Jesus it's objectively worse. NY/Chicago/London/Paris/Tokyo you can conceivably and easily nip out to a grocer's, bodega, cafe or pub within 10 minutes of where you are. LA? Outside of certain certain pockets like DTLA, KTown, WeHo or similar walking is tough and if your friend is across town you're SoL without a car.
But I don't want to! I literally just walked to the store and it was in absoute perfect conditions - we wanted to go for a walk anyway, the weather is perfect (sunny but not hot), the store is 10min walk from my house, the neighborhood is nice and not drive-thru so there is ~0 non-local traffic. The plan was we go for a walk, and pop by a store and get one item. But as usual it never ends up being that way, so we had one paper bag of items - 6 pack of beer, some cheese, box of blueberries, nothing very heavy.
I am pretty fit, like I deadlift 280lbs :) and still walking with this stupid bag ruined the whole walk back. And it wasn't even much - if I replaced beer with food it would be like, 2-3 days worth.
I would have rather just finished the walk, then drove 3mins to the same store. In the most perfect conditions imaginable, with minimal amount of groceries. And what if it was 100F, or 32F, or raining, or I didn't want to go for a walk, or I needed to get some large items like sugar or rice or a gallon of milk or a lot of beer for a party?
Walking to a store is simply not an advantage at all. And if you go to even a poor country you can see most people agree - as soon as they can they start driving to big box stores, and small local stores die.
And regardless, even if (which I wouldn't grant) the majority would prefer to walk rather than drive, it's still SUBJECTIVE, not OBJECTIVE. A ton of people prefer to drive.
Not gonna lie, having a 10 minute walk ruined by carrying a bag home sounds like you maybe need to deadlift less and cardio more or something. Or maybe get better bags?
Walking to stores is an advantage because it allows for a density of services unavailable if parking lots are a serious consideration for businesses. I can go to my local convenience store, and my barber, and a no-waste shop, and my local bar, all in one pleasant morning… plus I don’t have to worry about a dui!
Yeah if you're going to walk with groceries, use a mesh or canvas bag with handles, or a grocery basket/cart if you're buying more than a few items. Carrying paper bags sucks because you have to hold them in your arms and support the bottom of the bag.
In many countries adults just continue to wear backpacks. One of the things I keep in my backpack is a big IKEA bag, meaning I'm pretty set for shopping on foot (or bike, which is more common for me). Medium sized purchases go in the backpack, larger things go in the IKEA bag.
I mountaineer too, it's just a chore to walk with groceries, esp. if the weather is bad and you have to do it every 3 days given how little one can carry.
I think I mentioned the drinking aspect in the original comment. I could do all of these things by car, probably faster too... except drinking. So I guess it depends on how often one drinks :)
As a mountaineer, you no doubt have a wonderfully ergonomic high volume backpack that is great for a week of shopping. Two if your diet is basic meat and veg not processed food in lots of packaging.
Same to the OP. You should own a decent feckin' shopping bag. It's basic adulting where I live. You have observed the problem yet not doing anything about which is just really weird.
>You have observed the problem yet not doing anything about which is just really weird.
They observed the problem and simply have a different solution than you. I'm sure there's a number of other factors they didn't mention that make it preferable to simply use their perfectly working car.
> I'm sure there's a number of other factors they didn't mention that make it preferable to simply use their perfectly working car.
I'm sorry but when one is willing to put that much effort to try to justify using a car to avoid a 10 mn walk, that's only because one is way too lazy and privileged...
You treat the walk as the default and car as something that needs to be justified. That's BS. I think you are too privileged to live in a safe neighborhood, in good climate, to be healthy enough to walk with load, and to own a good backpack :P
To me car is the default solution, it's simply better in every way for most people. Making one's life better doesn't need to be "justified".
It is! Just like not having surgery, not using AC/heating, or not wearing glasses, etc. All those things are unnatural and some are expensive, but luckily we are not hunter-gatherers anymore ;)
The paper bags they give you are terrible, they're barely fit to walk to the car with. They always fall apart on the walk home, and the ergonomics suck too. But with any reasonable bag I find it's not a big deal.
I'm of the impression paper bags are not meant to be carried. As long as I've been alive, they always break.
