ragebutt

I’ve never had a gold leaf thing, aside from a shot of goldschlager, but I have wondered this

Maybe the next time I make a dessert I’ll pick up some flavorless, odorless gold to really take my treat to the next level. What a stupid trend

yes obviously

your pricing is higher when volume of sales is lower because you have to cover overheads and still make a profit.

When volume is significantly higher the pricing can be lower. You can still cover your overheads because even though you make less money per unit, you overall still can make the same amount (or in this case, 5x as much) because of the increased sales volume

The “need to increase prices” is motivated by several factors like a weak yen and remaining fear from the commercial failure of the Wii U but it’s primarily greed and hostility to consumers. Mario kart is the most successful nintendo game so it is not fair to use it solely as the metric but it is also not as if their other games all suffer and that they don’t make shitloads of cash; 11 billion last year and 12 billion the year before.

And those numbers don’t include companies that are commonly associated with by divested from nintendo like the Pokémon company, which made another 1.9 billion on top of that last year. And unlike many western AAA developers their development costs appear to be far more controlled, with estimates of 20-30 million per game vs something like Spider-Man 2 for the ps5, which was over 10x that at 315 million. According to the leaks the first Spider-Man game cost over 100 million to make and made 827 million back.

this argument is so fucking dumb

Volume of video game sales has changed monstrously over the years as it moved from a niche hobby to mainstream

SNES Mario kart - 8.76 million copies sold worldwide Switch Mario kart 8 - 67.34 million copies sold world wide.

SNES mario kart (inflation adjusted) earnings - 1,095,000,000 Switch Mario kart earnings - 5,252,520,000

Game dev budgets have obviously exploded in that time and nintendo doesn’t disclose their budgets but on average its estimated snes titles got about 1-2 million and switch/wii u titles got 30ish million. That’s a sizable increase in development that wildly outpaces inflation, for sure, but their earnings obviously did too.

A conviction rate of over 99% and 99.8% in criminal cases strongly suggests a combination of not pursuing justice in many cases, outright framing people when necessary, and abusive behavior by police to force confessions for the need to solve cases.

I can speak somewhat passable Japanese and I’ve made a few close friends in Japan on trips there and online but I don’t think I could live there given some of the serious systemic issues with their justice and political system. That said I’m coming from America so who the fuck am I to talk I suppose

gonna be wild to see what this thing costs with tariffs

It’s good that you’re looking to expand your food repertoire

If you’re dealing with arfid though you should consider a desensitization protocol to help deal with sensory or phobic response driving the arfid. What this looks like varies because it depends on what drives your arfid: is it a fear of aversive reaction, is it sensory, disinterest, etc.

That said building on what you have can be helpful. Changing the burritos slightly - change the protein, add a new vegetable, add guacamole, etc. try a new flavor of protein bar, etc.

If you’re looking for something in the healthy/low prep side of things I tend to make one big meal on sundays for the week and portion it out. It takes about 30-60 minutes depending on what I make. Japanese curry, various pastas, salads, soups, etc. how healthy these are varies. I am vegan so they tend to be a little bit better than the typical recipe you’d see online but some are still not the most healthy (Japanese curry for example is fairly high in fat but portioned correctly with rice is still filling and a reasonable amount of calories)

All those old games were so punishingly hard

You’d play leisure suit Larry or whatever and get 3/4 of the way through and get stuck. Then you’d check a walkthrough and realize you didn’t check the trash can on the first screen of the game for a key item and now you’re fucked and literally have to start over from the beginning

Or you’d get to a death condition and get a screen that just mocks you: remember to save early and save often!

Yeah, basically every game that runs on scummvm is a good candidate here: leisure suit Larry, kings quest, police quest, the dig, sam and max, Indiana jones and the fate of Atlantis, all the sierra and lucasarts ones

Myst series is another good one. Journeyman project trilogy. These all ruled when I was like 12 years old

I miss when games were confusing and aimless by default. I know there are still games like this but I feel like the default now is a game that’s like “oh hey, go down this hallway full of locked doors! Except one door is unlocked, that’s a secret area, good for you! But otherwise go down the hallway to the next hallway!”

I used to send out my reminders by hand and made it very clear, pretty much what you wrote

I don’t know why you would emulate a script

Do you mean for their medical records? Like I would write their medical records into an encrypted file that they hold the key for?

This is an interesting idea but it would be reliant on the client self funding services. I also don’t know if it would be legal because I am not a lawyer and generally the government wants access to your data

The other aspect that I absolutely glossed over here which was probably a bad idea is that payers retain the right to your records for auditing purposes to ensure their funds are not being wasted (which is a whole textbook of issues).

