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What are some skills that every 18-year-old needs to survive in life?Oh my gosh, I love this question. I'm going to spend a lot of time on this answer!Financial Skills: How to open a checking and savings accountHow to balance a checkbook, emphasizing the use of debit cards and how banks process transactions"Credit" - What is it, how do you build it, how do you repair itCredit Cards - How interest works, how to take advantage of rewards and balance transfersLoans - What are the different kinds of loans, how do you get them, and what's involvedInvestments - What is the stock market and how does it work, what are Treasury Bonds, and what's an IRA. How do those things factor into a wise investment strategy for your retirement?Taxes - How taxes work, what deductions are, how to file a 1040EZ formTipping - How to quickly calculate a tip and split a tab at a restaurantHow to read a contract and interpret "fine print"Health Skills:Medical Insurance - how it works, what it costs, how to get itHow to fill out common medical and dental formsHow to find a general practitioner, dentist, and so onBasic First Aid - CPR, the Heimlich, how to treat minor injuriesHome Skills:How to cook! You don't need to be on Master Chef, but learning how to cook a few basic dishes, how to use a knife properly, use basic kitchen appliances, and so on.How to clean! I have no idea how so many kids don't know how to vacuum, sweep, dust, do dishes, make a bed, and clean and fold laundry.How to grocery shop - picking fresh fruit and vegetables, planning your shopping and meals, etc.How to use hand tools - hammers, axes, handsaws, et ceteraHow to move - opening or transferring utility accounts, moving companies, apartment and home leases.How to sew a button onHow to fix a running or clogged toilet.Life Skills:How to plan and budget your time!How to think critically.Negotiation - Preparation, discussion, clarification, negotiate, agreement, and implementation.Leadership! Vision, strategy, people skills, managementCONFLICT RESOLUTIONStress management!Problem solving!Study Skills:OrganizationTime managementFinding legitimate sourcesNote-takingCritical readingEssay planning and compositionAcademic referencingHow to use search engines effectively!Employability Skills:How to write a resume and a cover letterHow to interviewProfessional communications skills (both written and verbal)Interpersonal skills in a professional environmentProfessional developmentPublic speaking!How to use a computer - Windows, Google, and MS Office basics at a minimumPersonal:How to interact with the policeHow to tie a tie!How to iron clothesHow to establish a healthy exercise routineHow to maintain proper personal hygeine and groomingMANNERS - It varies from culture to culture, but the underlying principles of all manners remain constant: a respect for others, and a desire to treat all people with honesty and consideration – just as you’d like to be treated.Alcohol:Knowing your limitsHow to mix a basic set of drinksTravel: How to book airline tickets and hotelsHow to pack wellHow to travel lightAutomotive:How to drive - Actual skilled instruction on driving, a la Teen Safety & Survival - Skip Barber Racing School, both automatic and manual transmissionsThe basics of how a car worksThe basics of car maintenanceHow to change a tireHow to parallel parkHow to jump start a carWhat to do if you get into an accidentRead a road mapSex:Comprehensive sexual education including the vectors and effects of sexually transmitted infections, what are and how to use the various forms of contraception, what is PrEP, etc.The Campsite Rule - Leave them in better condition than you found themSafe, Sane, and Consensual - How to have safe sex, do it while you're sober, and with full informed consent from your partner.
What is the most annoying part of filling out job application forms?I have been searching for full-time jobs for the past month. That’s thirty-plus days of dealing with applications in a city that doesn’t offer much for someone with my skill set. Here’s what drives me nuts:When I have to attach a résumé only to then manually fill out all of the information about my education and past work. Why? I typed it all out and formatted it for you already, plus my version is nicely designed.When one application takes half an hour to fill out. This is incredibly inefficient when you’re doing multiple applications. The longer it takes me to fill out a form, the more I boost my salary requirements.When the same application asks you the same questions over and over again on different sub-forms. You already have my sex, race, and veteran status. Why ask in five different spots?When the form says you’ll hear back in five to seven business days. That’s a full week. I need a job as soon as possible! Don’t you want to hire people? Isn’t that why we’re doing this?When an application tells you it wants a recent college graduate with five years of experience in management, a business degree with a liberal arts minor, two years of medical residency, ten years of pest control receptionist experience, and proficiency in signNow Creative Suite plus juggling skills. Who is this job even for? How in the world do you expect to find someone who meets all of these requirements? Why would someone devote their life to getting experience in menial, underpaid work just to one day be your dream candidate?I didn’t make up the pest control thing, by the way. This pest control place wouldn’t even hire someone as a receptionist unless that person had been working for a different pest control place previously. NO exceptions. Sorry to burst your bubble, but people don’t dedicate their lives to getting enough experience in pest control reception to come meet your requirements and make $12 an hour. Dream on.
