Nevada ranked last in everything

max

Legend
Do you carry a gun ???
Illinois is like the old Chicago mob under Capone

ummm, the mob never died. Called the syndicate now for many years. My father used to take my brother and me to some of their establishments, and apparently some of the old syndicate guys patted us on our heads, talked to us (we were really young, perhaps 3 or 4) like uncles.
 

max

Legend
I have to drive to stl everyday from the IL side. It sucks. Major drug problem and homicides like everyday. Watching the local news here is depressing. It's all negative stuff. Pretty sh1thole city really.

Yeah, I remember the East St. Louis City Hall being auctioned or sold.
 

max

Legend
You know MM, one good thing? The FBI apparently is investigating at least some of the Chicago City Council. Perhaps Mike Madigan, too. . . what a jerk-loser that sad sack is.
 

movdqa

Talk Tennis Guru
Yeah, I remember the East St. Louis City Hall being auctioned or sold.

In NH, we have a lot of drug-dealing but there isn't much violence associated with it. The dealers seem to be kids that grew up in normal families and try dealing. They get caught once or twice and then move on to some legal form of work.
 

max

Legend
In NH, we have a lot of drug-dealing but there isn't much violence associated with it. The dealers seem to be kids that grew up in normal families and try dealing. They get caught once or twice and then move on to some legal form of work.

downhome dealing. OK
 

dgold44

G.O.A.T.
I'unno when I lived in Nevada it seemed alright. I lived in Henderson though. Tennis courts everywhere, clean roads, suburb mania, huge parks, and daily running water parks. To me, it was great growing up there. I didn't hear about much crime and if I did, it was happening at other schools in other districts. Henderson seemed all right.

You run a delivery business in Vegas right? Hmm... I seem to remember coming home from school one day, seeing a mail man passed out in the back of his mail truck, which was parked next to the cul-de-sac's mailbox, with cops and ambulance tending to him. To this day, not sure if he was dead or just unconscious. Stay hydrated out there.


Henderson is the exception and West Summerlin
 

Kevin T

Hall of Fame
I’m surprised CA isn’t in there with their building requirements. It’s wsted in MA as there are so many overcast days and snow cover in the winter. But folks can definitely afford them here.

It will likely be moving up soon. All new construction is required to be outfitted with solar panels (believe that passed recently?). Basically every new parking lot has covered parking spaces all outfitted with solar panels, particularly schools.

As for Nevada, there is one and only one area I would live in...Lake Tahoe. Incline Village is wonderful/beautiful. That's about it. Vegas is a H-hole, as is Reno. No thanks on the rest of the state, either.

These polls are always a mixed bag. Take northern California (where I live), for example. World class healthcare, education, quality of life in the Bay Area and northeast to Sacramento. Go an hour east to Stockton/Modesto or the foothills on the way to Tahoe and you get third world education and healthcare. My wife is an OB/GYN Nurse Practitioner and does some work less than an hour east of Sacramento. They have 2 OB/GYN docs that cover 3 counties...and these are large counties with winding roads and no major highway access. You won't find a singe Pediatric Gastroenterologist once you leave Sacramento and head north until you hit Ashland, Oregon over 300 miles and 5 hours later.
 

movdqa

Talk Tennis Guru
It will likely be moving up soon. All new construction is required to be outfitted with solar panels (believe that passed recently?). Basically every new parking lot has covered parking spaces all outfitted with solar panels, particularly schools.

As for Nevada, there is one and only one area I would live in...Lake Tahoe. Incline Village is wonderful/beautiful. That's about it. Vegas is a H-hole, as is Reno. No thanks on the rest of the state, either.

These polls are always a mixed bag. Take northern California (where I live), for example. World class healthcare, education, quality of life in the Bay Area and northeast to Sacramento. Go an hour east to Stockton/Modesto or the foothills on the way to Tahoe and you get third world education and healthcare. My wife is an OB/GYN Nurse Practitioner and does some work less than an hour east of Sacramento. They have 2 OB/GYN docs that cover 3 counties...and these are large counties with winding roads and no major highway access. You won't find a singe Pediatric Gastroenterologist once you leave Sacramento and head north until you hit Ashland, Oregon over 300 miles and 5 hours later.

