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Joined 2 years ago
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Cake day: June 14th, 2023

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  • I wouldn’t even go as far as to group people into tolerant vs intolerant binaries. Everyone is intolerant about something. Everyone has boundaries. You wouldn’t just let someone walk into your house and start using your toothbrush. But that’s not very controversial!

    One of the biggest issues with tolerance vs intolerance debates is the unequal burden of tolerance. When it comes to housing, this is reflected in the classic NIMBY vs YIMBY debates. Many many people complain about NIMBYs but are actually NIMBYs themselves: they just want someone else to bear the burden. For example, they may be pro-early-release for a sex offender while not wanting that sex offender to live in their neighbourhood.

    This applies to all kinds of issues. People may be pro-immigration but are they pro-giving-up-their-job to a (lower paid) immigrant? Probably not.

    We as a society were much more tolerant and welcoming towards immigrants before we put all of our social welfare programs in place. In a society with no minimum wage, no social programs, and few/no regulations to limit housing development, there is no cost to immigration because immigrants have to claw their way up from the very bottom. That was how the big cities in Canada and the U.S. were built: by immigrants who choose to come here (fleeing brutal oppression and lack of opportunity) and make their own fortunes.






  • It’s not only clinical trials where you test on people, chemically. There are a ton of tests for skin care products to compare their effectiveness. These have already gone through trials for safety but long-term research on their effects is important.

    One example is the anti-acne medication Accutane which is known to cause birth defects. This drug cannot be given to women who may be pregnant under any circumstances. I believe doctors even require proof that the patient is on birth control before prescribing it.

    As for menstrual cycles: they are known to affect skin, hair, joint mobility, pain sensitivity, mood, food preferences, weight, and more. Tons and tons of studies are affected by this. Everything from dieting to mental health care, skin care, hair care, and even sports medicine, exercise, and recovery from injury.


  • Oh I can’t justify it at all. These things come about because of complex interactions throughout society. Scientists didn’t decide for themselves to have these strict rules on experiments involving women who might become pregnant. Those rules were imposed on them by politicians and regulators whose goals were not to promote the best possible research.

    The same goes for the situation in the US with employers providing health insurance through group policies. That situation came about during a war-time cap on employee compensation. Employers used the insurance benefit as a way to circumvent the cap. Now Americans seem to be stuck with a system they increasingly do not want.

    One of the worst heartbreaks I experienced growing up was when I realized that no one is really in charge of anything and that we’re all trapped in a system we can’t escape. 1984 was a big influence for me on this one.


  • Science does ignore women a lot of the time but it’s not because they hate women. It’s because of medical ethics rules which make it a lot more expensive to include women in studies. You have to pay for pregnancy tests for women in the study and you have to do all kinds of corrections and extra analyses to make sure women’s menstrual cycles are not interfering with the data. Women who do get pregnant during the study need to be detected and removed from the study because any effects from the study that harm their baby can expose the researchers to enormous lawsuits.

    So many studies, which don’t have a lot of money to begin with (we’re talking university studies run by grad students, not massive clinical trials run by big pharma) exclude women because it’s cheaper and easier and they get to run more studies as a result. The major exception to this are psychological studies that don’t carry the same risks, but these are usually run on the psychology students themselves (many of which are required to participate in them in order to receive course credits).



  • Upwards of 80% of OBGYNs are women. Saying that none of these women care about other women, that they went into a field that specializes in caring for women’s health without caring about women, is an extraordinary claim.

    I think what we’re seeing here is not at all a lack of caring but a mismatch in expectations vs reality. Many women who receive an IUD report some of the worst pain they’ve felt in their entire life. At the same time, it is a routine outpatient procedure and a specialist doctor can perform thousands of IUD insertions over the course of her career. Do we expect this doctor to react with the same intensity and outpouring of empathy every single time? Or would it be more reasonable to expect that she’d get used to seeing her patients in pain and be numbed by the experience? Compassion fatigue is a real and extremely common phenomenon. Furthermore, I would expect that a doctor who is unduly influenced by the pain of their patients may be compromised in their ability to perform under pressure.

    As for the procedure itself, my understanding is that the majority of the pain is not caused by the tools but by the cervix reflexively producing intense cramps in an effort to expel a foreign object: the IUD. There’s not a whole lot that can be done about that besides giving the patient some Midol and a day off work to rest.





  • Yes, of course. Health care generates revenue for health care providers, not the state. For the state it’s just another expense on the balance sheet.

    The problem with universal health care is that 70% of expenses go to treat 10% of the population. These are often very sick people near the ends of their lives. Frequently the money doesn’t appreciably improve their health or well-being, it merely provides many expensive (and often painful) treatments that extend their lives.

    This is the really ugly side of health care that we don’t like to think about because it involves difficult discussions about quality of life and death. We would much rather not think about these things and instead throw more money at the problem. Unfortunately, medical technology has advanced a lot in these areas and so there is an ever-growing array of treatment options to extend life without restoring quality of life.