Why do doctors work such crazy hours when they should know better than anyone how unhealthy and risky that can be?It is part of their culture, or more correctly, subculture. Watching them closely while making clinical software, I could see they choose to do this to themselves. It is a little point of pride and one more story in the "we're special and different from you" book of M(inor) D(eity). Recall that, preventable medical errors are the 3rd most common cause of death in the US, after heart disease (600,000) and cancer (580,000). Tired, rushed doctors kill *400,000 people per year. Compare that to 88,000 for alcohol, 33,000 for automobiles and 32,000 for firearms. One out of three hospital patients will encounter an error. Imagine if banks or airlines had those error rates. Of the top ten nations with the best medical care, the US is not even on the list, at #11. In that group, we're last in access, least efficient, dead last in equity of care and length of healthy life. We are number 1 in price, paying about double for our poorer care, compared to the top 10 of the UK, Switzerland, Sweden, Australia, Germany, the Netherlands, New Zealand, Norway, France and Canada, in that order. BTW, the UK, at #1, has about 11,000 deaths per year from preventable medical errors. All of the top nations have universal healthcare systems. All of them. Sadly, here the noisy, under informed rank and file equate national health with communism and so have a visceral negative reaction to the idea. In reality, national health would make our nation more business friendly and attract jobs. Ballooning healthcare costs are a serious burden to companies both large and small. Working to a frequent state of exhaustion, by a group that makes life and death decisions and should certainly know better, is not justifiable. This is one tradition that should go out with blood letting and not washing hands between patients. I've watched a zoned out doctor plug the Insure feeding fluid into a chest drain tube, instead of a feeding tube. This kind of thing is the definition of preventable.*Note, some professional organizations list fatal errors at one tenth to one fifth of this number (44,000 to 98,000) but base their numbers on an automated review of discharge codes. A review of actual patient charts shows many more errors, as indicated by this number.
Why does America not have single-payer healthcare?Because single payer plans like the UK’s NHS and Canada’s national healthcare system are running into the same exploding financial problems that the United States is having due to the tremendous costs of new technologies and new expensive drugs. Those systems are not handling the growth in expenses well either.But they react differently. Instead of rapidly building new facilities and installing new high tech machines as occurs in every city in the United States, the UK and Canada slow things down with budget creep. They can’t commit political suicide with huge tax increases that would hurt their economies so they incrementally pass increases. That signNowly delays but doesn’t prevent new technologies coming into play (Most cities in the US have more MRI and PET scanners than entire Canadian provinces.It’s a form of government rationing because budget restrictions create a shortage for everyone in the system, resulting in waiting lists that some patients never get off. Their citizens mostly accept that for non-emergencies because fortunately, as in the US, most people don’t require sophisticated or advanced medical care. When they cannot accept it, they leave the system and fund their own private healthcare.Before Obamacare, more than 85% of Americans expressed approval of their healthcare. That number has fallen somewhat but still represents a sizable majority.Most Americans don’t want what a federally run program would entail. They don’t want their options reduced. They don’t want to be put on waiting lists. They don’t want to lose their choice of physicians and hospitals. They don’t want bureaucratic layer upon layer getting in the way of their healthcare. In short, they don’t want what Medicaid patients currently get. They also don’t want what we’ve been hearing that a signNow number of American’s veterans get.Many Democrats say they want Medicare for all. Medicare simply doesn’t pay the bills of hospitals and doctors. Medicare exists at it’s current high level of care because a signNow part of the care is cost shifted from the 170 million Americans who have employer based health insurance.I’ve used Nobel Prize winning liberal economist Paul Krugman’s response to Bernie Sanders’ Medicare-for-All plan time and time again. Krugman was a big supporter of Obamacare and also of Hillary Clinton’s candidacy. So here goes again:My column and Bernie Sanders’ plan crossed in the mail. But the Sanders plan in a way reinforces my point that calls for single-payer in America at this point are basically a distraction. Again, I say this as someone who favors single-payer — but it’s just not going to happen anytime soon.Put it this way: for all the talk about being honest and upfront, even Sanders ended up delivering mostly smoke and mirrors — or as Ezra Klein says, puppies and rainbows. Despite imposing large middle-class taxes, his “gesture toward a future plan”, as Ezra puts it, relies on the assumption of huge cost savings. If you like, it involves a huge magic asterisk.Now, it’s true that single-payer systems in other advanced countries are much cheaper than our health care system. And some of that could be replicated