The US N&WR rankings are by state. There are other surveys that go by city or major metro. But, as you'd expect, they aren't comprehensive.
 

Kevin T

Hall of Fame
The US N&WR rankings are by state. There are other surveys that go by city or major metro. But, as you'd expect, they aren't comprehensive.

Understood. It's just amazing that 1 hour in a car can find you in a different world. A big issue for the Bay Area is housing costs and this affects professionals, not just service industry workers, teachers, etc... UC San Francisco and Stanford often have a hard time keeping pediatric specialists (traditionally lower paid than their adult counterparts), as living expenses are astronomical. 200k doesn't go far when the median home value in Palo alto is 3 million plus. Join the throngs of super commuters that drive 2+ hours one way to get to work. No thanks.
 

Bartelby

Bionic Poster
Telerobotics will still have medical staff involved raking in large sums even when they no longer even have to see their patient.
 

sureshs

Bionic Poster
Telerobotics will still have medical staff involved raking in large sums even when they no longer even have to see their patient.

Yeah the AMA will get laws passed allowing use of telerobotics only with 2 doctors supervising it. I remember when ATM machines were first introduced in India, bank unions demanded that a worker be hired to stand all day beside the ATM.
 

TypeRx

Semi-Pro
A lot of folks don't like California in general but where I am in SoCal (South Orange county) got an "A" via Niche (just checked). I love it here after moving from Chicagoland (born and raised) 5 years ago.
  • Public schools: A+ (seems to be rated too high)
  • Crime/Safety: B- (there is petty crime here, nothing significant so surprised this isn't better)
  • Housing: C (housing is kind of expensive)
  • Nightlife: B- (there is none here...)
  • Good for families: A (perfect for families, boring for singles)
  • Diversity: B (lots of Asians, Caucasians, Hispanic but no African American)
  • Jobs: B+ (Irvine area nearby)
  • Weather: A (Duh)
  • Cost of living: C- (housing, Cali in general)
  • Health/Fitness: A+ (lots of hiking/biking/next category)
  • Outdoor Activities: A
  • Commute: C+ (surprised, we have a great toll road here so I never need to worry about stereotypical traffic unless I get trapped on the 5 going to LA or San Diego)
 

Mike Bulgakov

G.O.A.T.
A lot of folks don't like California in general but where I am in SoCal (South Orange county) got an "A" via Niche (just checked). I love it here after moving from Chicagoland (born and raised) 5 years ago.
  • Public schools: A+ (seems to be rated too high)
  • Crime/Safety: B- (there is petty crime here, nothing significant so surprised this isn't better)
  • Housing: C (housing is kind of expensive)
  • Nightlife: B- (there is none here...)
  • Good for families: A (perfect for families, boring for singles)
  • Diversity: B (lots of Asians, Caucasians, Hispanic but no African American)
  • Jobs: B+ (Irvine area nearby)
  • Weather: A (Duh)
  • Cost of living: C- (housing, Cali in general)
  • Health/Fitness: A+ (lots of hiking/biking/next category)
  • Outdoor Activities: A
  • Commute: C+ (surprised, we have a great toll road here so I never need to worry about stereotypical traffic unless I get trapped on the 5 going to LA or San Diego)
You must be near where the 5 and 405 converge. I drive through Orange County when I go to San Diego, and the northern part of the county always seems very polluted, but the southern part is more like San Diego air.
 

TypeRx

Semi-Pro
You must be near where the 5 and 405 converge. I drive through Orange County when I go to San Diego, and the northern part of the county always seems very polluted, but the southern part is more like San Diego air.

Kind of -- I live a little southeast of the 5/405. In any case, N. Orange County is much more urban and feels like an extension of LA whereas the area I live in feels more like Rancho Sante Fe.
 

movdqa

Talk Tennis Guru
Answer is telerobotics to replace doctors and surgeons

Concurrent surgery – also called overlapping surgery – is an important method of managing busy operating rooms. Widely used at academic medical centers and community hospitals, overlapping surgery involves the coordination of various procedures for a single surgeon or teams of surgeons throughout the day so that preparation and procedure for one patient begins in one room as the care of another patient finishes in another room.

https://www.massgeneral.org/overlapping-surgery/about.aspx
 

sureshs

Bionic Poster
So you add points of failure to an already complex process.

