I don’t think that she means it as literally as you are interpreting her. It’s a _feeling_ of not belonging to or probably feeling welcomed to join the culture that surrounds her daily life, I don’t think she cares whether she belongs to the history-based definition that you outlined of modern “synthetic” unified Germany.
This experience is usually invisible to the people who are part of the in-group, in this case Germans, but if someone lives in a foreign country for an extended period of time and tries to make it their home, I think they understand what that woman was saying.
A big reason is clinical trials. They take time, they are expensive, and there isn’t another good way to determine an intervention’s safety and effectiveness.
There is also a category of people who are “mixed-handed”, who have a strong handedness preference for a given task, but which hand one prefers varies based on the task. I didn’t know about this category until recently, but it describes my personal experience.
They were both brilliant, but from everything that I've read, Jobs was an ass****, and Woz was the opposite, and that is a huge, huge difference.
The mythologizing of Jobs is the canonical example of people condoning terrible behavior because they think that a person is smart/valuable/talented/etc.
To me this is completely backwards and sets a terrible precedent - that you can act however you want if you get results - especially given how many people idolize and look up to Jobs.
<the typical German philosophy of strictly following the process -- as absurd as it might be -- and refusing to take initiative for anything that is not explicitly defined as one's responsibility>
you summarized my 5+ year experience living in Germany with one sentence in a way that I have never found the words for - thank you, really, thank you
I feel that in Germany, the original intent of the many rules, processes, and procedures has been lost. Employees are trained to operate such that every situation is governed by a rule/process/procedure, and their job is to look up the situation in a massive leather-bound book of branching rules, see which rule applies in the given situation, and then… apply the rule. But, they will do this only if they assess that helping you falls under their job’s responsibilities. Sometimes your situation is neat and clean, and was what the rule-writers thought about when they wrote the rules. Sometimes, not.
TLDR: if you have an edge case in the German bureaucratic system (forms at the doctor’s office, Deutsche Bahn travel troubles, closing a bank account), you are f***
Interesting that GLP-1s might have different effects on cancer _incidence_ vs. cancer _survival_.
A different study "GLP-1 Receptor Agonists and the Risk of Thyroid Cancer" was published in the Diabates Care journal in February 2023*
The conclusion of the 2023 study: "we found increased risk of all thyroid cancer and medullary thyroid cancer with use of GLP-1 RA, in particular after 1–3 years of treatment."
I wonder what the mechanistic hypothesis could be for GLP-1s increasing thyroid cancer _incidence_ (the probability of thyroid cancer occurring in patients taking GLP-1s) but increasing colon cancer _survival_ (the probability of surviving in patients taking GLP-1s who have colon cancer).
Of course there are numerous important differences across the studies (cancer type, France vs. USA data, etc.), I'm just curious about a why this might be the case.
I think this analysis is cool, and the comments are too critical. The author put something out there, documented it, and I learned something by reading it. Thank you.
Maybe the title needs reframing to soften the reader’s expectations, and I definitely agree that RA as a data source has important limitations that should be mentioned.
I strive to be at the informed part of the spectrum.
Wine example:
- Novice: "I'd like any red wine" -> waiter brings you something you don't like
- Informed: "I'd like a red wine that is dry, not st" -> waiter brings you something you are quite likely to like
- Asshole: "Do you have an Argentinian malbec from 1998-2000, from the so and so valley?" -> you spend a lot of money and like the wine, or you are unhappy because they don't meet your asshole preferences
I had the 13 mini and now the 12 mini and the 13 mini was noticeably better - battery life, camera, screen brightness (big difference when using phone on a bike for navigation)
This experience is usually invisible to the people who are part of the in-group, in this case Germans, but if someone lives in a foreign country for an extended period of time and tries to make it their home, I think they understand what that woman was saying.