via lower administrative costs and the generally lower prices Medicare pays. But to get costs down to, say, Canadian levels, we’d need to do what they do: say no to patients, telling them that they can’t always have the treatment they want.Saying no has two cost-saving effects: it saves money directly, and it also greatly enhances the government’s bargaining power, because it can say, for example, to drug producers that if they charge too much they won’t be in the formulary.But it’s not something most Americans want to hear about; foreign single-payer systems are actually more like Medicaid than they are like Medicare.And Sanders isn’t coming clean on that — he’s promising Medicaid-like costs while also promising no rationing. The reason, of course, is that being realistic either about the costs or about what the system would really be like would make it a political loser. But that’s the point: single-payer just isn’t a political possibility starting from here. It’s just a distraction from the real issues.Health Reform Is HardHospital waiting lists at seven-year high as 3.4m need treatment193,000 NHS patients a month waiting beyond target time for surgeryhttp://www.telegraph.co.uk/news/2017/03/30/hip-knee-surgery-waiting-lists-lengthen-nhs-focus-ae-cancer/Hip and knee surgery waiting lists to lengthen as NHS focus on A&E and cancer careNHS Health Check: Hospital op 'long waiters' rise by 163% - BBC NewsCanada lags G7 in cost-saving IR proceduresHealthcare wait times hit 20 weeks in 2016: reportWaiting Your Turn: Wait Times for Health Care in Canada, 2015 ReportCanadians increasingly come to US for healthcare: https://www.usnews.com/news/best...
Can you put a soldier out of his misery?Am I the only combat medic to answer this so far?Yes you can. Medics are taught how to but not instructed to. There is a terrible and fine line out there in “the suck” that medics, and medics alone, are asked to walk.You don’t end a person’s life. Full stop. In the rare case that a soldier is mortally wounded (no way to maintain an airway or control bleeding and no higher medical assets within a reasonable time)… then a medic could administer an extra ampule of or two. Even though the doctors and instructors teach the medics this, in the end it’s on that one person’s shoulders. And conscience.Is it better to leave your friend/co-worker screaming in agony until they are too weak to yell? Then watch them convulse every few minutes for a couple of hours. Then finally they stop responding to your voice or even painful stimulus.Brain death is setting in. It takes a few minutes or a few days.Every minute you have a seriously wounded soldier in your unit you have medics that are out of the fight. You also have a much more complicated command situation. Nobody (NOBODY) makes this decision lightly. They also never talk about it.In the movies there is always an EVAC helicopter with escort available and ready to risk anything to get to the wounded. In combat it’s not always possible. “Birds” get grounded for many reasons and MEDEVAC Strykers are delayed by the need for escort vehicles/crews and IED laden roads. In almost all cases, the wounded will live to see the operating room. In some form.Combat wounded are intense. Gunfire is still raging in many cases. People are yelling, confusion is everywhere. The medic will be well trained but under a lot of stress. They know that they have to address breathing and bleeding in 2–3 minutes. They also need to avoid causing further injury and find any hidden wounds. While doing this they have to coordinate any available soldiers with combat lifesaver training to assist them with this or other injured. Finally, they also have to constantly keep the command apprised of the situation.Who has X injury?Can they return to the fight?Do they need to be evacuated from battle or can we take them with us?If they need to go NOW, how long do they realistically have?Can we ground evac through the combat or do we need a bird?While answering all of that the medic has assessed the wounded. Tried to control the bleeding and established a secure airway. Then they need to find a vein for an IV (super hard on a patient with blood loss or missing limbs). While doing this they also need to fill out the ‘9 Line’ medical evacuation form for the radio. Once this is done the medic will check the field dressings, the IV, the breathing. Record the wounds and vitals. Mark when/if was given (how much, when, where administered) and done so that the surgeon can see it and blood doesn’t wash it away. Often in black sharpie on the forehead if patient is unconscious- as awful as that sounds it works well.So, don’t talk about the morality of this until you walk a mile (or 26) in a medic’s boots. Don’t talk about what happens until you live and work with a small team of men and women in a combat zone for over a year at a time. Infantry units are closer than most marriages/families. Your platoon SGT is dad and doc is mom. It’s a horrific moment to see one of your guys literally torn in half and dying. It’s much worse to know that due to a sandstorm there aren’t any flights that day. It’s hell on earth when you realize nobody is coming by road because of the IED you just hit. It’s unimaginable when you realize you only have 2 ampules left and 3 critically wounded friends.I didn’t have to make the hardest choice. I wouldn’t tell you if I did. I sure as &$*# wouldn’t take any judgement from you in any case.Great question. I hope someone who actually held this responsibility in combat can clear it up a little.
