Podcasts about Reasonable

You don't think you're controlling.You think you're being responsible.Reasonable.Disciplined.Independent.A hard worker.But control doesn't always look like gripping the wheel.Sometimes it looks like the stories underneath it:“If I slow down, that's selfish.”“If it's not hard, I don't deserve it.”“If I'm not a hard worker, I'm mediocre.”“If I stop holding everything together, it all falls apart.”“If I need help, I'm weak / I'm failing.”In this episode, we unpack:The different ways control hides (hustle, overthinking, hyper-independence, over-responsibility)Why slowing down can feel unsafe, unfair, or even wrongHow “being the hard worker” becomes identity — and why letting go can feel like losing yourselfThe nervous-system reason you keep returning to the same patterns, even when you know betterThe difference between control and true resilience (the kind that can actually hold expansion)Control helped you survive. But it's not the thing that gets you to your next level.If you're tired of trying to force your way forward — and ready to build the internal safety to do it differently — this episode is for you.Inside Energetic Business Collective, we do this work in real time: not just insight, but the capacity to actually live it.

Do you think your hospital should allow unilateral DNR orders? Under what circumstances? Through what process?  Do you think that when you obtain the assent of a family to not code their loved one, that assent DNR should be counted as a unilateral DNR order? Should we document unilateral DNR and the rationale? Why for DNR, when we don't document unilateral dialysis not offered, or unilateral no ECMO offered?  Is the assent of a family member to a statement that we will not code their loved one a nudge, and is the assent approach ethical? Reasonable people will disagree, as we do on this podcast. Our guests today are Gina Piscitello, Erin DeMartino, and Will Parker, authors of a terrific viewpoint in JAMA about the need to address inadequate documentation of unilateral DNR orders.  You might recall Gina was a guest on our lively podcast about slow codes, and we pick up where that podcast left off. We highlight the many clinical, practical, and ethical issues at stake, including Gina's finding that during Covid, 3% of critically ill patients receiving pressors had a DNR order. Black patients and those who spoke Spanish had higher rates of unilateral DNR.  That variation should trouble those in favor of unilateral DNR orders.  We talk about variation Gina found at the state and health system level, and what exactly is concerning, the variation itself, or the lack of thought and care that went into some of these policies. Are you a heartbreaker? Dream Maker? Love taker? Don't you mess around with me. (song hint) -Alex  

Cats drop a game they should not have to Georgia at home. We discuss what went wrong, where we go from here, and play Reasonable or Ridiculous.

The guys discuss how honey buns are the leading cause of prison breaks in Romania, when a comped order of mozzarella sticks will earn you hero status, and why pills in the 1700's would often crawl away before being ingested. 

The Only Reasonable Response (Romans 12:1-2)

There are two ways to learn a tabletop RPG: read the rulebook… or get shot at on a collapsing train while chasing occult Nazis across North Africa. In this RPGBOT.Quickstart actual play of Pulp Cthulhu, the crew demonstrates how cinematic pulp RPG sessions actually unfold — complete with relic thefts, hypnotized enemies, catastrophic dice rolls, and a physics-defying jetpack solution. If you've ever wondered how Call of Cthulhu actual play gameplay, learning Pulp Cthulhu through play, or tabletop RPG session flow examples look in the wild, this episode shows you — loudly, chaotically, and probably while someone is falling off a cliff. Show Notes This installment of the RPGBOT Quickstart actual play series transitions from theory into demonstration, showcasing how to learn Pulp Cthulhu gameplay mechanics through live play. Following prior episodes on system concepts and character creation, the cast introduces their pulp-era investigators — including an eccentric engineer and a circus-trained occult bruiser — tasked by an FBI occult task force to intercept Nazi relic hunters in 1935. The scenario begins aboard a desert-bound train headed toward a meeting with archaeologist Iowa Roberts, where the party examines a mysterious artifact that functions like a supernatural compass pointing toward the mythical desert city tied to forbidden lore. Their investigation is interrupted when the rival occult agent Scarlet Arachnus steals the relic during a catastrophic derailment, throwing the game immediately into cinematic action and demonstrating combat initiative, skill rolls, and survival mechanics in Call of Cthulhu actual play. Escaping a precariously hanging train car, the players confront armed enemies, navigate terrain hazards, and showcase mechanical problem-solving through teamwork and skill checks — highlighting how dice outcomes shape narrative consequences. The action continues across exposed train cars with firefights against heavily armed foes, illustrating tactical movement, cover usage, and pulp-style heroics. After surviving the encounter and sabotaging the collapsing train, the group scavenges supplies, uncovers clues, and discovers evidence of a larger occult plot: a map referencing desert pillars and connections to mythic texts associated with forbidden knowledge. Realizing they've handed the artifact to their enemies, they pivot to pursuit — commandeering and repairing a damaged vehicle, demonstrating mechanical repair gameplay and collaborative skill usage. The session concludes with the party navigating across the desert using improvised technology to track tire marks toward their adversaries — emphasizing exploration and skill-driven storytelling in tabletop RPG actual play teaching examples. Overall, this consolidated episode functions as a practical tutorial on how actual play sessions model rule application, improvisation, and narrative escalation, blending cinematic pulp action with procedural gameplay instruction. Key Takeaways Actual play is an effective way to learn Pulp Cthulhu rules and gameplay flow in context Character introductions reinforce narrative hooks and mechanical identity Skill checks drive storytelling outcomes — success and failure both move plot forward Combat showcases initiative, cover, and pulp-action pacing Environmental hazards highlight survival and problem-solving mechanics Collaborative play enables creative solutions beyond strict rules Resource scavenging and clue discovery reinforce investigation gameplay Vehicle repair and navigation demonstrate non-combat system depth Narrative escalation illustrates long-form campaign structure Session ends with forward momentum toward mythos investigation and pursuit Welcome to the RPGBOT Podcast. If you love Dungeons & Dragons, Pathfinder, and tabletop RPGs, this is the podcast for you. Support the show for free: Rate and review us on Apple Podcasts, Spotify, or any podcast app. It helps new listeners find the best RPG podcast for D&D and Pathfinder players. Level up your experience: Join us on Patreon to unlock ad-free access to RPGBOT.net and the RPGBOT Podcast, chat with us and the community on the RPGBOT Discord, and jump into live-streamed RPG podcast recordings. Support while you shop: Use our Amazon affiliate link at https://amzn.to/3NwElxQ and help us keep building tools and guides for the RPG community. Meet the Hosts Tyler Kamstra – Master of mechanics, seeing the Pathfinder action economy like Neo in the Matrix. Randall James – Lore buff and technologist, always ready to debate which Lord of the Rings edition reigns supreme. Ash Ely – Resident cynic, chaos agent, and AI's worst nightmare, bringing pure table-flipping RPG podcast energy. Join the RPGBOT team where fantasy roleplaying meets real strategy, sarcasm, and community chaos. How to Find Us: In-depth articles, guides, handbooks, reviews, news on Tabletop Role Playing at RPGBOT.net Tyler Kamstra BlueSky: @rpgbot.net TikTok: @RPGBOTDOTNET Ash Ely Professional Game Master on StartPlaying.Games BlueSky: @GravenAshes YouTube: @ashravenmedia Randall James BlueSky: @GrimoireRPG Amateurjack.com Read Melancon: A Grimoire Tale (affiliate link) Producer Dan @Lzr_illuminati