The vast majority of time this transmits data that is typical for medical services and is somewhat minimal - time and date of service, CPT code(s) (aka what kind of service was rendered, diagnosis code(s) relevant to service, who the service was for, charge rate for the service (how much money I bill). The stuff you see on an explanation of benefits. Insurers don’t typically see actual progress notes.

However, they reserve the right to do so in a few instances: if you file a grievance against the clinician, if they feel the clinician is doing something wrong, or if they simply decide to do a random audit (this is astoundingly rare with commercial insurers but happens much more routinely with government funded plans like Medicare and Medicaid).

In the first instance it’s generally a good thing; the insurer is acting as an advocate for you because the clinician did you harm in some way. In this instance the insurer is actually one of the best people you can have on your team. They don’t actually care about you but they are aligned with your mission; if they can prove clinician malfeasance they can usually recoup tens of thousands of dollars of insurance payments going back years.

The second two are where things are muddier. When that insurance ceo got got a light was shone upon the ugliness of these systems for a brief moment but now no one cares again. Audits are increasingly being triggered by automation: if you are an outlier in terms of utilization then you run the risk of getting your therapist’s practice raided by Optum. Insurance regulations are contractual, not legal, and are often conflicting and obscenely complex. They are written in such a way that it is essentially guaranteed that if complex cases are audited they will find issue with dozens of notes. And the law is on the side of the insurance: they can go back years and rescind payments

So what can end up happening is that you come to therapy from a hospitalization. You aren’t doing well. You see me twice a week because of this for 4 months. You do better. We see each other for another 6 months weekly. You regress, and we go back to twice weekly for 4.5 months. You have optum insurance (a subsidiary of United, but they aren’t the only ones who do this), and their internal systems flag you for high utilization of services

They contact me and tell me that is anomalous and as a result they will be doing an audit of records. They don’t just audit you though, they audit anyone I work with who has optum for the last 3 years. Any note that has even a minor issue: did I not make use of an intervention clear enough? Did I forget to change the session times to actual times from the default 5-6pm? Did we have a session where you were doing poorly and it was more just me listening to you vent and process? All those are retroactively rejected. Now my practice suddenly owes optum thousands of dollars, sometimes tens of thousands. I’ve had colleagues with group practices where this ends up being a 20-30k bill due in 15 days or their contract is voided and all their optum clients are fucked.

The problem is self funding services is a mixed bag. With overheads even as a telehealth only practice the minimum I can charge for a livable wage of about 50-60k a year is a sliding scale of $45-60 and frankly that only works because I have about 50% of a caseload that’s commercial insurance clients that pay double that. Even with that 45-60 is a huge ask for a weekly or biweekly service, 90-240 a month is a tremendous expense for most people. Therapy should cost nothing, or maybe like $10 a session at most, but if I charge that I will starve. I don’t know a resolution here.

I’m sorry, but I don’t think the answer is to be dishonest to you about the reality of the situation

I do believe our government has failed us here and that therapy should be protected communication the same as speaking to a lawyer, for what it’s worth

It is legally impossible to have a truly private conversation with a therapist, any therapist should explain this to you. The only relationships where records cannot be subpoenaed are conversations with a lawyer and confessionals with clergy. This is bullshit but it is where the law stands

Any therapist who practices ethically should make this very clear to you prior to engaging in treatment

Any therapist who has their records subpoenaed should question the subpoena and only release records if absolutely and truly necessary.

We have not really had situations where a therapists records are being subpoenaed to justify disappearing an individual and the therapist simply acquiesces in the modern context. If so, I’d love for you to point me to a case where such a thing happens. 95% of subpoenas for therapist records are for custody battles, divorce proceedings, and disability claims. The remainder (which is probably a smaller number) is generally related to criminal cases where a defendants competence is trying to be determined. In these cases the records are often being subpoenaed by the defense to establish a lack of competency.

I will openly concede we appear to be heading towards times that may very well test the moral code of the therapist community in regards to this issue. To further complicate things unlike during WW2 there are now many paths to circumvent a clinicians resistance. If I for example flat out refuse to release a transgender clients records, or alter them, the government will likely go after the vendor of the software I have used to store my records for the past 6 years. I am all but sure they will acquiesce. The overwhelming majority of clinicians are in the same position as me. Many are not independent and don’t even have autonomy over their records; a subpoena may come and they never see it. The agency simply releases them because it is run by executives that do not want to interrupt revenues. It is a scary time