Kristi Noem

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ZzzPlz said:
I predict DeSantis/Noem running in ‘24

Ever been to SD? Tons of fun stuff to do in the black hills. Great for a family trip.

I’ll be out there hunting for a monster mule deer this fall
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Headed there for a few days in June. Planning to hit Mt Rushmore, Crazy Horse, possibly windcave. Definitely hiking Black Elk Peak.

Anything you'd say is a must-see or must-do while there?
 
Reptile gardens and bear country are cool. Check out some of the touristy old mining towns. Do the wildlife loop in Custer state park and you’ll see lots of animals and you can feed the burros. Allow extra time in case you get stuck behind a herd of buffalo

I've gone there the last two June’s and stayed at blue bell lodge and we had a blast. If you like fishing you can bring your gear and catch a lot of fish at Sylvan and Crystal lakes. Just driving on the mountain roads (needles highway etc) is fun
 
abolt18 said:
Headed there for a few days in June. Planning to hit Mt Rushmore, Crazy Horse, possibly windcave. Definitely hiking Black Elk Peak.

Anything you'd say is a must-see or must-do while there?
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Bear country was super touristy and lame looking, but I sure did have fun with the kids.

For Black Elk: Hike up the normal trail in morning, and take the trail down by the cathedral spires. Less people that way and some extra stuff to see.

The Mammoth Place was interesting.

Drive the Needles Hwy, stop and climb around along the way.

Don’t trust your GPS or google maps between Rushmore and Crazy Horse, mine kept routing me an extra 20 minute drive. Just look at a map.

Lots of rivers for fishing too if you are into that.

Custer wasn’t all that full of animals the day we were there, basically just the burros and one buffalo.

The Badlands are really close and worth some time if you have it. Some neat hiking trails.
Ideally you would camp out there one night, one of the lowest light pollution areas in the country.
 
abolt18 said:
Headed there for a few days in June. Planning to hit Mt Rushmore, Crazy Horse, possibly windcave. Definitely hiking Black Elk Peak.

Anything you'd say is a must-see or must-do while there?
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Needles highway, maybe make the drive up to devils monument in WY
there are several well known cave systems around there (e.g., Jewel Cave National Monument, Wind Cave National Park) but last i heard the caves themselves are closed due to maintenance/repair work
 
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dipriMAN said:


Just saw this commercial, hard to take this governor serious after she’s been in the news with such politically charged statements.
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Take this governor "seriously."
It's an adverb describing the take, not the governor.

Don't take this post seriously either haha.
 
Southpaw said:
Kristi Noem is crazy. If she and DeSantis run it’ll be more of the same for the GOP - another lost popular vote and maybe, maybe an electoral win if they can win OH/WI/MI/PA. People like Noem and DeSantis are why traditionally red states are moving slowly but surely blue.
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Ha! We'll see how that slowly but surely blue thing goes after this ****show of a presidency. How New York and Baltimore can still vote blue today is stupefying.
 
TeslaCoil said:
Ha! We'll see how that slowly but surely blue thing goes after this ****show of a presidency. How New York and Baltimore can still vote blue today is stupefying.
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Vote a state blue.
Run it into the ground.
Escape to a red state.
Then vote that state blue.
Run it into the ground.
Escape again.
Rinse and repeat.
 
TeslaCoil said:
Ha! We'll see how that slowly but surely blue thing goes after this ****show of a presidency. How New York and Baltimore can still vote blue today is stupefying.
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The slowly but surely blue is absolutely occurring regardless of our collective personal feelings about it. You'll need to get more creative on how to keep people from voting.
 
dipriMAN said:
I can’t stand her, she’s said some crazy stuff. Why can’t republicans just act normal, they would get more votes.
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Wooow. Really? and democrats have never said anything crazy? I have heard WAAAY more crazy come out of democrats than ANY republican. AOC, Ilhan Omar, etc etc Defund the police?? Open borders?? Raise taxes??
 
