• Nurse_Robot@lemmy.world
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    11 months ago

    [in the US] your insurance dictates your healthcare, not your disease, deformity, symptoms etc. If your insurance pays for an allergy test, you’re getting an allergy test (even if you came in for a broken arm). If insurance pays for custom orthotics, you’re getting custom orthotics (even if you came in for a wart removal). We will bill your insurance thousands of dollars for things you don’t need. We’re forced to do it by the private equity firms that have purchased almost all of American healthcare systems. It’s insane, it’s wasteful. The best part is the person who needs the allergy test or the custom orthotics can’t afford it, so they don’t get the shit we give away to people who don’t need it.

    I would gladly kill myself if it meant we got universal healthcare, but private equity firms can’t monitize a martyr so it would be pointless.

    • phoenixz@lemmy.ca
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      11 months ago

      Fuck everything about the current US healthcare system. The US can be so much more, can be so much better, if we could somehow just make a single percent stop fucking over the other 99%

  • Muffi@programming.dev
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    1 year ago

    Software Engineering. Most software is basically just houses of cards, developed quickly and not maintained properly (to save money ofc). We will see some serious software collapses within our lifetime.

    • SHITPOSTING_ACCOUNT@feddit.de
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      1 year ago

      Y2038 is my “retirement plan”.

      (Y2K, i.e. the “year 2000 problem”, affected two digit date formats. Nothing bad happened, but consensus nowadays is that that wasn’t because the issue was overblown, it’s because the issue was recognized and seriously addressed. Lots of already retired or soon retiring programmers came back to fix stuff in ancient software and made bank. In 2038, another very common date format will break. I’d say it’s much more common than 2 digit dates, but 2 digit dates may have been more common in 1985. It’s going to require a massive remediation effort and I hope AI-assisted static analysis will be viable enough to help us by then.)

        • SHITPOSTING_ACCOUNT@feddit.de
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          1 year ago

          Tell that to the custom binary serialization formats that all the applications are using.

          Edit: and the long-calcified protocols that embed it.

          • SHITPOSTING_ACCOUNT@feddit.de
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            1 year ago

            I get the joke, but for those seriously wondering:

            The epoch is Jan 1, 1970. Time uses a signed integer, so you can express up to 2^31 seconds with 32 bits or 2^63 with 64 bits.

            A normal year has exactly 31536000 seconds (even if it is a leap second year, as those are ignored for Unix time). 97 out of 400 years are leap years, adding an average of 0.2425 days or 20952 seconds per year, for an average of 31556952 seconds.

            That gives slightly over 68 years for 32 bit time, putting us at 1970+68 = 2038. For 64 bit time, it’s 292,277,024,627 years. However, some 64 bit time formats use milliseconds, microseconds, 100 nanosecond units, or nanoseconds, giving us “only” about 292 million years, 292,277 years, 29,228 years, or 292 years. Assuming they use the same epoch, nano-time 64 bit time values will become a problem some time in 2262. Even if they use 1900, an end date in 2192 makes them a bad retirement plan for anyone currently alive.

            Most importantly though, these representations are reasonably rare, so I’d expect this to be a much smaller issue, even if we haven’t managed to replace ourselves by AI by then.

              • SCB@lemmy.world
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                1 year ago

                Butlarian crusade

                Butlerian Jihad, my dude. Hate to correct you, but the spice must flow.

                • Hydroel@lemmy.world
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                  11 months ago

                  If you’re going to correct people about Dune quotes, at least use one from the book! “The spice must flow” doesn’t appear in any of them, it’s a Lynch addition.

            • SCB@lemmy.world
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              1 year ago

              an end date in 2192 makes them a bad retirement plan for anyone currently alive.

              I can’t wait to retire when I’m 208 years old.

      • insomniac@sh.itjust.works
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        1 year ago

        My dad is a tech in the telecommunications industry. We basically didn’t see him for all of 1999. The fact that nothing happened is because of people working their assess off.

  • GoosLife@lemmy.world
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    11 months ago

    When your favorite band cancels their gig because the lead singer has “come down with the flu”, that’s industry code for “got too wasted, and is currently too busy getting alcohol and possibly drugs out of their system to perform”.

