ll call the cops but they won’t come quick out here. Plus im not trying to get my dog shot.

    I’m not going to die and become a footnote news article that’s glossed over and forgotten after 20 minutes. And I’m not going to move because this town has queer people that need services, whether they’re adults that just built their life here or kids that are trapped. Plus a ton of non queer people that need services too, towns like this in general desperately need mental health services. Fuck the culture of fear they’ve created and fuck not doing whatever you can to protect yourself



  • quixotic120@lemmy.worldtoLemmy Shitpost@lemmy.worldrarted
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    5 months ago

    I don’t think your post is bad or wrong. If I’ve worded my post ambiguously in a way that makes you feel attacked that was not my intention and I apologize; I do see how this could be the case re-reading it. I stream of consciousness post mainly. I intended to clarify your experience, which is why I started with the drawing of the spectrum and then in the second paragraph drew the argument without any specific citing of anything you said (but again re-reading this I can see how the ambiguity could read as inflammatory)

    That said (and this is my opinion) I do not think your post should be changed; I generally do not think that any post should be changed so that the dialogue exchange can be preserved for others to see how things evolved (aside from correcting grammar and spelling mistakes or maybe if it’s a shitpost who cares what you do). I believe there is a great deal of value in not just saying “this is the rule” but also exposing exchanges that clarify why “this is the rule” (though to be clear I don’t think this is a rule).

    But I also believe that one should have autonomy over their content and that being the case if you choose to delete or edit your post I would support you exercising your autonomy even if i ultimately did not support the actions of changing your content. This inherently conflicts with the internet though as even sites like lemmy get archived plus I know some content on lemmy is publicly logged with things like moderator actions though I don’t know the extent of this. That’s just the nature of the internet in 2025 though. So much for “the right to be forgotten”, sigh

    To clarify further on the reason it can be damaging is because it puts expectations on that population to be cheery and uplifting. Then when they are not they can be further ostracized for being “extra difficult” and “not one of the good ones”.

    There were interesting social dynamics in those group homes. There were certainly a number of people who unfortunately had an intellectual impairment that was so severe they did not really register the other people around them in the typical social ways one would think. They would mainly consider in an immediate context and only form relationships with people who put in serious effort to engage and deliver positive feedback/rewards, which were almost always staff and not peers.

    But then there were also plenty of people who had severe but not as drastic deficits. They would have much stronger social and communication skills but need much more assistance with things like safety awareness, activities of daily living, medical support, education and work supports, etc. this is where the aforementioned issues would come into play. Often the people who would be very personable and out in the community often would be trotted out for all kinds of things as a kind of marketing for the agency. They were a sign of the “great things” we did there.

    Many of the people we worked with had unpredictable behavior that could become extremely dangerous, exhibited behaviors that were socially unacceptable like playing with feces or purposefully vomiting, etc. They didn’t get to go out as much and they didn’t get to be “the face”. To be clear we made efforts to take everyone out into the community as often as possible but some got special treatment. A place like that often gets donations and then “the special group” gets to go to a Major League Baseball game because a benefactor gave up their private box. Then everyone’s jealous because once again they’re left behind while the “good ones” come home with free stuff and tales of free chicken fingers.

    In educational settings this came up too; I would consult and people would openly express disdain for special needs children who had high need because they weren’t like the other upbeat special needs kid that was easygoing. And this was crazy because it wasn’t just like a classmate bullying situation usually. Often that actually wasn’t happening anymore because the kid had scared the other kids. But now they’d be getting open disdain from educators and aides. Like I’d be observing in classrooms and the teacher would say something like “you see? I can’t handle this! No one can! This kid is impossible! He/she needs to be in a facility”. This isn’t like a “oh this happened one time, so crazy” thing, this kind of thing happened multiple times, multiple elementary schools. And frankly the teachers were partially right, basically every kid was inappropriate for public school and should have been placed out of school but that’s a different story about the snails pace of obtaining funding for alternative placements

    Essentially this is a (very long, sorry) way of saying that this class of people is essentially invisible to the population at large and perpetuating this stereotype that they are cheery and nice means that the ones who don’t fit it are either hidden away or met with disdain (or outright aggression) because it is seen as abnormal.



