The main bottleneck in training new doctors (both MD and DO) is that federal funding for medical residency slots have remained mostly unchanged since 1996. Some hospitals have been able to pay for extra slots out of their clinical revenues, but they’ll be facing more financial pressures because of the Big Beautiful Bill.
We have an 11 year old rescue pup from Puerto Rico, he’s a really good boy. They kind of have their own breed going on on the island. We DNA tested him and he’s about 1/3 Chihuahua, 1/3 “super mut”, and then like small portions of a dozen other breeds. He loves laying outside all day on the hottest days of the year.
Propublica is an excellent nonprofit investigative journalism organization. They have a strong track record of holding powerful companies accountable and achieving real world results/consequences. They often partner with local news organizations to help give them good content and there’s never a paywall either.
Agreed! I get this with my Unitarian Universalist church community. UUs don’t require anyone to believe a certain scripture, but we have a shared set of principles, like valuing democracy, science, and nature. The community aspect and music program are great by themselves, and our minister’s sermons have been a great source of motivation to keep fighting for what we believe in.
Depends on your demographics a bit. Dictatorships like to scapegoat ethnic minorities or other out groups (see Pinochet’s, Mao’s, Pol Pot’s, etc extermination of scientists and educators) for society’s problems. These groups of people tend to experience much greater intensity of oppression under dictatorships than already present in the US. This tends to change culture on a fundamental level because most people actively try to fit in with the in group to avoid becoming a target themselves.
While present to some degree in our current system, another core characteristic of dictatorships is that self enrichment for those in power is the primary driving factor for decision making. Dictators don’t need to pay lip service to making decisions for the greater good. You see this especially prominently in dictatorships in developing countries with valuable resources… The dictators and their close friends take all of the wealth from resource extraction for themselves and everyone else lives in extreme poverty. Yes we have wealth inequality already, but it would be accelerated even more. You could see even highly skilled professionals having a hard time making ends meet (or in jail for being too smart and having “ideas”), and even more homelessness, potentially even wide scale famine.
In terms of geopolitics… Our relationship with allies would become about how the relationship personally benefits those in power.
You shouldn’t be able to smoke outside an ER anyway… People come through there with life threatening problems and need all the oxygen they can get
Totally agree it’s important to engage all levels of government. But only the US Senate has the authority over nominations
Trump doesn’t have that power, he’s pressuring the Senate to do so. Thus calling Senators to stand up to these shenanigans is important.
Have you tried calling their phones? Sure some don’t pick up, but enough do.
I’m in favor of larger structural changes, but I’m not about to roll over and allow fascists to get everything they want in the current system. How many people do you expect to join a revolution if they won’t even be bothered to pick up a phone?
The book does acknowledge and analyze the violent and nonviolent aspects of the resistance movements in the case studies, and how they impacted each other. Thanks for the suggestion on Setting Sites
It’s highly variable, and yes I absolutely agree money in politics is a big problem. I do have a direct experience where reaching out to my Senators led to them aggressively and successfully opposing a provision in a law that would have had a big impact on me. Don’t want to dox myself, but this real change to a bill made a huge difference to me and many others. So it is possible to make an impact.
I’m for larger structural changes, but I disagree that rolling over and allowing fascists to get their way in the current system is acceptable. Let’s do both
Why not use multiple tactics? It’s not all or nothing and yes I’m certain Senate offices care about hearing from constituents, far more effective than simply doom scrolling.
These tactics are not always a guarantee to have things go your way, but they increase the chances. For phone calling, numbers of people calling in matter the most, particularly at strategic times, including: right after big announcements, right before a committee vote, right before a floor vote. It’s also more effective before dominant narratives have arisen around a topic and there is uncertainty on how things could shake out.
Resistance to authoritarian regimes takes many forms, I found the book Why Civil Resistance Works to be a very helpful analysis of different resistance movements and their tactics
There is a board game! There’s also a virtual version of Mapmaker on Board Game Arena
It is quite fun despite the depressing context.