Queer Ally Fishman be like "It gets wetter"
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@pandabibble
Queer Ally Fishman be like "It gets wetter"

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The parachute study is actually a wonderful piece of art because it demonstrates so succinctly the kind of situation where randomized controlled trials are not the gold standard of evidence, and in fact reach misleading conclusions.
Because you can't recruit people to willingly jump out of mid-flight passenger planes for science, you redesign the study to engineer a scenario where the risk to the control group is minimsed. The plane is landed.
And then, because you've removed the main reason to use a parachute, you find that parachutes have "no effect" on mortality or injury.
The constraints of performing an ethical RCT guarantee this result. A result that we obviously know is dangerously wrong to extrapolate to the real-life uses of parachutes.
Now here's the thing: The people insisting that "evidence-based medicine" says we need RCTs of trans healthcare know this is what they're doing. It's extremely well established that you can abuse these "standards" to engineer incorrect results.
SEGM and their ilk are doing this on purpose because they know it's an effective way to dress up science denial in a veneer of scientific rigor.
How would one go about making such a study though?
As in, how would an RCT look like that attempts to create misleading data, when it comes to HRT or trans healthcare in general?
I agree with the post, I just can't think of a way to create a control group with that effect
Well, barring exceptionally fortunate cases like this one, where they were able to use "skip the conventional wait time" as the test group and "wait as usual" as the control, you sort of can't.
It's foundational medical ethics that when you have a treatment that's known to be effective, you don't withhold it for a study. The demand for RCTs is done knowing that it's unserious.
The "gold standard" here would be some kind of quote-unquote "natural experiment" where you have 2 different countries that are very similar but one enforces wait times for trans care and the other doesn't, and then you compare outcomes for trans people in each country. Likewise, the "natural experiment" for parachutes would be crashes where people were able to eject with a parachute vs. crashes where they weren't. Or you could throw ballistics dummies out of planes.
Basically, the way you study this kind of thing is you look at where existing regulatory or other differences have created two different population groups, or you simulate it.
The interesting part there being that we know for a fact that the SEGM-affiliated gender clinics, many of them state monopolies, have worse outcomes than informed consent clinics.
Based on the extreme rates of patient complaints and high rates of patients being traumatized by the clinicians' behaviour, that is.
And yet, somehow, when these clinics self-incriminate in their research, it's taken as evidence that care needs to be restricted more.
That's where the neoliberal models for destroying a function of society come in - traditionally governments start off with a nationalised industry or service and run those down via mass layoffs or funding cuts,
but you can also do the exact same thing to just manipulate health data around a treatment regime;
restrict access to it as much as possible to reduce total number of people who you can point to and say "these people got the treatment and it worked for them", which alone allows random statistical noise to be a bigger component of results (imagine one person in a study of 10 people gets run over, deliberately evil study writers can then say "1 in 10 people died during this study" where they'd have to say 1 in 10,000 if 10,000 people were in the study and the outlier was infinitely more obvious - small numbers are an evil statician's best tool)
But if that doesn't work, you can also make access to a treatment sporadic and infrequent, which will in most cases completely nullify the treatment's effectivement - You can still say "X number of people recieved this treatment and it showed poor or no results" even if they were being shunted off the treatment 3 shots out of every 4 they needed
You can also fuck around with dosage - use high dosage animal models to say "this substance is dangerous" without mentioning what dosage was used, paracelsus' 15th century statement "the dose makes the poison" be damned, and then use that as an excuse for excessive testing of people receiving treatment and tighter controls over allowable dosage, which again allows you to create a group of people who "received treatment" but at dosages below where you'd expect results to be achieved at
Illegalisation combined with heavy restrictions on access to legal treatments also helps because it creates a black or grey market for treatments, which will inevitably have exactly the same sort of contamination issues that ordinary medical supply chains do, but black and grey markets obviously can't be government tested to catch problems earlier in the supply chain, nor can recalls on defective or contaminated batches of medicine be done as well as they would if fully legalised - then the government can point to the negative effects experienced in the grey and black markets as an additional reasons to illegalise and restrict legal access
if fully illegalised, you can also use "most people seeking this treatment are criminals" as if it's not a tautology to demonise advocacy for legalisation or improvement in access to treatment
OH THAT'S WHY VAMPIRES ARE ALWAYS WEARING THE RED TINTED GLASSES OOOOH

