trackcharlie @ trackcharlie @lemmynsfw.com

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2 yr. ago

Letting people twerk but not letting implied nudity indicates zero effective thought or principle on these actions.

Absolutely incompetent morons.

Did you read my comment or just go on a text block spree without finishing it?

For reference:

"... They took cops off of real cases to work a VIRTUAL ASSAULT in a video game. (just harassment, not assault btw)"

Pretending like this is a problem that requires police intervention is easily one of the most immature and incompetent things I've ever seen.

You know video games have moderators right?

Santo's for Trumps VP and they both run the country from prison.

That'll be an interesting and hilarious fall of the new Rome.

This doesn't matter.

I can download and run my own build without any watermarking or I can download a watermarking version and remove the watermarking function.

This is wholly inept and indicates a fundamental misunderstanding of how the technology even functions.

The ONLY option is to force education on the people in order to get them to learn to critically think, but that would be objectively bad for every elected official since the only reason most of them have their jobs is because their constituents either can't critically think or don't follow their 'promises' post election.

Are you fucking kidding me?

They took cops off of real cases to work a VIRTUAL ASSAULT in a video game. (just harassment, not assault btw)

JFC I hope we fucking get nuked soon. We don't deserve to live.

we're letting you keep contraception

Jesus fucking christ

The insane addition in the USA is due to so many middle men working to up the cost basis to increase their bottom line, essentially the insurance companies are running a racket.

Here is the associated research report that the link I provided used for their data aggregation and comparisons:

https://www.rand.org/content/dam/rand/pubs/research_reports/RRA700/RRA788-1/RAND_RRA788-1.pdf

These are the associated surveys:

https://www.t1international.com/access-survey16/

https://www.t1international.com/access-survey18/

https://www.t1international.com/access-survey/

Specifically for your question about cost basis it seems they tallied the total price for the insulin based on its chemical costs (for each type of insulin) and then cross referenced that with the price placed down on both prescription drugs and over the counter drugs listed in the IQVIA MIDAS database:

"In our analysis, we used prescription-drug market data from IQVIA’s MIDAS database.2 The data we examined cover the year 2018 and span 33 Organisation for Economic Co-operation and Development (OECD) countries, including the United States.3 We did not restrict our analysis to prescription drugs, as certain insulins are available over the counter in some countries (including the United States)." - RAND RRA788 PDF Page 2, Paragraph 2; Mulcahy, Schawm & Edenfield "Comparing insulin prices in the United States to Other Countries" 2020.

(IQVIA MIDAS: https://www.iqvia.com/solutions/commercialization/brand-strategy-and-management/market-measurement/midas)

Once they had a general understanding and baseline for what the products should cost they then indexed and compared prices globally using volume weighted pricing, they do note specifically that the manufacturer prices they used from MIDAS does not reflect rebates or discounts that would exist at point of sale (RAND RRA788 Pg 3 Para 2).

These are the references the research paper provided:

Cefalu, William T., Daniel E. Dawes, Gina Gavlak, Dana Goldman, William H. Herman, Karen Van Nuys, Alvin C. Powers, Simeon I. Taylor, and Alan L. Yatvin, on behalf of the Insulin Access and Affordability Working Group, “Insulin Access and Affordability Working Group: Conclusions and Recommendations,” Diabetes Care, Vol. 41, No. 8, August 2018, pp. 1299–1311.

Fuglesten Biniek, Jean, and William Johnson, “Spending on Individuals with Type 1 Diabetes and the Role of Rapidly Increasing Insulin Prices,” Health Care Cost Institute, January 21, 2019. As of September 1, 2020: https://healthcostinstitute.org/diabetes-and-insulin/spending-on-individuals-with-type-1- diabetes-and-the-role-of-rapidly-increasing-insulin-prices

IQVIA, “MIDAS,” webpage, undated. As of September 1, 2020: https://www.iqvia.com/solutions/commercialization/brand-strategy-and-management/market- measurement/midas

IQVIA Institute for Human Data Science, Medicine Use and Spending in the U.S.: A Review of 2018 and Outlook to 2023, Durham, N.C., May 9, 2019.

Roehrig, Charles, The Impact of Prescription Drug Rebates on Health Plans and Consumers, Ann Arbor, Mich.: Altarum Institute, April 2018.

Tribble, Sarah Jane, “You Can Buy Insulin Without a Prescription, but Should You?” Kaiser Health News, December 14, 2015. As of August 20, 2020: https://khn.org/news/you-can-buy-insulin-without-a-prescription-but-should-you/

I agree with your solution wholeheartedly.

I don't believe I'm being cynical, I think I'm being realistic.

Recall that the formula for insulin was given for free to the university of toronto and now most people in the USA cannot afford insulin even though the cost of creation has not changed since the 1950's.

It was only extremely recently that 35 dollar insulin became available in the USA and that's still obscenely overpriced.

Reference: https://worldpopulationreview.com/country-rankings/cost-of-insulin-by-country

Specifically I'm not discounting her for being a stripper as much as I am the cock-based nepotism involved in her acquiring her current position.

If she actually had a decent thought in her brain, her past wouldn't matter, however, her sucking cock is why she got the job, not because she actually was qualified for it.

A stripper or adult entertainer can be qualified for the job if she or he has the mental faculties to actually reflect on and try to improve the situation of their constituents, but that's not what she's doing nor what she was put in her position for.

Technically yes for rimworld cause once you get a larger colony completing anything takes forever because it doesn't support multi-threading.

It helps that all my friends are gamers and no family in the picture.

I've also got my stuff setup in such a way that I can do cardio while I play video games.

I apologize, I inflated my time by 370.1 hours

Not as bad as my rimworld situation:

I thought Ketherics delivery was great but maybe we chose different paths? I've played a couple of durge runs and several mostly-positive runs where I attempted to turn ketheric to the light, so perhaps I missed the bad parts?

IIRC JK Simmons was Ketheric

Ba dum tss

An incredibly cool idea.

This should take off globally.

Canada has become such a complete shit hole and I am ashamed that this government continues to debase this country so hard.

Too busy sucking corporate cock of oil barons to do anything for their fucking constituents.

They stopped teaching children about the gilded age because the current era is objectively worse than any time in human history for wealth inequality.

We may be an inclusive culture but we are exceptionally ass at doing anything other than separating people based on their net worth and insuring those 'below' have no way up.

Is america actually a country or just a set of miniature nations that refuse to work together?

You are absolutely correct and I amended my comment because as much as I enjoy RDR2, having to navigate their god awful DRM every time I open one of their games is easily one of the most annoying things in gaming. Not to mention I don't even think R* has done any serious updates to the game since release

Starfield won "most innovative" which immediately denigrates and insults literally every other game that received an award.

What an actual fucking joke.

BG3 getting GOTY makes complete sense, I've put like 1k hours into the game and every play through has been different and engaging.

The voice actress for aylin and the voice actor for ketheric are simply amazing, but honestly all the VA's did an amazing job.

As much as I love RDR2 it did not deserve, at all, labour of love.