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InitialsDiceBearhttps://github.com/dicebear/dicebearhttps://creativecommons.org/publicdomain/zero/1.0/„Initials” (https://github.com/dicebear/dicebear) by „DiceBear”, licensed under „CC0 1.0” (https://creativecommons.org/publicdomain/zero/1.0/)RA
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  • Okay and? He has a direct line into the administrations secret signal group. This is tremendous thing dropped into his lap

    It’s like if bob woodward met with deep throat once, reported there was nonsense going on in the Nixon administration, but then told him to fuck off becuase it was too risky to continue. That’s insane and his bravery led to Nixons corruption being exposed

    Or like Snowden going to greenwald and co and them reporting that “some guy told us about government corruption but we sent him on his way” instead of coordinating his transport to Hong Kong and Russia and passing of the document cache because it was “too risky”

    Modern journalists being cowards is a huge part of the reason we have trump. He should be ashamed he threw away such a tremendous opportunity. You better believe they’re going to improve their opsec now.

  • Scummy misdirection

    It’s technically true and they say it to calm users but what they’re not communicating is that the buyer does not have to guarantee the same protections

    They’re “important considerations” but they have no leverage whatsoever. They’ve mismanaged the fuck out of this company and have been desperate for buyers. Now they are in a position of potentially selling to the highest bidder

    Coincidentally my parents used their service. I’m logging into their accounts to delete things. Last week when I logged in (assuming this was coming) to request copies of their records the site was snappy and responsive. Today when I log in to actually request deletion of their sample it is abysmally slow. I’m sure it’s getting hammered but I’m also sure they will put up whatever roadblocks they can as they need those samples preserved, that is their value

  • The bigger bombshell from the actual Atlantic article imo is that the administration is doing all of its communication via signal with messages set to auto delete after a week. No one expected transparency but this absolutely confirmed it

    And this journalist had the golden key but he removed himself from the group after he was able to verify it was real. wuss

  • Just keep in mind thing forward. Like at a minimum get cat6. The price difference between it and cat5 is not that much and it essentially means you can wire your house for 10 gigabit, even if you’re not putting the hardware behind for that now. Unless you have a run longer than 180 feet, which maybe if you do weird runs like I did or your house is gigantic

    Then think of what you want down the line, even if you don’t have hardware now. I did my camera poe drops even though I didn’t have all my cameras, as an example. Exterior cameras, interior, doorbell, etc. smart home stuff in general if you use it too. I ended up doing so many drops. Planning ahead meant I could fish bundles of cables when possible. Like in my living room I have a few Ethernet devices so I fished 5 cables at once

    Oh also get a cheap label maker, will make your life so much easier. Label everything. Label both ends. Label the jack, label the cable, label the front, label the back. You can get cartridges for label makers that are heat shrink instead of labels and will print directly on the heat shrink. This is by far the most helpful part

    And just use t568b and be consistent. For some reason I did 568a on a few jacks early on and it was a pain figuring that out. A cheap cable/jack tester is like $4-9 on aliexpress and will make life easier

  • Did you read them? The link explains the terms fairly clearly. It’s not a 50 page Eula from some software company, it’s like half a page and written in plain language

    Like it or not mental health services have liability involved. As an ethical service or practitioner it is important to make these liabilities clear to you as part of informed consent to use the service

    I do the same thing when people have their first outpatient mental health appointment with me. Explanation that costs incurred may be your responsibility, that while there is confidentiality it has limitations, that the service is voluntary, grievance procedures, expectations for you, etc.

    It appears they spell out the same:

    Costs: it is a free service but they make it clear they cannot be held responsible if your carrier charges you for text messages. You may also be billed by your carrier if 988 has to call 911 on your behalf. They may submit referrals that result in billing depending on where you live.

    Confidentiality: they reserve the right to escalate to emergency services (mobile crisis or 911, depending on area) which requires disclosure of PHI if they determine there is a risk of imminent harm or disclosure of abuse. This is pretty standard and I have the same caveat

    They clarify that they are not a substitute for a provider and that they are not responsible for treatment decisions you do or do not take as a result of conversations (eg if they give you a referral to outpatient and you take it and it sucks, they don’t take culpability)

    This is necessary because if they do not do this they will be endlessly sued by people and the service will be closed overnight. Remember that even if they win every lawsuit (which they wouldn’t) it still costs money to defend from lawsuits. With this they can basically have frivolous lawsuits easily thrown out (eg someone suing because they are upset about a referral, someone upset because they were suicidal and had the cops called) saving a tremendous amount of resources

  • Policy and advocacy? Maybe masters of public health

    That said as someone who’s worked as a licensed counselor for over a decade one of my pet peeves is when someone gets an MPH and all of a sudden is an authority because they spent two years learning about “the issues”. It’s kind of like the MBA who comes into a company and is like “oh it’s pretty cool what you’re doing but I know everything because I learned that making more money is great!”