  • quixotic120@lemmy.worldtoLemmy Shitpost@lemmy.worldrarted
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    5 months ago

    Eh, it’s a spectrum like any other diagnosis (albeit a deprecated term). I’ve worked with intellectual and developmental disability for much of my career. I do more general outpatient now but the beginning of my career was almost solely ID/DD and I spent more time doing that than anything else in my career

    I would argue it’s just as harmful to paint ID individuals as the “happy friendly” caricatures to sanitize them. They are dynamic and multifaceted. They have good and bad days, they are sometimes nice and sometimes mean. Some more than others. As a result some are just kind of jerks, frankly. And to be honest this is kind of fucked up but from my time working in inpatient residential I can tell you that it’s not unlikely that the people you encountered in the gym were on the “good temperament” side, or having a good stretch in their lives. Generally the people who were having a rougher time didn’t go out into the community as much, especially to a place as potentially dangerous as a gym

    That said I truly don’t think Elon is intellectually disabled. I think he is possibly a sociopath who equates that to Asperger’s because he thinks it’s cool and mysterious since he’s emotionally stunted and stuck in his 14 year old edgelord phase for life, apparently. But I don’t know, never met the guy


  • Work in healthcare and while there are just so many dark sides a big one that’s not talked about enough:

    The foundational model for our healthcare system is called fee for service medical billing. This means what it says, a fee is payed for a service.

    I work in mental health so for me it works like this: I see you for 53 minutes, I can bill for an hour of psychotherapy service, cpt 90837 which gets me paid a certain amount. But let’s say you are not able to effectively communicate and need a third party to assist in your communication. I need to read your non verbal language and decipher any utterances you make while also communicating with this third party who acts as a liaison for you. I can add code 90785, interactive complexity.

    This is a limited example because outpatient mental ultimately has a limited amount of billing codes. But if I am an orthopedic surgeon all of a sudden I have thousands of billing codes to utilize. Now I might pull a splinter from your hand and pad this bill with 19 services. Many doctors, especially in large healthcare networks, have either no idea this is even happening (billing is generated from their notes) or they are heavily pressured to do this by owners that are increasingly profit driven

    This is not to suggest mental health is exempt because of a lack of billing codes either. You may be doing fine. Or I may have reached the limit of what I can offer you with my skill set. Yet I still schedule appointments with you week after week after week because you consistently show up. I need a paycheck, a great deal of mental health workers are contract employees that are only paid when they actually render a service, they aren’t paid nearly as well as you think, and they get no benefits whatsoever

    This illustrates the point I am making. Fee for service billing encourages dishonesty and unethical practice. Other countries that utilize it have similar issues and when they adopt it they see healthcare costs and utilization begin to rise rapidly. China is transitioning away from the fee for service model for this reason. Unfortunately transitioning away is difficult because both healthcare networks and practitioners are incentivized to fight to keep it. Pay for performance, diagnosis related groups, etc reduce healthcare spending (sometimes substantially) but any time healthcare spending is reduced earning potential for healthcare networks and practitioners is threatened so there will be pushback



  • This is all besides the point. This is not a website. This is a product, that runs in your home, that was sold for years on the agreement that they would not be able to harvest this data (simply because I could run them without connecting to the internet). Now I still have that option of course, but I will eventually trade product updates to do so. It is a given, philips has said as much

    Also the data would likely include things like your wifi SSID and password (hopefully encrypted).

    It’s cool that you don’t care about your autonomy and privacy but the bottom line is companies like philips shouldn’t get to unilaterally get to make decisions that alter the tos over a decade later because people like you are apathetic. Some people have literal thousands invested into this ecosystem and many have hundreds, easily. Your apathy and people like you enables companies like philips to bully consumers and make consumer hostile decisions