Is it legal to have an unregistered off-the-grid (no birth certificate) baby in the USA?I was actually roommates with someone in College whose parents decided to have him “off-grid”. Let me just say this: Stop even entertaining the idea of having a baby off-grid. It really makes your child’s life unnecessarily hard and your kid will forever resent you for putting that pain on them.I’ll get into the details in a moment, but first let me address the question proposed above. Yes, technically speaking it is not a crime to have your baby off-the-grid in the U.S.A. However, a lot of details surrounding the event would be illegal. First of all, any licensed midwife or doctor is required by law to file a birth certificate or they actually risk losing their license and getting a misdemeanor. If you forced them or threatened them to not file the birth certificate that would make you a likely accomplice and would not go over well with the authorities.But let’s ignore that for a moment and just assume you know how to birth a child on your own and can do it in your basement without any professional medical physician there to oversee you (which would be the only way you could pull this off). In this case you wouldn’t get thrown in jail for failing to get a birth certificate and no crime would have been committed. However you just set up a very difficult life for your child.These are some of the things I was told from by my roommate who didn’t have a social security number until he was 20 years old.No, he could not get a (legal) jobQuite literally he didn’t qualify to get even a job at McDonalds. If you remember the last job you got no matter how prestigious or demeaning it was, you had to fill out a bunch of signNowwork. Most of these forms require you to have a SSN (social security number) to properly fill them out. However the important one is the form labeled I-9. This form is required to be submitted by every employer after hiring a new employee. This form serves only one purpose, to determine that you are eligible to work in the United States. Your child (and my roommate) would not be able to complete this form which every employer must get filled out before starting employment with a new employee. Your child will not be able to get a job because of this.Yes, he can evade paying taxes.Okay, so this sounds like a perk I guess. But my roommate did not have to pay taxes. The government basically didn’t know he existed, so they never knew he was not paying. But then again he didn’t have a job. So would you rather have a job and pay some taxes or not ever be able to work except under the table for below minimum wage? Given that choice, taxes sound pretty awesome! Keep in mind that this also means your child is not eligible for any tax benefits or credits such as those that students get while going to college.No, You as the parent can not claim him as a dependent on your taxesYou’re already dealing with a child, wouldn’t it be great to get that child tax credit? Every year you'll basically be paying out of pocket for deciding not to get them a SSN.Yes, he can attend public school through 12th gradeHe would be able to attend school through high school without a social security number.No, he can not attend collegeWhile high school and lower education is okay, your child will never be able to attend collegeYes, he can go to the doctorThe doctor will still see your child and provide him his shots. However…No, he will not be covered under your family insurance (or qualify for Medicare/Medicaid)So you’ll need to plan on paying for all doctor appointments out of pocket.No, he can not travel abroad (even to Canada)You’d best hope none of your child’s friends decide to go to Cancun for spring break. Your child will not be eligible to leave the country or return to the US if he manages to leave (unless he plans to climb Trump’s wall)No, he will not be able to drive a carOkay, well nothing is stopping him from physically driving a car, but he would not be able to get a driver’s license and thus, can not LEGALLY drive. Hope he doesn’t get pulled over.No, he will not be able to voteOnce old enough he will not be able to register to vote.Yes, he can avoid the draftWell the good news is that like taxes, he can skirt the requirement to join the draft when he turns 18.No, he can’t get a loanThis means no credit cards, no car loan, no home, nothing. I’m sure plenty of people will claim these are all evil anyway, but these have powerful impacts on someone’s life. There might be times he needs it. (and when used properly none of these are bad things).No, he will not have a credit scoreThis goes with the above one, but he will not be able to work on this which affects your entire life/future. This also will disqualify him from renting most homes or apartments he is looking at.Basically your child will be treated as an illegal immigrant. Why put them through this when they are entitled to the benefits that the