Therapists aren't supposed to use you for steady income. From a good therapist's perspective, if their clients continue to need therapy, they're failing.
This is certainly a pattern that can set in (and it did last time I saw a therapist). But I do believe a most therapists start out with a good-faith intent to fix people. There's a lack of therapists and a long line of patients waiting for help so it's not like they will be out of a job anyway.
The bigger problem is that there's very little scientific rigor in what they do. They don't have enough tools or skills to actually help me, because the science isn't there yet.
> the perversive incentives make them align to just do that.
I don't think any therapist actively avoided helping me, but rather at some point they too get comfortable and sort of slack it off like "So what have you been doing/how was your week" sort of thing.
There are mental illnesses that don't go away. You can manage them with medication and therapy, so why would you expect such patients to stop going to therapy.
"right" and "wrong" are normative statements: quite literally they're statements about how things should be. IMO it's a reasonable read of your comment
> their decisions have huge penalty for incorrectly saying "yes" but zero penalty for incorrectly saying "no".
The FDA acting out this incentive scheme _is_ the problem.
The issue is the opportunity cost: "I default to no, because while that may cost millions of lives, I don't incur responsibility for their deaths."
The incentives should change to "I am responsible to take informed risks to maximize the wellbeing of the population." There is a literal death toll from their inaction, and it doesn't get counted in the equation. It's possible to design a system that takes that into account; that's what's being argued for.
I would agree that these sorts of agencies should take a proper risk/benefit analysis. And I would argue that the FDA is by far the best at taking this approach, despite lawmakers not yet officially making it their mandate. They have been responding to criticism over the past few decades.
No. There was a drug released that targeted that pathway, but the approval in and of itself was a scandal - I spoke with a pharmacist last night who said people at her hospital were disgusted by the FDA’s decision. It was removed from the market two weeks later. There was basically no evidence of efficacy.
Not in the face of such overwhelming evidence; it’s literally their job to make sure things are effective. It turns out medical studies are weaker evidence than anyone would like, but here there was quite compelling evidence that it was useless!
There are several controlled studies that show phenylephrine does absolutely nothing better than placebo for congestion, yet it's the #1 medication sold and available in the US for congestion.
Idk man my public elementary school gifted peers all went on to be pretty successful - head dramaturge at a Broadway playhouse, doctors, poker champion, etc. I manage software developers at a dev shop with a bunch of ivy and prestigious euro university grads.
Some people are smarter than other people, and being smart gives you myriad advantages in navigating the world. This seems pretty uncontroversial.
Take a long tube with an osmotic filter on it. Put it in the sea with one end out. Pressure is going to fill the tube up, no, just like a snorkel? Probably back up to sea level, possibly minus whatever force reduction caused by the filter? Boom, water filtration with no expenditure of energy.
It may be wrong but it really isn't "obviously delusional."
Why should being born Asian so drastically negatively affect your ability to get into an elite college? It’s discrimination.
They did the same thing with Jews - they introduced standardized testing, found that too many Jews were making it into Harvard, and then added other requirements so they could reject them.
For some of us who want a not-systemically-racist society, this seems like a travesty
Why should being born the child of a parents who didn't attend ivy league colleges so drastically affect my ability to get into an ivy league college? It's discrimination.