    I even worked one show that had to end after 20 minutes because one guy in the band was visibly under the influence, refused to play, talked to his hallucinations, then spent a few minutes talking to the audience about how his foot was evil and wanted to kill him, before the tour manager could drag him off stage. Then he tried to assault several backstage staff for not allowing him to cut off his foot. This was on a tour that promoted alcohol free rockshows btw, so we didn’t provide alcohol to the artists backstage. God knows what he might’ve purchased from our local street dealers lol.

    The next day in the papers, the headline says “[the band] cancels first week of reunion tour after flu outbreak” 🙃 Yes, of course

    • StereoTrespasser@lemmy.world
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      11 months ago

      I always wondered why Paul Westerberg caught the flu so much. When I finally got to see him live a few years ago he definitely was coming down with the flu on stage.

  • solstice@lemmy.world
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    11 months ago

    The USA is run by unpaid 22 year old interns being supervised by underpaid 24 year olds.

    Old people in charge are definitely a problem (McConnell, Feinstein etc) but the people in their offices doing all the heavy lifting are basically children.

      • solstice@lemmy.world
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        11 months ago

        Yeah but most people aren’t Alexander the Great or Mozart. And even if you are, you’re probably not working in congress, hah

        • fubo@lemmy.world
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          11 months ago

          Alexander had Aristotle to tutor him. If you find yourself young and in power, you better hope your elder advisors are that good.

  • ToppestOfDogs@lemm.ee
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    11 months ago

    Inside almost every arcade cabinet is a Dell Optiplex running Windows 7, or 10 if its really recent. There’s no such thing as an arcade board anymore, they’re all Dells, or sometimes those HP mini PCs, usually with the protective plastic still on.

    Daytona even uses a Raspberry Pi to control the second screen. SEGA intentionally ships those with no-brand SD cards that consistently fail after 3 months. It’s in their agreement that you’ll buy another card from them instead of just flashing the image onto an SD card that won’t break.

    The Mario Kart arcade cabinet uses a webcam called the “Nam-Cam” that is mounted in a chamber with no ventilation, which causes it to overheat and die every few months, so of course you’ll have to replace those too. The game will refuse to boot without a working camera.

    Oh yeah also all arcade games with prizes are rigged. All of them. We literally have a setting that determines how often the game will allow wins.

    • Tilgare@lemmy.world
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      11 months ago

      Oh yeah also all arcade games with prizes are rigged. All of them. We literally have a setting that determines how often the game will allow wins.

      One time on vacation, my little sister and I found a crane game in the game room of our hotel that was clearly over tuned - basically every button press was another win, it was great. We still remember it fondly. A stupid thing, but even at that age we knew these are usually scams and we we’re stoked to just basically get cheap toys.

    • Excrubulent@slrpnk.net
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      11 months ago

      It’s in their agreement that you’ll buy another card from them instead of just flashing the image onto an SD card that won’t break.

      Sounds like it’d be pretty simple to just replace it and not tell them. If they tell you they know it should’ve broken down by now, just ask, “Why, did you intentionally sell me something defective?”

      • Dadd Volante@sh.itjust.works
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        11 months ago

        Yes. You have to have a license to charge people money to play those games.

        Otherwise you would have seen a ton of arcades open already

        Edit: I only know this because I asked a guy who ran one. His machines were in pretty bad shape and I inquired why he didn’t just do as you thought.

  • Art35ian@lemmy.world
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    1 year ago

    I’ve worked with massive customer databases of over a million people multiple times in jobs I’ve had. And while each company has spent tens-of-thousands of dollars in cyber security to protect that data from outside hackers, none have given any fucks at all about who accessed it internally or what they do with it.

    I’ve literally exported the entire customer database in two different jobs, dropped the CSV into my personal Google Drive (from my work computer), and worked entire databases at home.

    No one has ever known I’ve done it, cared, or checked if I have any customer personal data when I quit.

    • SupraMario@lemmy.world
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      1 year ago

      Sounds like they didn’t spend any money on Cyber security’s team to properly implement it then…data exfil %100 would have been picked up by any real DLP solution and even barebones heuristics based EDR would have thrown a red flag as well.

