- Mar 2025
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www.bbc.com www.bbc.com
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But, at the same time, he notes how a visitor to the museum - especially a white one - can leave having been given the impression that all whites were bad all the time, which has a "a depressing effect." This in turn, he explains, doesn't encourage white Southerners - or any Americans - to think more expansively about racial tensions that the South, and the country, still wrestles with. "I do wish there was more info about those whites who have done progressive things in the South," he says. "And are still doing them."
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"There has been progress," Mr Doggett says. "Sometimes now younger people seem hopeless about the situation, but people have no idea about how bad it used to be - the police would dredge the river for a black person who had been lynched and come across other bodies no one knew about."We've come a long way - yes, there is still forever to go, but it is better."
.
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"While there certainly were white Southerners who advocated for civil rights for black Americans, many more didn't," says Ansley Quiros, a historian and author of "God With Us: Lived Theology and the Black Freedom Struggle in Americus, Georgia, 1942-1976.""In some ways it's easier - at least for Americans - to tell those few, heroic stories than to grapple with the majority position."
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Mr Doggett says that he understands people holding a stereotypical view of the White South as racist, because such a view is "justified." He agrees with Mr Gorton that the problem of the region's racism was compounded by the machinations of the White South's wealthy elite."There's a long history of wealthy whites manipulating poor whites to put the blame on blacks," Mr Doggett says. "People became so full of racial hatred that they couldn't see that blacks were actually their allies."
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"There's the danger of presenting a white saviour figure," says Mr Ownby, adding how Finch, while fictional, is probably the best-known representation of white resistance to racism. "Of creating hero worship for people whose heroism came through doing their jobs within the system as it existed. After all, the civil rights movement was about changing the system."
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www.journalofdemocracy.org www.journalofdemocracy.org
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“Loser compensation” is a common feature of mixed-system elections in which voters cast separate votes for candidates and for parties. Orbán’s new election system added “winner compensation.” Now, any vote not strictly needed to elect a candidate in a constituency is deemed “lost” even if that vote were cast for the winning candidate. So in that same election between the X and Y candidates with the 400-to-200 vote result, 200 votes would be transferred to the Y party list, as before, but now 199 votes would also be transferred to X party list, because the candidate for Party X only needed 201 votes to win but got 199 surplus votes. Winner compensation allows parties that win big to win even bigger, making the system even more disproportionate.
Multi-party elections, y'all.
Granted, a corrupt system, but starting with a complex system just makes it easier.
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Fidesz has detailed knowledge of its supporters through a voter database that it has been compiling while in power.17 The opposition does not have access to this data, making it impossible to leverage the voter-tourism law in the way that the ruling party can. With more than 150,000 votes available to be inserted into districts that were too close to call, this one legal change alone may have been responsible for keeping many districts in Fidesz hands in 2022.
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With this new law, Orbán could move his voters from safe Fidesz seats or seats that the opposition was clearly going to win to districts where these voters could ensure Fidesz victories in close contests.
.
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the fact that Péter Márki-Zay lost his own constituency in a surprise upset suggests that voter tourism may have targeted specific opposition candidates.
Márki-Zay was the opposition leader.
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As the 2022 election neared and the unity of the opposition coalition became clear, Orbán adapted again: He changed the voters without changing the districts. He did this by means of a November 2021 law that legalized “voter tourism.” Suddenly, voters could register to vote anywhere in the country even if they did not live in their new district.1
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Anticipating the danger, Orbán changed the rules again to guarantee that the 2022 vote would split even if the opposition united. In 2020, he modified the election law to require that all parties running a party list also run candidates in at least 71 of the 106 constituencies, up from the previous threshold of 27 constituencies
A change to an insanely obscure rule described above. The important part is: Orbán changed the rules again.
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Financial incentives for creating “fake parties” ensured that voters would always be confronted with a myriad of choices at election time, further splintering the vote. In 2014, a hundred new parties sprang to life, and in 2018, at least 250 did. Such parties had no real program behind them but often had names surprisingly similar to those of real opposition parties.14
Another familiar play we've seen Republicans engage in. All the dirty tricks.
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Rather than draw the map in a transparent process, the government drew the new constituencies behind closed doors. The resulting Law CCIII/2011 contained the literal boundaries of each district and was passed in a flash as a “cardinal law” that could only be amended by a subsequent two-thirds vote of parliament. Law CCIII/2011 created districts that varied immensely in size, with the smallest containing sixty-thousand voters and the largest, around ninety thousand. Not surprisingly, the large districts were in the left-opposition strongholds, while the smaller districts were in Fidesz country.
Standard stuff for Republicans: gerrymander and pass a law quickly, before anybody has a chance to really review it, maybe even when key opposition figures are out of town.
We've seen it dozens of times at the state level now. Republicans have no contention.
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The 2010 election effectively put Orbán above the law: He could amend the constitution at will, which he did twelve times during his first year in office—including removing, early on, the four-fifths hurdle for rewriting the constitution. Less than a year into his first term, Orbán unveiled a new constitution drafted behind closed doors, debated before parliament for only nine days, and passed on a party-line vote.11 The new constitution was accompanied by hundreds of new laws, many affecting elections.
Ok, now who's up for a constitutional convention?
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Orbán won the 2010 election—Hungary’s last free and fair balloting—with 53 percent of the vote. But under Hungary’s disproportionate election law, that translated into 68 percent of the seats. For the first time, the easy constitutional-amendment rule and the disproportionate election law had teamed up to hand unconstrained power to one party
.
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Even with the disproportionality of the election system, power switched hands at each election. Voters consistently rejected incumbent parties
Because... always unhappy. Throw the bums out, at every election. Sound familiar?
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Jobbik voters might also have been lured away from United for Hungary by Orbán’s skillful deployment of a wedge issue before the war came to dominate the campaign. In 2021, parliament passed a law that “protected” children from exposure to any LGBTIQ messages, equating gender flexibility with pornography. The law broadly banned such materials in schools, on television, in bookstores, and elsewhere. The EU reacted strongly and swiftly, with the European Commission filing an infringement action against Hungary for violating EU law. Orbán then doubled down, calling for a referendum to be held concurrently with the 2022 parliamentary election, at which time the Hungarian people could tell the EU what they thought about its meddling. Since the law had already been enacted, the referendum would do nothing other than stoke public outrage. But another law stood in the way: The law on referendums banned holding them with general elections. So Orbán changed it.
