The Portion Paradox and the Half Cookie

by Finn

A recent study looked into the effects of portion size and consumption of all vs part of those portions.   Of particular interest to totebaggers, they specifically investigated consumption of entire cookies vs. partial cookies.   The article suggests it may be preferable to eat smaller cookies than to eat half of cookies that are twice as large.

 

Do you eat, or serve your kids, half cookies?    When you go out to eat do you bring home doggie bags?  What strategies do you have to avoid overeating, whether eating out or at home?
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My paternal grandpa’s middle name?

By Cassandra

I just set up another online account and struggled through the security questions. I had to pick four questions, and I could only come up with answers for four questions and at least one was pretty shaky. I am not sure I’ll be able to remember it. The questions seem so off base and hard to answer:

What was my second pet’s name? I am not even sure which animal was my second pet.
What is my favorite pet’s name? I’ve had a number of dogs, and there were some pretty good ones. My favorite? I don’t know.

I have no idea where I was on New Year’s Eve for 2000. I don’t know what hour I was born and I’m not real sure of my grandparent’s occupations.

Am I the only one who has difficulty with this? Who comes up with these questions.

Jury Duty

by Finn

I don’t think we’ve ever discussed jury duty here.  I’ve had some recent experience, having been called, and sitting through a trial as an alternate juror.  This was my second experience with jury duty; my first was over 20 years ago, when I was seated in the jury box, but was the defense’s first peremptory challenge.

What has been your experience with jury duty?  Do you think it is something to avoid, or to you look forward to serving?  Please share your jury duty stories.

My Mom’s jury duty story:

My mom had never been called to serve until she was retired.  One night, a sheriff’s deputy drove over to her house to personally serve a jury summons, to which my mom responded along the lines of, great, I’ve always wanted to serve on a jury, and now that I’m retired I can serve as long as it takes, which totally flummoxed the deputy, who’d never had that sort of reaction.

So she shows up for the trial, makes it through the preliminary screening, gets seated in the  jury box, and…  was the first peremptory challenge.    She was never called for jury duty again.

Favorite Limericks

By WCE

Pelicans can hold up to three gallons of water in their bill, but only 1 gallon in their stomach, which is the equivalent of about 24 lbs in the bill to 8 lbs in the stomach. If the pelican catches more fish in its bill than it can fit in the stomach, then the excess is stored in its esophagus.

Dixon Lanier Merritt wrote this poem in 1910 about pelicans.

Oh, a wondrous bird is the pelican!

His bill holds more than his belican.

He can take in his beak

Enough food for a week.

But I’m darned if I know how the helican.

This made me smile. Do you have a favorite limerick or other memorable story or phrase that makes you smile?

Controlling kids’ internet use

By tcmama

I realized tonight I should be monitoring what my kids are doing on their iPads. They are in second and third grades. Is there a way to monitor what websites they visit? Is there a way to block/restrict web access? What limits do you put on your kids? I am very lazy in some ways in regards to parenting, so I know that I have a blind spot in monitoring web activity

 

The American Dream

by Finn

In a recent post on fashion, the following phrase in the referenced article caught my attention:

“the traditional American Dream of upward mobility through hard work.”

Is that consistent with your understanding of the American Dream?

It’s consistent with mine.  What I’ve seen is a lot of generational steps, in which parents work hard to provide their kids with opportunities, that weren’t available to them, that allow their kids to move up the SES ladder, with succeeding generations continuing to get higher than their parents.

What’s your take on the American Dream?  Have you and your family lived it?  Do you think your kids and grandkids will live it?

Open Thread and Admin Change

Jby Mémé

Next Monday, July will take over as primary administrator.   Topics this week are:

Wed  –  The American Dream   (Finn)

Th –       Kids’ Internet Use  (tcmama)

Fri –       Favorite Limericks   (WCE)

The Old Site was originally a workplace diversion, allowable to many of us because it was on the WSJ website AND because back then we spent lots of dead time on butt-in-seat conference calls.   We migrated to The Totebag as our work and personal lives changed.   We are spread out over many time zones.     And of course, the “regulars” are a shrinking, not a growing community, although we do have a lot of wonderful lurkers who post from time to time and have sent in a few topics this year.

As a novice admin I did put in a lot of time, more than is really necessary.  July is not only more conservative politically than I, she is more laid back and doesn’t mind some of the comments I find unacceptable.   Her touch will be lighter at the helm.    We make a good team, which was most evident in the resolution to the privacy and retention issues on which we initially held views at opposite ends of the continuum.

