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Cake day: January 21st, 2025

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  • Almost all of your examples are exactly what they mentioned

    Obamacare - shitty mild reform forced after literal decades of working class begging for drastic reform. The essential “meat” of it in terms of progress was ending the ability of insurers to deny for pre-existing conditions. The cost of this was the individual mandate, forcing everyone to buy (still privatized and ridiculously expensive) insurance, which was ultimately a huge win for insurers. They sold a significantly higher amount of shit coverage high deductible plans, especially to young people, who generally never meet the deductible. So now they had the monthly premiums for those people while essentially paying $0 in coverage. In turn many of those people became extremely resentful and saw the gop as saviors when they eventually removed the individual mandate to pander to them. Romneycare, the original bill, did nothing to address the huge administrative overheads that plague our system (5-10x the rate of other countries), no regulatory controls for price gouging, etc because it was designed to look like something was being done while ultimately serving the corporate monopolies involved in health insurance, which the democrats were happy to adopt because they are corporatist in nature

    Green energy investments were paltry and pathetically low considering the scale of the issue. Americas grid is not even 25% green energy. Meanwhile China has 3x the capacity of Americas entire grid in green energy alone

    When has significant antitrust action occurred? Honestly? The last real movement was breaking up the telecoms in the late 80s/early 90s. Even that was pointless as the telecoms eventually re-convened through mergers and acquisitions over the next 10-15yrs and have reemerged as Internet monopolies with price fixing and everything. Monopolies exist everywhere in the USA - obviously in tech to an almost unprecedented level, health insurance through companies like Aetna and Cigna, mass media is overwhelmingly owned by 6 indicates/companies, even shit like the major music record labels have dwindled from like 14 to like 4 from 2000-now because no controversial merger is ever blocked. Even fucking grocery chains and food brands that have been demonstrably shown to price fix are either given a slap on the wrist fine or nothing at all

    Gay marriage was not codified in a way that prevents repeal at any point, similar to abortion rights. As a result it is in a precarious situation where the republican evangelicals are actively funding court battles to challenge it

    Aid abroad was to generate “soft power”, eg “I did you a favor so you now owe me the world”. While aid is good it was extremely often exploited for imperialist motives like perpetuating the military industrial complex

    Every single one of these is an example where the democrats presented idealized progressivism, watered it down to something tolerable for the donor class (and sometimes even beneficial), and still went into it kicking and screaming (the complaints people have about fetterman, that they had about manchin and sinema, were about Lieberman in the ACA days). Neoliberals eat it up because it feels like progress with marketing and the democrats then leave the issue behind forever as “solved”, eg “we did the absolute bare minimum to appease enough of the masses to continue to secure power”


  • This is specifically an optics move because they can’t pass it. Make headlines about this and a few other progressive moves in the run up to November and gain votes from the “fell for it again” neolib crowd. Then “whoops, 1-3 democrat senators are just real sticks in the mud and won’t go for it so I guess we give up”. Then frustration from the base and they eventually kill whatever momentum because they prove that when it comes to action they almost always cave. Then the gop sweeps up and regresses as much as possible.

    Lieberman, sinema, manchin, now its fetterman. who will be the next “this 1-3 person group personally stops any and all progress in America for like a decade”. The ones that give those dumb neolibs ammo, because of course the party would do so much if it wasn’t for them and you just have to vote more so that the 1-3 person group can become a 3-5 person group


  • https://pubmed.ncbi.nlm.nih.gov/1588892/

    “The cumulative impact of excess medical care required by smokers at all ages while alive outweighs shorter life expectancy, and smokers incur higher expenditures for medical care over their lifetimes than never-smokers. This accords with the findings by Manning et al. (1989) of positive lifetime medical care costs per pack of cigarettes, but disagrees with the results found by Leu and Schaub (1983, 1985) for Swiss males. The contradictory conclusions of the analyses are undoubtedly due to a large difference in the amount of medical care used by smokers relative to neversmokers in the United States and Swiss data”

    The only studies I can find that confirm shortened longevity incurs lower costs occur outside of America, which shifts things greatly due to cultural differences in receiving medical care and Americas totally fucked healthcare billing

    Also I’ll point out that I said I don’t agree with the original poster, that I don’t care if you smoke, and now I will say that you’re a fucking moron with poor reading comprehension. Sorry that I won’t confirm your bias so you don’t feel worse about smoking, idiot. But again, smoke all you want, I don’t care, but don’t act like it doesn’t increase the cost burden on public health (as do your other examples but I also don’t care if you eat cheeseburgers every day and drink yourself to death)