There are two ways to learn a tabletop RPG: read the rulebook… or get shot at on a collapsing train while chasing occult Nazis across North Africa. In this RPGBOT.Quickstart actual play of Pulp Cthulhu, the crew demonstrates how cinematic pulp RPG sessions actually unfold — complete with relic thefts, hypnotized enemies, catastrophic dice rolls, and a physics-defying jetpack solution. If you've ever wondered how Call of Cthulhu actual play gameplay, learning Pulp Cthulhu through play, or tabletop RPG session flow examples look in the wild, this episode shows you — loudly, chaotically, and probably while someone is falling off a cliff. Show Notes This installment of the RPGBOT Quickstart actual play series transitions from theory into demonstration, showcasing how to learn Pulp Cthulhu gameplay mechanics through live play. Following prior episodes on system concepts and character creation, the cast introduces their pulp-era investigators — including an eccentric engineer and a circus-trained occult bruiser — tasked by an FBI occult task force to intercept Nazi relic hunters in 1935. The scenario begins aboard a desert-bound train headed toward a meeting with archaeologist Iowa Roberts, where the party examines a mysterious artifact that functions like a supernatural compass pointing toward the mythical desert city tied to forbidden lore. Their investigation is interrupted when the rival occult agent Scarlet Arachnus steals the relic during a catastrophic derailment, throwing the game immediately into cinematic action and demonstrating combat initiative, skill rolls, and survival mechanics in Call of Cthulhu actual play. Escaping a precariously hanging train car, the players confront armed enemies, navigate terrain hazards, and showcase mechanical problem-solving through teamwork and skill checks — highlighting how dice outcomes shape narrative consequences. The action continues across exposed train cars with firefights against heavily armed foes, illustrating tactical movement, cover usage, and pulp-style heroics. After surviving the encounter and sabotaging the collapsing train, the group scavenges supplies, uncovers clues, and discovers evidence of a larger occult plot: a map referencing desert pillars and connections to mythic texts associated with forbidden knowledge. Realizing they've handed the artifact to their enemies, they pivot to pursuit — commandeering and repairing a damaged vehicle, demonstrating mechanical repair gameplay and collaborative skill usage. The session concludes with the party navigating across the desert using improvised technology to track tire marks toward their adversaries — emphasizing exploration and skill-driven storytelling in tabletop RPG actual play teaching examples. Overall, this consolidated episode functions as a practical tutorial on how actual play sessions model rule application, improvisation, and narrative escalation, blending cinematic pulp action with procedural gameplay instruction. Key Takeaways Actual play is an effective way to learn Pulp Cthulhu rules and gameplay flow in context Character introductions reinforce narrative hooks and mechanical identity Skill checks drive storytelling outcomes — success and failure both move plot forward Combat showcases initiative, cover, and pulp-action pacing Environmental hazards highlight survival and problem-solving mechanics Collaborative play enables creative solutions beyond strict rules Resource scavenging and clue discovery reinforce investigation gameplay Vehicle repair and navigation demonstrate non-combat system depth Narrative escalation illustrates long-form campaign structure Session ends with forward momentum toward mythos investigation and pursuit Welcome to the RPGBOT Podcast. If you love Dungeons & Dragons, Pathfinder, and tabletop RPGs, this is the podcast for you. Support the show for free: Rate and review us on Apple Podcasts, Spotify, or any podcast app. It helps new listeners find the best RPG podcast for D&D and Pathfinder players. Level up your experience: Join us on Patreon to unlock ad-free access to RPGBOT.net and the RPGBOT Podcast, chat with us and the community on the RPGBOT Discord, and jump into live-streamed RPG podcast recordings. Support while you shop: Use our Amazon affiliate link at https://amzn.to/3NwElxQ and help us keep building tools and guides for the RPG community. Meet the Hosts Tyler Kamstra – Master of mechanics, seeing the Pathfinder action economy like Neo in the Matrix. Randall James – Lore buff and technologist, always ready to debate which Lord of the Rings edition reigns supreme. Ash Ely – Resident cynic, chaos agent, and AI's worst nightmare, bringing pure table-flipping RPG podcast energy. Join the RPGBOT team where fantasy roleplaying meets real strategy, sarcasm, and community chaos. How to Find Us: In-depth articles, guides, handbooks, reviews, news on Tabletop Role Playing at RPGBOT.net Tyler Kamstra BlueSky: @rpgbot.net TikTok: @RPGBOTDOTNET Ash Ely Professional Game Master on StartPlaying.Games BlueSky: @GravenAshes YouTube: @ashravenmedia Randall James BlueSky: @GrimoireRPG Amateurjack.com Read Melancon: A Grimoire Tale (affiliate link) Producer Dan @Lzr_illuminati

Your excuses aren't stupid — they're reasonable. And that's exactly why they're keeping you stuck. In this episode, I'm lovingly calling out the busy moms who keep waiting for the "right time" to focus on themselves. If you're tired of feeling frustrated, overwhelmed, and stuck in the same cycle, this is the wake-up call you didn't know you needed.

Coerce to commit mortal sin? Affirmative action evil? Pelagianism? Join us for Open Line Monday with Fr. John Trigilio.

Although conflicts are inevitable among siblings, it's possible for parents to establish healthy boundaries for a more harmonious home life. To support this ministry financially, visit: https://www.oneplace.com/donate/779/29?v=20251111

Where are the police in the kingdom of God?; Church took the place of the Pharisees; Sadducees; Zealots; Uncovering fraud and corruption; ICE as police; Confronting the perpetrators; John the Baptist; Christ's solution for Judea; Making the word of God to none effect; Reasonable ministry; Who are the policemen?; Citizen's arrest; Legitimate powers of governments; 10th amendment; People's police power?; Understanding common sense of police powers; Ex: government of Sumer; Principles of law; Consent; Taxation without representation?; Chain of consent; English common law?; Police powers connected to the courts; Welfare of the people = supreme law; Use of your property not to injure others; Kingdom police is everybody; Sheriff (Shire reeve); Tithingmen; Aoldermen; Police - health, safety and general welfare; Responsibility of the people; Citizenship of the United States; "We the People"; Q from Katwellair - Biblical Constitution? Limitations on the king/government; Rebels; Kingly powers; Facts vs feelings; Sitting in darkness - eyes have been darkened; Appetite for benefits; Bringing light into society; Power of the Holy Spirit; Individuals; Avoiding blaming others; Organization of police activities; Lacking of faith; Worshipping imaginary Christs; People becoming early Christians; Evidence of non-Christianity; Build the altars first; Gathering to serve like Christ; Codified laws; Tens; "Stoning"; Allowing light into your life; Freewill offerings (charity) alone; Welfare from modern churches?; Desire to save others; Understanding what Moses and Christ were doing; Strength of ancient Israel; Riot in Christ's time; Tens, Hundreds and Thousands; Temple police; Cities of refuge; Christs commands; Freeing others; Q from Mark: Police powers in The Church; Abandoned freedoms and rights; Non-standing of those sitting in darkness; Sacrifice like Christ did; Don't waste time: Make room for Holy Spirit within you.

WAIT CONFERENCE| 2026-Day 16| WORSHIP AS DIVINE REASONING And AGREEMENT WITH GOD In this powerful session of WAIT CONFERENCE'26, worship is unveiled as more than ritual or song, it is the normal attitude of a rational creature rightly aligned with its Creator. As Christians, our culture is faith, and our ideal response to the Father is worship (Romans 12:1). To withhold worship is not to deprive God, but to shortchange ourselves of His wisdom, presence, and transforming power.  Here, worship is described as divine reasoning (Isaiah 1:18). The logic of God, His wisdom, operates at a frequency beyond human comprehension, and it is revealed through speech. What we say reflects whether we are living worship or magnifying the enemy. Speaking life over our bodies and circumstances (Romans 8:9; 1 Corinthians 3:16) is proof of worship, while careless, vulgar, or carnal speech distorts divine logic.  This session highlights:  - Speech as worship: Reasonable service is revealed in the words of a believer. You cannot speak death and expect the logic of life.  - Cain vs. Abel: Cain's flawed logic contrasted with Abel's pleasing offering reminds us that worship must align with God's reasoning.  - Guarding the mouth: An unguided tongue cannot give God reasonable service (Ecclesiastes 5:6). Words like “I am sick” negate God's promises (Isaiah 33:24) and reveal whether we are worshippers or wailers.  - The mind of Christ: Worship is giving God mental consent to rule our thoughts (Philemon 1:14). It is agreeing with God even when circumstances contradict.  - Worship as consistent offering: Sin distorts logic and common sense, but worship restores alignment, allowing our souls to be controlled by God.  This challenges us to embrace worship as a life of agreement with God, where our words, thoughts, and attitudes reflect divine logic rather than human reasoning. Worship is not simply an act; it is the continuous offering of our minds, speech, and souls to the Creator.  Tune in to this session and discover how worship transforms reasoning, speech, and thought into a living testimony of faith.  Jesus is Lord.

Emilia said this place is perfect for a quick lunch in the city!See omnystudio.com/listener for privacy information.

After years of loose fiscal policy across multiple levels of government, Surrey's newest public elementary school reflects more moderate construction costs.   Read the full article here: https://www.coastalfront.ca/read/bc-completes-44m-elementary-school-costs-far-more-reasonable   PODCAST INFO:

S2 Underground Nexus (Submit Tips Here): https://nexus-s2underground.hub.arcgis.com/ Research Notes/Bibliography can be found here: https://publish.obsidian.md/s2underground Common Intelligence Picture: https://www.arcgis.com/home/item.html?id=204a59b01f4443cd96718796fd102c00 Border Crisis Map: https://www.arcgis.com/home/item.html?id=7f13eda1f301431e98a7ac0393b0e6b0 TOC Dashboard: https://experience.arcgis.com/experience/ebe374c40c1a4231a06075155b0e8cb9/ 00:00 - Global Strategic Concerns 02:35 - Strategic Movement 04:32 - Iran 13:52 - Minneapolis 22:15 - Overall Perspective 24:22 - GhostNet Reports Download the GhostNet plan here! https://github.com/s2underground/GhostNet The text version of the Wire can be found on Twitter: https://twitter.com/s2_underground And on our Wire Telegram page here: https://t.me/S2undergroundWire If you would like to support us, we're on Patreon! https://www.patreon.com/user?u=30479515 Disclaimer: No company sponsored this video. In fact, we have ZERO sponsors. We are funded 100% by you, the viewer. All of our funding comes from direct support from platforms like Patreon, or from ad revenue on YouTube. Without your support, I simply could not do this work at all, so to those of you who chose to support my efforts, I am eternally thankful. Odysee: https://odysee.com/@S2Underground:7 Gab: https://gab.com/S2underground Rumble: https://rumble.com/c/S2Underground BitChute: https://www.bitchute.com/channel/P2NMGFdt3gf3/ Just a few reminders for everyone who's just become aware of us, in order to keep these briefings from being several hours long, I can't cover everything. I'm probably covering 1% of the world events when we conduct these briefings, so please remember that if I left it out, it doesn't necessarily mean that it's unimportant. Also, remember that I do these briefings quite often, so I might have covered an issue previously that you might not see if you are only watching our most recent videos. I'm also doing this in my spare time, so again I fully admit that these briefings aren't even close to being perfect; I'm going for a healthy blend of speed and quality. If I were to wait and only post a brief when it's "perfect" I would never post anything at all. So expect some minor errors here and there. If there is a major error or correction that needs to be made, I will post it here in the description, and verbally address it in the next briefing. Also, thanks for reading this far. It is always surprising the number of people that don't actually read the description box to find more information. This content is purely educational and does not advocate for violating any laws. Do not violate any laws or regulations. This is not legal advice. Consult with your attorney. Our Reading List! https://www.goodreads.com/user/show/133747963-s2-actual The War Kitchen Channel! https://www.youtube.com/channel/UCYmtpjXT22tAWGIlg_xDDPA 

Today's conclusion of "It is reasonable" both finishes some thoughts and opens the door to serving God with your whole heart!  It does make sense if you believe in Jesus!