The most frustrating aspect of my six months was the general lack of group interest in topics with substantive content.    I was even admonished not to use submissions from certain contributors because they were too boring.   Heartfelt posts from personal experience and serious ones usually generated very little direct on topic discussion.     Part of that is because we are not checking in as frequently in the way we did when tied to a desk.     Part may be due to the same problem that any workplace lunchroom or kaffeklatsch has – if there is no immediate interest in a topic what remains are variants on the same conversation day after day.     And there are few or no new voices joining in.

After all these years, I wonder if in The Totebag’s present 6-day a week format the juice is still worth the squeeze.    Perhaps we could cut back to Politics on Sun plus 3 posts during the week, say a Monday general interest topic , a family/education topic on Wed,  a lighthearted topic on Friday.    Readers would continue to bring up other topics, ask for advice,  and check in,  just as we do now.    We could try out “threading.”   Or perhaps we could just autopost this on the other two weekdays:

 

Parenting Standards Then and Now

By Louise

Parenting Standards  have been a recent topic of discussion with both my mother and MIL. Both remarked about being one of five siblings and parents not having time or resources to care for each one individually. The kids had food, clothing, shelter and in my mother’s case all her siblings went to high school and a couple completed college. In my MILs case, I think only one completed college later in life.
There were some things that siblings did that are now exclusively parental duties – taking younger siblings to the doctor or attending parent teacher conferences.
What do you think of parenting standards and expectations today ? Are they too onerous? What are some things you would like changed ? What do you think of the past ? Any learnings from there ?

Celebrations (holiday or otherwise)

by Lark

How do you celebrate? Are holidays, birthdays and anniversaries a big deal or low key in your family? Do you go big on presents? What about for milestone birthdays and anniversaries?

How do you celebrate other events, such as paying off a chunk of debt, getting a new job, or advancing to a new school/grade?

And what’s up for Hallowe’en?

Cutting the [Cable] Cord

by Rhett

Last week I noticed that we’d spent the entire week watching Jack Ryan on Amazon, Rick Steve’s Spain shows on Youtube, Lords and Ladles on Netflix, etc. Then on Friday, I open the Comcast bill and it’s $201! I call in a rage, as I usually do, and say, “Cancel the whole thing!” They say, “I can’t do that let me send you to Customer Retention.” Customer Retention says we can get it to you for $138 – as they always do. But this time I said, “Nope, not anymore. I want you to go ahead and cancel everything we just need internet.” Which is $59.

To add insult to injury, we’d been paying $11/month to rent the cable modem. It turns out you can buy a cable modem for $59. Comcast even has a page listing approved equipment.

https://mydeviceinfo.xfinity.com/

The plan going forward is to use Hulu, Amazon, Netflix and Youtube to bridge the gap. I did a quick googling and it looks like everything that’s popular in our house – Bravo, HGTV, etc. is available from Hulu.

Has anyone else thought about getting rid of cable?

Open Thread

Wed –  Cutting the Cable Cord (Rhett)

Th – Free College!!  (WCE starter)

Fri – Celebrations (Lark)

Mon – Parenting Standards Then and Now (Louise)

Wed +1 – The American Dream (Finn)

Th +1 –  Kids and the Internet (tcmama)

Fri +1 – Favorite Limericks (WCE)

Investing for (in?) the Apocalypse

by RMS

Here’s an utterly insensitive topic. What’s the best way to invest for inevitable climate change? Never mind saving the world. Where’s the money going to be? Will the oil industry collapse with the arrival of electric vehicles? Should I buy a resort property in Nunavut? Does anybody know which insects are going to proliferate, and are they edible?

Unique Occupations

by Rhode

Hakai Magazine (Thanks Rhett!) has a neat section – Coastal Jobs.  These are jobs that are unique in some ways to the coast.  Here are their most recent entries:
What are some unique job titles (or experiences) you’ve run into?  We’ve talked how Totebaggers are somewhat risk averse, or look at ROI for jobs/careers.  If you weren’t a typical Totebagger (or you aren’t a typical Totebagger), what unique or odd job would you do right now?

Teaching Children about Class Differences

Topic suggested by L – Mémé expansion

Many of our political conversations on the other thread focus on the fact of economic, social or intellectual differences between people, whether these should be ameliorated in some way,  and if so, who should bear the cost.