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Southpaw said:
The slowly but surely blue is absolutely occurring regardless of our collective personal feelings about it. You'll need to get more creative on how to keep people from voting.
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Alright lets see. If you're right though we're all fukd. Doctors more than anyone because they will take half or more of your salary, all while allowing midlevels to steal your jobs. The economy will stagnate because corporations will mitigate losses with automation and by moving offshore. Chinas economy will overtake ours and they will start calling the shots on this planet. Liberalism is the destroyer of empires.
 
anbuitachi said:
politicians of both parties say crazy stuff. its just a popularity contest.
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Oh come on, you act like anyone could be president, like maybe an actor or a peanut farmer or a community organizer or the son of a former president or an ancient demented pervert or the host of a reality show, or you could come really close just being the wife of a former president or an old cranky socialist that has done absolutely nothing in his lifetime.

Geezz, that stuff would never happen.
 
TeslaCoil said:
Alright lets see. If you're right though we're all fukd. Doctors more than anyone because they will take half or more of your salary, all while allowing midlevels to steal your jobs. The economy will stagnate because corporations will mitigate losses with automation and by moving offshore. Chinas economy will overtake ours and they will start calling the shots on this planet. Liberalism is the destroyer of empires.
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Doctors more than anyone? Really?
 
We'llBeDoneIn15Minutes said:
Oh come on, you act like anyone could be president, like maybe an actor or a peanut farmer or a community organizer or the son of a former president or an ancient demented pervert or the host of a reality show, or you could come really close just being the wife of a former president or an old cranky socialist that has done absolutely nothing in his lifetime.

Geezz, that stuff would never happen.
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what've you done?
 
TeslaCoil said:
Alright lets see. If you're right though we're all fukd. Doctors more than anyone because they will take half or more of your salary, all while allowing midlevels to steal your jobs. The economy will stagnate because corporations will mitigate losses with automation and by moving offshore. Chinas economy will overtake ours and they will start calling the shots on this planet. Liberalism is the destroyer of empires.
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So I guess if I look at it alternatively, from your eyes, I'd say that I support 'them' taking a little less than half all while ENCOURAGING midlevels to do my job (you do realize midlevels taking jobs is just capitalism acting in healthcare, right?)? And the economy will stagnate with automation and jobs moving offshore because of, you guessed it, capitalism. Because that someone in another country will do the same job for less money than an American worker. Capitalism in action, and encouraged. And let's also give these gigantic companies massive tax breaks so they never pay taxes into the American system, as they move all those jobs overseas.

Honestly, I don't really like the sound of your system. Though I'm sure you won't claim it, it's what it is. It's what we have and it's what we've seen. I'll stick to supporting old demented grumpy guys who never do anything with their lives, who actually do support the everyday American and try to hold corporations accountable for their actions.

We gripe and moan here about salaries, jobs, midlevels, student loan debt, etc. all while refusing to acknowledge it is all simply capitalism in action.
 
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I was heavily tuned in to Desantis run for governor. He destroyed Gillium both politically, professionally, and personally. I never liked Gillium but I don’t particularly like Desantis. He is brash, rude, not polished. But his policies kelt Florida from entire economic meltdown. Btw Gillium would have been much much worse given his off duty exploits.
 
Southpaw said:
So I guess if I look at it alternatively, from your eyes, I'd say that I support 'them' taking a little less than half all while ENCOURAGING midlevels to do my job (you do realize midlevels taking jobs is just capitalism acting in healthcare, right?)? And the economy will stagnate with automation and jobs moving offshore because of, you guessed it, capitalism. Because that someone in another country will do the same job for less money than an American worker. Capitalism in action, and encouraged. And let's also give these gigantic companies massive tax breaks so they never pay taxes into the American system, as they move all those jobs overseas.

Honestly, I don't really like the sound of your system. Though I'm sure you won't claim it, it's what it is. It's what we have and it's what we've seen. I'll stick to supporting old demented grumpy guys who never do anything with their lives, who actually do support the everyday American and try to hold corporations accountable for their actions.