In part one of "It is reasonable", Pastor Al Dagel looks at how reasonable it is to serve our Savior.  You'll enjoy the conclusion tomorrow.

Auburn enters a new era with Alex Golesh leading the program, so what are reasonable expectations in Year One? This episode breaks down what success should look like in Golesh's first season, from win totals and bowl eligibility to player development, roster fit, and overall competitiveness. We discuss how to evaluate progress beyond the final record and what matters most as Auburn begins building toward the future. It's a clear-eyed look at what fans should realistically expect from Auburn football this season. Learn more about your ad choices. Visit megaphone.fm/adchoices

Send us a textThe February 1, 2026 episode of Views on the News from the Couch started in a weird way. I basically spent a morning arguing with my AI assistant so I probably should call this one “Questions from the Couch,” but instead let's go with:“I'm pissed my reasonable views are called racist, fascist and Nazi‑ish—and AI helped me understand why.”I'm going to walk you through the conversation, because it actually helped me see what's going on.

A courtroom isn't a referendum on character, and we dig into why that principle matters. We break down the Supreme Court of Canada's updated guidance on Corbett applications—the rules that govern when an accused's criminal record can be used to challenge credibility. We talk plainly about the balancing test judges apply: weigh probative value against unfair prejudice. Dishonesty offences like fraud and perjury can be highly relevant to truthfulness; dated youth convictions for non‑deceitful violence usually are not. In the case we cover, the trial judge erred by admitting the latter, but the conviction still stood because the evidence was overwhelming. It's a sharp lesson in tailoring cross‑examination to credibility, not propensity.Then we pivot to travel law with a surprising twist: a passenger burns his hand serving oatmeal in an airline lounge and sues. We map the Montreal Convention's strict liability regime and why “embarking” is the line that matters. Being in a branded lounge past security isn't enough; you need to be within the airline's boarding control, like lined up at the gate. With the Convention off the table, the claim turns on occupiers' liability. Reasonable safety does not mean perfect safety, and common sense counts. Hot food is hot, a clear flame symbol was present, and there was no proof of excessive temperature or unsafe setup—so no negligence.We close with a procedural reality check: reopening a case after you lose is rare. Courts will only allow it to prevent a miscarriage of justice, not to offer a second chance to fix gaps in evidence. Across these stories, a consistent theme emerges: Canadian law protects fairness through careful boundaries—on what juries hear, when airlines are strictly liable, how far safety duties go, and when a judgment is truly final. Enjoy the tour through credibility, common carriers, and courtroom finality—and if this resonates, follow, share, and leave a review to help others find the show.Follow this link for a transcript of the show and links to the cases discussed.

The Steelers have a new head coach. After going through the initial reactions to set a baseline, next up is to establish reasonable expectations going forward. Dave Schofield and Greg Benevent have you covered coast-to-coast as they attempt to bring a reasonable perspective on the Steelers from different time zones. But no matter where they reside, they both have their clocks adjusted to Pittsburgh Standard Time. Whether you're looking to turn Game Day into an unforgettable experience with friends or want to impress a loved one on Valentine's Day, go to GOLDBELLY.com and get 20% off your first order with promo code STEELCURTAIN. Learn more about your ad choices. Visit megaphone.fm/adchoices

Mike leads a discussion on reducing contract cancellations in real estate, emphasizing the importance of setting and maintaining reasonable expectations with clients. Mike advises agents to educate clients about the realities of the housing market, such as inspection outcomes and typical negotiation ranges. They also highlight the importance of credit approval for buyers to avoid last-minute stress and suggests avoiding problematic inspectors. Mike challenges agents to adopt a more advisory role to improve client satisfaction and transaction success rates.

Hear award-winning columnist Dejan Kovacevic's Daily Shots of Steelers, Penguins and Pirates -- three separate podcasts -- every weekday morning on the DK Pittsburgh Sports podcasting network, available on all platforms: https://linktr.ee/dkpghsports Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Michael takes a careful look at the fatal shooting of Alex Pretti, pushing past slogans and snap judgments to examine what the law actually requires. Analyzing video evidence, use-of-force standards, and the “reasonable officer” test, Michael explains why this case may be fundamentally different from similar recent incidents—and why at least one officer could face serious legal exposure. A conversation about policing, protests, guns, and the cost of abandoning nuance. Hosted by Simplecast, an AdsWizz company. See https://pcm.adswizz.com for information about our collection and use of personal data for advertising.

Which "within the margins" trades should Trajan Langdon pursue ahead of the NBA Trade Deadline?

Brad Yates uses EFT tapping to address the frustration of expecting others to be reasonable, supporting more realistic expectations and greater emotional ease in relationships.

******Support the channel******Patreon: https://www.patreon.com/thedissenterPayPal: paypal.me/thedissenterPayPal Subscription 1 Dollar: https://tinyurl.com/yb3acuuyPayPal Subscription 3 Dollars: https://tinyurl.com/ybn6bg9lPayPal Subscription 5 Dollars: https://tinyurl.com/ycmr9gpzPayPal Subscription 10 Dollars: https://tinyurl.com/y9r3fc9mPayPal Subscription 20 Dollars: https://tinyurl.com/y95uvkao ******Follow me on******Website: https://www.thedissenter.net/The Dissenter Goodreads list: https://shorturl.at/7BMoBFacebook: https://www.facebook.com/thedissenteryt/Twitter: https://x.com/TheDissenterYT This show is sponsored by Enlites, Learning & Development done differently. Check the website here: http://enlites.com/ Dr. Alberto Acerbi is an Associate Professor of Sociology at the University of Trento. He is a cognitive/evolutionary anthropologist with a particular interest in computational science. He is the author of “Tecnopanico. Media digitali, tra ragionevoli cautele e paure ingiustificate” (“Technopanic: Digital Media, Between Reasonable Caution and Unjustified Fears”). In this episode, we focus on Tecnopanico. We first talk about moral panics surrounding new technology. We discuss misinformation, and whether people easily fall for it. We talk about conspiracy theories, whether people really are in online echo chambers, whether algorithms know us better than ourselves, and whether people can fall into “rabbit holes” on social media. We discuss the supposed link between social media use and mental health outcomes, the problem with monocausal explanations, and whether there is such a thing as “social media addiction”. Finally, we discuss whether bans on smartphones and social media work, and the negative effects of alarmist narratives.--A HUGE THANK YOU TO MY PATRONS/SUPPORTERS: PER HELGE LARSEN, BERNARDO SEIXAS, ADAM KESSEL, MATTHEW WHITINGBIRD, ARNAUD WOLFF, TIM HOLLOSY, HENRIK AHLENIUS, ROBERT WINDHAGER, RUI INACIO, ZOOP, MARCO NEVES, COLIN HOLBROOK, PHIL KAVANAGH, SAMUEL ANDREEFF, FRANCIS FORDE, TIAGO NUNES, FERGAL CUSSEN, HAL HERZOG, NUNO MACHADO, JONATHAN LEIBRANT, JOÃO LINHARES, STANTON T, SAMUEL CORREA, ERIK HAINES, MARK SMITH, JOÃO EIRA, TOM HUMMEL, SARDUS FRANCE, DAVID SLOAN WILSON, YACILA DEZA-ARAUJO, ROMAIN ROCH, YANICK PUNTER, CHARLOTTE BLEASE, NICOLE BARBARO, ADAM HUNT, PAWEL OSTASZEWSKI, NELLEKE BAK, GUY MADISON, GARY G HELLMANN, SAIMA AFZAL, ADRIAN JAEGGI, PAULO TOLENTINO, JOÃO BARBOSA, JULIAN PRICE, HEDIN BRØNNER, FRANCA BORTOLOTTI, GABRIEL PONS CORTÈS, URSULA LITZCKE, SCOTT, ZACHARY FISH, TIM DUFFY, SUNNY SMITH, JON WISMAN, WILLIAM BUCKNER, LUKE GLOWACKI, GEORGIOS THEOPHANOUS, CHRIS WILLIAMSON, PETER WOLOSZYN, DAVID WILLIAMS, DIOGO COSTA, ALEX CHAU, CORALIE CHEVALLIER, BANGALORE ATHEISTS, LARRY D. LEE JR., OLD HERRINGBONE, MICHAEL BAILEY, DAN SPERBER, ROBERT GRESSIS, JEFF MCMAHAN, JAKE ZUEHL, MARK CAMPBELL, TOMAS DAUBNER, LUKE NISSEN, KIMBERLY JOHNSON, JESSICA NOWICKI, LINDA BRANDIN, VALENTIN STEINMANN, ALEXANDER HUBBARD, BR, JONAS HERTNER, URSULA GOODENOUGH, DAVID PINSOF, SEAN NELSON, MIKE LAVIGNE, JOS KNECHT, LUCY, MANVIR SINGH, PETRA WEIMANN, CAROLA FEEST, MAURO JÚNIOR, 航 豊川, TONY BARRETT, NIKOLAI VISHNEVSKY, STEVEN GANGESTAD, TED FARRIS, HUGO B., JAMES, JORDAN MANSFIELD, CHARLOTTE ALLEN, PETER STOYKO, DAVID TONNER, LEE BECK, PATRICK DALTON-HOLMES, NICK KRASNEY, RACHEL ZAK, DENNIS XAVIER, CHINMAYA BHAT, AND RHYS!A SPECIAL THANKS TO MY PRODUCERS, YZAR WEHBE, JIM FRANK, ŁUKASZ STAFINIAK, TOM VANEGDOM, BERNARD HUGUENEY, CURTIS DIXON, BENEDIKT MUELLER, THOMAS TRUMBLE, KATHRINE AND PATRICK TOBIN, JONCARLO MONTENEGRO, NICK GOLDEN, CHRISTINE GLASS, IGOR NIKIFOROVSKI, AND PER KRAULIS!AND TO MY EXECUTIVE PRODUCERS, MATTHEW LAVENDER,SERGIU CODREANU, AND GREGORY HASTINGS!