      • Art35ian@lemmy.world
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        1 year ago

        Haha, please. You’re talking about machine learning when the best any business is using is antivirus. You forget, Boomers are still running big business and IT departments are running security.

        It’s perfect world vs. real world my dude, and real world puts out tender for the cheapest solution.

        • SupraMario@lemmy.world
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          1 year ago

          It sounds like you’ve been working for Mom and pop shops then, and they’re not having audits done. Companies with millions of customers will usually either have in house secops or an mssp handle everything. Point being is, without audits then insurance usually will not be approved for PII loss or they flat out will not work with the company at all. It even more so with HIPAA laws.

          • ApostleO@startrek.website
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            4 months ago

            I’m with the above commenter. I’ve worked at many companies of various sizes, from small local shops up to international corporations, including at least one contractor for the US military.

            Every one of them had rules and policies and training on security, to varying degrees. But at every one of them, I’d find some vulnerability, or instance where someone was neglecting security. Each time, I’d bring it to the attention of someone in management. Each time (with one company as exception), those warnings would be “heard” and “passed up the chain”, and then nothing would happen. Only one company in 20 years of work actually fixed a security issue I found. And no company I’ve ever worked for was leak proof.

            In my experience, until it threatens to cost a company much more money in losses than it would cost to fix the problem, but said problem will not get fixed. That’s profit motive. And often it seems they’d rather roll the dice until a loss occurs, and then (maybe) fix the issue.

      • AlexWIWA@lemmy.ml
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        11 months ago

        I’ve worked at plenty of companies with exfil protection and people still did this. One has 100 devs and 500 total employees

    • Dasnap@lemmy.world
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      1 year ago

      The past decade of the tech industry has felt very snakeoil-y.

      INB4 “It always has been.”

      • ourob@discuss.tchncs.de
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        1 year ago

        If you’re good at building hype and have some connections, you can attract all sorts of investors hoping to get in on the ground floor of the next big thing.

        Dan Olsen’s NFT video from a year ago summed it up well, I think (link). People with money to invest today want to repeat the insane growth in wealth brought about by computers, the internet, social media, etc. So they will basically gamble on any new ideas that have an air of plausibility to kick off the next boom.

      • jubilationtcornpone@sh.itjust.works
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        1 year ago

        What’s sad is there are plenty of actual problems out there that could be solved with software. Most of the time they’re not that ‘sexy’ and management is so blinded by greed that they throw away all the good opportunities.

    • Hazdaz@lemmy.world
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      11 months ago

      It is kind of hilarious that airplanes are seen as being safe and reliable, when if they were given the same factor of safety as most other consumer goods, they’d never get off the ground from being too heavy.

      I do NOT recommend you do this, but if a ladder says it is designed for 300 lbs, then it should carry 1200 lbs. 4X is a fairly common factor of safety for things like ladders where people’s lives are in jeopardy. Most other items are usually 2X. (I want to point out that there are qualifications to this… static loading and dynamic loading are totally different things. Also a simple point load is not the same as a cantilevered loading condition. A new piece of equipment is not the same as one abused on the job for the last 10 years. All these things will dramatically affect safety ratings for things)

      • merc@sh.itjust.works
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        11 months ago

        I’d say the difference is that every single part of an airline is carefully rated though. Everything that’s supplied for use on an airline is expensive because of all the regulations.

        A ladder may be rated for 1200 pounds, but nobody inspects every single use-case for that ladder and ensures that the entire system always has 4x safety. Once you buy the ladder it’s up to you what you lean it up against, etc.

        • Hazdaz@lemmy.world
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          11 months ago

          Regulations and quality checks on aerospace parts is no joke. More so on stuff that goes out into space and on military hardware, but every single nut and bolt and everything in between can be traced back to a supplier and that supplier will be able to tell you when it was made, by who and even where the raw material came from and show you the certs. Regular airplanes not nearly as strict or as much paperwork, but it isn’t that far behind, quite honestly.

          Also, you might be surprised by the testing that ladders go through. Not so much the cheapo Chinesium stuff, but safety in all fields is no joke. It is too costly to skimp on testing.

          • ApostleO@startrek.website
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            4 months ago

            I used to believe this, but recent incidents have exposed systemic issues in engineering and QA at at least one major US aerospace manufacturer.