Yes, the attack-a-marginalized-group, think-of-the-children!, and add-a-garbage-referendum-just-to-goose-the-base strategies.
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But in the end, there was another reason why Orbán’s party list won 54 percent of the vote while the opposition list won just 34 percent. The opposition coalition linked five center-to-left parties with a formerly far-right party, Jobbik. Over the years, Orbán had stolen most of Jobbik’s issues and the party had lost its way, splitting after the 2018 election. Jobbik’s small extremist faction formed the new, even-farther-right party Mi Hazánk, while its centrists kept the Jobbik name and joined the other opposition parties, believing that ousting Orbán was more important than staying true to far-right principles. On election day, however, Jobbik supporters did not follow their leaders. The united coalition fell a million votes shy of its members’ combined 2018 result because most former Jobbik voters switched to Fidesz—which, after all, had campaigned against immigration, gay rights, and “liberal” values while defending ethnic nationalism with antisemitic dog whistles, just as Jobbik once had.
Gasp! The people didn't follow their party?? That's unpossible!
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Orbán’s lock on the media prevented the opposition from effectively refuting his lies.
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The National Public Employment Program that Orbán introduced in 2011 replaced social-welfare and unemployment benefits with public-sector employment. By 2016, this public-employment scheme employed 5 percent of the entire labor force, with about 223,000 people dependent on local (Fidesz) mayors for discretionarily awarded jobs. In the 2014 election, Isabel Mares and Lauren Young found that these precarious workers were threatened with termination if they did not vote for Fidesz.2 “Chain voting” ensures that people vote the right way. Voter 1 goes into the polling station, appears to vote by depositing an empty envelope into the ballot box, but comes out with a blank ballot. Voter 2 is then sent in with that ballot—now marked by a Fidesz operative—and told to put it in the ballot box and exit with another blank ballot in hand. Carried on down the line, the Fidesz party boss in the town can ensure that all have voted the proper way while the election workers find that they are short only one unaccounted-for vote, which would hardly raise eyebrows. In 2022, the investigative news site Átlátszó captured the scheme on video.3
.
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Orbán’s skillful use of the war in Ukraine and his major expansion of social benefits right before the election were important in that victory. But even more crucial were the rules of the game that Orbán established after his election victory in 2010, rules that have been constantly modified as the opposition has tried to work around the barriers that those rules erected. Hungary has already been demoted from democracy to autocracy by all democracy raters.
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- Nov 2024
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www.salon.com www.salon.com
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A 2020 Pew Research study on dating found that "Single men are far more likely than single women to be looking for a relationship or dates — 61% vs. 38%." It's no wonder, when you consider that women are more likely to report ugly or even scary experiences while dating, such as harassment or unwanted touching. Large numbers of women don't want to date Trump voters, but find that the market is overloaded with single men in MAGA hats. The hope of finding someone great is weakening, and the risks of the search seem too high. I know women in this situation, and while it's not exactly true that they're boycotting men, they're also not actively seeking out dates. Many of them aren't necessarily lonely: They meet interested men out and about, and have plenty of friends to keep them company. That experience seems far less common for single men.
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Even in the 21st century, many young women have been socialized to feel that their social status, economic security and physical safety come from securing a romantic partnership with a man. We still live in a sea of cultural messages that portray women as the ones trying to build relationships with supposedly reluctant men.
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But that condescending dismissal misses the point — both the point of the original 4B movement and why American women are talking about it now. A sex strike, after all, is rooted in the same assumption as Kasparian's argument: It's women's job to change men and sex is the tool we can use to do it. While the anti-4B side argues that women can persuade men to change by manipulating them with sex, the Lysistrata camp believes men can be convinced by deprivation. But if you actually read more deeply about the 4B movement, it seems a lot less interested in cajoling men to alter their views and actions, or even to see women as people, and more in creating female solidarity and protecting women's safety. It's not about boycotting men in order to change them so much as no longer wasting time on men at all.
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permission structure
Use of phrase
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- Jan 2024
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scaledagileframework.com scaledagileframework.com
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each job is compared relative to the other items from the same backlog.
I think "same backlog" means really everybody needs to be in the same meeting for this (or at least in the same communication channel).
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scaledagileframework.com scaledagileframework.com
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scale from 1 (lowest) to 10 (highest)
i.e., not a numerical business value but, truly, a priority scale.
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7-10 committed objectives (plus 2-3 uncommitted
My feeling is that a small team with lots of external dependencies should lean toward 7 committed, 3 uncommitted.
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Still, it’s all too easy to get caught up in ‘finishing the features’ and missing the overall goals hiding inside.
Avoiding the trap of just going through the mechanics.
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That’s about as good as it gets because this is, after all, research and development.
Eyes fixed on reality. :)
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However, the OKR format has proven less effective when applied to PI Objectives.
Possible alternative and why it's less useful. I like this aside.
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Realistic
I love this callout.
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- Mar 2021
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More than 250 bills have have been introduced in 43 states that would change how Americans vote, according to a tally by the Brennan Center for Justice, which backs expanded voting access. That includes measures that would limit mail voting, cut hours that polling places are open and impose restrictions that Democrats argue amount to the greatest assault on voting rights since Jim Crow.
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From statehouses to Washington, the fight over who can vote and how — often cast as “voting integrity” — has galvanized a Republican Party in search of unifying mission in the post-Trump era. For a powerful network of conservatives, voting restrictions are now viewed as a political life-or-death debate, and the fight has all-but eclipsed traditional Republican issues like abortion, gun rights and tax cuts as an organizing tool.
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Leonard Leo, a Trump advisor and one of the strategists behind the conservative focus on the federal judiciary, formed The Honest Elections Project to push for voting restrictions and coordinate GOP effort to monitor the 2020 vote.
Mr. Federalist Society wants voting restrictions in addition to judicial "minimalism".
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Anti-abortion rights group, the Susan B. Anthony List, has partnered with another conservative Christian group to fund a new organization, the Election Transparency Initiative.
I feel like conservative causes like abortion, "states' rights", and just racism in general tend to travel together, like sexually-transmitted infections.
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- Aug 2020
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www.politico.com www.politico.com
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That might sound strange, a bunch of Republican graybeards past their primes yet still playing the long game. Then again, the future of the party could arrive very soon. A Republican collapse this fall—Biden wins the White House, Democrats flip the Senate and hold the House—would trigger a reckoning within the GOP every bit as sharp as the one associated with Obama’s takeover of Washington in 2008. If that occurs, much of the party’s pent-up irritation with Trump (which often masks long-simmering disgust with themselves) will spill over, and the efforts to expunge this ugly chapter of GOP history could commence with stunning ferocity.