United States provides its citizens? There are people in other countries dying to get what your child is entitled to and you are (considering) denying your child those abilities? It just doesn’t make sense.Get them a SSN and if your child decides at 20 that he wants to live off-the-grid than he can burn his Social Security Card and go in the woods and hide from the government. But don’t be selfish enough to make that decision for them.My roommate resents his parents for not giving him a SSN. While all his friends in high school were driving, he couldn’t. While his friends go to Cancun for spring break, he had golden handcuffs in the U.S. and can’t leave. And worst of all he said was that while all his friends were earning money from jobs in high school, he couldn’t get a job.The job part was the hardest for him. He couldn’t leave the house or move out when he turned 18. He was stuck at home.Him working on getting a social security number was difficult and took him two years. He started when he turned 18 to get one once he realized he couldn’t go to college, he couldn’t get a job, he couldn’t rent an apartment, and thus will never really be able to be independent from his parents. It took two years and then at 20 he was able to get one and start working and going to school.He forever resented his parents. Don’t be those parents…
Does the U.K. ever get jealous of America's healthcare system?Small anecdote.When I worked in USA, I fell and broke my jaw. I could not go straight to the ER because I was leading an expedition along part of the AT.I went to the ER when I got back, I presented them with my insurance card, and they took x rays, and provided care.Then, I found out that my insurance would not cover this, because my injury was one covered by “workers comp” which is when your employer is liable for the cost of medical treatment based on their insurance for employees injuries at work.THEN I found out that I couldn’t claim on workers comp because you have to report the incident within 12 hrs. Which is not possible if you are trekking through wilderness with no means of communicating (this was pre mobile phones)After a YEAR of discussion and disagreement, I wound up having to pay for the treatment myself. Out of pocket. Despite having several million dollars worth of cover on my insurance. Despite not having done anything negligent.Several years later, I had occasion to claim on my medical insurance in the USA again. Again, I presented my insurance card, and received treatment. AGAIN I ended up having to have extended discussions with my insurer, who, in this instance EVENTUALLY covered the expense.When I am in the UK, however, I simply arrive at a hospital, get treatment, and go home, safe in the knowledge that, unless I need further treatment, which I also won’t have to worry about the cost of, I need never worry about it again.I mean, OK the staff in USA were usually NICER to me (NOT always, I have received some amazingly kind and warm care in UK, even just as the visitor of a patient), but, the statistical outcomes in USA are actually worse, the faff to get anything covered even if you ARE insured, and the fact that unless you can afford health care in the USA you are deemed not to deserve any, means that no, I would much rather the UK system.
If polygamy were legalized in the United States, how would or should it work?First, I would eliminate normal civil marriage. We need to start everyone out on a level playing field. I would eliminate a lot of the federal benefits of marriage; there is no reason why that one lifestyle should be privileged over others.Then, I would take the most important marriage rights; medical power of attorney, financial power of attorney, inheritance, hospital visits, financial sharing, benefits beneficiaries, etc., and list them on a long piece of signNow with check boxes. People who want to get "married" could go to a clerk and fill out the boxes with the rights they want to designate to that person. They would be able to fill out multiple boxes for multiple people; for those rights that could come into conflict (like power of attorney), the form with the most recent date would overrule others if the bearers disagreed on something. Forms could also be voided at the grantee's discretion. Children should be handled completely separately from marriage. Biological parents (who are on the birth certificate) already have certain established rights and I think that works well. I think that the biological parents should also be able to designate secondary custodians (similar to how grandparents have certain rights with regards to their grandchildren in some states) as they choose; it would take both parents to grant such rights, but they should not be able to revoke them without proving the association is harmful to the children.
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People also ask
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