    That said it does give you some cred. Ultimately the biggest thing is networking, like all things in life. Get to know people and play the game of “hey remember me from x! I’m doing x now and we’d love to x” it sucks but if you truly want to enact change you need people to know you and be on your side more than any letters

    Pedigree and experience helps though. Just don’t get too bogged down in it. I’ve known people with my licensure (masters of counseling, lpc), that do work here. Plenty of psychologists, MDs and DOs, CRNPs, etc. they have the benefit of drawing on experience, which can be powerful.

    I recently did some advocacy work and it involved writing an op-ed about my experience working in the residential inpatient system we are talking about here, for example. I have spoken to policy makers about what works and what doesn’t in this vein. I will admit it is unbelievably frustrating to speak to a politician who practices being super polite and nice to everyone. They hear you out and talk in empty platitudes, shake your hand, then vote for the insurance companies that you find out paid them $8,000 via open secrets. It’s disheartening but you keep trying, I guess

  • Well practitioners who are members of the APA/ACA/etc have the most sway. Writing opeds, participation in meetings, submission to calls to action, becoming more involved in the organization. Like any political action really you have similar challenges: how do you organize members? Except here it’s a bit different; a great deal of membership is in agreement that conversion therapy is abhorrent. But like governmental political action leadership is often hesitant to make serious moves

    The troubled teen industry is a different issue. The worst examples of these facilities often operate outside of regulation. The thing is there are regulatory concerns for certain facilities but then there are loopholes around this. If I open an inpatient residential facility I have regulatory guidelines to follow. If I open a “camp” for troubled teens the regulations are much more relaxed, basically nonexistent.

    Inpatient facilities that operate properly are a different story. These are fairly heavily regulated in most states but the regulations can vary wildly. However even in states where regulations are more strict it is often cash starved on the side of regulatory oversight. Ie the bodies that exist to ensure regulatory compliance have little money. This is addition to the programs themselves being poorly funded (and often the funding being unfairly distributed)

    The solution to mental health treatment is such a multifaceted problem. People don’t want this; they want a simple line. Increased funding would help, but it wouldn’t solve it. In many cases it would simply be absorbed into private equity and administrative salaries. Increased regulation would help but if you just do this it won’t do much because the programs cannot cope without the funding, training, and increased staffing. Additionally regulatory bodies would need the teeth to actually enforce. And this doesn’t even touch upon the health insurance component that is necessary to be reformed heavily so people can access these (absurdly expensive) services without being bankrupted

    That last point is key. These services are absurdly expensive. Inpatient on the low end can be 10k per month and as much as 60k a month. People don’t want to pay for this and politicians know this is a class of people that can easily be erased for massive healthcare savings (at the benefit of funneling them into private prisons instead, which is absolutely disgusting, but politicians are scum)

  • This is where the whole relationship of everything comes into play:

    In a situation like that the role of the APA is to put pressure on the state acting poorly. If the APA fails in this role it is the role of professionals within the state and across the country to put pressure on the APA to act. Obviously this does not occur

  • This is an issue where state governing bodies are given too much power away from the ethical boards

    The APA for example has firmly opposed conversion therapy officially since 1998 (way too late, but better than our shitty government). This opposition is functionally meaningless though because the APA does not license individuals, state boards do

    So if your state is totally cool with conversion therapy it doesn’t matter that you are a psychologist who does this entirely unethical practice that has been recognized by the governing body as not evidenced based. They will both grant you a license as a new practitioner and continue to renew your license.

    Now this is a comfortable position the APA can take because they do not have this power. The ACA, the American counseling association, has made a similar statement and has basically the same scenario. This becomes relevant in a moment:

    A different scenario: the NBCC has made a softer statement. They “support government bans”. The ACA and APA ethics boards use much stronger language. To compare:

    “The American Counseling Association (ACA) opposes the practice of conversion therapy and advocates for the banning of such practices in the United States. As a leading organization in the field of behavioral health care, the ACA stands against conversion therapy because there is no credible scientific data to support its effectiveness. Furthermore, extensive research has demonstrated that conversion therapy is a harmful and damaging practice for clients, often resulting in psychological trauma and distress.”