Good morning and welcome back! Thank you for worshiping with us today! We're very glad you're here to join us! We believe God is calling us to engage and inspire all people to share God's love, grow in faith, and serve as disciples. New video every Sunday RIGHT HERE @ 10am. (CT) We invite you to share this video and check out our socials below to stay more connected with us. Check out our New Merchandise Shop! https://theperidotpig.com/collections/park-ridge-presbyterian-church ______SOCIALS______ Our

HOUR 3: Define reasonable. full 2213 Fri, 23 Jan 2026 22:00:00 +0000 SXa7dtThcNKSRWHvNhhxvhbLXuYAvOgF news The Dana & Parks Podcast news HOUR 3: Define reasonable. You wanted it... Now here it is! Listen to each hour of the Dana & Parks Show whenever and wherever you want! © 2025 Audacy, Inc. News False https://player.amperwavepodcasting.com?feed-link=https%3A%2F%2Frss

When the U.S. government released the new 2025–2030 Dietary Guidelines for Americans, most people probably didn't notice what didn't make headlines. But something important changed. For the first time in decades, the federal government removed specific drinking limits from its alcohol guidance. Gone was the already-weak recommendation of no more than one drink per day for women. Also missing? Any clear warning about alcohol's well-established link to cancer. What replaced it was vague language encouraging people to “drink less.” That might sound harmless. Reasonable, even. But when you look closely at the science—and the political and economic forces surrounding alcohol—this shift isn't neutral. It's dangerous. And it represents a clear retreat from evidence-based public health guidance at a time when alcohol-related harm in the U.S. is rising. In this episode, I'm taking a position:The new U.S. alcohol guidelines caved to Big Alcohol—and the consequences matter. For the full show notes, kindly go to this podcast episode link: https://hellosomedaycoaching.com/the-new-u-s-alcohol-guidelines-caved-to-big-alcohol-and-why-thats-dangerous/ 4 Ways I Can Support You In Drinking Less + Living More Join The Sobriety Starter Kit, the only sober coaching course designed specifically for busy women. My proven, step-by-step sober coaching program will teach you exactly how to stop drinking  — and how to make it the best decision of your life. Save your seat in my FREE MASTERCLASS, 5 Secrets To Successfully Take a Break From Drinking  Grab the Free 30-Day Guide To Quitting Drinking, 30 Tips For Your First Month Alcohol-Free. Connect with me for free sober coaching tips, updates + videos on YouTube, Instagram, Facebook, Pinterest and TikTok @hellosomedaysober. Love The Podcast and Want To Say Thanks? ☕ Buy me a coffee! In the true spirit of Seattle, coffee is my love language. So if you want to support the hours that go into creating this show each week, click this link to buy me a coffee and I'll run to the nearest Starbucks + lift a Venti Almond Milk Latte and toast to you! https://www.buymeacoffee.com/hellosomeday 

Description This week on Talking Shit About Nothing, the boys are freezing their butts off in New England — but at least the Patriots are still playing football and heading to the AFC Championship against the Broncos. Richie is absolutely pumped and fully locked into playoff mode, while Jimmy finds himself catching the football bug and isn't quite sure how to handle it. Emotions are high, temperatures are low, and playoff nerves are officially setting in. The conversation takes a turn into some classic TSAN hypotheticals, including: If you were a landlord and your tenant stopped paying rent… what's your move? Reasonable adult solutions? Probably not. So bundle up for this one — it's cold outside, but the takes are scorching hot. ❄️

Pastor's Corner Bible Study at Heartfelt Radio with Burch and Lisa. Have you ever felt like you were in a "control freak" spiral?

Paying yourself incorrectly as an S Corp owner creates quiet IRS risk, cash stress, and year-end cleanup that many business owners don't see coming. In this episode of Business By The Books, Danielle explains what reasonable compensation actually means, why payroll must come before owner draws, and how setting this up early can save you stress later in the year. You'll learn: What reasonable compensation means for S Corp owners Why underpaying yourself through payroll creates future tax problems The IRS rule that requires payroll before owner draws How paying yourself through payroll supports long-term business value What to do now so you're not fixing this under pressure at year-end Key topics: Quiet IRS risk from paying yourself incorrectly Why business owners delay payroll and regret it later Reasonable compensation and owner draw rules Why Quarter One matters   Sources:

Paying yourself incorrectly as an S Corp owner creates quiet IRS risk, cash stress, and year-end cleanup that many business owners don't see coming. In this episode of Business By The Books, Danielle explains what reasonable compensation actually means, why payroll must come before owner draws, and how setting this up early can save you stress later in the year. You'll learn: What reasonable compensation means for S Corp owners Why underpaying yourself through payroll creates future tax problems The IRS rule that requires payroll before owner draws How paying yourself through payroll supports long-term business value What to do now so you're not fixing this under pressure at year-end Key topics: Quiet IRS risk from paying yourself incorrectly Why business owners delay payroll and regret it later Reasonable compensation and owner draw rules Why Quarter One matters   Sources:

Can Therapists Start a Union? The Antitrust Trap, the Shadow Committee, and the Economic Strangulation of American Psychotherapy Analyzing America's Healthcare Regulations and Their Effect on Us: Why the Law Prevents Therapists from Organizing While Allowing a Private Committee to Fix Prices for the Entire Medical System https://gettherapybirmingham.com/can-therapists-start-a-union-spoiler-alert-they-cant/ The Monthly Rage Thread If you hang around therapist forums long enough, you will see it happen. It operates with the regularity of the tides. Someone posts a thread, usually after receiving a contract from an insurance company offering 1998 rates for 2025 work, and asks the obvious question: “We are the ones providing the care. The system collapses without us. Why don't we just all go on strike? Why don't we form a union and demand fair pay?” It is a logical question. In almost every other sector of the economy, workers who feel exploited band together to negotiate better terms. Screenwriters shut down Hollywood to get paid for streaming residuals. Auto workers walk off the line. Teachers fill the state capitol. Nurses at major hospital systems have successfully unionized and won significant concessions. So why, in the midst of a national mental health crisis, does the mental health workforce remain so politically impotent? The answer is not that we lack will. It is not that we lack organization. The answer is that for private practice therapists, forming a union is a federal crime. This is not a political manifesto. It is an analysis of the bizarre regulatory environment that governs American healthcare, a system of antitrust laws, shadow committees, and bureaucratic classifications that effectively strips clinicians of their bargaining power while empowering the corporations that pay them. If you want to understand why corporate tech monopolies are ruining therapy, or why the corporatization of healthcare feels so suffocating, you have to understand the legal straitjacket we are all wearing. And you have to understand the one group that is allowed to set prices, the one group exempt from the rules that bind the rest of us. Part I: You Are Not a Worker, You Are a Standard Oil Tycoon The primary reason therapists cannot unionize dates back to the era of oil barons and railroad tycoons. The Sherman Antitrust Act of 1890 was designed to prevent massive corporations like Standard Oil from colluding to fix prices and destroy the free market. It prohibits “every contract, combination… or conspiracy, in restraint of trade.” The law was a response to genuine abuses: companies buying up competitors, dividing territories, and coordinating prices to gouge consumers who had no alternatives. Here is the catch: In the eyes of the federal government, a private practice therapist is not a “worker.” You are a business entity. Even if you are a solo practitioner struggling to pay rent in a subleased office, seeing clients between crying in your car and eating lunch at your desk, the law views you as the CEO of a micro-corporation. You are classified as a 1099 independent contractor, not a W-2 employee, and that distinction makes all the difference in the world. If two workers at Starbucks talk about their wages and agree to ask for a raise, that is “collective bargaining,” which is protected by the National Labor Relations Act. But if two private practice therapists talk about their reimbursement rates and agree to ask Blue Cross for a raise, that is “price-fixing.” It is legally indistinguishable, in the eyes of the Federal Trade Commission, from gas stations conspiring to raise the price of unleaded. It sounds absurd, but the FTC takes it deadly seriously. When independent contractors organize to demand higher rates, when they share information about what they are being paid and coordinate their responses, they are engaging in horizontal price-fixing, one of the most serious violations of antitrust law. The Sherman Act provides for criminal penalties, including fines and imprisonment. The law that was meant to break up monopolies is now used to prevent social workers from asking for a cost-of-living adjustment. The irony is crushing. The same regulatory framework that prevents two therapists from discussing their rates allows massive insurance conglomerates to merge repeatedly, concentrating buyer power in fewer and fewer hands. UnitedHealth Group, for example, has acquired dozens of companies over the past two decades, becoming the largest healthcare company in the United States. When they offer a “take it or leave it” contract to providers, they do so with the full knowledge that fragmented, legally prohibited from organizing therapists have no counter-leverage. The antitrust laws, designed to prevent monopoly power, have created a system where sellers are atomized and buyers are consolidated. Economists call this “monopsony,” and it is precisely the market distortion the Sherman Act was supposed to prevent. Part II: The Day the “Learned Profession” Died For a long time, doctors and lawyers thought they were exempt from these laws. They argued that they were “learned professions,” not mere tradespeople, and therefore above the grubby laws of commerce. They believed that their ethical obligations to patients and clients set them apart from the rules that governed steel mills and meatpacking plants. Medicine was a calling, not a business, and surely the government would not regulate the sacred doctor-patient relationship as if it were a commercial transaction. That illusion was shattered in 1975 by the Supreme Court case Goldfarb v. Virginia State Bar. The case involved lawyers, not doctors, but its implications cascaded through every licensed profession in America. The Goldfarbs were purchasing a home and needed a title examination. The Virginia State Bar had established a minimum fee schedule for such services, and every lawyer they contacted quoted the exact same price. They sued, arguing that this fee schedule was illegal price-fixing. The Supreme Court agreed. In a unanimous decision, the Court ruled that professional services, including legal and medical advice, are “trade or commerce” subject to antitrust laws. The “learned profession” exemption, which had been assumed but never explicitly established in law, was declared a myth. “The nature of an occupation, standing alone,” the Court wrote, “does not provide sanctuary from the Sherman Act.” This ruling was intended to lower prices for consumers by preventing lawyers from setting minimum fees, and in that narrow sense it was a good thing. But in healthcare, it had a catastrophic side effect: it made it illegal for doctors and therapists to band together to resist the pricing power of insurance companies. The “learned profession” exemption is dead. We are now just businesses, and businesses are not allowed to hold hands. This creates the illusion of progress: we have “free market” competition among providers, but monopsony power among payers. It is a market where the sellers are forbidden from organizing, but the buyers are allowed to merge until they are too big to fail. The result is not a free market at all. It is a market designed to transfer wealth from one class (providers) to another (insurers and administrators), with the law itself serving as the enforcement mechanism. Part III: The Cartel in the Basement If therapists cannot collude to set prices, surely nobody else can, right? Wrong. There is one group in American healthcare that is allowed to meet in a room, decide what every doctor's time is worth, and set prices for the entire industry. It is called the RUC, the AMA/Specialty Society Relative Value Scale Update Committee. And understanding the RUC is the key to understanding why talk therapy is dying in the medical model, why psychiatrists abandoned the couch for the prescription pad, and why your insurance company offers you a ghost network of providers who never answer the phone. The Birth of a Shadow Government To comprehend the current crisis in mental health economics, one must excavate the foundations of the physician payment system. Prior to 1992, Medicare reimbursed physicians based on a system known as “Customary, Prevailing, and Reasonable” charges. Under this system, physicians were paid based on their historical billing charges. It was inherently inflationary; it rewarded those who raised their fees most aggressively and created wide geographic disparities for identical services. In response to spiraling costs, Congress passed the Omnibus Budget Reconciliation Act of 1989, mandating a transition to a fee schedule based on the resources required to provide a service. This birthed the Resource-Based Relative Value Scale. The intellectual architecture for this system was developed by a team of economists at Harvard University, led by William Hsiao. Hsiao's team sought to create a “unified theory” of medical value, attempting to quantify the “work” involved in disparate medical acts, comparing the cognitive intensity of a psychiatric evaluation with the technical skill of a hernia repair. The Harvard study was revolutionary. It promised to level the playing field, suggesting that cognitive services, the thinking and talking that comprises primary care and mental health, were vastly undervalued relative to surgical procedures. Had Hsiao's original recommendations been implemented purely, the income gap between generalists and specialists might have narrowed significantly. But the administrative complexity of assigning values to over 7,000 Current Procedural Terminology codes overwhelmed the Health Care Financing Administration. Into this administrative vacuum stepped the American Medical Association. The AMA, fearing that the government would unilaterally set prices, proposed a “partnership.” They would convene a committee of experts to maintain and update the relative values, providing this labor-intensive service to the government at no cost. The government accepted. Thus, in 1991, the RUC was born, not as a government agency, but as a private advisory body with unparalleled influence over public funds. The Architecture of Control The RUC's claim to legitimacy rests on its status as an “expert panel.” But a structural analysis of its composition reveals a profound bias that mimics the governance of a cartel designed to protect incumbent interests. The committee consists of 32 members, but power is concentrated in the 29 voting seats. Of these, 21 seats are appointed by major national medical specialty societies. The distribution is not proportional to the volume of services provided to Medicare beneficiaries, nor is it proportional to the physician workforce. Instead, it is frozen in a historical moment that favored high-technology specialties. Primary care physicians, who perform roughly 45 to 50 percent of Medicare work, hold approximately 4 to 5 seats, giving them about 17 percent of the vote. Procedural and surgical specialties, including surgery, radiology, and anesthesiology, hold 15 to 18 seats, giving them roughly 60 percent of the vote despite performing only 35 to 40 percent of Medicare work. The American Psychiatric Association holds a single seat. One seat. This lone representative must negotiate with a supermajority of specialists, neurosurgeons, cardiothoracic surgeons, radiologists, and ophthalmologists, whose financial interests are often diametrically opposed to the valuation of cognitive work. The cartel dynamic is enforced by a statutory requirement of budget neutrality. The Medicare Physician Fee Schedule is a zero-sum game. If the total relative value units projected for a given year exceed the budget, a “scaler” is applied to reduce the conversion factor, effectively cutting everyone's pay. Therefore, any proposal to increase the value of psychotherapy, which would increase the total RVU spend, effectively asks every surgeon in the room to take a pay cut to fund the raise for psychiatrists. Given that a two-thirds majority is required to pass a recommendation, the procedural bloc holds absolute veto power over any redistribution of wealth. The Secret Chamber A hallmark of cartel behavior is the restriction of information. For nearly two decades, the RUC operated in near-total secrecy. While recent years have seen minor concessions to transparency, such as the publication of vote totals, the core deliberative process remains opaque. RUC meetings are private. The public, the press, and even non-RUC physicians are largely barred from attending the deliberations where billions of tax dollars are allocated. Participants, including the specialty advisors who present data, must sign strict non-disclosure agreements. These agreements prevent them from discussing the specific tradeoffs, deals, or arguments made within the chamber. A former RUC participant described these agreements as “draconian,” designed to insulate the committee from public accountability. The Government Accountability Office and the Center for American Progress have noted the inherent conflict of interest. The individuals setting the prices are the same individuals who receive the payments. Unlike a regulatory agency, where officials are salaried and divested of industry assets, RUC members are practicing physicians whose personal incomes are directly tied to the decisions they make. This secrecy serves a functional purpose: it allows for “logrolling.” A representative from Orthopedics might support an inflated value for a Cardiology code in exchange for Cardiology's support on a Knee Replacement code. This “I'll scratch your back” dynamic creates an upward pressure on procedural values that excludes those outside the dominant coalition, specifically primary care and mental health. The Antitrust Shield Why has the Department of Justice not broken up this cartel? The legal shield is the Noerr-Pennington Doctrine. This Supreme Court doctrine establishes that private entities are immune from antitrust liability when they are petitioning the government. Because the RUC technically only “recommends” values to CMS (that is petitioning), and CMS “decides” (that is government action), the RUC is protected by the First Amendment right to petition. This legal loophole allows the RUC to operate with monopolistic characteristics without fear of prosecution, provided CMS continues to go through the motions of “reviewing” the recommendations. And CMS accepts those recommendations over 90 percent of the time. Because private insurance companies generally base their rates on Medicare, this private committee effectively sets the price of healthcare for the entire country. If independent therapists did this, if they gathered in a room and agreed on what their services should cost, they would face criminal prosecution. But because the RUC operates under the fiction of “advising” the government, it is protected. The same regulatory framework that criminalizes therapist solidarity provides cover for industry-wide price coordination by the most powerful