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What was once a source of annoyance and frustration for one sect of the party, social conservatives, has turned into the dominant lifeforce for the GOP.
"social conservatives" has ALWAYS been a code word for "racists". By playing with fire, Barry Goldwater, Richard Nixon and Lee Atwater have set the party on fire, and now the structure is "fully involved", as they say.
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- Feb 2020
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www.donnalake2020.com www.donnalake2020.com
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Success in healthcare should be measured by the amount of patients who don't come back with complications. Our ultimate goal should be preventing illness and disease by promoting public health instead of treating recurring problems in vulnerable communities.
This is a bit of a gimme, but maybe not for those outside the field. Crisis prevention > crisis management.
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- Jan 2020
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www.theatlantic.com www.theatlantic.com
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Venter now lives in a hypermodern house on a bluff in Southern California. Chatting one evening on the sofa beside the door to his walk-in humidor and wine cellar, he described how saltwater microbes could help solve the most urgent problems of modern life.
This seems like an unnecessary detail.
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- Dec 2019
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Plank number six - illegal drugs. ROBERTS: Make them legal.
6.
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Tax energy use or carbon emissions in a way that reflected the cost to the environment that we all share.
5c.
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consumption tax
5a.
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smoking
5b.
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eliminate all income and payroll taxes.
4.
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The corporate income tax makes no sense whatsoever.
3.
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The deduction for employer-provided health care.
2.
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The mortgage interest deduction.
1.
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www.christianitytoday.com www.christianitytoday.com
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So, overall, I'm not sure what the impact of this, and what Galli's desired outcome is.
Conservative evangelicals are already rejecting this editorial in droves. This won't change anybody's mind on the right.
Why is he writing this? For one, he is retiring in a month (I understand), so he probably has nothing to loose.
He seems to be primarily concerned with the reputation of evangelicals. I don't know what note CT has struck previously, but even if it's a "we Christians don't get involved in politics" note, I think that's wrong. In a democracy, what the government does is supposed to be at the will of the people. The government cannot be irrelevant because it is an extension of the people. Even if it weren't, the job of the prophet is to speak truth to power, not to take care to ensure that he or she is righteous individually.
So, it seems like damage control.
But also: if he gets what he wants (which seems to be impeachment and removal as opposed to losing an election), then Pence becomes President and he runs for reelection (presumably) without Trump's baggage.
I am coming to believe that racism and sexism are what are governing our times these days, not "economic anxiety". The Republicans' coded messages are speaking to that, and whether it's Pence or Trump probably won't make any difference (actually, conservatives would probably prefer their desires weren't so clear, so they might prefer Pence to Trump).
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And it will come crashing down on a nation of men and women whose welfare is also our concern.
Oh, and: afterthought.
And, even in this afterthought, he can't shake his nationalistic viewpoint, being worried about the men and women of this nation (presumably). Those not of this nation (refugees, immigrants, those residing in other nations) are totally off the radar with this statement. The benefit of citizens of this nation are really all that matters, even in this one-sentence afterthought.
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To the many evangelicals who continue to support Mr. Trump in spite of his blackened moral record, we might say this:
From this point on, he is concerned primarily with the reputation of (conservative) evangelicals. "We'll be seen as hypocrites, and we won't be able to deliver the message."
As opposed to: "This is wrong."
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Unfortunately, the words that we applied to Mr. Clinton 20 years ago apply almost perfectly to our current president.
This sounds like the bystander who, finally, at the last, when the rest of the world has had enough, also joins in in pointing at the miscreant and saying "Bad!". This is not a leading, prophetic voice, but a trailing one.
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We believe the impeachment hearings have made it absolutely clear, in a way the Mueller investigation did not, that President Trump has abused his authority for personal gain and betrayed his constitutional oath.
Ah.
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Trump’s evangelical supporters have pointed to his Supreme Court nominees, his defense of religious liberty, and his stewardship of the economy, among other things, as achievements that justify their support of the president.
All of which his Vice President are capable of, so why the particular Trump loyalty?
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this president has dumbed down the idea of morality in his administration. He has hired and fired a number of people who are now convicted criminals. He himself has admitted to immoral actions in business and his relationship with women, about which he remains proud. His Twitter feed alone—with its habitual string of mischaracterizations, lies, and slanders—is a near perfect example of a human being who is morally lost and confused.
So... I'm not a regular reader of CT. Have they commented on this before? Even tangentially?
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Mr. Trump did not have a serious opportunity to offer his side of the story
Not so sure about this, but ok.
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The Democrats have had it out for him from day one
With good reason.
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- Nov 2019
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www.crosscurrents.org www.crosscurrents.org
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Good human work honors God's work.
Of course, God does say "be fruitful and multiply". It's a fundamental of Catholicism, it seems.
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What the Bible might mean, or how it could mean anything, in a closed, air-conditioned building,
He is really challenging the ability of anybody to get meaning from the Bible while reading it indoors?
This is the sort of thing that makes it really hard to take him seriously.
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We forget the greater and still continuing miracle by which water (with soil and sunlight) is fumed into grapes.
This is, by definition, completely natural (and expected), and therefore not miraculous.
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water into wine--which was, after all, a very small miracle.
How can he say this?
Also, what about the part where Jesus curses a fig tree because it has no figs for him?
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It is best read and understood outdoors, and the farther outdoors the better.
I don't think this is the case. Outdoors is good. Indoors is good, too. I don't think one is preferred over the other. Some psalms celebrate contemplation indoors (in the Temple).
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It is incompatible with Scripture.
Well, actually... The OT says in many places that the temple is to be the only holy place. Deut 12:4-5.
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It is understandably difficult for modern Americans to think of their dwellings and workplaces as holy, because most of these are, in fact, places of desecration, deeply involved in the ruin of Creation.
This is kind of hogwash. On one hand, if everything is holy, nothing is. On another hand, I (and probably many other Christians) don't believe that the church is the only holy place. I believe there are human interactions that occur outside the church that are holy.
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the idea that the only holy place is the built church
Seems like an unfair accusation.
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murder of Creation
This is just hyperbole.
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the breaking of all ten of the Ten Commandments
Accusing modern economies of murder? Idolatry? The Lord's name in vain? This seems like a stretch.