  • ✨Abigail Watson✨@lemmy.blahaj.zone
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    1 year ago

    Accounting is a goddamn mess. There’s lots of mistakes in accounting, finance, banking, etc but we’re supposed to act to outsiders like they never happen. Publicly traded companies (US) get audited every year, but no audit company would give a paying customer a failing grade. New grads are funneled into working for public firms - the 10 or so companies that cater to the world’s audit, tax, and consulting needs. They’re supposed to teach discipline, but in reality they only teach you security theater. You’re worked to the bone until you either burn out or agree to perpetuate the system to keep your job.

    And the only reason it continues to work is society’s social contract agreeing that it has to work because we don’t have any other options. All it takes is the rumors that the idea is failing - like in the silicon valley bank run - and we’re all out of luck. With the speed of information these days all it takes is a few minutes for a situation to spiral out of control. It’s bonkers.

    I got into accounting because I enjoyed bookkeeping in high school. Now that I’m in it I refuse to work for anything larger than a mid sized, non public company.

    • at_an_angle@lemmy.one
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      1 year ago

      So basically, everyone is full of bullshit and lying to keep the system working.

      Why am I not surprised?

      • Sludgeyy@lemmy.world
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        1 year ago

        Social security would be a ponzi scheme if it wasn’t done by the government. System only works because new younger people are “convinced” to put in money to pay the old in hopes that new younger people will pay them in the future.

        The social security liability is currently 23 trillion. If no new people started paying in and everyone wanted to cash out, they couldn’t get a dime.

        We are 33 trillion dollars in debt. 33 trillion.

        If we as a country ever tried to cut spending and save money to pay that down, our economy would collapse so fast.

        • Cryophilia@lemmy.world
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          11 months ago

          Social security was designed to be that way, it’s not a secret or anything. It’s how the system was set up and it’s how it is supposed to work. Today’s workers fund today’s retirees.

          • merc@sh.itjust.works
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            11 months ago

            Except it was built with the assumption that everyone would continue to have 2.5 kids, and skilled immigrants would keep making the US home, and the economy would keep growing and growing forever, and retirees would die off a couple of years after they retired.

            All the base assumptions on which the system were built were shaky. People are having fewer kids, so there’s less money coming in. Retirees are living longer so they need more benefits. People who paid hundreds of thousands into the system during their lifetimes are requiring millions in benefits at the end of their lives. But, people are having fewer kids and so the bottom of the pyramid is shrinking.

    • Hazdaz@lemmy.world
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      11 months ago

      Accounting, just like economics, likes to pretend it is a hard science when in reality is it close to reading tea leaves.

  • TheHarpyEagle@lemmy.world
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    11 months ago

    For those in the US: no medical office dealing with insurance has a clue what they’re doing. Why can’t you ever “shop around” and get a price for your procedure? Because nobody really knows the price until they submit the claim. It’s basically impossible for a human to keep track of the policies that change daily across dozens of insurance providers along with the hugely complicated calculations needed to get a price. And that’s before they have software try to rearrange your claim to get the most money possible from insurance companies. And good luck figuring any of this out yourself; even if you manage to track down the policy data, it’s written completely in medical insurance jargon and might even leave some room for interpretation.

    Basically, even with the insane amount of work medical coders (people who process and interpret medical claims and policies) do to try and stay on top of it all, at the end of the day, you have to just submit the claim to a black hole and hope that it gets accepted. The patient’s cost is whatever it spits out.

    Also, dozens of doctors across the US get fired, banned from practice in their state, or have their licenses revoked every month. Some of them are unfortunate, like doctors being forced into retirement due to old age or physical inability to do their job, but many others get in trouble for practicing without a license, sexual harassment/assault, and, of course, prescription drug abuse. This data is all publicly accessible, but being on atrociously designed and maintained government websites, it’s nearly impossible to keep track of who’s in trouble without paying for third party software to do it for you. If you don’t happen to catch it, it’s pretty easy for a medical provider to move a few states over and set up shop like nothing happened.

    Edit: Oh yeah, our company was very serious about HIPAA training and treated patient data with extreme caution. Some offices… really didn’t. It got to the point where we’d straight up have to reject ticket requests for having identifying information. Our ticketing system was secure on our end, no telling what was going on outside of it.