We gripe and moan here about salaries, jobs, midlevels, student loan debt, etc. all while refusing to acknowledge it is all simply capitalism in action.
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The next response you'll get to your post from someone further right will be some No-True-Scotsman regarding the word 'capitalism' ...i.e. the current system is not really true free market capitalism but rather crony capitalism or capitalism with too much government interference. And of course they'll go on at length while remaining oblivious to the fact that in the pre-Medicare/Medicaid/EMTALA era people would quite literally go die in a gutter because the only way to get medical care was by ponying up cold hard cash.
 
vector2 said:
The next response you'll get to your post from someone further right will be some No-True-Scotsman regarding the word 'capitalism' ...i.e. the current system is not really true free market capitalism but rather crony capitalism or capitalism with too much government interference. And of course they'll go on at length while remaining oblivious to the fact that in the pre-Medicare/Medicaid/EMTALA era people would quite literally go die in a gutter because the only way to get medical care was by ponying up cold hard cash.
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Cold hard truth
 
We'llBeDoneIn15Minutes said:
Vote a state blue.
Run it into the ground.
Escape to a red state.
Then vote that state blue.
Run it into the ground.
Escape again.
Rinse and repeat.
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Kansas and Brownbsck. Enough said.

It was literally an experiment in everything the conservative right has championed for 40 years and it failed miserably.
 
narcusprince said:
I was heavily tuned in to Desantis run for governor. He destroyed Gillium both politically, professionally, and personally. I never liked Gillium but I don’t particularly like Desantis. He is brash, rude, not polished. But his policies kelt Florida from entire economic meltdown. Btw Gillium would have been much much worse given his off duty exploits.
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Agree 100%.
 
Southpaw said:
So I guess if I look at it alternatively, from your eyes, I'd say that I support 'them' taking a little less than half all while ENCOURAGING midlevels to do my job (you do realize midlevels taking jobs is just capitalism acting in healthcare, right?)? And the economy will stagnate with automation and jobs moving offshore because of, you guessed it, capitalism. Because that someone in another country will do the same job for less money than an American worker. Capitalism in action, and encouraged. And let's also give these gigantic companies massive tax breaks so they never pay taxes into the American system, as they move all those jobs overseas.

Honestly, I don't really like the sound of your system. Though I'm sure you won't claim it, it's what it is. It's what we have and it's what we've seen. I'll stick to supporting old demented grumpy guys who never do anything with their lives, who actually do support the everyday American and try to hold corporations accountable for their actions.

We gripe and moan here about salaries, jobs, midlevels, student loan debt, etc. all while refusing to acknowledge it is all simply capitalism in action.
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I recognize capitalism wholly. But your assessment is entirely too simplistic. There is a STRONG political component here. Explain to me why currently Red states like Florida have put a moratorium on independent CRNA practice? I recognize that CRNA's exist due to capitalistic forces, however, I believe that their fight for independent practice is more political than anything else. Doctors are not fighting back hard enough. They've been spoiled by the cush life and too inundated with school, residency, and a stressful job and lifestyle to get involved politically and this will be our downfall. I know several states where doctors have been more politically active and have maintained their foothold. Hint hint: they are not blue states.

Also, there is no shortage of anesthesiologist jobs. Not by a long shot. Even with CRNA's. Now, if you allow independent practice that may change. Rapidly. Im in pain mgmt and in my state they are actively lobbying and fighting for a CRNA pain fellowship. Wrap your mind around that.

Also, the democrats of today are a crude abomination of what it means to be democrat. They have stepped far into the realm of socialism and communism. Im sorry but nothing is less American than that.
 
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TeslaCoil said:
I recognize capitalism wholly. But your assessment is entirely too simplistic. There is a STRONG political component here. Explain to me why currently Red states like Florida have put a moratorium on independent CRNA practice? I recognize that CRNA's exist due to capitalistic forces, however, I believe that their fight for independent practice is more political than anything else. Doctors are not fighting back hard enough. They've been spoiled by the cush life and too inundated with school, residency, and a stressful job and lifestyle to get involved politically and this will be our downfall. I know several states where doctors have been more politically active and have maintained their foothold. Hint hint: they are not blue states.
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Your assessment is entirely wrong; it’s not liberalism vs conservatism. Conservatives have largely abandoned conservativism in favor of corporatism and capitalism. How else do you explain favoring corporations who have defrauded investors and limiting class actions suits? How else do you explain corporations that are allowed to run rampant to make a profit?

When it comes to medicine we are merely cogs in a wheel. Just today in the NYT there is a piece about autonomous surgical robots. It’s coming for us all and it’s a direct product of capitalism and human ingenuity.
 