Do you teach your kids about privilege, haves and have-nots, and other differences between people?    Do you have formal conversations with them on these topics,  let it come up organically, rely on the school programming, or participate as a family in hands on activities?     Or do you think they should be sheltered?    Do you find a need to counteract messages they receive from the media or from their local environment?

Update Wednesday

by Houston

Let’s invite everyone to share their updates on topics raised earlier this year. I raised the idea of re-doing certain areas in the house that needed focus. I was at a loss on how people budgeted for home improvements, and several people had great suggestions. Shout-out to Lark, who gave a specific example with a budget attached to her planned improvements. That was really helpful.

I budgeted $12,000 and improvements we have made include: new furniture for DS2’s room (transition from elementary school furniture to more grown up furniture), fixing door and window trim that had experienced rot from moisture seepage, some landscaping, and fixing the AC and roof.

I look forward to hearing about everyone else’s updates.

by Finn

Over the years, many of us have asked our fellow totebaggers for advice via thread hijacks and on open thread days for many subjects ranging from car selection to college selection to dealing with club politics.
 
Please share what advice you decided to take, and how that worked out.  Based on your experience, what would you recommend to other totebaggers in a similar situation? 

 

Loneliness

by Cassandra

The theme of recent book club book was loneliness, which led to a discussion of whether we felt lonely, if we saw loneliness looming in the future, how we reacted to people we viewed as lonely, and whether we were acting taking steps to counteract loneliness.

Do you fear loneliness in the present or future?

by MooshiMooshi

Ben Sasse has a new book out on loneliness and the crumbling of ties in modern society. While this is not exactly a ground breaking idea, I think it is important because I think loneliness and isolation underlies so many current health problems – not just the obvious problems like drug addiction and suicide, but also other chronic diseases like diabetes, which are hard to manage for people with no family or friends.
The problem is, we can’t go back to a world of small towns where everyone knows everyone else – and honestly, I am not sure how universal that ever was. Yes, we have this image of America in the 19th century as being made up of friendly little towns – but the reality was different. There were a lot of socially disconnected young men prowling the West, and people trapped out on homesteads far from everyone, and hordes of immigrants in unwelcoming big cities.
George Will’s review of Sasse’s book hits on all of these themes, and ends by saying we need new habits
The crumbling of America’s social infrastructure presents a daunting challenge: We do not know how to develop what Sasse wants, “new habits of mind and heart . . . new practices of neighborliness.
and also this
Sasse, a fifth-generation Nebraskan who dedicates his book to the Kiwanis and Rotary clubs and other little platoons of Fremont, Neb., (population 26,000), wants to rekindle the “hometown-gym-on-a-Friday-night feeling.” But Americans can’t go home again to Fremont.
And I think he is right

Politics Open Thread, Oct 14-20

by WCE

Given the role that chemical engineers play in developing and manufacturing pharmaceuticals, pharmaceutical regulation has long interested me. I believe in a role for government in regulating drugs, but use of international approvals/studies rather than national ones and international discussion of on how drug development and safety demonstrations should be funded could improve lives and optimize healthcare spending.

In a private report leaked to news outlets in April 2018, the Goldman Sachs analysts caution against investments in pharmaceutical or biotechnology companies aiming to develop outright cures, and cite Harvoni as a case study. It’s a simple point to make – if profit is your goal, then a product that eradicates its own demand might not be a wise investment.

Though it sounds bad, it’s not a nefarious perspective. The overwhelming majority of pharmaceutical development occurs in the United States or other market economies abroad, where private industry is the force majeure that drives progress. And industry, as much in pharmaceuticals as in any other business, is at the game for revenue rather than the greater good. Much benefit can and has come from this arrangement, but it’s something of an externality to the powerful incentive to make money.

The predominance of the market in US healthcare has taken plenty of flak for promoting profit over quality, and for crescendoing costs.

But there’s a deeper set of issues surrounding how the market influences – or distorts, maybe – the very bedrock of healthcare and medicine. In a system driven primarily by profit, certain diseases or treatments must languish simply because they’re not lucrative. And how can such a system do other than favour revenue over patients?

https://aeon.co/essays/will-medicine-ever-recover-from-the-perverse-economics-of-drugs

Social Media – Privacy for College Students

by AustinMom

My DD#1 is not into social media. She now has a Facebook account out of need rather than desire. Her college has a group for her Class (Class of 2022) and some of her clubs have groups to communicate. She follows these groups and several friends (from high school and from college) contact her this way. Also, since her phone is android, she uses the feature to video chat with me. The students also set up a number of snapchat groups, but she was not ready to go that far yet.

