joewright.bsky.social
SCHOOL: Research affiliate, DUSP @MIT—writing a hx of “Mass/Cass” #urbanplanning // WORK: doctor for people experiencing homelessness. (Opinions my own.) #medsky // HOME: Town Meeting member #mapoli
SIGNAL: joewright.72
http:/joewrightmd.com
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sadly they corrected the graph and 30-34s are still the biggest turnout group
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There are a set of electric boats with marina charging but a smaller set of electric boats with enough solar panels to enable +/- infinite off-grid range. What’s the point at which solar panels are efficient enough and batteries are energy-dense enough to make this a more widespread possibility?
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I don’t know where this originated but it was definitely partly a response to post COVID dips in ridership—where increasing fares was going to create a death spiral of decreasing ridership/revenues—and partly the idea that in a green and equitable city, transit is infrastructure not a “service”.
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nextcity.org/urbanist-new...
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Any regular expense is significant money for a lot of poor people. And bus fares are a minor part of revenues. Free routes increase ridership and increase speed and reliability because you aren’t dealing with the toll-taking at every stop.
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no need to pit Cassian Andor against Bluey, Bluey is ready to join the rebellion too
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and how do you decide…?
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also… our Massachusetts version included requirements that put some upzoning near transit that isn’t used / isn’t useful. Maybe this boosts transit! But is there actually a two way relationship? is there a point at which the transit is bad enough that it just marks a denser location for… cars?
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same question — what are they doing differently than Massachusetts (ref: MBTA Communities Act) and what can states like Massachusetts learn from that for future updates / iterations
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en.m.wikipedia.org/wiki/Agent_p...
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en.m.wikipedia.org/wiki/Agent_p...
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en.m.wikipedia.org/wiki/Agent_p...
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en.m.wikipedia.org/wiki/Agent_p...
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en.m.wikipedia.org/wiki/Agent_p...
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approval appears contingent on an agreement for no baseball caps or sandals in an area zoned for golf shirts and boat shoes
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For folks who don’t go to a regular primary care clinic I often advise going to the ED in the morning when it’s usually a little less crazy and the staff are less burnt out at that time of day. I hope he’s ok—you’re right that he would do well to take extra care. Best wishes to you both
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hey Garth, I see articles about Mycoplasma pneumonia being on the rise. To people who aren’t medical care enthusiasts I avoid scare tactics—I’d say it’s easy to treat. More importantly it’s hard to know without x ray and testing what kind of lung infection you have and how to make it better.
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don’t know if it’s on your route but selected burger king franchise locations have the impossible whopper ie vegetarian burger
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As a board-certified addiction medicine physician, I can say with confidence that the primary problem with that tweet is not cocaine.
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The last thing: Leslie Credle was there as another reviewer, whose organization Justice4Housing continues to impress me in its growth and singular focus. I hope that her future is full of opportunities to be a paying client for the kinds of architects who ace this class. justice4housing.org
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Making space in my life to immerse myself in planning and urban policy keeps opening up surprising moments for me; I’m so grateful for that. And grateful for design and planning faculty (like Dana and reviewer Wendell Joseph) who prompt students to remember: “site context” isn’t just spatial. /4
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…as well as a proposal for a sober home in Roxbury that reflected a true engagement with a community leader in recovery. I found that this one was the one where I was actually most critical about details … because I so very much wanted to see something like it built! /3
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Highlights included engagement with the emotional experience and practical needs of incarcerated mothers and their children, and projects that then included lots of attention to the regulatory frames that confine those needs; a thoughtful approach to a queer community development corporation;/2
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Leaving aside the medical and psychiatric questions of whether this kind of treatment “works”, city + state staff should pragmatically pencil out these budgets. How many beds in mandatory treatment are funded? how many homeless people do you have in your city? do those two numbers add up?
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—it’s in the cause of cutting off all supports, dismantling even the existing infrastructure of aid, concern, care, or healthcare for impoverished people, and then blaming them for it. /fin
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So all the “cleaning up the streets” and “mandatory treatment” with a side dish of “why would we allow them to suffer if we can treat them”, is not meant for treatment. The budgets show that. It’s for the cause of cutting voluntary treatment, housing, job training, access to psychiatry or therapy-/8
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Every single time systems mobilize to involuntarily “treat” one my patients, there’s no follow up. There’s no offer of a new life after the detention and treatment period. No new housing. No new low barrier psychiatry. No new therapy. As coercive policy goes it’s pure stick—no carrot. /7
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So if there is not a massive budget for this forced “treatment”, the goal is quick confinement and release and a narrative of blame: we offered you “treatment”, we forced you into “treatment”, and yet you have not changed, so we’ve done our part and whatever happens next is your fault. /6
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So what’s the point of confinement as wide scale policy? One version, scaled up, would be massive confinement programs—a program of incarceration with “treatment” in name
only. But long term detention costs a lot—much more, even, than the billions now being moved towards detention of immigrants.
/5
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The city ends up sending some small portion of people on the street to short term confinement, who then return to the exact same circumstances without any additional supports, and predictable results. /4
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Massachusetts has a long standing civil commitment law for substance use disorders. When people use it—I do not—there is _never_ time to get supports in place for when people are released, and the supports often do not exist. People are released back to poverty and homelessness. The result: /3
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Most or all of the policy pushes for mandatory treatment for serious mental illness or substance use problems are unsupported by plans for the budget and logistics required to accomplish this misguided goal. In other words, mandatory “treatment” at scale is not the actual policy goal #medsky. /2
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apparently the absurd saying I made up is “common”, says the robot
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went back and the AI had rethought the first query:
The saying "it takes two lamps to make a dolphin" is a simple riddle or word puzzle. The answer is two lamps (L-a-m-p-s) spelled out, which creates the word dolphin.
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AI facing a new situation makes s**t up like the worst third year medical student gunner ever, and we are probably all doomed now but whatever, it’s just funny
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I do not mourn popes generically. But a man who—for all we can find so wanting in his church—still washed the feet of the poorest, prisoners, refugees, the people in Buenos Aires or Rome who I would recognize as akin to my patients? Him, I mourn. /fin
www.biblegateway.com/passage/?sea...