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By "economy" I do not mean "economics," which is the study of money-making, but rather the ways of human housekeeping, the ways by which the human household is situated and maintained within the household of Nature.
His definition of "economy".
Will I be referring to it later?
Merriam-Webster: «archaic : the management of household or private affairs and especially expenses»
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fivethirtyeight.com fivethirtyeight.com
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Siena College/New York Times Upshot
These are the guys who came out w/a recent NYT story about how close Trump is in five or six swing states.
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As a simple rule of thumb, we’ve found polls “call” the right winner 80 percent of the time, meaning they fail to do so the other 20 percent of the time
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Polls in our database that showed a lead of 3 percentage points or less identified the winner only 58 percent of the time — a bit better than random chance, but not much better.
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Tags
Annotators
URL
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- Sep 2019
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www.crosscurrents.org www.crosscurrents.org
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exploitive
How do we define "exploitive"? If usury is defined by an unreasonable interest rate, what is a reasonable one? What is a reasonable growth rate for economies? How do economies grow, if not by exploitation of some resource?
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everything that lives is holy
How about the parasite that causes malaria?
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the Bible forbids usury and great accumulations of property. The usurer, Dante said, "condemns Nature. . . for he puts his hope elsewhere."
Back to property, and its equation with usury. Is there a Biblical Gini coefficient? And if so, what does it have to do with care for the environment? What if a rich person (say, John D. Rockefeller) bought a bunch of land (say, the Great Smokey Mountains National Park) and evicted all the people in order to return it to its natural state? Would that be Biblical?
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We will discover that, for these reasons, our destruction of nature is not just bad stewardship, or stupid economics, or a betrayal of family responsibility; it is the most horrid blasphemy.
So... God made us, and somehow, we're capable of exponential growth (except, apparently, we're not, if world population will stabilize around 11 billion, as The Atlantic says). God made us intelligent (right?). If we had stayed in the Garden of Eden (how realistic is that?), would our population have been stable? Even animals' populations grow and shrink dependent on the available resources. See the wolves of Isle Royale. According to Wikipedia, the wolf population has pretty much crashed, and the populations of wolves and moose have never been stable; since there are no humans involved, I suppose we can take this as a natural occurrence. How big was the Garden of Eden? Big enough to develop stable populations of all its species? Maybe it was really a garden, with God walking around (as was his wont, apparently) constantly tending it, making adjustments, weeding, replanting species, etc.?
Also, I question "destruction of nature". Yes, some of what we do is destructive. But some of it is just alteration. Is the death of the honeybee an environmental catastrophe? Honeybees were brought to North America by Europeans; they're essentially an invasive species. Other pollinators will fill the ecological niches (although perhaps not to the satisfaction of our corporate agricultural enterprises).
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continuous, constant participation of all creatures in the being of God.
Not sure what it means to "participate in the being of God".
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it means that we are deficient in wholeness, harmony, and understanding--that is, we are "fallen."
Don't like this language of human deficiency. God created us and the Tree of Knowledge of Good and Evil, and it's (literally) all good.
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The earth is the Lord's, and the fulness thereof: the world and they that dwell therein
Use of the KJV drives me nuts. 500 years of scholarship and the discovery of new materials ignored in favor of archaic language that sounds exotic.
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join the military-industrial conspiracy to murder Creation
inflammatory
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the culpability of Christianity in the destruction of the natural world, and the uselessness of Christianity to any effort to correct that destruction
He is painting with a very broad brush here ("Christianity"), and I don't think he ever switches to a narrower brush.
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- Jul 2019
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www.theatlantic.com www.theatlantic.com
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vangelical Christians need another model for cultural and political engagement, and one of the best I am aware of has been articulated by the artist Makoto Fujimura, who speaks about “culture care” instead of “culture war.” According to Fujimura, “Culture care is an act of generosity to our neighbors and culture. Culture care is to see our world not as a battle zone in which we’re all vying for limited resources, but to see the world of abundant possibilities and promise.” What Fujimura is talking about is a set of sensibilities and dispositions that are fundamentally different from what we see embodied in many white evangelical leaders who frequently speak out on culture and politics. The sensibilities and dispositions Fujimura is describing are characterized by a commitment to grace, beauty, and creativity, not antipathy, disdain, and pulsating anger. It’s the difference between an open hand and a mailed fist.Building on this theme, Mark Labberton, a colleague of Fujimura’s and the president of Fuller Theological Seminary, the largest multidenominational seminary in the world, has spoken about a distinct way for Christians to conceive of their calling, from seeing themselves as living in a Promised Land and “demanding it back” to living a “faithful, exilic life.”
.
-
Nonchalantly jettisoning the ethic of Jesus in favor of a political leader who embraces the ethic of Thrasymachus and Nietzsche—might makes right, the strong should rule over the weak, justice has no intrinsic worth, moral values are socially constructed and subjective—is troubling enough.But there is also the undeniable hypocrisy of people who once made moral character, and especially sexual fidelity, central to their political calculus and who are now embracing a man of boundless corruptions. Don’t forget: Trump was essentially named an unindicted co-conspirator (“Individual 1”) in a scheme to make hush-money payments to a porn star who alleged she’d had an affair with him while he was married to his third wife, who had just given birth to their son.While on the Pacific Coast last week, I had lunch with Karel Coppock, whom I have known for many years and who has played an important role in my Christian pilgrimage. In speaking about the widespread, reflexive evangelical support for the president, Coppock—who is theologically orthodox and generally sympathetic to conservatism—lamented the effect this moral freak show is having, especially on the younger generation. With unusual passion, he told me, “We’re losing an entire generation. They’re just gone. It’s one of the worst things to happen to the Church.”
.
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living a “faithful, exilic life.”
Echoing Hauerwas, Resident Aliens?
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www.techsavvysmb.net www.techsavvysmb.net
- Apr 2019
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learnyouahaskell.com learnyouahaskell.com
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modify :: (a -> a) -> Zipper a -> Zipper a
Headed for Monad-land.
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fivethirtyeight.com fivethirtyeight.com
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An early advert talked about “friendly neighbors of our own kind … the peace and beauty and hominess of Shaker Village can never be invaded.”
Yikes.
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- Mar 2019
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More than a dozen other attorneys interviewed cited similar problems, especially with gaining access to computerized “audit trails.”
Mmmm, audit trails....
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Regarding the first effort at least, “there was consensus that this needed to happen and that it would take the government to push this forward,” she says.