I suspect they're simply supposed to be a bundling device so you can stack them for loading in one of those foldable vertical bring-your-own-grocery-cart like old ladies in urban areas use. They certainly can't carry all that crap in-hand either, but this is the only way I've seen paper-bagged groceries make it more than a block without drama.
Not particularly. I'd love to be able to walk a block down the street if all I need is a haircut and some milk. I just recognize that that isn't possible in my situation without spending a significant amount of time/energy (that I already lack) in doing so. I simply prefer that over the urban hellscape that is my local downtown (and well, the rural area where it's the worst of both worlds). It's also cheaper, so that helps.
There are other solutions to this if we don't only consider walking. e.g. public transportation. But my nearest bus stop is a quarter mile in the opposite direction. And only a quarter mile if you decide to hop the train tracks (which comes hourly, I am conveniently enough a mile from my local Amtrak); it's a half mile to do "safely".
I actually do agree that some of the tips here could improve even this short minor route I described to get to a bus, but suburbs don't exactly care much to begin with. When everything is far, everything is unwalkable, so why bother (in the minds of these small city planners).
> I just recognize that that isn't possible in my situation without spending a significant amount of time/energy
I'd argue the main reason it is isn't possible is because of poor town planning decisions made by governments over the last 50-60 years. It is still possible in many (most?) European town/cities, and is possible in the inner-city (but still pleasant and largely residential) suburb I live in, but I'd acknowledge there's far too few such suburbs in most Australian cities, and from what I've seen the US is similar.
> And what if it was 100F, or 32F, or raining, or I didn't want to go for a walk, or I needed to get some large items like sugar or rice or a gallon of milk or a lot of beer for a party?
As a New Yorker, you just described daily life here? It’s really not a big deal — things are so close you can take multiple trips if you need to. Get some canvas bags. Plus since everything is so close you end up just doing smaller trips every day or so. If the shop is longer than 10-15 minutes and I’ve got more than, say, 40 pounds of groceries I might get a car back home, but that’s a rare trip. And honestly I’ll probably just walk it back anyway.
Maybe we just have a higher tolerance for pain here — I’ve certainly had people visit who think of themselves as fit and they get gassed out by regular New York walking life.
> I’ve certainly had people visit who think of themselves as fit and they get gassed out by regular New York walking life
It's interesting how things become normal once you do it every day. I used to live in a fifth floor apartment without lift. Quite a few stairs to climb. Three things come to my mind.
a) You very quickly learn not to forget anything when leaving the house.
b) There is some perverse sense of satisfaction in having guests over and walking up the stairs together; and purposefully keeping a calm breath whilst the guests are wheezing and complaining.
c) Some tradesman was working on one of the floors. I will never forget the sight of him carrying something heavy up those stairs whilst practically breathing through the cigarette in the corner of his mouth.
For very legitimate reasons life like this is not for everybody. But I would say for able-bodied healthy people it would be good to have a bit of regular forced exercise like that.
> I will never forget the sight of him carrying something heavy up those stairs...
Oh man, absolutely. I still have a vivid memory of moving out of a 5 floor walk-up with a narrow stairwell and as I was walking back into the building out comes the guy bear hugging my Fender Rhodes electric piano. It's gotta be around 150 pounds and very bulky. He was walking like it was nothing.
You can still drive perfectly well in walkable cities.
And maybe it's just a TV trope, but do your paper bags lack handles? In Europe essentially all grocery bags have handles and are easy to carry. The amount of food you bought sounds easy to me to carry home, and I don't even lift.
It's a tradeoff - the argument is about car vs walking infrastructure, and while it's nice to have both I'd prefer to lose the latter if I had to make a choice. Driving in Amsterdam is... inconvenient. At least in central areas, I've never been far out.
They have handles, it's still just inconvenient to carry and makes a nice walk into a chore, vs driving with much more groceries per trip.
What about electric cars with nuclear power or renewables? In any case the argument is not about that. It's one thing to say "we cannot sustain the CO2 emissions / we cannot build enough highways for everyone so sorry, we cannot have some of the nice things anymore", but that's not what the above says.
It is also ok to express an opinion that car-free living is better for some people, or argue that most people prefer it, although I think that is self-evidently incorrect, cause as per IMF data I linked somewhere here, one of the first things people all over the world do when they get any richer (like, $2.5k-10k per capita income) is buy a lot of cars.
