Viewing profile — markroseman

Speaking as a daily TaskPaper user, this looks great! I totally get why you're doing the things you're doing with this, implementation-wise, and what you're able to achieve because…

Has anything improved recently for RM2 around secure sync to a LAN? Would like to experiment with one for my psychiatrist wife to replace her paper chart notes, but anything hittin…

Off topic, but one of my CS professors was part of the original Simula group. Had long sinced moved onto more formalized approaches, i.e., denotational semantics. On more than one …

I agree. There's not a chance that it will be enough to change practice at this early stage, but it will be interesting.

On the other hand, there are so many opportunities for experimental design limiting the applicability of results in mental health experiments, that sample size and distribution doe…

Simplistic in the extreme, especially given nobody has ever really enumerated all the (many, many) forms of depression in a meaningful way.

Totally agree on your last point. There's little connection between DSM and treatment guidelines (which do exist, separately). And treatment is so fragmented between multiple care …

Have met lots of people who are depressed and don't have a troubled past or present. Your descriptions of etiologies, how medications function and help, etc. are simplistic and ign…

I'd agree in so far as it makes pulling scams (or innocently giving useless advice) far too easy: "I had depression, and I tried X, and it worked. You've got depression, so you sho…

Reading some of the comments is a good reminder that solid and meaningful mental health research is very tough and expensive, just based on the sheer variability, which can't be me…

Economically, the numbers are on your side (e.g. leading illness for workplace disability)

Applying the (current for any given time) criteria for depression requires a certain amount of training and skill, and the point form list of symptoms that you see as the first sec…

You're probably confusing science as a top-down enterprise rather than a field that works bottom-up (where "bottom" would be grad students). Evidence emerges and builds from below.…

Oh please, come on. There's an entire "field of study" that seems designed to prove that through the age-old mechanism of twisting logic into absurd pretzel knots that don't hold u…

Immense kudos for the Douglas Coupland reference.

Depends how it's organized, but it could be much better. In Canada, physicians don't need to get approval before they do everything, admin overhead for a physician to bill is a mat…

Is that when you omit infinity from the calculations in the US...?

People seem to think that if you move to single payer that the single payer would behave like any of the existing payers, i.e. you call to fight for approval for everything you do,…

Because all the doctors in countries that have single payer are so horribly done by...?

That also doesn't factor in the indirect benefits to the economy, like all the people who can't start a new business (etc.), being stuck in jobs they don't want because if they lef…

Yes, in a properly functioning universal healthcare system, wait times for specialists can be longer for things that are less urgent. First priority is those with the most medical …

Lower administrative costs? In the US, doctors need at least one or two full-time admin staff to negotiate with a variety of insurance providers, argue for approval of every line i…

Healthcare is under stress everywhere, but those of you in the USA who don't understand how fundamentally broken your system is need to give your heads a shake. It's precisely beca…

Wow, where to start... 1. The whole 'chemical imbalance' thing is a gross over-simplification that might help as an introductory mental model but breaks down quickly. 2. The right …

Some other reinvented wheel that makes one thing 10x easier but takes five years to build up an infrastructure from scratch for everything else that real programs need (an infrastr…