.
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She has promised to reduce the documentation burden on physicians
.
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The notion that one EHR should talk to another was a key part of the original vision for the HITECH Act, with the government calling for systems to be eventually interoperable. What the framers of that vision didn’t count on were the business incentives working against it.
.
-
What she heard then became suddenly personal one summer day in 2017, when her husband, himself a physician, collapsed in the airport on his way home to Indianapolis after a family vacation. For a frantic few hours, the CMS administrator fielded phone calls from first responders and physicians—Did she know his medical history? Did she have information that could save his life?—and made calls to his doctors in Indiana, scrambling to piece together his record, which should have been there in one piece. Her husband survived the episode, but it laid bare the dysfunction and danger inherent in the existing health information ecosystem.
Yikes. I guess we can't know, but I wonder how it would have compared to having all the records in paper (or on microfilm).
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potentially enormous fraud against Medicare and Medicaid that likely will take many years to unravel
Forensic accounting: definitely a career possibility.
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While the jury’s still out, there’s growing suspicion the digital revolution may potentially raise health care costs by encouraging overbilling and new strains of fraud and abuse.
.
-
Doctors could shop for bargain-price software packages at Costco and Walmart’s Sam’s Club—where eClinicalWorks sold a “turnkey” system for $11,925—and cash in on the government’s adoption incentives.
Ouch.
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“The industry was moving along in a natural Darwinist way, and then along came the stimulus,”
Yep.
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“We had all the right ideas that were discussed and hashed out by the committee,” says Mostashari, “but they were all of the right ideas.”
.
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jumped in line
I remember this. My company basically executed a 90-degree turn from what we had been working on, instantaneously, when the law was passed.
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In the depths of recession, the EHR conceit looked like a shovel-ready project
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In February 2009 legislators passed the HITECH Act, which carved out a hefty chunk of the massive stimulus package for health information technology. The goal was not just to get hospitals and doctors to buy EHRs, but rather to get them using them in a way that would drive better care.
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Former House Speaker Newt Gingrich was fond of saying it was easier to track a FedEx package than one’s medical records. Obama’s predecessor, President George W. Bush, had also pursued the idea of wiring up the country’s health system. He didn’t commit much money, but Bush did create an agency to do the job: the Office of the National Coordinator (ONC).
Emphasis: not just Obama.
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“It’s not that we’re a bunch of Luddites who don’t know how to use technology,” says the Rhode Island ER doctor. “I have an iPhone and a computer and they work the way they’re supposed to work, and then we’re given these incredibly cumbersome and error-prone tools. This is something the government mandated. There really wasn’t the time to let the cream rise to the top; everyone had to jump in and pick something that worked and spend tens of millions of dollars on a system that is slowly killing us.”
The problem isn't (directly) the gov't mandate. It's the rapid ramp-up associated with vendor lock-in because data isn't portable and vendors can't easily be switched.
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Every time she prescribes the basic painkiller for a female patient, whether that patient is 9 or 68 years old, the prescription is blocked by a pop-up alert warning her that it may be dangerous to give the drug to a pregnant woman. The physician, whose institution does not allow her to comment on the systems, must then override the warning with yet more clicks. “That’s just the tiniest tip of the iceberg,” she says.
Better not be us.
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“complete overhaul”
Sounds like a market opportunity to me.
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“Texting while you’re driving is not a good idea. And I have yet to see the CEO who, while running a board meeting, takes minutes, and certainly I’ve never heard of a judge who, during the trial, would also be the court stenographer. But in medicine … we’ve asked the physician to move from writing in pen to [entering a computer] record, and it’s a pretty complicated interface.”
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“If you go into medicine because you care about interacting, and then you’re just a tool, it’s dehumanizing,”
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cognitive burden
This. It's not just mouse clicks.
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Others have turned to social media to vent.
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Earlier this year, MedStar’s human-factors center launched a website
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Ratwani spent his early career in the defense industry, studying things like the intuitiveness of information displays. When he got to MedStar in 2012, he was stunned by “the types of [digital] interfaces being used” in health care, he says.
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MedStar Health’s National Center on Human Factors in Healthcare, a 30-person institute focused on optimizing the safety and usability of medical technology.
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Physicians had been inputting squiggly brackets—{}—the use of which, unbeknownst to even vendor representatives, deleted the text between them. (The EHR maker initially blamed the doctors, says Schneider.)
One can but laugh.
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“we’ve swapped one set of problems for another. We used to struggle with handwriting and missing information. We now struggle with a lack of visual cues to know we’re writing and ordering on the correct patient.”
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To be sure, medical errors happened en masse in the age of paper medicine, when hospital staffers misinterpreted a physician’s scrawl or read the wrong chart to deadly consequence, for instance. But what is perhaps telling is how many doctors today opt for manual workarounds to their EHRs. Aaron Zachary Hettinger, an emergency medicine physician with MedStar Health in Washington, D.C., says that when he and fellow clinicians need to share critical patient information, they write it on a whiteboard or on a paper towel and leave it on their colleagues’ computer keyboards.
!
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101 resulted in patient deaths.
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alert fatigue
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the average clinician working in the intensive care unit may be exposed to up to 7,000 passive alerts per day.
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Patients have discovered mistakes as well: A January survey by the Kaiser Family Foundation found that one in five patients spotted an error in their electronic medical records.
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patient matching—the process of linking the correct medical record to the correct patient—a seemingly basic task at which the systems, even when made by the same EHR vendor, often fail
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Many such cases end up in court. Typically, doctors and nurses blame faulty technology in the medical-records systems. The EHR vendors blame human error. And meanwhile, the cases mount.
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“I was stunned when my son for a year was battling Stage 4 glioblastoma,” said Biden. “I couldn’t get his records. I’m the Vice President of the United States of America … It was an absolute nightmare. It was ridiculous, absolutely ridiculous, that we’re in that circumstance.”
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we didn’t think about how all these systems connect with one another. That was the real missing piece.”
Really? How hard is that to think about?
For purchasers of said software, how hard is it write INTO THE CONTRACT that all data is exportable in a usable format for transfer into another system? Even to hire an advocate type, if they don't have the legal & technical talent in-house.