But the above is saying it's OBJECTIVELY better. Other than just being wrong, that betrays the kind of "I know exactly how everyone should live their lives, and I would make them if I could" attitude that I hate.
I agree with your general point about the romanticization of no-car life. I grew up without a car in a walkable city. It was nice but there are legitimate trade offs.
My mom used a wheelie cart to do our shopping growing up. As a kid I thought it was embarrassing but now I get it. Cargo bikes are another good option. Having to carry home groceries without some sort of cargo apparatus like that does suck, even in nice weather.
If all the externalities involved in having everyone use cars for every trip where they don't feel like walking are managed (including health impacts from pollution, sedentary lifestyles etc., time wasted sitting in rush hour traffic, dominance of cityscape by infrastructure dedicated to automobile traffic etc. etc.) then sure, driving is objectively better. I've yet to come across anywhere in the world that's true though.
I mean, this thread argues that the environment in Amsterdam/Tokyo/New York/... is "objectively better" than in LA to live in.
"sedentary lifestyles" is not a real externality and anyway is also easy to achieve with transit; "time wasted in traffic" is simply false (far more time is wasted on transit given how fast it is to drive for an average trip, and sometimes even in rush hour), "dominance of cityscape by infrastructure dedicated to automobile traffic" by itself is a subjective aesthetic preference.
Now as for the actual real externalities, I said elsewhere, it's one thing to say "most people reveal the preference to drive (and I disagree with them OR because driving is just better), however they cannot all have what they want because of pollution / global warming /...". That could be correct, although it would also imply this is a technological problem - they mostly solved pollution from cars, and if we e.g. had cheap fusion or solar energy and electric cars we could all go back to driving.
It's quite another to pretend that people need to switch to the inferior (by their own revealed preference around the world) lifestyle because it is "objectively better".
I basically waste no time at all travelling - I do it mostly by bike which is obviously beneficial health wise, and if I do take a train or bus I use the time to read etc. (plus walking to/fro stations/stops is, again, a positive use of time).
The objective downsides in the amount of infrastructure dedicated to allowing everyone to drive everywhere is surely seen in the cost of maintaining it, and the impacts it has on housing affordability etc. Not to mention the environmental damage caused.
I certainly don't want people feeling like they're being forced into making inferior choices - just that we make an effort to design our towns and cities so that the choice to walk/bike/use transit is a realistic one that compares favourably with driving.
Cycling commuting distances/speeds, especially European-style, only counts as exercise for very sedentary people. Walking is barely exercise at all.. in the same time one could drive and also do some real exercise. Reading does make transit less bad, but usually only works on a familiar (no need to check for stops), transfer-free commute that's not very crowded. Otherwise if you time overhead vs reading (I've actually done it once in a place with bad traffic and relatively good buses, sadly I had a transfer) you can maybe get 30-40% of your commute as focused reading time and driving will still be faster in most places. Interestingly I think for that, transit is actually better on long inter-city trips, like someone I know commutes from Tacoma to Seattle during rush hour, it's I think 1:10 by train with no interruptions, or a 50min drive from hell. In that case I'd prefer transit :)
I think people just don't realize on gut level how fast driving is... someone mentioned Edinburgh as a place where it would never occur to them to drive. As it happens it was 5:30pm there when I plotted a random trip out of the city center to some residential area, it was 25min in "red" traffic vs 43min by transit, not counting overheads of waiting of course - so realistically x2 faster and that's from a city center. That was also my experience almot everywhere I lived or visited... you'd look at "terrible traffic" and wince, then you look at transit directions and drive/call a cab cause it's way faster anyway :)
> Cycling commuting distances/speeds, especially European-style, only counts as exercise for very sedentary people.
Which I'd wager includes a sizeable fraction of the population. I also remember seeing a study in Germany some years ago where they found that exclusive car commuters had the highest average BMI and bike commuters the lowest. Granted, it was not a massive (ahem) difference, but definitively a few kilos…
When you live closer to grocery stores, you buy less food more often. I live two blocks away from the grocery store, I go fairly frequently, and I never have an issue with the weight I’m carrying. And I deadlift the same as you
That's because 10 minutes away is too far, that's almost a mile, and it becomes a chore.
I live a block from a store, and its much, much easier and more plesant than going to the effort of getting the car out, driving somewhere, having to find a parking spot, etc... Driving's a pain in the arse.