medical specialties. Part IV: The Mechanics of Suppression To control a market, one must control its currency. In American medicine, that currency is the Relative Value Unit. Every medical service, from a 15-minute therapy session to a heart transplant, is assigned a total RVU value. This value is the sum of three components: the Work RVU, which accounts for physician time, technical skill, mental effort, and judgment; the Practice Expense RVU, which covers overhead costs like rent, staff, and equipment; and the Malpractice RVU, which reflects professional liability insurance costs. The Work RVU, which comprises roughly 50 to 55 percent of the total value, is determined by RUC surveys. When a code is flagged for review, the relevant specialty society distributes a survey to a sample of its members. These respondents are asked to estimate the time and intensity of the service compared to a “reference service.” This methodology violates several principles of statistical validity. The surveys are voluntary and distributed by the specialty societies themselves. The respondents are typically those most active in the society and most invested in maximizing reimbursement, advocates rather than neutral observers. The sample sizes are often shockingly small; RUC surveys frequently rely on fewer than 50 or 70 respondents to set the price for services performed millions of times annually. A sample of 30 orthopedic surgeons might determine the value of a procedure costing Medicare billions. The Time Arbitrage The most critical variable in the RUC equation is time. The Work RVU is conceptually derived from the formula: Work equals Time multiplied by Intensity. Therefore, inflating the time estimate is the most direct route to inflating the price. Independent studies by RAND and the Urban Institute, often using objective data like Operating Room logs, have consistently shown that the RUC overestimates the time required for surgical procedures. A procedure valued by the RUC as taking 60 minutes may, in reality, take 30 minutes. This creates an arbitrage opportunity. If a gastroenterologist can perform a “60-minute” colonoscopy in 20 minutes, they can effectively perform three procedures in the time allotted for one. They bill for three hours of work in one hour of real time. This “efficiency gain” is captured entirely by the physician as profit. Psychotherapy cannot utilize this arbitrage. CPT codes for psychotherapy are explicitly time-based in their definition. Code 90832 requires 16 to 37 minutes. Code 90834 requires 38 to 52 minutes. Code 90837 requires 53 minutes or more. A psychiatrist cannot perform a 60-minute therapy session in 20 minutes; doing so constitutes fraud. Therefore, the revenue of a psychotherapist is capped by the linear passage of time. They can sell, at maximum, roughly 8 to 10 units of labor per day. A proceduralist, aided by RUC-inflated time assumptions, can sell 20 or 30 units of “RUC time” in the same day. This structural discrepancy creates a widening income gap that no amount of “hard work” by the therapist can close. It is not a market failure. It is market design. The “Thinking” Penalty The RUC's bias is not merely structural; it is philosophical. The committee, dominated by surgeons and proceduralists, consistently values “doing things to people,” cutting, scanning, injecting, far more highly than “talking to people,” diagnosing, counseling, managing complex chronic conditions. This creates a regulatory environment that functions as a de facto wealth transfer from cognitive care to procedural care. In 2013, a major revision of psychiatry codes exposed this bias in stark relief. Previously, psychiatrists used codes that bundled the medical evaluation with the psychotherapy. The new system required psychiatrists to bill an E/M code for the medical management plus an “add-on” code for psychotherapy. While intended to improve transparency, this change exposed psychotherapy to the raw mechanics of the RUC's valuation bias. By isolating the “therapy” component, the committee could subject it to rigorous cross-specialty comparison. And the committee, dominated by surgeons, views “talking to a patient” as low-intensity work compared to “operating on a patient.” The economic signal was clear. This created the 15-minute med check culture not because psychiatrists stopped caring, but because the regulatory environment made relational care financial suicide. It effectively “illegalized” the practice of deep, slow psychiatry for anyone who wanted to take insurance. Part V: The “Messenger Model” and Other Legal Fictions When therapists ask about collective bargaining, lawyers will often point them to the only legal loophole available: the “Messenger Model.” In this model, a third party (the messenger) acts as an intermediary between a group of providers and an insurance company. The messenger takes the insurance company's offer and conveys it to each therapist individually. Each therapist must then make a unilateral, independent decision to accept or reject it. The messenger is strictly forbidden from negotiating. They cannot say, “The group rejects this.” They cannot say, “We want 10% more.” They cannot advise the therapists on what to do. They can only carry messages. This is why “Independent Practice Associations” are often toothless. In the 2008 case North Texas Specialty Physicians v. FTC, the Fifth Circuit Court of Appeals made clear that if an IPA actually tries to leverage its numbers to demand better rates, it violates antitrust laws. If it follows the messenger model, it has no leverage. It is a “heads I win, tails you lose” regulatory structure designed to protect payers, not providers. The only exception is “clinical integration,” where providers genuinely merge their practices, share infrastructure, and accept joint financial risk. But this requires substantial capital investment and essentially means ceasing to be an independent practitioner. It is a legal pathway available mainly to large physician groups and hospital systems, not to solo therapists working out of rented offices. Part VI: Market Distortions and the Flight to Cash When a cartel sets a price below the market equilibrium, suppliers exit the formal market. This is precisely what has happened in psychotherapy. Mental health providers generally have lower overhead than surgeons. They do not need MRI machines or sterile surgical suites. And they face high consumer demand; the national mental health crisis ensures a steady stream of people seeking services. This gives them an “exit option” that proceduralists do not have. They can refuse to accept insurance and operate as cash-only businesses. The statistics are stark. Nearly 50 percent of psychiatrists do not accept commercial insurance, compared to less than 10 percent of other specialists. A 2023 survey indicated that 64 percent of private practice therapists planned to increase their cash-pay rates. Research published in Health Affairs Scholar found that patients are 10.6 times more likely to go out-of-network for mental health care than for medical/surgical care. This mass exodus is a rational economic response to RUC-suppressed rates. If the RUC says an hour of therapy is worth $100 via the RVU-to-dollar conversion, but the market demand is willing to pay $250, the provider will leave the RUC-controlled sector. They are not abandoning their profession; they are abandoning a pricing regime that values their work at less than half its market rate. Ghost Networks The RUC's pricing failure creates “Ghost Networks,” directories filled with providers who are ostensibly “in-network” but are functionally inaccessible. They are either full, not accepting new patients, retired, have moved, or simply do not respond to inquiries from insurance-based patients because the administrative burden of prior authorizations and clawbacks outweighs the suppressed fee. This is not a “shortage” of providers in the absolute sense. There is no shortage of therapists in private practice. There is a shortage of therapists willing to work at the RUC-determined price point. The insurance directories are graveyards of phantom availability, creating the illusion of access where none exists. The Cost Paradox The central thesis of the RUC's defenders is that they “control costs.” By strictly managing RVUs, they claim to save taxpayer money. In psychotherapy, this logic backfires catastrophically. By suppressing reimbursement rates to a level that drives providers out of the network, the RUC forces patients into the cash market. The theoretical in-network cost might be a $20 copay with the insurer paying $100. The actual out-of-network cost is $250 cash out-of-pocket, paid in full by the patient. Thus, the “cost of therapy” for the consumer skyrockets. Therapy becomes a luxury good, accessible only to those with disposable income. For the poor and middle class, the “cost” is effectively infinite, because the service becomes inaccessible. The RUC's cost-control measure for the system becomes a cost-multiplier for the patient. It shifts the financial burden from the risk pool, where it belongs, to the individual, where it causes maximum harm. The Signal to Students The RUC sends powerful economic signals to medical students making career decisions. When a student observes that a dermatologist or radiologist can earn $500,000 working regular hours, while a psychiatrist earns $240,000 handling emotional trauma and on-call emergencies, while a primary care doctor earns even less, the choice is clear for those motivated by financial security. The undervaluation of cognitive codes discourages the best and brightest from entering mental health and primary care. The cartel's pricing structure creates a perpetual labor shortage in the fields most needed for public health, while creating a surplus in high-margin procedural specialties. We then wonder why there are not enough psychiatrists, why primary care is in crisis, why mental health access is collapsing. The answer is in the price signal, and the price signal is set by a committee of proceduralists meeting behind closed doors. The Hands Are Tied The question “Why can't therapists start a union?” is not just a labor question. It is a window into the broken soul of American healthcare. We have built a system where a secret committee of proceduralists can legally fix prices to favor surgery over therapy, but a group of social workers cannot band together to ask for a living wage. We have utilized laws meant to break up Standard Oil to break up the solidarity of caregivers. The same regulatory framework that criminalizes therapist coordination provides legal cover for industry-wide price coordination by the most powerful medical specialties. The result is a regulatory environment that drives doctors crazy, burns out therapists, and leaves patients navigating a fragmented, assembly-line system that was never designed to heal them. It was designed to process them. Until we confront the legal architecture of this system, the RUC, the Sherman Act, the 1099 trap, we will remain powerless to change it. And the reality of therapy is that quick fixes, whether in treatment or in policy, usually end up costing us more in the end. Some states are beginning to push back. New York and California have implemented strict network adequacy standards requiring mental health appointments within 10 business days. These regulations force insurers to expand their networks, which means they must attract providers, which means they must raise reimbursement rates above the RUC/Medicare floor. It is effectively a state-level override of the RUC cartel, forcing capital back into the mental health labor market. The Medicare Payment Advisory Commission has long advocated for stripping the RUC of its power, proposing the use of empirical data, tax returns, payroll records, practice invoices, to set values automatically. But these are patchwork solutions to a systemic problem. The fundamental issue remains: we have created a healthcare system that knows the price of everything and the value of nothing. We have engineered a system where the only way to survive is to stop acting like a healer and start acting like a factory. And we have wrapped this system in a legal framework that criminalizes resistance while protecting the status quo. The hands are tied. But at least now we can see the ropes. Bibliography For those interested in the primary sources and legal texts that underpin this analysis, the following external resources provide high-trust verification of the claims made above: Goldfarb v. Virginia State Bar, 421 U.S. 773 (1975): The Supreme Court decision that ended the “learned profession” exemption from antitrust laws. Read the Oyez Summary. The Sherman Antitrust Act (15 U.S.C. §§ 1–7): The foundational text of US antitrust law prohibiting restraint of trade. Read the Document at the National Archives. North Texas Specialty Physicians v. Federal Trade Commission (5th Cir. 2008): A key ruling establishing that independent physicians cannot collectively bargain on fees without financial integration. Read the Court Opinion. FTC/DOJ Statements of Antitrust Enforcement Policy in Health Care (1996): The federal guidelines explaining the “Messenger Model” and the narrow exceptions for clinical integration. Read the Guidelines (PDF). The RUC (AMA/Specialty Society RVS Update Committee): The AMA's own description of the committee structure and its role in valuing physician work. Visit the AMA RUC Page. “Special Deal” by Haley Sweetland Edwards (Washington Monthly, 2013): An investigative deep-dive into how the RUC operates and its impact on primary care vs. specialty pay. Read the Investigation. The National Labor Relations Act (NLRA): The law governing the right to unionize, which specifically excludes independent contractors. Read the NLRA. Laugesen, Miriam J. Fixing Medical Prices: How Physicians Are Paid. Harvard University Press, 2016. The definitive scholarly analysis of the RUC's history, structure, and influence on American healthcare pricing. Government Accountability Office. “Medicare Physician Payment Rates: Better Data and Greater Transparency Could Improve Accuracy.” 2015. GAO's critical analysis of RUC methodology and conflicts of interest. Center for American Progress. “Rethinking the RUC.” 2015. Policy analysis of the RUC's structural bias against primary care and cognitive services. Health Affairs Scholar. “Insurance Acceptance and Cash Pay Rates for Psychotherapy in the US.” 2023. Empirical research on out-of-network utilization in mental health care. Medicare Payment Advisory Commission (MedPAC). “Report to the Congress: Medicare and the Health Care Delivery System.” 2024. Annual policy recommendations including proposals for reforming physician fee schedule methodology. Joel Blackstock, LICSW-S, is the Clinical Director of Taproot Therapy Collective in Hoover, Alabama. He specializes in complex trauma treatment and writes at GetTherapyBirmingham.com.  