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Compounding the problem are entrenched secrecy policies that continue to keep software failures out of public view. EHR vendors often impose contractual “gag clauses” that discourage buyers from speaking out about safety issues and disastrous software installations—though some customers have taken to the courts to air their grievances. Plaintiffs, moreover, say hospitals often fight to withhold records from injured patients or their families. Indeed, two doctors who spoke candidly about the problems they faced with EHRs later asked that their names not be used, adding that they were forbidden by their health care organizations to talk. Says Assistant U.S. Attorney Foster, the EHR vendors “are protected by a shield of silence.”
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the proprietary EHR systems made by more than 700 vendors routinely don’t talk to one another, meaning that doctors still resort to transferring medical data via fax and CD-ROM.
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optimized for billing
All about the money, always.
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It is not about one lawsuit or a piece of sloppy technology.
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eCW’s spaghetti code was so buggy that when one glitch got fixed, another would develop, the government found. The user interface offered a few ways to order a lab test or diagnostic image, for example, but not all of them seemed to function. The software would detect and warn users of dangerous drug interactions, but unbeknownst to physicians, the alerts stopped if the drug order was customized. “It would be like if I was driving with the radio on and the windshield wipers going and when I hit the turn signal, the brakes suddenly didn’t work,” says Foster. The eCW system also failed to use the standard drug codes, and in some instances, lab and diagnosis codes as well, the government alleged.
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Kaiser Health News (KHN) and Fortune spoke with more than 100 physicians, patients, IT experts and administrators, health policy leaders, attorneys, top government officials, and representatives at more than a half-dozen EHR vendors, including the CEOs of two of the companies.
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- Feb 2019
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www.hillelwayne.com www.hillelwayne.com
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Proofs are hard. Obnoxiously hard. “Quit programming and join the circus” hard. Surprisingly, formal code proofs are often more rigorous than the proofs most mathematicians write! Mathematics is a very creative activity with a definite answer that’s only valid if you show your work. Creativity, formalism, and computers are a bad combination.
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Programmers tend to mistrust software artifacts that aren’t code or forcibly synced with code. It’s the same reason documentation, comments, diagrams, wikis, and commit messages are often neglected.
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merciless flow of time
TLA+?
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If I say “this should distinguish parks from birds”, what am I saying? I could explain to a human by giving a bunch of pictures of parks and birds, but that’s just specific examples, not capturing the idea of distinguishing parks from birds. To actually translate that to a formal spec requires us to be able to formalize human concepts, and that is a serious challenge.
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type [a] -> [a]
Haskell notation.
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- Jan 2019
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learnyouahaskell.com learnyouahaskell.com
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It's important to note that in the Monoid instance for Ordering, x `mappend` y doesn't equal y `mappend` x.
But this doesn't violate any of the Monoid laws, which don't call for commutativity, apparently.
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- Sep 2018
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learnyouahaskell.com learnyouahaskell.com
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If you replace >> with >>= \_ ->, it's easy to see why it acts like it does.
TODO: exercise for the reader.
Answer: It's because (>>=), as defined, when given a Nothing as the left arg, just doesn't care about the right arg; it's going to yield Nothing. Kind of like the honey badger.
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We couldn't have achieved this by just using Maybe as an applicative. If you try it, you'll get stuck, because applicative functors don't allow for the applicative values to interact with each other very much.
TODO: exercise for the reader. :)
See my first attempt at this here (specifically, the
land
function at the bottom of the file). (There's also an Hspec unit test as a sibling to this file.)Maybe I'm not understanding something important yet, but it's working.
Maybe he just hasn't worked up to Monads as state holders yet? Using the "-:" operator he defined basically just results in passing state along in a series of calls, which seems pretty similar, in this application, to ">>=".
Tags
Annotators
URL
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- Aug 2018
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queue.acm.org queue.acm.org
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There is a common myth in software development that parallel programming is hard. This would come as a surprise to Alan Kay, who was able to teach an actor-model language to young children, with which they wrote working programs with more than 200 threads. It comes as a surprise to Erlang programmers, who commonly write programs with thousands of parallel components. It's more accurate to say that parallel programming in a language with a C-like abstract machine is difficult, and given the prevalence of parallel hardware, from multicore CPUs to many-core GPUs, that's just another way of saying that C doesn't map to modern hardware very well.
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A processor designed purely for speed, not for a compromise between speed and C support, would likely support large numbers of threads, have wide vector units, and have a much simpler memory model. Running C code on such a system would be problematic, so, given the large amount of legacy C code in the world, it would not likely be a commercial success.
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Using this from C is complex, because the autovectorizer must infer the available parallelism from loop structures. Generating code for it from a functional-style map operation is trivial: the length of the mapped array is the degree of available parallelism.
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- Jul 2018
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learnyouahaskell.com learnyouahaskell.com
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(tempName, tempHandle) <- openTempFile "." "temp"
This line of code totally doesn't belong here. Very structured/declarative/procedural/whatever style. I'd certainly move it out from between the
openFile
andhGetContents
lines, either to the very top or (preferably?) to just before it's needed, athPutStr tempHandle
.
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- Jun 2018
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www.theatlantic.com www.theatlantic.com
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The Next Plague Is Coming. Is America Ready?
It occurs to me that the zombie movie wave of the last couple of years might have as much to do with fear of ebola as with fin de siècle.
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The United States has nationwide vaccination programs, advanced hospitals, the latest diagnostic tests. In the National Institutes of Health, it has the world’s largest biomedical research establishment, and in the CDC, arguably the world’s strongest public-health agency. America is as ready to face down new diseases as any country in the world.Yet even the U.S. is disturbingly vulnerable—and in some respects is becoming quickly more so. It depends on a just-in-time medical economy, in which stockpiles are limited and even key items are made to order. Most of the intravenous bags used in the country are manufactured in Puerto Rico, so when Hurricane Maria devastated the island last September, the bags fell in short supply. Some hospitals were forced to inject saline with syringes—and so syringe supplies started running low too. The most common lifesaving drugs all depend on long supply chains that include India and China—chains that would likely break in a severe pandemic. “Each year, the system gets leaner and leaner,”
Mmmm, lean.
Lean systems are great for business, where natural-disaster-like shocks don't occur, except for black swans, which people sort of define as "something the system is not ready for". It's kind of a chaos-theory thing: here's a system can produce chaotic results.
I think a fast-moving global epidemic would be beyond the definition of a black swan, even, because it's something that comes from outside the system (e.g., banking finance laws can produce financial system meltdown but not plague (at least, not directly)).
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In these dense throngs, pathogens can more easily spread and more quickly evolve resistance to drugs.
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Airplanes now carry almost 10 times as many passengers around the world as they did four decades ago.