A decently walkable suburb/city would have a store within a block or two, maybe a five minute walk.
The US is too far gone for this to make sense. “Walking to get groceries”, I mean jeez this means something utterly different in the US vs Europe.
Here, walking to get groceries means depending on what I need, I walk down the road to get some daily fresh produce, or a few minutes more to get more variety of non perishables, cleaning products etc. It’s a lovely walk, it’s relaxing, and I come back with at most 3-4kg. I do this regularly, and I can do it on my way home when I take the metro for whatever.
In the US, it’s literally something you have to plan for. No kidding you don’t want to walk; one of the goals is to minimise time spent especially if it’s not relaxing time.
I can't speak for all people in the US but my family is not content with selection in a single store. We buy different kinds of items in different stores. And I mean big stores, with big parking lots and dozens of isles. It is also not very clear that you spend less time shopping: you cannot possibly live off 3-4kg of food for a week or two so you must shop very frequently.
If you don't understand the core differences between how to even buy shopping and the influence this has on how you live your life… it's not possible to explain that, actually yeah, it's possible to never do shopping by car, even to feed a whole family.
I am sorry, the sentence with the "buy shopping" does not make sense to me. I completely understand this arrangement, I grew up in the USSR, where people had been carrying a net bag in their pocket (advised several times in this thread), calling it "what-if" bag ("авоська") and just going to the store every day and getting whatever was sold there, thinking the idea to plan to buy the exact things you need is ridiculous.
Grew up in the city and yeah you get used to it. We had our own bags my mom sewed or mesh bags. If we bought something like beer it wasn’t in 6 packs but one or two bottles at a time. Also we had decent public transportation, we’d hop on a trolleybus (electric buses) even for a few stops if the bags got heavy.
At the same time I agree that it wasn’t fun and I didn’t enjoy it as a kid. If we could have an option to have a car, drive it and fill the trunk with groceries and drive back we would have.
It's tragically hilarious to me that the car brain imagination can only consider moving a multi tonne large dangerous vehicle around in order to simply ease the discomfort of the small bag of groceries. Most people use little wheeled carts that are light and foldable and easy to push or pull around.
Yeah, most people thru history were also subsistence farmers and it's "tragically hilarious" that "civilized brain" only considers I dunno, engineering or science or art to make a living, or whatever when you could be subsistence farming for reliable and easy to produce food.
I didn't drive until I was 29-30 and lived mostly in walkable areas so I can easily consider the alternatives. They are just, as I found out when I tried car-dependent lifestyle, inferior. One might even say, "objectively worse"...
Walking to the store is great when it’s a habit to do so every day, so you’re just picking up some fresh meat and produce for whatever dinner you’re making that night. It’s a very pleasant (and healthy) lifestyle. For trips where you need to make larger and heavier purchases, it’s also very enjoyable to bike.
I'm an anti-car urbanist, but this kind of comment makes me embarrassed to be one. Different people like different things. The fact that something is bad for the climate doesn't magically make it unpleasant for everyone. That remains true even if they accept the climate impacts.
It's true that the inevitable conclusion is that we can't rely on individual voluntary actions to solve climate change, but the obvious plan B is government regulation, not vigilantism.
From my comment: "Now, you could argue that global warming is bad / enough freeways cannot be built / etc., sure. Maybe we cannot have nice things.
But don't argue that people want to live in urban paradise and some contrived system is simply not giving them what they want. "
I just don't like the hypocrisy.
However, it's the comments like this that make me think that for any equivalent level of far-, left is worse than right. The right wants to decide how you should live your life; so does the left, but the left does it in this vindictive, holier-than-thou ninny kind of way ;)
I'm sorry this person was rude to you, but I think you're extrapolating far too much. People on the right have their own infuriating comments they make, I would hazard a guess you may not notice them because they aren't directed at you.
One I've had tossed at me during a discussion is, "if you aren't a socialist when you're 20, you have no heart, but if your still a socialist when you're 50, you have no head." This isn't "holier than thou" per say, but it serves the same rhetorical role, it's smug nonsense from someone thinking that they just know so much better than you that time's steady march will make their argument for them (and so they don't have to address what you've said or treat you ).
Frankly, I also see people using the same tropes as in your comment mischaracterize substantive points as being whining or moralizing.