  • https://pmc.ncbi.nlm.nih.gov/articles/PMC12474721/

    “873 studies identified, 11 were included in quantitative synthesis, which compared 19,759,529 smokers with 206,913,108 non-smokers for direct health care costs. Mean age ranged from 34.5–60.6 years for smokers and 34.3–65.1 years for non-smokers. Mean annual health care costs ranged from $65,640–$1297.1 for smokers and $54,564–$724.4 for non-smokers. Annual incremental direct health care costs for smokers versus non-smokers ranged from –$458 (95% CI [confidence interval]: –2011.0 to 1,095.0) to $11,076 (95% CI: 10,211.9 to 11,940.1) in 2025 US dollars. Meta-analysis revealed smoking generally incurred greater health care costs than non-smoking, with a mean annual incremental cost of $1916.5 (95% CI: –439.9 to 4,272.9). The result was not statistically significant (MD = 1,916.5; p = 0.111). Substantial heterogeneity was observed (I2 = 99.9%). Sensitivity analysis excluding studies of chronic disease yielded a reduced incremental cost for the general population, with a statistically significant difference (MD = 583.9, p = 0.02), although heterogeneity remained high (I2 = 98.0%).”

    Literally the first recent meta I found. If you want to smoke I don’t care but suggesting it isn’t a public health burden is asinine


  • Not that I agree with that person but smokers objectively cost more than non smokers even with a shortened lifespan. Smoking increases the risk of and worsens basically every chronic condition as well as being a well linked factor to critical loss of lung function and several cancers. Unless you like, just let someone die if they get a smoking related illness (which is basically all of them depending on how liberal you are with the word “related”)






  • When I’ve worked with older trans clients spironolactone seems to be what really kickstarts hair growth, especially if they get it in before alopecia really sets in and miniaturizes follicles in a way that can’t be reversed (at least with current medications, and barring surgical intervention). Estrogen too. Either way you’re reducing the amount of androgens. As a result it can be much more effective than rogaine, which works as a vasodilator to enlarge hair follicles (probably, mechanism isn’t fully understood) or finasteride/propecia, which works by blocking androgen DHT rather than reducing it.

    I’m not familiar with research on efficacy for this purpose but I wouldn’t be surprised if it was more effective. While some people have dramatic responses to minoxidil and finasteride many have a more minor response or none at all, even.



  • Sideload https://github.com/dayanch96/YTLite

    Sponsorblock, Adblock, background play, skip, etc all integrated

    Sideloading on ios is easy now unless your device was ever provisioned for a dev certificate. If that’s the case and it’s still active then just sign it with your own cert. if it’s no longer active you either need a fresh apple id or you need to use one of the kind of sketchy signing services. Otherwise you just use like sideloadly, altstore, side store, etc

    Also there is no chromium on ios. All browsers use webkit and are basically just reskinned safari. Some heavily modify this (eg orion can run some Firefox and chrome extensions) though





  • Confirm Java is the best roux one can reasonably get outside of Japan

    My additions to the box recipe: I cut the veg a bit smaller, I brown the veg a bit (including potatoes, but you have to have a dry starchy potato type like russet for this to work otherwise precooking it will lead to it just becoming mush during the boil and thickening the sauce), add honey and some kind of neutral hot sauce because Japanese “spicy” is like not even a little spicy. I actually now use one of those ultra extreme spicy 10 billion scoville capsicum extract sauces, literally a few drops in a pot makes it decently spicy and otherwise adds no flavor.

    Unless you live alone you might as well make the whole box in one recipe imo. It keeps for several days, reheats easily, and it’s one of those “tastes better day 2 and 3” kind of meals. The only thing is that freezing it doesn’t work so well (sort of). Freezing busts up the cell walls in the potatoes so even if you use a dry starchy potato like above it will turn to mush once you thaw and reheat. It’s not bad, but it does change the texture with a thicker sauce and much less potato “chunks” (some bits usually survive).

    The only better thing I’ve found is to make a roux from scratch but honestly it’s not that much better (and probably worse until you dial it in) but a lot more work. The roux is like $4 a box at my local market and making it is like an entire Saturday plus way more money in ingredients especially if you don’t have a well stocked spice rack