One reason for choosing a hospital with great surgeons is that they may have the lowest infection rates too.
Robots will spray antibiotics as they perform the surgery

Sent from my SM-G935V using Tapatalk
 

dgold44

G.O.A.T.
Who wants to meet me in Vegas for a drink ???
You would be shock at my real nature as opposed to my “persona character “
We can play tennis or fight ..I don’t care
 

dgold44

G.O.A.T.
I need a WW1 gas mask and I am terrified to it out
It’s like I am living in a giant petri dish

My 2 only concerns are job and grappling and nothing else
I don’t like dating that much
 

Bartelby

Bionic Poster
How do you know precisely that it has great surgeons?

Where are the rating agencies for individual surgeons?

Low infection rate may correlate with great surgeons but the latter are not the causes of such.

So you add points of failure to an already complex process.

One reason for choosing a hospital with great surgeons is that they may have the lowest infection rates too.
 

NLBwell

Legend
So you add points of failure to an already complex process.

One reason for choosing a hospital with great surgeons is that they may have the lowest infection rates too.

Actually, I read a study some years ago that said people in more expensive hospitals in affluent parts of town had more problems when being hospitalized. There were more medical procedures done and more things done to the patients, which leaded to complications and infections.
The lower-end hospitals, in effect, ignored the patients more which turned out to be healthier for them.
 

movdqa

Talk Tennis Guru
Actually, I read a study some years ago that said people in more expensive hospitals in affluent parts of town had more problems when being hospitalized. There were more medical procedures done and more things done to the patients, which leaded to complications and infections.
The lower-end hospitals, in effect, ignored the patients more which turned out to be healthier for them.

IT has changed that.
 

clout

Hall of Fame
I know it isn’t a state, but you can’t have a worst place to live thread without mentioning Cleveland. I know some ppl who live there and I’ve never heard them say one good thing about that place besides the fact that they got to watch LeBron for most of his prime. I’ve been there like once when I was younger and yeah there’s nothing to do there lol

According to both online stats and the opinions of some acquaintances, Cleveland’s education system sucks big time, healthcare is subpar, crime rates are high, lots of poverty and unemployment, weather is terrible, zero tourism cuz there’s nothing to do or see there, population is decreasing rapidly since ppl move outta there the first chance they get, prevalent social segregation among certain races and classes, most houses there aren’t constructed well at all, hence the quality of life is poor and all their sports teams (which locals take very seriously) have stunk for ages.

Oh and let’s not forget that shocking case where those three innocent young girls were held captive in a sick mans house for like a decade until they all bravely escaped. I’ve followed that case a bit, and the Cleveland PD handled it quite poorly on multiple occasions during the decade those women were trapped in captivity
 
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Enga

Hall of Fame
Actually, I read a study some years ago that said people in more expensive hospitals in affluent parts of town had more problems when being hospitalized. There were more medical procedures done and more things done to the patients, which leaded to complications and infections.
The lower-end hospitals, in effect, ignored the patients more which turned out to be healthier for them.
In the Philippines they have a different approach, but it gets the job done. I mean yeah, you can have a routine pregnancy but somehow lose your uterus. But the difference is in the US the hospital would get blamed and sued. In the Philippines, people are just happy their child was born instead of it dying and potentially the mother too.
 

movdqa

Talk Tennis Guru
In the Philippines they have a different approach, but it gets the job done. I mean yeah, you can have a routine pregnancy but somehow lose your uterus. But the difference is in the US the hospital would get blamed and sued. In the Philippines, people are just happy their child was born instead of it dying and potentially the mother too.

The ACA added a bunch of reporting requirements on problem areas and the addition of metrics means that hospitals work pretty hard on getting the bad numbers down as it can affect them financially or in material reputation. I think that the hospitals should have already been doing this. I had my major surgeries done at the hospital with the lowest infection rate in Boston. The Boston hospitals are already quite good. They were second ranked for my kind of surgery in Boston (fourth in the US), but I was told that it would only matter if the surgery were incredibly complex and mine wasn't incredibly complex. Only moderately.
 

jhick

Hall of Fame
Actually, I read a study some years ago that said people in more expensive hospitals in affluent parts of town had more problems when being hospitalized. There were more medical procedures done and more things done to the patients, which leaded to complications and infections.
The lower-end hospitals, in effect, ignored the patients more which turned out to be healthier for them.
This makes sense. USA is the land of skyrocketing health care costs and unnecessary medical procedures.
 