I would say the problem is that as a society, we don't understand how to conduct a productive discourse. I'm pretty sure we never have and have just been muddling through for millenia.
Believe me, I'd love it if being left wing meant the people I disagreed with online weren't frequently rude or vindictive, but I'm afraid I share your experience.
>eople on the right have their own infuriating comments they make, I would hazard a guess you may not notice them because they aren't directed at you.
Based purely on forum internet discourse: when talking about "micro discussions" (a kind term for "flame war between 2-3 people that go on for dozens of comments), the most negative Left-leaning language tends to be "personal", while the most negative Right-leaning language tends to be "internal". That is to say, in very wide swaths it seems like left leaning people tend to argue in a way that attacks the character "you're being X, you lack a soul if you don't Y", etc.), while a right leaning person tends to argue from a place of authority ("I'm right", "this is the truth", "Everyone knows X"). This can mean that a right leaning person at worst can feel like a prick. But a left leaning person can feel like a nag.
It's the difference between walking past the oddly loud fellow on the street vs. walking away from the person poking you. The latter will probably stick with you longer because while the poker may have done less damage overall, they were clearly targeting you. While the loud person wasn't targeting anyone in particular, it may not have even looked in your direction.
Again, it would be fun if I never had to deal with people implying my views implied I was actually a bad person, but it's not the case. I also see this in lots of conversations that aren't political, so I think it's more of an online discourse thing. People get nasty to each other online.
> This can mean that a right leaning person at worst can feel like a prick. But a left leaning person can feel like a nag.
What I'm trying to tell you is, these are the same thing wrapped up packaged with different aesthetics.
This brush is just too darn broad. If you're gunnuh judge by flame wars, everyone is gunnuh come out smelling like poo.
>This brush is just too darn broad.If you're gunnuh judge by flame wars, everyone is gunnuh come out smelling like poo.
I did warn beforhand. I agree judging an entire political paradigm based on its worst actors is pretty much the worst way to approach said paradigms. But at the same time that is unfortunately becoming more and more commonplace.
I'd need much more than 2 paragraphs if we want to fully dive into the psychology of the internet, anonymity, negativity bias, and modern discourse. Everyone does indeed smell like poo here, but the kinds of comments that lead to flame wars are rarely the perfectly civil technical answers.
>I also see this in lots of conversations that aren't political, so I think it's more of an online discourse thing. People get nasty to each other online.
It can certainly happen in places like media, yes. But oftentimes it comes from applying some political topic to what seems tame on the outside. That's how we got here, since talking about Walkability lead to talking about environmentalism. And next thing we know we have a person talking about slashing tires because a single commenter mentioned how they would have preferred using a car to carry groceries after their walk.
> I did warn beforhand. I agree judging an entire political paradigm based on its worst actors is pretty much the worst way to approach said paradigms.
Then don't do that. One person got frustrated and said something about slashing tires (and was immediately corrected by another urbanist). Don't turn that into a mountain.
With all due respect, I feel you started the molehill by replying to someone who was (also) frustrated by getting a reply about someone slashing their tires because of a small life choice (one that they DIDN'T do, in this instance. Just wished they could in the future).
I just wanted to touch into the why's and hows of the frustration. It feels like similar results, but had different causes. If you aren't interested, I apologize.
Well, from my perspective, I was trying to say it was a mole hill, and you were saying, from this angle it looks like a mountain.
I think maybe I didn't communicate tone well enough in my previous comment, I don't mean it to come off as berating you to stop or something. I was saying that, if you understand that painting with a broad brush doesn't work, I'm confused why I see a brush in your hand.
Do you not think it's likely, if left wing people changed the language they used or otherwise addressed these reasons you highlighted (or likewise if right wing people did the equivalent), that because there was still profound polarization and disagreement, people would kinda find other things to complain about?
If you accept that premise, then does it really matter what things the people who you disagree with do that grind your gears and what it is you find grating about them?
Isn't it more important to try and have a productive dialog, despite finding the people you disagree with grating?
I think almost always when there is something about the way someone expressed themselves that bothers you, it's more a reflection on your preferences than anything else, and it's best to set it aside and try to hear them out anyway. There's no obligation to do so, I'm just suggesting it's the pragmatic and productive thing to do.