Something To Think About Series #305 Thought of the day from Venerable Robina Courtin

Host: Cindy Allen Published: Friday, January 16, 2026 Segment: Simply Trade – Cindy's Version (song: “Mastermind”) In this episode of Simply Trade – Cindy's Version, Cindy Allen uses Taylor Swift's “Mastermind” to explore how intentional strategy—rather than accident—must drive both trade compliance and career development in 2026. She opens with a packed week in trade: the newly released semiconductor Section 232 action (where most chips are ultimately exempt but only after highly technical, engineering‑level analysis), a new Taiwan trade deal setting a 15% limit on imports (including auto parts) broadly aligned with South Korea, Japan, and the EU, and complex exemption mechanics for companies investing in U.S. semiconductor capacity that sit largely outside normal brokerage workflows.​ Cindy also updates listeners on continuing steel and aluminum valuation confusion—especially for components embedded in larger products—where CBP centers have held seminars but importers still struggle to see how to reach a defensible “reasonable care” standard. She notes that IEPA Supreme Court “decision watch” continues after yet another false alarm, mentions emerging chatter about possible duties on countries doing business with Iran (with almost no details available yet), and flags renewed legislative movement in Washington, including a potential AGOA/Haiti package and customs modernization/21CCF concepts championed by Senator Cassidy to give CBP new tools and drive better tech and visibility (ideally with real facilitation alongside enforcement).​ On the policy‑and‑politics front, Cindy briefly highlights breaking comments from President Trump floating tariffs on countries opposing U.S. acquisition of Greenland, underscoring how quickly trade risk can be introduced into the conversation—even before formal measures appear. She then shares personal reflections from the APEC A2C2 meeting in Mexico City, where she joined government and private‑sector representatives from Asia‑Pacific, Mexico, Canada, and the U.S., and was surprised and humbled to meet international listeners of Cindy's Version in person.​ Tying it back to “Mastermind,” Cindy argues that trade compliance is a team sport: it relies on internal partners (procurement, logistics, product design, strategy, C‑suite) and external partners (brokers, trade associations, fellow practitioners) working together with intention, not by accident. She urges trade professionals to “level up” and become masterminds of both their company's trade strategy and their own careers—building networks through conferences, local associations, and forums, and even creating new communities where none exist, as seen in the new Memphis customs brokers association under Amber Hagwood's leadership. Cindy closes with a smile, embracing a new label she picked up in Mexico City: “trade social influencer”—and encouraging listeners to mastermind their own next chapter.​ What You'll Learn in This Episode Key details and practical implications of the semiconductor 232 action and the new Taiwan trade deal, including complex exemptions for U.S. semiconductor investments.​ Where steel/aluminum component valuation stands, why “reasonable care” feels murky, and how CBP–trade communication is evolving.​ The latest on IEPA decision timing rumors, possible duties linked to Iran‑related trade, and movement on AGOA, Haiti, and 21CCF‑style customs modernization.​ Why trade compliance is a team sport that requires cross‑functional and external collaboration, not isolated heroics.​ How to apply the “Mastermind” mindset to your trade program and career—intentionally building networks, communities, and influence.​ Key Takeaways Semiconductor and Taiwan measures add yet another layer of technical and policy complexity, especially for high‑tech and auto supply chains.​ Reasonable care expectations are rising while guidance remains incomplete, making documentation, dialogue, and industry engagement critical.​ Legislative and political signals (from AGOA to Greenland tariffs) can quickly reshape risk; staying plugged into credible sources and associations is essential.​ Trade pros should see themselves not just as problem solvers, but as masterminds of strategy, community building, and their own professional journey.​ Presented by: Global Training Center​ Listen & Subscribe Simply Trade main page: https://simplytrade.podbean.com​ Apple Podcasts: https://podcasts.apple.com/us/podcast/simply-trade/id1640329690​ Spotify: https://open.spotify.com/show/09m199JO6fuNumbcrHTkGq​ Amazon Music: https://music.amazon.com/podcasts/8de7d7fa-38e0-41b2-bad3-b8a3c5dc4cda/simply-trade​ Connect with Simply Trade Podcast page: https://www.globaltrainingcenter.com/simply-trade-podcast​ LinkedIn: https://www.linkedin.com/showcase/simply-trade-podcast​ YouTube: https://www.youtube.com/@SimplyTradePod​ Join the Trade Geeks Community Trade Geeks (by Global Training Center): https://globaltrainingcenter.com/trade-geeks/​

There has been a big shake-up in the Pittsburgh Steelers organization over the last 72 hours. What are the reasonable expectations that come along with so much change? Dave Schofield and Greg Benevent have you covered coast-to-coast as they attempt to bring a reasonable perspective on the Steelers from different time zones. But no matter where they reside, they both have their clocks adjusted to Pittsburgh Standard Time. Learn more about your ad choices. Visit megaphone.fm/adchoices

