sortaPasswordName

joined 1 month ago

For context, see research by Myers, D., 1993 (which I can't find a link to at the moment) about differences in satisfaction in couples in India in arranged marriages and couples in Amerikkka in marriages of choice, and compare it with the later research Myers, 2005.

More specifically to your statement about auntie zeroing in on something, see MacDonald & Ross, 1999.

[–] sortaPasswordName@lemmy.zip 1 points 1 day ago* (last edited 1 day ago) (1 children)

Yes. 100 percent, absolutely, no doubts, yes. If your dog is over (a very arbitrary, but we can drop it lower) 1 stone (for the brits), 20 lbs (for the amerikkans), or 8 kilos (for the ~~euros~~ intelligent worlders), you should have to have a significant insurance policy on the dog (I think my local authority sets the 'dangerous dog' minimum at $100 grand), a license that can only be obtained with at least 6 months training, and a yearly inspection of your facilities and the dog.

Reasoning: I've had to patch up, or take the parts with us, too many folks who have been bit.

Every time I have to see a spaniel, I cringe. The publicly available data (and videos on the effects of it for the assholes who have to see this shit to believe it) on their brain and skull sizes means that anyone still breeding them is just an asshole.

[–] sortaPasswordName@lemmy.zip 9 points 6 days ago

Was a cop, now I'm in EMS. Much better mentality, even with a shittier job environment.

[–] sortaPasswordName@lemmy.zip 3 points 6 days ago

I think I cheesed them pretty hard with the boundaries. I much more hated the plant-folk.

[–] sortaPasswordName@lemmy.zip 8 points 1 week ago

Oh lord, it's hilarious that when I searched 'Gantt Chart' to learn what it was, the second or third link was to excel templates for it.

[–] sortaPasswordName@lemmy.zip 3 points 1 week ago

For anyone who wants to laugh at these fools, you can look up the public website 'police one.' Try to watch their '1 minute training' videos without boggling at the idiocy that is being presented to cops in amerikkka. When I worked for a police agency (for way too long for how short the time period was), the higher echelons would send the videos out to be watched routinely.

[–] sortaPasswordName@lemmy.zip 10 points 1 week ago

It's why I personally detest horror movies where the enemy/monster/force can make you see things or get in your head. There's no agency at that point, because everything just happens as it needs to for the writers and there's no longer any need for internal consistency or boundaries.

I think it's just because it's so easy. Comas and everything you see being a reference to the real world is just as simple as making an entirely new story, but you can say it's the real story. Any and every contradiction that your take has can be explained with the dream and reality interplay.

Why would folks who aren't professional writers not use the 'easy button' that even professional writers use?

[–] sortaPasswordName@lemmy.zip 2 points 1 week ago

Yep, that was the only reason I finally pulled the trigger. What makes me laugh is it wasn't even about windows, it was because of fucking CHROME.

[–] sortaPasswordName@lemmy.zip 6 points 1 month ago (1 children)

Off the top of my head, the arena mod makes 'training' your troops a thing, by bashing them about in the arena. I liked it because I could pretend I was actually training my army.

I know there were several others I used, including an execution mod that makes it so enemies of a lord you execute are happy with your decision (rather than every single lord ever suddenly hating you), a politics mod that makes other nobles more 'realistic' in their moods and desires, and one that changed the max level you could get in a skill based off of points invested in it.

There might have been one that added a 'missile barrel' that you can get more arrows from in a siege, but I think I'm confusing bannerlord with warband on that one.

[–] sortaPasswordName@lemmy.zip 16 points 1 month ago (1 children)

Well, would you post anything that could be considered critical of your employer on an account with more personal info? I'm sure my opsec sucks in general, but at least I could do this much.

[–] sortaPasswordName@lemmy.zip 28 points 1 month ago (4 children)

Oh, fun. I work for this exact company. It's acadian, bee tee dubs, and it is endemic throughout texas, louisiana, mississippi, and just got into tennessee. To say that it's surprising patients haven't died is less of a shock statement and more of the reaction that regulators should have. The sad part? The stupid company is one of the better ones when it comes to training and procedures. We hire constantly because of turnover. As one of our 911-side employees told me, she is pretty senior at three years.