> NY/Chicago/London/Paris/Tokyo you can conceivably and easily nip out to a grocer's, bodega, cafe or pub within 10 minutes of where you are.
This keeps coming up on HN but it's not as absolutist as it's made to be.
There are lots and lots of suburban places in the US where you can walk to things as you describe. NY/Chicago/London/Paris/Tokyo do not have a monopoly on walkability.
I live in very suburban (approaching on rural, but still suburban) area in the outskirts of silicon valley. Within 10 minutes I can walk to two supermarkets, several cafes and two pubs. Also to movie theaters, library, two drug stores, many restaurants, child care, a department store and many other businesses.
But unlike Manhattan, within 10 minutes (ok maybe 12) I can also walk to an open space forest where I can hike, mountain bike and go camping. Unlike in Manhattan, I can road bike many tens of miles of rural low-to-no-traffic roads out of my front door. We have many open soccer fields within easy walk (kid loves soccer so this is great).
Suburbs can be very walkable and have more variety of amenities within easy reach than a dense city.
I think people are criticizing "American suburbia", not a a truly suburban form which is more urban than a rural form and less urban than an urban form. I live in what I call a "bike suburb". While the grocery and a couple other businesses are a 7-8 min walk away on a multi use path, the rest of the town opens up in a 5 min bike. Likewise I'm a 15-20 min drive away from tons of nature, and if we do need to drive around it's not as convenient as it is in suburbia but not too difficult either.
But a lot of suburbia is completely inaccessible or hostile by foot and unbikeable. Since you're in Silicon Valley, you can probably think of tons of places like that. Mixed use zoning and infill developmental priorities are what create this urban form. This is the important bit, not squabbling over which city is better than the other.
> Since you're in Silicon Valley, you can probably think of tons of places like that.
I sort of can't, which is why I always express doubt about these suburbs where one must supposedly drive 30 minutes to the nearest store (not a quote from this thread, but one that I've seen many times on HN).
I've lived also in south San Jose, Cambpell and Cupertino. In all those I could also walk to supermarkets and many other businesses.
San Leandro, Union City, Fremont, and further East like Danville and Pleasanton can be pretty bad to walk around in. The West part of the Bay has generally been wealthier and historically had more pedestrian affordances. I'm pretty sure all of these factors go into making the Bay as a whole such an expensive and desirable place to live.
Also, when grocery shopping using a car, I can carry a shit-ton more than I can on foot, so I don't have to go shopping nearly as often. In a pedestrian-centric town, grocery shopping is a daily chore. Using my car, I only have to go once a week or so.
This is exactly why I lived in Santa Monica when I lived in LA. One of the few walkables cities in the area (not all of SaMo mind you. Just talking about the area between Ocean and say 7th or 8th)
Rogue is the gold standard but I honestly haven't seen any deficiencies with other smaller brands like Rep or Titan Fitness. I don't know your fitness level, but if you have the space I always recommend the basics: squat rack if you have the time (can also function as pull-up and bench), dumbbells, curl bar if possible, and free weights. I'd keep an eye on used/craigslist listings as well, with the pandemic lifting, a lot of people who spent a lot of money on excess equipment will be looking to unload extra equipment.
I've picked up a bunch of things from Titan the past year. The weights and equipment themselves seem fine and will probably stand the test of time.
The one issue I have had with their weight lifting subsidary is shipping Can be a clown show - really banged up boxes, sometimes with holes punched through.
That may be the case with others too - large and heavy items are a problem at FedEx UPS. In fact, my FedEx delivery guy is required to be able to lift more than the people in the distribution center who end up handling these items more times en route. Another issue with shipping is the tie down straps. Titan tapes them over which means the large awkward packages are more difficult to move.
Also, Titan appears not to have any way to send you parts should something have gone missing. I bought a bench (its really nice, love it) and the box was hammered on the way. Though it initially looked like everything inside survived, one small metal plate was missing but absolutely necessary for assembly. After a week Titan sent me an entirely new bench and I had to send the first back. Definite PITA and so wasteful of time/money for all involved.
Anecdotally, I find even dedicated heavy lifting (1-1.5 hours) does not improve my sleep but similar durations of high-intensity cardio (45 minutes+) heavily improve my sleep even comparing for differing work-related stress baselines. I alternate lifts/HIIT,Tabata and do this regularly (2+ years of 5-6/week workouts) and still have reduced sleep latency times compared to before dedicated regular work-outs. My job is 100% sedentary desk job as well. Dunno if that helps.