PainDrain said:
Your assessment is entirely wrong; it’s not liberalism vs conservatism.
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You must have missed the part where I said I recognize capitalism as a driving factor. But you are deluded if you think that this fight for independent practice is not political. It may not be entirely red vs blue, I’ll agree with you there. Its definitely not purely capitalism. Doctors themselves are also partly guilty of allowing this **** in the first place. Its highly multifactorial. Anybody who blames this complex issue on one single driving force or another, in my opinion, loses credibility.
 
PainDrain said:
Your assessment is entirely wrong; it’s not liberalism vs conservatism. Conservatives have largely abandoned conservativism in favor of corporatism and capitalism. How else do you explain favoring corporations who have defrauded investors and limiting class actions suits? How else do you explain corporations that are allowed to run rampant to make a profit?

When it comes to medicine we are merely cogs in a wheel. Just today in the NYT there is a piece about autonomous surgical robots. It’s coming for us all and it’s a direct product of capitalism and human ingenuity.
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Agree. We are no different than any other industry. “Progress” means what can be consolidated will be consolidated, expensive labor will be replaced with cheaper labor, what can be automated will be automated and what can be off-shored will be off-shored.
 
nimbus said:
Agree. We are no different than any other industry. “Progress” means what can be consolidated will be consolidated, expensive labor will be replaced with cheaper labor, what can be automated will be automated and what can be off-shored will be off-shored.
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Im sorry but this view is only partially correct. I dont want to argue too much, but if we submit ourselves to a futile standpoint here we’re even more ****ed. Again, in states where doctors make a stand, doctors have won. Please see FL, SC etc policy on CRNA practice.
 
TeslaCoil said:
I recognize capitalism wholly. But your assessment is entirely too simplistic. There is a STRONG political component here. Explain to me why currently Red states like Florida have put a moratorium on independent CRNA practice? I recognize that CRNA's exist due to capitalistic forces, however, I believe that their fight for independent practice is more political than anything else. Doctors are not fighting back hard enough. They've been spoiled by the cush life and too inundated with school, residency, and a stressful job and lifestyle to get involved politically and this will be our downfall. I know several states where doctors have been more politically active and have maintained their foothold. Hint hint: they are not blue states.

Also, there is no shortage of anesthesiologist jobs. Not by a long shot. Even with CRNA's. Now, if you allow independent practice that may change. Rapidly. Im in pain mgmt and in my state they are actively lobbying and fighting for a CRNA pain fellowship. Wrap your mind around that.

Also, the democrats of today are a crude abomination of what it means to be democrat. They have stepped far into the realm of socialism and communism. Im sorry but nothing is less American than that.
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More red states are opt out than blue states, including Kristi Noem’s South Dakota.

048EF69A-CFCF-4E07-9968-7AD1449C823F.jpeg
 
nimbus said:
More red states are opt out than blue states, including Kristi Noem’s South Dakota.

View attachment 336111
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Okay thats fair. In my region this hasnt been the case. I dont believe it is necessarily a red vs blue issue but its not purely a matter of capitalism either. I was just highlighting the fact that in these states doctors have organized and lobbied and have gotten somewhere. In some rural states access to care may have been the driving force of that decision.
 
TeslaCoil said:
Okay thats fair. In my region this hasnt been the case. I dont believe it is necessarily a red vs blue issue but its not purely a matter of capitalism either. I was just highlighting the fact that in these states doctors have organized and lobbied and have gotten somewhere. In some rural states access to care may have been the driving force of that decision.
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It's interesting to me how some people are so beholden to the idea of capitalism. I don't get it. I've lived here my whole life. In my opinion capitalistic ideas can both be the source of our rise and the cause of our fall.

It's easy to push midlevel prominence onto the shoulders of politicians, but there's more to it than that. How does it get in the hands of politicians to begin with? Why do nursing organizations push to work independent of doctors? Why are they supported by very large deep pocketed AMCs/CMGs/etc. who actively want to replace physicians with midlevels? Why do they flood fields like EM by increasing residency spots irresponsibly and continually drop the EM physician's hourly rate? It won't just be EM. It'll spread and no one will stand in its way. Physicians don't have the organized strength to do it. Our representative organizations are largely self-protectionist. They haven't stood up in, well, ever. All of these very deep pocketed, either publicly traded or private equity, companies are cutting us off at the knees for reasons having nothing to do with quality of care. It's all about money.