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In videosgame development, never ask a programmer how that weirdly commentless patch of code works, what a CEO actually contributes to anything and never ever ask an environmental artist who is lighting all those candles and torches in their levels
if you are in the Thunder Bay area, the Whitesand First Nations families who have evacuated their homes burning down in Ontario are requesting supplies or monetary dnations
Source and most frequently updated post
OP last updated: July 15th
Why ARE tumblr fandomites so horny for the skinny-guy-in-a-carnival-barker-suit archetype?
This really should be studied
Well you see when they were a young boy their father took them into the city to see a marching band...
I doubt anybody is talking about it on here but large parts of northwestern Ontario (Canada...) are on fire, and of course the greatest impact has been to First Nation reserves. Lac la Croix FN, Collins FN, Whitesand FN, Gull Bay FN, Lac des Milles Lacs FN, and the town of Armstrong have all been evacuated. The town of Upsala is on evacuation alert. Quetico Provincial Park (an INCREDIBLE nature reserve) is burning.
Fires have been suppressed in our boreal forests by the Ontario Ministry of Natural Resources for decades, despite traditional practices by the Anishinaabeg. The benefits of controlled burns in a disturbance-based ecosystem regime like the boreal cannot be understated, but it's too late. By the time the Ministry understood the truth behind what Indigenous peoples have been telling us, decades of fire suppression has built up absurd amounts of dead brush just waiting to light. And of course those Indigenous communities are feeling the brunt of the consequences. The sky has been red, sickly yellow, or filled with smoke here where I live, and it is likely to continue this way as the Ministry fights fires that are long overdue.

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This man needs to be hunted for sport.
WHAT DO YOU MEAN HE MADE HIMSELF ONE TOO
episode one of the Dialed Indie podcast is out now! I'm interviewing game developers about their path into the industry, their process, their inspirations, and the parts of game development that we don't see!
"Following Artistic Dead-Ends with 2 Mello" is about finding your sound, working on lots of things at once, and, overarchingly, taking that nostalgic impulse and using it to push your art forward!
what the hell is going on
i believe in you Binface. you can do it. this could be your moment.
Please god it would be so funny
there is no downside to voting for Count Binface. its not taking away from other candidates bcos they aren't any and the more votes he gets the stupider Farage looks.
for people out of the loop:
Nigel Farage is the leader of Reform UK, a far right party who are currently in the process of a serious bid to become the UK government. they are just straight up evil.
Count Binface is an intergalactic space warrior with a bin on his head. he likes to run as a novelty candidate in general and mayoral elections. a big thing he likes to do is run as a candidate against the incumbent prime minister:
(Also pictured: Boris Johnson, Elmo)
Anyway, in brief:
Nigel Farage is currently in the midst of a big scandal about his finances
He has decided to deal with this by 1) making a show of nobly resigning from parliament and then 2) immediately running in the resulting by-election
He has stated that he is letting 'the people' judge his actions and implied that if he wins that will prove that he has been exonerated in the court of public opinion
His goal was presumably to get a big resounding win over the other parties, proving that The People still love him.
the other parties have thus far decided that this is a 'vanity election' and, well, there is one very easy way to ensure that he will not beat any of them, and that is simply not to play.
and as a result the only person who has so far confirmed they are running against him is Count Binface. no matter the outcome this makes Nigel Farage look like, u know, a fucking clown.
as a feminist i support recreational abortion
i have mixed feelings about competitive
*maddest ive ever been, eye twitching* thats baseless. its something else actually.
are the two brothers from supernatural really gay for each other or is that a fan thing
are you really asking me if a network television show from the mid-aughts had canonical gay incest in it

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well,
alpha
beta
omega
one day I dream of making a videosgame that has a total filesize of about 100~megabytes and then selling it in two forms, the "lite" version for $25 and the "GOTY edition" that is $60 and has all of wikipedia zipped up inside it so its filesize is 76~ gigabytes