> Often, people expect to do whatever they want and then go to doctors to ‘fix’ them. It’s good for doctors, but not so great for you.
Hackernews doesn't realize they are the 0.000001% of patients we see. I'd love for all my patients to make the lifestyle, diet and habit changes I recommend in addition to the medications I prescribe. The reality is that users here do not recognize the privilege they have in terms of money, agency and knowledge. The vast majority of people I see are barely scraping by and have very little time/effort/privilege to make the changes I would like them to undergo.
> Hackernews doesn't realize they are the 0.000001% of patients we see. I'd love for all my patients to make the lifestyle, diet and habit changes I recommend in addition to the medications I prescribe.
That's excellent perspective. To add more: I'd love my doctors to respond to my interest in my health. They usually barely hear what I say, ignore my priorities, and rush me out the door. I can't even get a simple response from my general practitioner any more unless I am standing in front of them at an appointment. (And no, I'm not a nut asking bizarre or pedantic questions. I generally avoid seeing the doctor until it's clear I need professional treatment.)
My experience has been that doctors don't actually even bother to recommend lifestyle change, they just vaguely cast aspersions on my lifestyle based on my weight and blood pressure, and that's the end of it.
Many doctors have given up on recommending lifestyle changes to patients because compliance is so poor. They see it as a waste of time and prefer to focus on interventions that seem more effective.
If you want to make lifestyle changes then it might be more useful to consult with a dietician, personal trainer, or therapist instead of a physician.
I believe many people don't follow those recommendations, because no one is told how. like lose weight and exercise - how exactly? There's a middle bit missing imho - an average joe's food and exercise centre if you will. personal trainers and nutritionists are next level in my experience, they're not really interested in telling average joe's walk a bit and do some exercises, same with nutrition - people need recipes that they can make easily, and healthy food they can buy when out easily. These things don't exist in my experience. The junk food industry is huge, as is the diet industry - saying do these easy things and you'll be sweet isn't really a money making proposition afaics.
Like anything, it’s a complex of the doctor’s personality, personal motivations and their own contentment or lack thereof and how it manifests in their work.
One of the finest bedside manners and wholistic approaches was a doctor I’d had growing up who moved up here from Kingston, Jamaica. The life he had led up until his career as a GP forced him to maintain a “big picture” approach.
One of the worst bedside manners and considerations is a doctor who I can’t name or point to because he’s one of rather high standing in Toronto. A truly brilliant physician and technologist. Awful manner, poor communication. That’s compounded in emotional effect as it’s your life on the line and not theirs.
People are complex and some doctors prioritize their work with patients, others prioritize their research, others their personal finances and so on.
If possible, it’s best just to seek out help and insight elsewhere. Sometimes that second opinion doesn’t change anything, other times it’s fundamental.
Even being in the 0.00001% its incredibly hard to find out what you should do. There is the health industry, who gives you pills and thats about it. My doctor gave me blood pressure pills, I asked what can I do to get off them, the response was nothing, live with it. That wasn't true, but finding out what I should do, took me a few years. I ended up with the hippie wholistic people who had things together. A lot of them had chronic health issues that medical health couldn't treat, and so they to did this. The answer is so simple and costs very little, but you just have to avoid pretty well everything food or health wise that you see in supermarkets, cook your own food, exercise a very small amount and thats it. I actually spend less on food than I used to. It's easy, but finding out is hard and the medical profession is totally unhelpful in telling people this, at least in my experience.
I'm guessing they mean processed foods. Like, vegetables: fine. Stuff that comes in a box/bag etc: not fine. Obviously you also can get vegetables at a supermarket.
yes, exactly. avoid the middle part - fresh and refrigerated food is on the outside usually. Processed in the middle. Anything that has a nutrition label on it, is probably not nutritious is my rule of thumb, there are exceptions of course, frozen vegetables, canned veg, grains etc.