If you can't see it then look at other developed countries in the world. Every country has politics and political issues. It's just us in the US where the active dismantling of physicians is occurring.
 
Southpaw said:
It's interesting to me how some people are so beholden to the idea of capitalism. I don't get it. I've lived here my whole life. In my opinion capitalistic ideas can both be the source of our rise and the cause of our fall.

It's easy to push midlevel prominence onto the shoulders of politicians, but there's more to it than that. How does it get in the hands of politicians to begin with? Why do nursing organizations push to work independent of doctors? Why are they supported by very large deep pocketed AMCs/CMGs/etc. who actively want to replace physicians with midlevels? Why do they flood fields like EM by increasing residency spots irresponsibly and continually drop the EM physician's hourly rate? It won't just be EM. It'll spread and no one will stand in its way. Physicians don't have the organized strength to do it. Our representative organizations are largely self-protectionist. They haven't stood up in, well, ever. All of these very deep pocketed, either publicly traded or private equity, companies are cutting us off at the knees for reasons having nothing to do with quality of care. It's all about money.

If you can't see it then look at other developed countries in the world. Every country has politics and political issues. It's just us in the US where the active dismantling of physicians is occurring.
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Worked with a Canadian anesthesiologist a few years back and he just laughed at us. Said the nurses tried to get a foothold but failed. He said we did it to ourselves trying to make more money off supervision and it backfired. Kinda agree with him.
 
PainDrain said:
Worked with a Canadian anesthesiologist a few years back and he just laughed at us. Said the nurses tried to get a foothold but failed. He said we did it to ourselves trying to make more money off supervision and it backfired. Kinda agree with him.
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The difference is that in the United States, nurses never had to fight for a foothold. Both nurses and physicians administered anesthesia from the beginning. Back in the ether days, many physicians considered anesthesia beneath them and relegated that duty to nurses. In the UK, chloroform was the dominant agent and the skill required for its administration was deemed worthy of a physician.

en.m.wikipedia.org

Alice Magaw - Wikipedia

en.m.wikipedia.org en.m.wikipedia.org
 
PainDrain said:
Worked with a Canadian anesthesiologist a few years back and he just laughed at us. Said the nurses tried to get a foothold but failed. He said we did it to ourselves trying to make more money off supervision and it backfired. Kinda agree with him.
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It's all thanks to the corporatization of medicine. When people love capitalism too much, this is the outcome
 
TeslaCoil said:
. There is a STRONG political component here.
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Almost every bill that has originated at the state legislature level in favor of independent APRN / CRNA practice has been sponsored by a Republican. You brought up Florida, so look up drunkard Rep. Cary Pigman MD and Florida HB 607.

Right this very moment, there is a bill pending in LA to allow independent APRNs. I'll let you guess whether Rep. Barry Ivey is R or D.

HB495

www.legis.la.gov www.legis.la.gov
 
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vector2 said:
Almost every bill at that has originated at the state legislature level in favor of independent APRN / CRNA practice has been sponsored by a Republican. You brought up Florida, so look up drunkard Rep. Cary Pigman MD and Florida HB 607.

Right this very moment, there is a bill pending in LA to allow independent APRNs. I'll let you guess whether Rep. Barry Ivey is R or D.

HB495

www.legis.la.gov www.legis.la.gov
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The FL bill is dead in the water. I know nothing about LA. You may be right. What I mean when I say political is that people are out there lobbying, organizing, putting the pressure on, paying politicians.
 
TeslaCoil said:
The FL bill is dead in the water. I know nothing about LA. You may be right. What I mean when I say political is that people are out there lobbying, organizing, putting the pressure on, paying politicians.
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You do realize that this statement above disproves your original argument. Or are you making some claim that in liberal states political organizing is stifled somehow compared to conservative states? If so I could show countless examples where conservative politicians have used dirty tricks and parliamentary rules to stifle dissenting political movements.
 
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