    “NBCC supports all bans on conversion therapy in all its forms. Conversion therapy directly contradicts every moral and ethical standard that mental health counselors are held to, including the NBCC Code of Ethics and the ACA Code of Ethics. Not only is the practice wholly based on unproven claims, it has been shown in multiple scientific studies to cause great mental and emotional harm to those who undergo it”

    The NBCC post is buried on their issues blog (instead of a formal post on the topic like the ACA and APA) and the language is not direct, which is ill advised when discussing ethical issues. The ACA is clear: the practice is opposed and advocacy for banning the practice is advised. The NBCC supports bans and feels the practice is not evidence based but does explicitly state that the practice should be prohibited. Again, you might say this can be inferred from their language (it obviously can be) but when you are discussing ethical issues inference is your downfall. The people looking to practice this bullshit will see this and say “oh well you didn’t explicitly say no so that is a yes”

    This is important because unlike the ACA and APA the NBCC actually does have power here. They are not a licensing agency but a certifying body on a national level. One must adhere to their ethical code to maintain their certification. This is sometimes required for jobs at the VA or working with TriCare, some school and university jobs require it, and some insurance companies require it for paneling as well. They do hold some power.

    In the meantime states should still ban it. But practitioners should still actively petition their boards to make explicit revisions to ethical codes that are equivalent to state bans.

    This does bring up the other inherent issue: state licensing boards are in theory guided by the ethical code of whatever. The state licensing board of Alabama psychologists are supposed to go by APA guidelines. But the APA has little power here. The system is designed in a very dumb way that gives the governing ethical body no power over the state licensing body. The APA can pressure the licensing board by “strongly recommending” they take action but there is no consequence, really. They can take action against the licensee directly but only if they are an APA member. If they decline membership or have it revoked they still retain licensure, generally, unless it was for a gross ethical violation (which conversion therapy is not in these states apparently). You can sub in ACA/AAMFT/AMA/etc.

    States rights!

  • To be clear I agree with you still. I think they should do it but I think they won’t

    I am an American and this action will cause me pain but I think things need to get worse here unfortunately. I think the only potential silver lining of this situation is that it may get so bad that people finally develop a bit of class consciousness and demand change.

    I do not hold out hope for this though, and even if it does occur I do not hold out hope that it sustains beyond our four year election cycle. Power forces and moneyed interests working against it and such. But it would be nice

  • Fishing wires is a nightmare and is really individualized to each home

    Like my house is a modular home built in the 80s so there’s a big cavity in the center of the house where they joined the two halves together. My networking gear is in the basement so getting the first floor wired was pretty simple, but the second floor was much harder. It was easiest to run all the cables up through that central cavity to the small space under the roof and then back down into each room. Took way more cable this way but I did it with 0 cutting into walls

    Get a decent quality fish tape. You don’t have to go crazy. Harbor freight has them for like $40. Based on my old place that didn’t have a giant central wall cavity: get good at patching drywall. It sucks but it’s inevitable. Good news is if you’re a homeowner this is a skill you’ll absolutely want to have down

    You’ll have to spend a little bit getting a lay of the land. What is current situation, what do things look like? Keep in mind for a house that’s 60+ years old you will run into stupid bullshit (I sure did).

    Also consider what you want from your network. Planning things out beforehand makes things much easier. Also remember it’s very viable to buy old e waste networking gear. My rack is filled with stuff I got from recyclers and auctions for crazy cheap. Like my main switch is 48 gb ports and 5 10gb ports and it was $30. My poe switch and my fiber switch were similar. I never spent over $70 for anything.

    I ran fiber to key points and spent the extra time running extra Ethernet drops for poe cameras. The latter was a fucking pain but my old place had WiFi cameras and they dropped out all the time. The poe cameras were cheaper, I actually covered all the poe gear by selling the WiFi cameras even though I needed more plus a poe switch, and they always just work. The fiber was a bit extravagant but it’s really nice to be able to send files between pcs on lan basically instantly. I only have gigabit so it’s way overkill but someday if this garbage country ever invests in infrastructure I’ll be ready. I technically can get up to 4gig Internet now but it’s crazy expensive