While there are lots of articles about what not to post, how to secure your account, etc., I found an interesting take by another parent. Social media is a way to create the appropriate amount of distance between you and people you “friend”. For each person, you can choose how much of “you” is shared with them and how much of what they are willing to share with you that you see. As you get to know them in real life, you can increase the amount that is shared or at the other end unfriend them all together.

When I talked about this with my daughter, whose initial reaction was it is just easier to text, she said that this point of view was one that made the most sense for her to use social media.

What do Totebaggers think?

Hiring a Friend

by Becky

Any thoughts on hiring friends? My job has grown, and I’m taking on a major two year project, so they are divvying up my responsibilities and hiring a contractor for the length of the project. My last hire, from the limited pool of internal candidates, didn’t work out. So, I wanted a sure thing. I sought and received permission to hire a former colleague who I’ve remained friends with for over twenty years. (I framed it as former colleague and didn’t refer to her as a friend, because I don’t want her perceived as my buddy rather than a completely competent professional). I’m really looking forward to working with someone I enjoy and who I know is good at her job and won’t require a lot of babysitting once trained. Is this a mistake? Are there any pitfalls I should watch out for? Right now I see nothing but upside.

Open Thread

For a couple of weeks I am  holding back topics that even remotely deal with gender or privilege.      Here is the very interesting lineup for the next week.

Wed  –  Hiring a Friend (Becky)

Th     –  Social Media Privacy for College Students (AustinMom)

Fri    –  Eileen Fisher and #menocore fashion (SM)

Mon –  Loneliness (Cassandra) 

Are Middle Children now in the minority?

by honolulu mother

There have been a few articles recently pointing out that most people were middle children through most of history, but they’ve become a shrinking minority.  Here’s one article from NYMag:

As far as why this might matter, the gist of the argument is this:
[T]he more you learn about the skills of classic middle children — peacemakers, risk takers, levelheaded loyalists with expansive friend groups — the more middle children seem essential to our survival. Salmon cites “independence and resilience” as “characteristics I’d hate to see disappear in a future population of only small families — especially at a time when our world so needs these particular skills.”
For what it’s worth, I also ran across an article (that I didn’t bookmark and don’t have to hand) that dug into whether it’s true that middle children are disappearing, criticized the various statistical assumptions made, tore apart the reasoning, but ultimately concluded that yes, middle children really have become an endangered group compared to historical norms.
But does it matter?  Do you buy the reasoning that middle children are shaped by their middleness in important ways that make them a group with interpersonal skills the rest of us need?  As an oldest, I am of course dubious, but I have to say the middles I know, including my sister and daughter, fit the classic middle child description.
Are you a middle or are you close to a middle?  Are we losing something as middle children slowly vanish from the population at large?

Appliances from Back in the Day

by LemonTree

I recently came across this website and was shocked at how much goods cost back when I was growing up. For example, Mr. Coffee was $35 back then. I just bought a 12 cup Mr. Coffee for my parents. It cost less than $20. And the funny thing is that they didn’t want to throw out the coffee maker it was replacing because it was still “sort of working fine” according to them.

I can still remember the time my parents came home with a microwave. It was amazing (and huge). I also remember the first remote controlled TV we got. That was life-changing for me. I no longer had to be the channel changer. Looking at these prices my parents had to pay a significant chunk of their paycheck. What are your fond memories of these luxuries?

http://www.thepeoplehistory.com/80selectrical.html

Learning Differences

by GreenEyes

I know we talk a lot about how exceptional and gifted Totebag snowflakes are, but some of us have also alluded to having kids with learning differences, too. This article popped up in my newsfeed:https://www.google.com/amp/s/www.wired.com/story/tyranny-neurotypicals-unschooling-education

Do Totebaggers think their public schools appropriately accommodate learning differences?

Open Thread

Thanks for more articles.     I will be rotating off as primary admin in mid November, so please keep up the good work so I can leave a few weeks filled up for July when I go on vacation.

Wed       Leading by Example (July)

Th           Learning Differences (GreenEyes)

Fri          Appliances Back In the Day  (Lemon Tree)

Mon       Are Middle Children now in the Minority?  (Honolulu Mother)

Are Totebaggers too risk averse?