    As a side note, for the trans people out there, don’t accept that you have to be misgendered on your medical records without a bit of a fuss. There’s special modifiers that specifically override restrictions on sex-based medical procedures when your reported gender doesn’t match their requirements. Unfortunately, whether your provider knows about or uses them is a bit of a toss-up.

    On a brighter note, as stupid as it is that every single diagnosis has to be codified specifically for the insurance industry, there are some funny codes in there.

    Some favorites:

    Now there’s a new standard coming into effect, ICD11. The biggest complaint with ICD10 was the overly specific codes they had to keep track of. They did change things so that you didn’t have a completely different code for every single type of, say, dolphin injury, but they did add many more animals.

  • canni@lemmy.one
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    1 year ago

    I used to work as a contractor for an environmental remediation firm. All the waterways that you joke about not swimming in are actually full of some awful carcinogen. Old industrial plants dumped awful chemicals for years and years. Some of these issues are being slowly addressed, but regulation is always well behind the science. But often, if the liability is significant enough, companies will spend millions of dollars a year to kick the can down the road doing studies and monitoring so that they can avoid what would be hundreds of millions to actually remediate the problem.

  • swordsmanluke@programming.dev
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    11 months ago

    It is virtually impossible to remove yourself from advertiser’s rolls.

    Thanks to the new CPRA regulation, you can ask companies to delete everything they know about you. Great!

    Except that the way the law is written, that often includes deleting the fact that you asked to have your data removed. So the next time they get your data from a broker, (or the next time a broker gets your data), you’re right back at square one.

    In theory, if you managed to send simultaneous requests to every company that’s holding your data, you could wipe the slate clean…until the next time you used a website.

    There are so many data sets out there that we are all a part of. And if your data is in just a single one that didn’t get wiped, everyone will end up with it again as a matter of course.

  • GONADS125@lemmy.world
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    1 year ago

    This pertains to the US:

    A lot of people are unaware of cancelation lists, and a lot of providers don’t really advertise that. When I was a casemanager for adults with severe mental illness, I would always ask to have my clients added to the cancelation list, and this would often get them in much sooner.

    Also butted heads with a receptionist last year when my client was literally experiencing congestive heartfailure and she wanted to schedule him like 1.5 months out to see his specialist about having a defibrillator implanted. I said it was unacceptable and said he needed to be added to the emergency openings I know the providers reserve. She got a look on her face and said “But I need to get provider approval for that…” I told her “I think you better talk to the doctor then.”

    Specialist eventually came over to scheduling and asked what was going on. The receptionist said what we wanted and asked if she would approve it, with a real dismissing inflection. The specialist said “Oh my god, yeah of course he’s approved for the emergency list…”

    Some of these things are just so overlooked/unknown by the general public. And sometimes you’ve got to be assertive and stick with your guns to be treated fairly and get the attention you deserve. Especially now more than ever. Our healthcare system was bad before, but it’s been so strained ever since covid…

    The healthcare system can be a nightmare for average people functioning well. It is so much worse for the population experiencing severe mental illness/with cognitive disability. This barrier for care plays a significant role in the reduced life expectancy in the disadvantaged population I worked with.

    Patients suffering from severe mental disorders, including schizophrenia, major depression and bipolar disorders, have a reduced life expectancy compared to the general population of up to 10–25 years. This mortality gap requires urgent actions from a public health perspective in order to be reduced. Source

    If anyone reading this has family or friends with severe mental illness or trouble with intellectual functioning, you may want to offer some support for doctors appointments. Honestly, everyone would benefit from having another person in their appointments for support and as a second set of ears.

    Anyone reading this with severe mental illness, don’t be afraid to reach out for support. If you don’t have a social support system, there are services out there to help. Try to find social services in your area to get some help navigating thru all the bullshit. And don’t give up hope.

    Always like to share this website with free evidence-based resources that I used all the time with my clients. I personally benefitted from the material as well.

    • irmoz@reddthat.com
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      1 year ago

      Also butted heads with a receptionist last year when my client was literally experiencing congestive heartfailure and she wanted to schedule him like 1.5 months out to see his specialist about having a defibrillator implanted. I said it was unacceptable and said he needed to be added to the emergency openings I know the providers reserve. She got a look on her face and said “But I need to get provider approval for that…” I told her “I think you better talk to the doctor then.”