Bob Moats and Mike Wiemuth check in from opposite sides of the country to discuss IU's impending national championship matchup with Miami, dissect the Hoosiers' recent basketball struggles, and explore what reasonable expectations look like for both programs right now.The Rose Bowl That Wasn'tBob and Mike open with the bittersweet realization that their long-planned Back Home Network meetup this weekend could have been in Miami for the national championship game instead of Bloomington for an Iowa basketball matchup. They discuss IU's status as an 8.5-point favorite over Miami, the narrative that IU "hasn't been tested" despite beating Ohio State, Oregon, and Alabama by a combined margin that would make Sherman's March to the Sea look gentle, and why Miami fans might want to check out Homefield Apparel's vintage Hurricanes collection before Monday's game.Basketball's Reality CheckThe conversation shifts to IU basketball's brutal week—blowing a 16-point lead to Nebraska and getting boat-raced by Michigan State at Breslin. Bob and Mike break down what's actually happening beyond the disappointing results:The roster gaps they identified in the preseason are showing up exactly as predicted—too many elite shooters, not enough drivers or rim protectionLamar Wilkerson is performing at a legitimate All-American level (near 10 BPM), but when defenses key on him and Tucker DeVries, IU struggles to generate offense elsewhereConerway is the only true penetrator, and when teams neutralize him, the offense becomes predictable and easy to defendAgainst physically superior teams like Michigan State, IU's passing windows close dramatically and their carefully designed actions don't create the same looks they get in practiceThe Roster Construction StoryMike explains the brutal timeline Darian DeVries faced building this roster—hired in mid-April right as the portal was opening, with top guards already off the board before IU even had a full staff assembled. They discuss how next year's portal cycle can address many of these gaps, and why this season's limitations don't predict future struggles.Scheme and PsychologyBob dives into the X's and O's, noting IU is getting nearly 20% of their possessions off cuts and off-ball screens—historically high for DeVries—because they have to manufacture offense without dominant drivers or post players. When defenses adjust and take away these actions, IU doesn't have a clear "what's next" option. The mental side matters too: watching players tunnel-vision toward Wilkerson late in games or run actions mechanically rather than reading the defense shows a team still figuring out who they are.Looking AheadThey close by previewing Saturday's Iowa game as a better measuring stick than the Michigan State beatdown, discussing upcoming video breakdowns of IU's offensive schemes, and teasing a deep dive into Curt Cignetti's historical context as potentially IU's greatest athletic department hire ever—regardless of Monday's outcome in Miami.This episode brought to you by the Back Home Network and Homefield Apparel.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Click here to send us a topic idea or question for Weekend Wisdom.Are you considering adoption this year but concerned about how to swing the cost? Join us for a practical conversation about managing the expenses of adoption with Ryan Hanlon, PhD, former president of the National Council for Adoption, an adoption advocacy organization dedicated to research, education, and policy in the service of all members of the adoption community.In this episode, we discuss:How much can hopeful adoptive parents expect to pay for adoption? Domestic infant adoption? Adopting from foster care?International adoption?What do these expenses cover? Most hopeful adoptive families do not have access to large lump sums of $25,000 and upward. So, what are the different options they can pursue to help them afford an adoption?Adoption SubsidiesAdoption Grants/LoansAdoption Tax CreditWhat other methods are available to families to afford adoption? And can you explain the pros and cons of each so families can get a well-rounded view of what to consider?Increase savings / Decrease spendingIncrease income via a second job, selling things (things you own that you don't want/need/use; things you can create or offer as services)Employee benefits programsCrowd-sourcing and fundraising, asking for money from family and friends (can be particularly controversial in some circles; take care in sharing the child's story, etc.) If a family chooses to fundraise, can you offer a few tips that might help them protect the child's story and proceed ethically?Also related to fundraising, what types of fundraisers do you see as most effective? (offering a service, event, or experience vs. donations only, etc.)How far in advance do hopeful parents start some of these efforts to afford adoption?Can you explain the Adoption Subsidy in more detail? How do hopeful parents determine if they qualify?Where do they go to learn about financial resources to help them afford adoption?Resources:  The Adoption Tax CreditFoster Care Adoption Subsidies: What is Reasonable and How to NegotiateNational Council for Adoption Support the showPlease leave us a rating or review. This podcast is produced by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them.Creating a Family brings you the following trauma-informed, expert-based content: Weekly podcasts Weekly articles/blog posts Resource pages on all aspects of family building

See omnystudio.com/listener for privacy information.

(Parayana Vihara)

Good morning and welcome back! Thank you for worshiping with us today! We're very glad you're here to join us! We believe God is calling us to engage and inspire all people to share God's love, grow in faith, and serve as disciples. New video every Sunday RIGHT HERE @ 10am. (CT) We invite you to share this video and check out our socials below to stay more connected with us. Check out our New Merchandise Shop! https://theperidotpig.com/collections/park-ridge-presbyterian-church ______SOCIALS______ Our

See omnystudio.com/listener for privacy information.

Good morning and welcome back! Thank you for worshiping with us today! We're very glad you're here to join us! We believe God is calling us to engage and inspire all people to share God's love, grow in faith, and serve as disciples. New video every Sunday RIGHT HERE @ 10am. (CT) We invite you to share this video and check out our socials below to stay more connected with us. Check out our New Merchandise Shop! https://theperidotpig.com/collections/park-ridge-presbyterian-church ______SOCIALS______ Our

Text Our Show HostsPlease Help Us - Support TOPS Bunker as Low as 3$ mo. Click Here...!!!So, Tonight, Let's talk about goals for 2026. Every New Year's day, historically, we all get a sense of renewal. Wind in our sales, so to speak. Excitement for the year to come. We close the door to last year, but not before Last Year puts its big'ol foot in the door and whispers… “Not so fast. Ya see, we all hope for this grand change to happen when the clock turns over at midnight. That's why we have New Year's Eve parties, and fireworks, and The Ball Drop at Times Square in NYC.But if there was no party… no sparkles… no ball.Would we even know there was a change?  Years turn over, in the same way that seasons change…Quietly, and without ceremony. Unimpressed by intentions, or by hope.2026 will be a year of change. It's almost a foregone conclusion. The Trump Administration, whether you like it or not… has seen to that.The question is… what changed for you at 12:01am on January the 1st…? My guess is, very little.At 12:01am on January 1st…Out there, farm fields and gardens rest beneath cold soil.Pantries… hold what they hold.Our hands remember only the work they've done before.Those of us who prepare live closer to this truth.We read the land, the weather, the cracks in the system.We know how thin the line can be between order and chaos.This coming year calls for intention and planning..It calls for steady hands and minds that will shape reality into a path forward.Maybe less noise, more focus. Instead of a dramatic entrance, maybe a strategic retreat.Tonight, we talk about what must be strengthened.We do that by setting goals…Reasonable. Realistic. Achievable… GoalsEvery goal is as unique as the Prepper who sets it.We'll tell you some of our goals, in hopes that it helps you start working on yours.TOPS Bunker WebsiteRefuge Medical Website - Use Code TOPSBUNKER10 at CheckoutPlease Visit Our Affiliate Links to Find Great Preparedness Products:Kaisvin Lock Pick Set & Training KitHow To Pick Locks - PaperbackGarmin Handheld GPSBTECH FRS RADIOANKOR Power BankJackery Solar GeneratorSwiss TechBaofeng UV-5R Ham RadioAMAZON Gift CardGrayl GeoPress TitaniumGrayl UltraPress Budget BottleWaterDrop TST-UF 0,01 Ultra-Fitration Whole HouseiSpring UVF8 LED UV Water FilterPUREWELL 8-Stage 0.01 Ultra-Filtration CountertopVEVOR Alcohol StillWater Storage PaperbackThe Preppers Water Survival Guide PaperbackSupport the show

0:00 - Alright folks, let's be honest. What are REASONABLE expectations for the Nuggets without Jokic? Remember, he'll be out for at least 4 weeks, and the Nuggets are missing 3 other starters. So REALISTICALLY what should we expect to see while Jokic is out?20:45 - What are your expectations for the Broncos in the playoffs? Do they need to make the AFC Championship game? The Super Bowl? Would you be satisfied if they secure the AFC 1 seed, earn a bye week, then lose in the divisional round? Where's the bar?35:38 - We're looking forward to all the CFP games coming up, but for the wrong reasons. Is there anything better than hate-watching college football? Most of the hatred comes from the selection process. Somehow, there's still no consistency in how the teams are chosen.

In this episode, biochar scientist and citizen scientist advocate Francesco Tortorici talks about a reasonable application rate for biochar that will yield results.  Subscribe for more content on sustainable farming, market farming tips, and business insights!   Get market farming tools, seeds, and supplies at Modern Grower. Follow Modern Grower:  Instagram  Instagram Listen to other podcasts on the Modern Grower Podcast Network:  Carrot Cashflow  Farm Small Farm Smart  Farm Small Farm Smart Daily  The Growing Microgreens Podcast  The Urban Farmer Podcast  The Rookie Farmer Podcast  In Search of Soil Podcast Check out Diego's books:  Sell Everything You Grow on Amazon   Ready Farmer One on Amazon **** Modern Grower and Diego Footer participate in the Amazon Services LLC. Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.

December 28, 2025 AM Service

ITB's Eagles beat reporter Andrew DiCecco gives his insights from covering the Eagles on a daily basis.In this episode, he discusses the potential of the Eagles getting RT Lane Johnson and iDL Jalen Carter back for Week 17 vs. Buffalo.