Rhett proposed this as “Are Totebaggers too prudent and responsible?”  I switched the emphasis  to spark discussion.     And for those regulars who in the past did NOT take the safest or default path, have you noticed a disinclination for further risk as you became more prosperous and entered middle age?

A few random links

https://www.nateliason.com/blog/rethink-risk

https://www.fastcompany.com/3045577/seven-ways-to-cure-your-aversion-to-risk

 

Politics Open Thread: Sep 30 – Oct 6

No suggestions.   Events will likely dictate.

Note: We have several previously submitted and interesting topics for the regular thread that (after consultation with others) are being  held back for a few weeks because the discussions could end up as charged/political in the glare cast by the Supreme Court confirmation hearings and we don’t want to exclude the general readership by posting them here.

Electric Scooters? Really?

From MooshiMooshi
I had not even been aware of the tiny electric scooters until I visited SF in early May and saw them everywhere. Evidently they are rented out for short time periods.  I saw lots of millenial yuppies scooting about on them.  SF temporarilly banned them in early June because they were making such a mess. They don’t use docks, so people were just abandoning them everywhere.  We don’t have these in Westchester, but we now have a plague of Lime bikes, and while I am all for biking, I also get annoyed when I see these things blocking sidewalks, building entrances, and mailboxes.
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The case for the scooters is that they take up much less space than a car and thus might ease congestion. I don’t really understand that. In cities like NYC and SF,  people already walk and use mass transit quite a bit. Any trip that is short enough to make sense for a scooter is probably also quite walkable or bikeable. An electric scooter is certainly not as bad for the environment as a car, but it is worse than a bike, and not nearly as healthy for the rider as walking or biking would have been. And in the more typical sprawling, freeway bound cities of the South and West, I can’t see why anyone would be using a scooter.
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Plus, people look seriously dorky on them.
 
What do you think?  Will these replace cars or replace walkers/subway riders?  Just a millenial trend moment or are they here to stay? And what about those Lime bikes? 

 

Online shopping and excess stuff

by S&M

I haven’t been around much lately, or online at all, really, but I did see this article which reminded me of the group and the high percentage of people there who use Amazon. We’ve talked about clutter before, and how to get rid of it, but what about the nature of  online shopping habits themselves?   Have you observed changes in your habits in the last decade?

I bought lots of clothing from Nordstrom Rack online over the past two years as I lost weight. At variance with the article, I returned nearly everything I didn’t wish to use (I was caught earlier this year when they tightened up their formerly generous return policy). My son uses Kindle Unlimited reading, but not Prime Reading; our Prime anniversary date is on the calendar to remind me to cancel later this year. I don’t need incentives to shop online, and “free” shipping is easy to get without paying the annual fee.

https://www.theatlantic.com/technology/archive/2018/08/online-shopping-and-accumulation-of-junk/567985/

Open Thread and New Topics Needed

I have two more for next week and that is it.   The well has run dry.   Unless there are a large number of new submissions, starting next week I’ll have two weekday Open Threads Tues and Th and on Th include  a link to one of the  scholarly or wonkish news articles I have in reserve  for the group to enjoy (or not) with no particular expectation that a discussion on that topic will ensue.

Wed –  Online Shopping and Excess Stuff (S&M)

Th –  Financial Education for Kids/Teens (Kerri)

Fri –  Electric Scooters (Mooshi)

Mon –  Are We Totebaggers too risk averse?  (Rhett)

 

 

 

Home Alone – Playing Hooky for Adults

by AustinMom

Everyone else in my household gets the house to themselves somewhat regularly. Back in July I was looking forward to the house to myself for 36 hours, but due to DD#1’s delayed flights, it was barely 6 hours, of which I had to work for four. Fast forward to today, I’ve been unproductive for a few days now, partly due to missing DD#1 and the rainy weather that makes me want to crawl back in bed. However, I got home from the gym and SO said he was off to do thing with friends for the rest of the day. At first, I tried to work and then realized, I had to jump on this opportunity for home alone time. I called in sick and am luxuriating in the quiet house to myself.

I found this article about how much other adults want time home alone. What are your preferences? Is it good enough when others are home but asleep?

https://www.psychologytoday.com/us/blog/living-single/201507/craving-time-alone-and-privacy-home

Politics Open Thread, Sept 23 – 29

On why infrastructure is more difficult/expensive to construct in the U.S. than elsewhere in the world.    From one of WCE’s conservative sources.