Right, doc, I understand what you're saying. However, 90% of those underprivileged people probably would not make the changes you suggest, even if they had $20 million in the bank. They would still just sit on the couch all day, except it would be a much nicer couch. Most of them would react to you like they do to the Covid 19...."fake news" and curse at you. I'm not saying all would react that way, but my faith in humanity is low, low, low. So I think 90% would just sit on their asses anyways. I mean, 70% of the USA is overweight or obese. That covers more than just the poor. That's pretty much everywhere, across all social and income strata. The only subpopulation where I see that 90% of the people are in shape is at the gym. For some strange reason. Go figure.
My father, who is a physician, used to have a diet clinic as one of his ventures. Out of the thousands of people he saw, none, not one, person stayed with the program. Some did for a while. But then bam, fatso again.
It's really super sad. Back in the 1960s and 1970s and 1980s, everyone was thin. Everyone, except for a very, very few people who were horrifically fat to our eyes, although now they would be on the light side of overweight.
As the population started to get fatter and fatter, starting in the 1990's, I 100% knew, KNEW, back in the 1990s, that at some point in the future, things were going to change and fat women would insist that they are beautiful, and revile slender women. Which we see every day now. I mean, it's not guys, guys don't give a sh-t if you call them fat. You never read anything about men wanting to be called BBM or "curvy" or body acceptance or whatever the phrase of the day is. But women have it in their DNA that they want to be perceived as beautiful, in order to attract a mate, I guess.
Connecting concerns about "fake news" to being underprivileged is extremely problematic and you should be ashamed for making it. The arrogance of making such a connection is astonishing.
Sorry you feel that way. I admit I am extremely cynical of humanity.
I don't necessarily only think this about the underprivileged. More like the uneducated and the credulous. This included all manner of Republicans. They put out confusing information, say that there's fake news. And the underprivileged don't know what to do. Despite almost every single person in the USA knowing for sure that all infectious disease and epidemiologist say to take the vaccine. Everyone knows this. Every single person, every single underprivileged person knows this after 1 1/2 years.
I understand that not everyone is as cynical as I am, so feel free to have your own view of how the world runs.
I've got another anecdote about exposed information. Saw a car's 'Instagram handle' while next to them (was passenger) and got curious. Sure enough, their car's Instagram handle was public-facing and had links to the presumable owner's instagram handle (public facing) and his wife's handle (also public). Within five minutes of horrified clicking, I found both parents' birthdays, occupations (and photos of locations where they worked at) full legal names and birthdays of their parents, sisters, brothers (they had posted birthday celebrations and funeral announcements with names and dates), their wedding date (and all subsequent vacations they took), residence (posted about buying a new house), their children's full legal names and where they went to school (posted dropping them off at school), and the makes and models of all their cars (posted about buying new cars) over the last 5-6 years. It was a little scary to see how open they were.
Heavypaint is a fantastic abstract drawing tool that's fun to do while you're killing time. Here's a great example of how easy it is to get into: (https://www.youtube.com/watch?v=yL3ho4Vc7Ng)
> Writing this on an iPad keyboard just now sucked—light years less efficient than on my computer keyboard. And my phone is even worse! But I often want to journal in bed or write fiction away from my desk. Are there better ways to input lots of text quickly?
I hate to suggest you buy things to improve your experience, but I had the same issue earlier this year. The Magic Keyboard really is just that, delivers a 95% equivalent of a computer keyboard that allows me to enter long-form text comfortably on an iPad Pro. My n of 1 and all that but I've found it to be a suitable quick-boot alternative when I just want to write a couple paragraphs down instantly.
> Both the data and my lived experiences indicate a correlation between more extreme behavior among protestors and more arrests.
I think there's a false attribution of 'extreme behavior' with 'protestors' primarily. feel there are a significant number of people who took advantage of the protests to loot and burn and generally cause chaos. It's worth noting that Seattle and Portland, are primarily Caucasian (67% taken from OPCD), (77% taken from US Census Data) respectively. I think the looting can be more attributed to a general anarchy/countercultural movement in the PNW as opposed to protestors regarding BLM. It's definitely something that is more complex and requires more research than an off-the-cuff comment could generate.
I'm sure plenty of people protested peacefully. But how is that relevant? Regardless of the extent of the overlap between people protesting and people rioting, an increase of the latter is bound to lead to more arrests even if the police's thresholds for making an arrest remain exactly the same.
The fact that there were more looters and rioters in the Pacific Northwest because of "general anarchy" is supportive of my claim, if anything: There were more arrests in Portland not because police became more oppressive, it was because there were more looters and rioters.