just a little use so far. first lightning receive had to be 100,000 sats min. after that it seems you join a federation and then any receiving under 200k sats is to the federation. im not seeing much fees.
Ah cool, I’ve managed to get the code for the mint from fedi website and it’s on nostr:npub1mutnyacc9uc4t5mmxvpprwsauj5p2qxq95v4a9j0jxl8wnkfvuyque23vg
But I don’t see an option to add sats to the mint.
I didn’t get your dm btw, maybe there’s a glitch in the Damus app
i cant seem to find the code for the madeira federarion...
Founding fathers of the US were basically in their 30s
@npub1qny3tkh0acurzla8x3zy4nhrjz5zd8l9sy9jys09umwng00manysew95gx
weird. pretty sure they accepted most everyone elses fake name...
fwiw the info is basic and you can give any info you want
im guessing reel to reel
not sure if the "pill pusher" was taken from a comment i made, but i used the term "pill management". different meaning.
getting people on less pills is a goal for sure!
sorry i meant that the idea of having a two tiered system is terrible. everyting should have good preventive care.
The idea of either having those two tiers is terrible.
DPC on bitcoin standard would be pretty cool.
a lot of what primary care doctors do anymore is just pill management.
Yes I agree the system is fucked. The individuals are generally ok, although sometimes could use some humble pie.
Primary care is so bad. 20 minute appointments that the doctor basically sneaks out of when the timer is up. How can that honestly be the deal? And like you say, many are not even very competent.
I want more smart people with the latitude to make decisions rather than some "system" that gets put onto everyone.
I am considering a "concierge" pcp. You pay like $2k per year to be one of the 300 patients the doctor has, rather than 3,000 patients like in a "system". Crazy this has to be an additional charge on top of the already outrageous health care costs, but health is everything.
I appreciate the response! Maybe I should have kept it to myself though, because it feels like a lot to properly relay here now.
I am not talking about delayed turkey sandwiches (although the food in hospital is another confusing thing), but I am also not talking about outright mistakes resulting in bad outcomes. Luckily I haven't really experienced that.
Some examples of the things I have experienced. I have had to insist on a family member's hospital discharge because after days of testing, the doctors were off on a tangent based on results of one of the tests, and by that point the hospital stay was doing more harm than good for the elderly patient, and certainly not solving the problem that put the patient in hospital. They looked at me like I was doing the wrong thing. No doubt I did the right thing, even with hindsight. Another example, I was helping this family member with an arthritic autoimmune disorder. This involved steroids when necessary. The patient was adamant about using steroids as sparingly as possible. The first rheumatologist wanted some mg of prednisone daily, and would not allow us to play around with that. I went to the next rheumatologist, which turned out to be one of the best doctors I've ever worked with. He gave us the tools we needed to handle this without having to come in every 6 months etc unless something was wrong. I loved that. I understand a lot of people may not be capable, but being treated like you dont know what is best for you is not why I go to a doctor. I consider it a "medical consultation", which means I am paying for expert advice, not required to take that advice. I think a lot of doctors out there could benefit from being reminded of that. These weren't great examples of "incompetence", but at least this gives some idea of the things I have experienced. I think the individuals are mostly good, but the system is fucked.
Your advice is spot on. It's all about finding the people you trust. Luckily I have a friend that is an internist, so I can get advice and recommendations. I can't imagine dealing with things without this sort of resource.
im sort of nervous for the day that i have some serious medical issue. every time ive helped family members in hospital, i have been pretty let down by the average level of competence in the room.
i wonder if you have similar feelings.
i thought the other guy was the authoritarian...