German-speaking transportation planners have a maxim: Organisation vor Elektronik vor Beton, or “Organization before electronics before concrete.” They mean that inefficiencies in a transportation system should be fixed first by improving coordination among different agencies, then by upgrading electronics systems, and only then by heavy construction. Visitors to Berlin can see this maxim in effect. The Verkehrsverbund Berlin–Brandenburg (VBB), a corporation owned jointly by 20 state and local governments, coordinates public transportation over 11,794 square miles in Berlin and the surrounding region. The 38 public and private operators that VBB oversees use a completely unified fare system: the same tickets that work on buses, ferries, and subways also work on longer-distance regional trains, and fares depend only on the route traveled, not on the mode of transportation. Transferring from one operator’s lines to another, unlike transferring from New York’s subway to the commuter rail or PATH, does not require paying twice. Such feats of organization are hardly unique. In Basel, Switzerland, the regional rail network, the S-Bahn, crosses into French and German territory and is operated jointly by all three nations’ national rail companies. And in Japan, holders of any of ten interoperable fare cards issued by regional railways can use them on virtually every urban train in the nation.

https://www.city-journal.org/why-cant-new-york-control-its-infrastructure-costs-16036.html

Air Conditioning in Schools

by honolulu mother

My older son pointed me to this paper on Heat and Learning, which as the abstract explains suggests that hot classrooms contribute substantially to difference in academic performances across regions and socioeconomic groups, and that air conditioning classrooms is a solution:
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We provide the first evidence that cumulative heat exposure inhibits cognitive skill development and that school air conditioning can mitigate this effect. Student fixed effects models using 10 million PSAT-takers show that hotter school days in the year prior to the test reduce learning, with extreme heat being particularly damaging and larger effects for low income and minority students. Weekend and summer heat has little impact and the effect is not explained by pollution or local economic shocks, suggesting heat directly reduces the productivity of learning inputs. New data providing the first measures of school-level air conditioning penetration across the US suggest such infrastructure almost entirely offsets these effects. Without air conditioning, each 1° F increase in school year temperature reduces the amount learned that year by one percent. Our estimates imply that the benefits of school air conditioning likely outweigh the costs in most of the US, particularly given future predicted climate change.

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My son fully agrees that non-air-conditioned classrooms impede learning — most classrooms at the high school he recently graduated from, and that his younger siblings still attend, are not air conditioned.  In fact, lack of air conditioning is problem for Hawaii’s public schools generally, and despite efforts to get air conditioning into more classrooms the expense of doing so has limited its spread.
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Have you, or your children, had experience trying to learn in hot classrooms?  Do you agree that it makes it significantly more difficult to learn?  And, do you think air conditioning should be considered an essential part of school infrastructure?

Open Thread

Let’s hope for a calm week on the regular threads.    Not so sure about the political threads.

Wed –  Points and Other Rewards (S&M)

Th –    Air Conditioning in Schools (honolulu mother)

Fri –  International Food Quiz (July)

Mon –  Home Alone – Playing Hooky for Adults (AustinMom)

No More Alcohol, Study Says

by Risley
is a bit of a downer but is consistent with what I was recently told by an oncologist—that they have lowered the “one drink/day” limit for women trying to avoid breast cancer to 3 drinks/week. For ages, we’ve been told a drink/day is better than *not* having a drink/day, so this new guidance was very surprising to me. From the article, it’s clear it’s not only breast cancer that’s an issue. (FWIW, the oncologist also told me 2 drinks/day *doubles* a woman’s risk of breast cancer).
What I wonder is how many Totebaggers will change their habits based on this new guidance.    I’ve been amazed at how many people (including science/medical types) have told me to ignore the 3 drinks/week limit. I’m a rule follower!! (Not for everything, but for something like limiting my risk of breast cancer, I am.)
The broader question is how many sacrifices we are willing to make, and/or how many obligations we are willing to take on, for our health. Prophylactic prescriptions? Avoidance of, or limitations on, of certain foods, beyond the basic “watch caloric and fat intake” and now, for me at least, alcohol?

I thought everybody did that!

by honolulu mother

This article (post?) lists things that various people who grew up wealthy assumed everyone did, only to learn in college or early adulthood that they were not typical.  A couple of them (11 and 13) seem more like signs of being financially secure rather than wealthy as such, but it’s still an interesting list and an amusing thing to think about.