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since 2008 have been home to more than half of all human beings.
Cities. This is an interesting factoid of which I was unaware.
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In 1948, shortly after the first flu vaccine was created and penicillin became the first mass-produced antibiotic, U.S. Secretary of State George Marshall reportedly claimed that the conquest of infectious disease was imminent. In 1962, after the second polio vaccine was formulated, the Nobel Prize–winning virologist Sir Frank Macfarlane Burnet asserted, “To write about infectious diseases is almost to write of something that has passed into history.”Hindsight has not been kind to these proclamations.
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The Congo is one of the most biodiverse countries in the world. It was here that HIV bubbled into a pandemic, eventually detected half a world away, in California. It was here that monkeypox was first documented in people. The country has seen outbreaks of Marburg virus, Crimean-Congo hemorrhagic fever, chikungunya virus, yellow fever. These are all zoonotic diseases, which originate in animals and spill over into humans. Wherever people push into wildlife-rich habitats, the potential for such spillover is high. Sub-Saharan Africa’s population will more than double during the next three decades, and urban centers will extend farther into wilderness, bringing large groups of immunologically naive people into contact with the pathogens that skulk in animal reservoirs—Lassa fever from rats, monkeypox from primates and rodents, Ebola from God-knows-what in who-knows-where.
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ne hundred years ago, in 1918, a strain of H1N1 flu swept the world. It might have originated in Haskell County, Kansas, or in France or China—but soon it was everywhere. In two years, it killed as many as 100 million people—5 percent of the world’s population, and far more than the number who died in World War I. It killed not just the very young, old, and sick, but also the strong and fit, bringing them down through their own violent immune responses. It killed so quickly that hospitals ran out of beds, cities ran out of coffins, and coroners could not meet the demand for death certificates.
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www.lawfareblog.com www.lawfareblog.com
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Finally, the narrative Trump will use this report to advance has no actual merit—but enough incidents within the IG’s narrative will seem to give credence to it so as to give it continued political effect.
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Eighth, interestingly, the report’s conclusions are so far being widely accepted by those it concerns.
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Citing the “harm caused by leaks, fear of potential leaks and a culture of unauthorized media contacts,” the report says the leaks highlight the need to change the cultural attitude at the bureau regarding unauthorized media contacts.
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“At a minimum,” the report says, “we found that the employees’ use of FBI systems and devices to send the identified messages demonstrated extremely poor judgment and a gross lack of professionalism.”
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“We found it extraordinary,” the report says, that “the Attorney General and Deputy Attorney General conclud[ed] that it would be counterproductive to speak directly with the FBI Director.”
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Comey has repeatedly described his dilemma regarding the newly discovered emails shortly before the election as a choice between concealing or revealing what the FBI was doing—and he appears to have used that metaphor once again in his testimony here. The IG report is emphatic that this was a false choice and insists that Comey’s actual choice was between adhering to or departing from Justice Department practice. The report makes clear the OIG’s belief that he was wrong to choose the latter course.
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the New York Field Office was waiting for the Midyear team to follow up on the laptop after the Sept. 28 meeting, and the Midyear team—many of its members by now engrossed in the Russia investigation—was waiting for the New York Field Office to follow up.
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“We found that the prosecutors’ decision was based on their assessment of the facts, the law, and past Department practice in cases involving these statutes. We did not identify evidence of bias or improper considerations.”
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Second, and relatedly, the IG broadly concludes that the investigation’s judgments were not influenced by politics.
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it never questions that the FBI as an institution was pursuing its proper mission: conducting a serious investigation in good faith.
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First, the report validates the essential integrity of the investigation.
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www.amberbit.com www.amberbit.com
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We usually end up with JavaScript bundles, containing 100% of application logic, templates and CSS (generated via JavaScript of course) put into one huge file that loads as a giant “hello user, let’s test your connection speed” for all our new users.
The Angular team has been putting a lot of effort into lazy loading, small downloads and performance. They have what they call "Ahead-Of-Time (AOT) compilation" (which the rest of us normal developers just call "compilation").
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When you have separate pages in traditional web application - there is nothing stopping you from using completely different stacks on different pages.
Sounds like a bad idea, actually.
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Testing is harder
Maybe. There ARE testing frameworks, such as Jasmine (used in Angular).
Obviously, you need to structure your code well, and don't put logic in the view layer.
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Why you should not build your start-up as Single-Page Application?
I think we should build an SPA. This might be a good cautionary article highlighting the stuff we should avoid.
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www.theatlantic.com www.theatlantic.com
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Eventually, the scientists say, wildfires in the western United States might dwindle. This could happen when precipitation withers to the point that vegetation doesn’t come back. The fires will end when there is nothing more to burn.
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- Apr 2018
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broadly.vice.com broadly.vice.com
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Cady* was diagnosed with anxiety, depression, and ADHD—the millennial trifecta.
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"We need more funded scientific research to better understand the effects of cannabis on emotion," says Troup. "At this point, from my research, I would suggest that cannabis has the potential to disrupt emotion processing, so [self-medicating] would be something I would consider to be risky."
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Dr. Lucy Troup studies cognitive neuroscience at Colorado State University. She is wary of treating depression with cannabis because it disrupts emotion processing, specifically empathy. In a study she conducted, Troup found that marijuana affected subjects' ability to read and empathize with displays of negative emotion. "Cannabis changes how the brain responds to emotion. One could make the case that this is not a good thing," says Troup, especially "in situations where we ask people to empathize."
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www.vox.com www.vox.com
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In a way, I think there should be more talk of revolution, if only to expand the bounds of debate
Strongly disagree. Talk more of constitutional convention, if you must (although that's also pretty dangerous).
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Now, few people outright argue for revolutionary overthrow of the American system of government. The closest we get to calls for revolution or overthrow are celebrations of the Chinese model of dictatorship from both Chinese and Western admirers who see a nation that, unlike a vetocratic America, can just do things, with the implicit idea being that America could use a turn toward autocracy.
We don't have enough Chinese culture, with an emphasis on the good of the collective (or duty to the collective) over the individual, for this to ever work.
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www.theatlantic.com www.theatlantic.com
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The press did not generally greet Johnson’s speech as a claim of white responsibility, but rather as a condemnation of “the failure of Negro family life,” as the journalist Mary McGrory put it. This interpretation was reinforced as second- and thirdhand accounts of the Moynihan Report, which had not been made public, began making the rounds. On August 18, the widely syndicated newspaper columnists Rowland Evans and Robert Novak wrote that Moynihan’s document had exposed “the breakdown of the Negro family,” with its high rates of “broken homes, illegitimacy, and female-oriented homes.” These dispatches fell on all-too-receptive ears.