      Specialist eventually came over to scheduling and asked what was going on. The receptionist said what we wanted and asked if she would approve it, with a real dismissing inflection. The specialist said “Oh my god, yeah of course he’s approved for the emergency list…”

      I’m not sure I understand what happened here. Was this all just because the receptionist didn’t want to ask for approval because it seemed like a hassle?

      • GONADS125@lemmy.world
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        1 year ago

        Yep… at least that was my guess. Didn’t want to pull the specialist back out of what she was then doing/didn’t want the hassle. But I was adamant that we weren’t going anywhere until she checked.

        Some people are just finicky and I can’t really say for sure what her deal was, but her demeanor was just rude and like she didn’t have the time of day to give us…

        • irmoz@reddthat.com
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          1 year ago

          What a fucking bizarre attitude to have when working in healthcare. Laziness in that area can cause deaths.

          • GONADS125@lemmy.world
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            1 year ago

            It’s more prevalent in the industry than you’d like to think… Burnout is often linked with lack of empathy.

            I worked exclusively with adults whose illness was severe enough that they were residing in various residential care facilities (RCFs) and assisted living facilities (ALFs) in my region.

            I was a 3rd party and a mandated reporter and I can’t tell you how many times I hotlined facilities and did internal/DMH/DHSS reporting/assistance with investigations. Misallocation of Client funds was a common problem (especially at specific RCFs), medication errors/stealing Residents’ meds, neglect of facilities/cleaning, improper nutrition, and abuse and neglect were all too common…

            At first I thought the same thing when I started that position, wondering why someone like that would even take those positions. But people are complicated and often shitty. Some people like to power trip, some people want to take advantage of the disadvantaged, some people’s self-care is so neglected by being over-worked that they no longer have the capacity, and some people are just assholes…

  • ccunix@lemmy.world
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    11 months ago

    Sysadmins have no idea what they are doing, we’re just one step ahead of the rest of you at googling stuff.

  • Decoy321@lemmy.world
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    1 year ago

    Restaurant manager here, been doing this for a few decades. You do not want to know just how much leeway we get with basic sanitation. Seriously, be very thankful that you have an immune system.

    • chunkystyles@sopuli.xyz
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      1 year ago

      IMO, for the average, healthy customer, the sanitation requirements are overkill. But not every customer is, so the rules help protect the less healthy customers.

      The biggest thing about food, is most of it is pasteurized by the cooking. Raw foods like salads are the ones that need a much higher standard.

      • Decoy321@lemmy.world
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        11 months ago

        I can guarantee you that many of the rules keep even healthy guests with solid immune systems from getting sick or even dying. The FDA Food Code is like 700 pages. There are A LOT of rules. Many seem overkill from a layman’s perspective, but they protect against unlikely but serious consequences. There are a ton of ways that contamination can occur, even after the food has already been cooked.

        That you don’t notice is just a good sign that you’re eating at safe places.

    • TechyDad@lemmy.world
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      11 months ago

      Not a restaurant manger, but I worked for Sbarro’s back in college. The one on campus wasn’t bad, but the one in the mall? We had pizzas sitting under heat lamps for 6 hours or more before they were bought, tossed in the oven for a second, and then handed to the customer. They had to search for gloves because I was the only one who wanted to wear them.

      At one point, I needed to put pepperoni on a pizza.i told my manger I couldn’t because the pepperoni was moldy. My manger reached into the bag, pulled a small handful of moldy pepperoni out, threw it out, and declared that rest of the bag perfectly good (without even looking at it).

      It’s been 30 years and I still can’t eat at Sbarro.

  • Toneswirly@lemmy.world
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    11 months ago

    Manufacturing here. We dont have a trained QC person looking at our units before sending them to the customer. Its just some guy that checks physical dimensions. We have electronics that comes in for RMA and never gets retested on its way out. Most of our customers dont install the pieces for months so the process control gets muddied by time. Literally everyone in our company knows this. We just got our ISO 9000 cert anyway, because no one really cares about doing things right. We just put untested parts in shit and cross our fingers.