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What things did you think were standard, as a child, only to later learn they were particular to your family or some other particular group?  I’m not limiting this to things reflective of family money — count in the military brats accustomed to PCSing every few years, the small towners accustomed to everyone being fixated on the preferred local sport, the professor kids thinking everyone’s parents have PhDs.

Our [job title] are too educated

by Rhett

What else could we do to increase the efficiency of the educational system?

Or as Dylan said,  20 years of schoolin’ and they put you on the day shift.  (Mémé)

Our doctors are too educated

By Akhilesh Pathipati
August 13
Akhilesh Pathipati is an ophthalmology resident at Harvard University’s Massachusetts Eye and Ear Infirmary.

I had just finished an eye examination for one of my patients and swiveled around to the computer. It was clear that he needed cataract surgery; he was nearly blind despite his Coke-bottle glasses. But even before I logged in to the scheduling system, I knew what I was going to find: He wouldn’t be able to get an appointment with an ophthalmologist for more than three months. Everyone’s schedule was full.

Moments like these are far too common in medicine. An aging population with numerous health needs and a declining physician workforce have combined to create a physician shortage — the Association of American Medical Colleges projects a shortfall of up to 100,000 doctors by 2030.

Policymakers have proposed many solutions, from telemedicine to increasing the scope of nurse practitioners. But I can think of another: Let students complete school and see patients earlier.

U.S. physicians average 14 years of higher education (four years of college, four years of medical school and three to eight years to specialize in a residency or fellowship). That’s much longer than in other developed countries, where students typically study for 10 years. It also translates to millions of dollars and hours spent by U.S. medical students listening to lectures on topics they already know, doing clinical electives in fields they will not pursue and publishing papers no one will read.

Decreasing the length of training would immediately add thousands of physicians to the workforce. At the same time, it would save money that could be reinvested in creating more positions in medical schools and residencies. It would also allow more students to go into lower-paying fields such as primary care, where the need is greatest.

These changes wouldn’t decrease the quality of our education. Medical education has many inefficiencies, but two opportunities for reform stand out. First, we should consolidate medical school curriculums. The traditional model consists of two years of classroom-based learning on the science of medicine (the preclinical years), followed by two years of clinical rotations, during which we work in hospitals.

Both phases could be shortened. In my experience, close to half of preclinical content was redundant. Between college and medical school, I learned the Krebs cycle (a process that cells use to generate energy) six times. Making college premedical courses more relevant to medicine could condense training considerably.

Meanwhile, the second clinical year is primarily electives and free time. I recently spoke with a friend going into radiology who did a dermatology elective. While he enjoyed learning about rashes, we concluded it did little for his education.

In the past decade, several schools have shown the four-year model can be cut to three. For instance, New York University offers an accelerated medical degree with early, conditional admission into its residency programs. The model remains controversial. Critics contend that three years is not enough time to learn medicine. Yet a review of eight medical schools with three-year programs suggests graduates have similar test scores and clinical performance to those who take more time.

Finally, we can reform required research projects. Research has long been intertwined with medical training. Nearly every medical school offers student projects, and more than one-third require them. Many residencies do as well. Students have responded: The number pursuing nondegree research years doubled between 2000 and 2014, and four-year graduation rates reached a record low. Rather than shortening training, U.S. medical education is becoming longer. The additional years aren’t even spent on patient care.

Done right, this could still be a valuable investment. Intellectual curiosity and inquiry drive scientific progress. But that’s not why most students take research years. I conducted a study showing that less than a quarter do so because of an interest in the subject matter. The most common reason was instead to increase their competitiveness for residency applications.

And because having more research published represents greater achievement in academic medicine, students are presented with a bad incentive to publish a large amount of low-quality research. Many of my peers have recognized this, producing more papers than many faculty members. It’s no surprise that there has been an exponential increase in student publications in the past few decades, even though a majority are never cited.

Medical schools need to realign incentives. This starts with the recognition that students can do valuable work even if it doesn’t end up in a journal. It’s time we get them out of school and in front of patients.Too

Open Thread

I have two weeks plus 2 days of posts scheduled, so I need some new ones, especially on everyday subjects.    Thanks to the less frequent post contributors who have been stepping up, including Finn for yesterday.   I will include next Monday in the list from now on, but if events indicate a change I reserve the right to move it.