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- Mar 2018
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reclaimingjesus.org reclaimingjesus.org
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Budgets are moral documents
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www.w3.org www.w3.org
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@security
Selects "security" attribute of previously-selected node.
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[1]
After the previous predicate, we select the 1st node (in reverse doc. order, as above). This is either self or the closest ancestor.
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[@security]
See XPath spec for predicates: https://www.w3.org/TR/xpath/#predicates. This selects all nodes in reverse document (on this axis) order that have a "security" attribute.
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*
All elements on the ancestor-or-self axis (i.e., all ancestors including self).
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core function library
Core function library defined at https://www.w3.org/TR/xpath/#corelib
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“It’s the idea of having support and resources,” said Billy Elles, a speech and debate coach at Westmoore High School who moonlights as a waiter at Outback Steakhouse. “I’m tired of having 34 students in a classroom. I’m tired of buying my own copy paper and my books.”
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Gov. Mary Fallin and GOP leaders have been unable to reverse course because of a constitutional quirk that says any tax increase needs a three-fourth’s majority vote of the Legislature. Despite broad GOP support for tax hikes, a small number of fiercely anti-tax Republicans have joined with the minority Democrats to derail attempts to raise revenue. Democrats complain that most of the tax plans unfairly target the poor.
CONSTITUTIONAL
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Teachers are in shorter supply too. There are about 1,500 fewer teachers in Oklahoma than in 2010, according to a recent study, and nearly 20 percent of districts have shifted to a four-day school week to save money.
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www.theatlantic.com www.theatlantic.com
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“moral outrage”
defined
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Republicans target Warren far more often than they target her populist doppelgänger, Senator Bernie Sanders. Not coincidentally, according to HuffPost, Americans approve of Sanders by a margin of 24 points—and of Warren by only four points.
Maybe this is part of why he seems so popular and untouchable? If he were to become a front runner, guess what? Targeting would switch.
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Others chalk up Pelosi’s image problems to her ideology (liberal) and home base (San Francisco). But Senate Minority Leader Charles Schumer, a liberal from Brooklyn, has a disapproval margin half as large as hers.
Male liberal from Brooklyn not as despised.
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One might think grassroots Democratic enthusiasm for Pelosi would offset her lack of appeal among Republicans and independents. The party, after all, is moving left, where Pelosi has been all along.
All those people who want the party to move left?
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Gender scholars would not be surprised.
This.
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On the surface, Trump’s “Pocahontas” slur may appear as unrelated to gender as Clinton’s emails did. But the moral outrage that female ambition provokes takes many forms.
This.
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By climbing to the top of the greasy pole, however, Pelosi has made her ambition visible. She has gained the power to tell her male colleagues what to do. (The pollster Celinda Lake notes that most ads attacking Pelosi show her speaking, not listening.
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“The Republican playbook for the past four election cycles has been very focused, very clear,” Representative Kathleen Rice, a Democrat from New York, insisted after Ossoff’s defeat. “It’s been an attack on our leader. Is it fair? No. Are the attacks accurate? No. But guess what? They work.”
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Why so much discontent with a woman who has proved so good at her job? Maybe because many Democrats think Pelosi’s unpopularity undermines their chances of winning back the House. Why is she so unpopular? Because powerful women politicians usually are.
This.
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The GOP has been using her as a scarecrow ever since.
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www.motherjones.com www.motherjones.com
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The administration claims it wants an accurate count. But while Trump fantasizes that there are millions of noncitizen voters out there, who really gets counted twice and wins more representation? People with two homes.
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The real problem with Trump’s push to add citizenship questions, underfund the census, and produce an undercount is that it corrals the Census into producing the vision of America Trump already imagines.
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After September 11, 2001, people were astonished to learn that the federal government didn’t know how many Middle Easterners lived in America. There was a simple explanation: We hadn’t gone to war there recently. A group listed on the census is a group we’ve invaded or colonized. The census has check boxes for nine different subcategories of Asians, nearly every one representing a different war or territory: Japanese, Korean, Vietnamese, Filipino, Chinese, Hawaiian, Guamanian, Chamorro or Samoan.
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More practically, the move deprives the bureau of the 3,500 specialized employees that the 2010 Census used because they could speak multiple languages to find non-English speakers (who tend to live in Democratic districts).
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While we have multiplied, reshuffled, and sliced our racial categories, they have never been comprehensive or comprehensible to anyone but Americans. Like the Trump presidency itself, the census’s foundations are racial. The census has always reflected a Trumpian view of America, revealing our deepest anxieties about race and inequality. Yet the census is our best source of information about the nation, and the only way to draw fair legislative boundaries. And today it is in danger.
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www.vox.com www.vox.com
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“If Bolton becomes the national security advisor, the United States has not hit rock bottom in our international relations,” says Eoyang. “We could go lower.”
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In December 2016, the Washington Post reported that Bolton was eliminated from the running for secretary of state because Trump — I swear I’m not making this up — didn’t like his mustache.
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John Prados, a fellow at George Washington University’s National Security Archives, came to an even broader conclusion in a study of declassified Bush administration documents: Bolton bears a significant amount of blame for the politicized intelligence used to justify the decision to attack Iraq.
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Trump sees the world through a televisual lens; he seems to get more information from Fox News than from his daily intelligence briefings.
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www.theatlantic.com www.theatlantic.com
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But watching Farrakhan bask in the media attention, as yet another generation of black leadership faces public immolation on his behalf, it is impossible to see him as worthy of her loyalty.
2nd key quote.
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The more politically expedient path indeed seems obvious—but the stakes here for Mallory are personal and not simply political. I asked Mallory if she thought Farrakhan was anti-Semitic, or sexist, or homophobic. “I don’t agree with everything that Minister Farrakhan said about Jews or women or gay people,” said Mallory. “I study in a tradition, the Kingian nonviolent tradition. I go into prisons and group homes and I don’t come out saying, ‘I just left the criminals or the killers.’ That’s not my language. That’s not something I do. I don’t speak in that way. In the tradition that I come out of, we attack the forces of evil but not people.”
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Denouncing the marginalized Farrakhan can seem ridiculous to those who feel like white people put their own Farrakhan in the White House.
key quote?
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