The article doesn't go into much detail, but the big meat of the revenue for the company is the so-called 'medicare transports.' If you aren't aware, many people on medicare who go to the hospital can't really go home easily. If they are 'bedbound' then medicare will pick up the tab for an ambulance to take them from hospital to home. I don't know the exact number, but for a 'basic' transport medicare pays out something like $1,000-$2,000. A typical transport takes less than two hours if it's a good drive or the patient is complicated to move (and bariatrics are a nightmare). Standard insurances will also sometimes pick up the cost of an ambulance, but I think we all are now aware of how stingy insurances can be with paying.

Depending on where you are working for them, starting pay for the EMT (basic level) is $13-$17, the ECA (someone who can only drive, not write the medical report) is $11-$14. Paramedics are a fair bit higher, I think starting is $21-$26.

I'll use max and min numbers for the thought here. So for a two hour call, the company is going to pay a max of $100 to the employees, and pocket $900. That's about standard, but let's just go off of hours. We run about 4-6 calls a shift (of 10-12 hours for most of us), and they love to use ECAs as much as possible because they're cheaper {there's a policy about ECAs needing to get their EMT license within 6 months, but they don't really give a shit}. So $31 for the EMT/ECA pair per hour, and a 12 hour shift means they are paying out $372 in wages per shift, pocketing (4calls x $1000/call) $3628. We have (in my region) 3-4 supervisors per 30-50 trucks, typically, and 4 or so dispatchers. The ambulances we use are the mercedes vans, with some older chevys and a couple of new ford type vans. We have very few of the old box ambulances. I think 10 or so of our ambulances are reserved for the two areas we provide 911 services in, the rest are 'transport' shifts. The ambulances typically get used until they completely fail, because the shop does a good job at keeping them running until >300k miles. The shop also does all of the work to equip the ambulances, so they keep costs down for setting them up. The old box style ambulances were (I think, I'm recalling conversations with fire EMS services for their cost) around $200k-300k to set up. I think our van styles are more in the range of $100k-150k. Break that down into 5-10 years of service, and that's $30k a year, or less than $100 a shift for the ambulance.

We don't use up very much equipment. Oxygen is required on 1/4 of calls or less, and a single bottle will last days. The only big equipment turnover is gloves. The 911 side obviously goes through IV supplies and such at a steady rate, but I don't know costs/numbers for that off the top of my head.

So $3628 for one ambulance's shift x 20 ambulances operating for a total revenue of $72560 a day, just from transports (and the $1k-1.5k gets bumped up to $4k-6k for complicated, paramedic level calls, so that's another complication to add in that I can't really account for as I don't know the frequency of those calls). Subtract the cost to run those ambulances ($100 x 20 = $2000), the wages of the supervisors (reasonably going to say $50 an hour as a super overestimation) [$50/hr * 4 supes * 24 hrs = $4800], the dispatchers [again, going to way overestimate at $30/hr] {$30/hr * 4 dispatchers *24 hrs = $2880}, and the shop employees ($35/hr x 6 techs x 24 hrs = $5040). There are a few administration types (a secretary, a big 'region manager,' a medical 'keep people sharp' type, and maybe one or two others I'm forgetting, but let's reasonably say they are all way better compensated at put them at $7,500 a day. That takes $22220 away from that $72560 number, leaving us at a cool $50,340 per day profit. I'm sure that gets chipped away by the investment cost of equipment, software licensing, the bigger company management that oversees all the regions [IT, managers, etc.], overhead of the areas where they store supplies, ambulances, and the office space accompanying those, but again, that's per day, and is just one of their dozens if not hundreds of regions. The dispatchers are shared among many regions.

The company is up to the usual corporate shenanigans to hide its wealth. As an example, for some ungodly reason an ambulance company now also has a security business side, by purchasing a security system company.

I'm sure I could keep spitballing and telling more about how things work, but it really boils down to one key takeaway. If you've been around a major city and seen the absolutely ramshackle vans that have 'XXX' ambulance on their side, now you know why. The business is amazing if you get a flow for the medicare billing. Those humpty-dumpty vans can bring in thousands per day of profit, and I guarantee the people in them are barely scraping by.

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