NLBwell

Legend
This makes sense. USA is the land of skyrocketing health care costs and unnecessary medical procedures.

Yes, BUT, I and two of my sons would not be alive except for the cutting edge of medical technology that the U.S. has created (3 different incidents).

These things, of course, will be available in other countries a few years later at a far lower price after the research and development costs have been paid for by the people in the United States.
The whole problem is U.S. health care costs is that people don't want to die to save a few bucks. When it comes to your life, how much would you be willing to pay if there is something new and better that will save you? Then everyone else piggybacks off of the things funded by the Americans.
 

jhick

Hall of Fame
Yes, BUT, I and two of my sons would not be alive except for the cutting edge of medical technology that the U.S. has created (3 different incidents).

These things, of course, will be available in other countries a few years later at a far lower price after the research and development costs have been paid for by the people in the United States.
The whole problem is U.S. health care costs is that people don't want to die to save a few bucks. When it comes to your life, how much would you be willing to pay if there is something new and better that will save you? Then everyone else piggybacks off of the things funded by the Americans.
I wasn't necessarily referring to life saving procedures. There is a cost/risk analysis that should be done beforehand. I work for a hospital in research and our department is always looking for ways to cut costs without sacrificing quality. Of course what constitutes life saving or quality of life can sometimes be debated and then it becomes a question of ethics. But the fact of the matter is currently the US performs a ton more more MRI's and other expensive procedures compared to other countries without significantly better outcomes.
 

movdqa

Talk Tennis Guru
I wasn't necessarily referring to life saving procedures. There is a cost/risk analysis that should be done beforehand. I work for a hospital in research and our department is always looking for ways to cut costs without sacrificing quality. Of course what constitutes life saving or quality of life can sometimes be debated and then it becomes a question of ethics. But the fact of the matter is currently the US performs a ton more more MRI's and other expensive procedures compared to other countries without significantly better outcomes.

Big data is affecting treatment protocols. I expected to have CT scans twice a year and bloodwork four times a year. My oncologist said that we'd do CT scans once a year and bloodwork four times a year. It appears that the protocols changed within the span of a year and a half. Insurance companies aren't crazy about paying for unnecessary procedures and I think that most people would rather not have unnecessary tests unless I'm missing something with specific hospitals or specific doctors.
 

jhick

Hall of Fame
Big data is affecting treatment protocols. I expected to have CT scans twice a year and bloodwork four times a year. My oncologist said that we'd do CT scans once a year and bloodwork four times a year. It appears that the protocols changed within the span of a year and a half. Insurance companies aren't crazy about paying for unnecessary procedures and I think that most people would rather not have unnecessary tests unless I'm missing something with specific hospitals or specific doctors.
You're right. Things are starting to change, and they pretty much have to given the baby boomer population has/is entering retirement age. We have a huge population becoming elderly and I'm not really sure how we as a country will be able to afford all the associated healthcare costs. Medicare/Medicaid is certainly a broken system and there is no perfect answer.
 

movdqa

Talk Tennis Guru
You're right. Things are starting to change, and they pretty much have to given the baby boomer population has/is entering retirement age. We have a huge population becoming elderly and I'm not really sure how we as a country will be able to afford all the associated healthcare costs. Medicare/Medicaid is certainly a broken system and there is no perfect answer.

I think that wearables are part of the answer. If you have something reminding you of your problems and the changes that need to be made, you're more likely to make them. The average person doesn't get detailed feedback on how their body did for the day and has no idea whether they need a rest day, rest period, change of what they do during the day and diet.
 

movdqa

Talk Tennis Guru
Ultimately I think that we all need to improve our lifestyle choices but that's a tough sell in the land of the free (to eat burgers, pizza and bacon). I understand that you can do everything right and still require medical care but I think that we're overall going to lower healthcare costs by improving our lifestyle choices.
 
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