Wed –  Traveling with Adult Children (July)

Th –  Our [job title] are too educated (Rhett)

Fri –  I thought everybody did that! (honolulu mother)

Next Mon –  New guidance on Alcohol (Risley)

Starter idea for today.   If you were a baseball player, what would you use as a walk up song?   For the sports-challenged among you, here is an example of a walk up song.   NSFW dialogue later in the clip.

The “Price” of Parenthood

by Finn

 

An economic mystery of the last few decades has been why more women aren’t working. A new paper offers one answer: Most plan to, but are increasingly caught off guard by the time and effort it takes to raise children.

The share of women in the United States labor force has leveled off since the 1990s, after steadily climbing for half a century. Today, the share of women age 25 to 54 who work is about the same as it was in 1995, even though in the intervening decades, women have been earning more college degrees than men, entering jobs previously closed to them and delaying marriage and childbirth.

The new analysis suggests something else also began happening during the 1990s: Motherhood became more demanding. Parents now spend more time and money on child care. They feel more pressure to breast-feed, to do enriching activities with their children and to provide close supervision.

The people most surprised by the demands of motherhood were those the researchers least expected: women with college degrees, or those who had babies later, those who had working mothers and those who had assumed they would have careers. Even though highly educated mothers were less likely to quit working than less educated mothers, they were more likely to express anti-work beliefs, and to say that being a parent was harder than they expected.

Though the study did not analyze fathers’ role in depth, it found that their beliefs did not change significantly before and after having a baby. They were less likely than women to say that parenthood was harder than they expected.

 

Totebaggers tend to plan their lives more than most, so parenthood was likely planned by most of us.  Were you caught off guard by the price of parenthood?  Did the actual price of parenthood affect subsequent decisions whether or not to have additional kids?

What’s on your walls?

by Finn

DS just asked my thoughts on renting a framed print from a university museum for $30/semester.
 
Besides being an interesting concept that was never an an option that I knew of during my college years, it got me to wondering: 
How are your walls decorated?  Framed prints?  Family photos?  Commissioned paintings? 

 

School Lunches

by Houston

Here is an article advocating simple, fuss-free lunches that your kids will actually eat.

https://qz.com/quartzy/1370144/back-to-school-why-a-boring-school-lunch-is-just-fine/

Do you agree, or do you and your family like more variety and creativity? Do you pack lunches for your kids and yourself or do you buy lunch? What do you and your kids eat for lunch? Any lunch questions or suggestions?

I rotate between 2-3 sandwiches and 2-3 snacks for DS. This simplicity helps keep my shopping list straight forward. I usually eat leftovers. DH does a mix between sandwiches and leftovers.

Reefer Madness ?

by WCE.   (Title by Mémé)

Marijuana is legal in Oregon. I didn’t vote for legalization for all the reasons described in this article. I was satisfied with “medical marijuana” and didn’t much care about prescriptions to treat depression and irritable bowel syndrome. I don’t think marijuana should be a Schedule 1 (highest risk of abuse, no medical use) substance. How should public policy balance the risks and benefits of relatively low risk recreational substances like alcohol and marijuana? How should the costs of abuse be paid?

https://www.theatlantic.com/health/archive/2018/08/americas-invisible-pot-addicts/567886/

The Empty Nest – Plans and Parental Reinvention

by Louise

This week I heard from a far relative who had just gone back to work. Her only son is in high school, she is an engineer who gave up her job once she had her son. I wasn’t expecting her to get a job at nearly fifty years old. On thinking about this I realized that over the years I had heard of women heading back to work once their kids reached the end of high school. They could spend a good ten to fifteen years in the work force.

Some of us on the other hand are looking to cut back or quitting as soon as that last tuition bill is paid. I have always felt my best has yet to come or if put negatively yet to grow up…

How old is too old…?
Too old to get married….to have kids…..to take up a musical instrument…..learn a new sport..
What are your plans for the empty nest years ? Any advice from Totebaggers who are already on this phase ? Do other things tend to occupy your time – elder assistance comes to mind.

 

Labor Day Open Thread

Topics for the Rest of the Week

College and college prep is on everyone’s mind, so I suggest a pre college topic for Education Thursday.    I composed the headline for WCE’s topic (title of a  1930s educational film).    And I can’t estimate the betting odds against a  Friday Fun topic from Finn.

Tu — The Empty Nest (Louise)

Wed  – Reefer Madness (WCE)

Th  –   School Lunches  (Houston)

Fri  –  What’s on your Walls?  (Finn)