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Unless they fit the criteria, we're not supposed to talk about incompetent people in positions of power.


You can prepare your kids for their natural pendulum swing. I told mine it's natural to rebel and do the opposite of what your parents do, make sure you understand, and don't unintentionally swing too far in the other direction.


TB was basicallty gone from the US.

Until we accepted millions of unscreened people from outside the US where TB was more common.


If that were true, other countries would have the same experience.

We have ~20% immigrant population, yet TB cases have been decreasing since at least 2016. (rates since at least 2009?)

Why do you think your hypothesis would be stronger than TFA's?


Here are number of TB cases in the US and rate/100k from 1953 through 2023. I don't see any time in there were it was basically gone.

  year  cases  rate/100k
  2023  9615     2.9
  2022  8331     2.5
  2021  7870     2.4
  2020  7171     2.2
  2019  8895     2.7
  2018  8997     2.8
  2017  9069     2.8
  2016  9239     2.9
  2015  9538     3.0
  2014  9381     2.9
  2013  9513     3.0
  2012  9906     3.2
  2011  10471    3.4
  2010  11069    3.6
  2009  11491    3.7
  2008  12943    4.3
  2007  13276    4.4
  2006  13720    4.6
  2005  14053    4.8
  2004  14498    5.0
  2003  14835    5.1
  2002  15054    5.2
  2001  15946    5.6
  2000  16309    5.8
  1999  17494    6.3
  1998  18288    6.6
  1997  19753    7.2
  1996  21212    7.9
  1995  22727    8.5
  1994  24207    9.2
  1993  25105    9.7
  1992  26673   10.4
  1991  26283   10.4
  1990  25701   10.3
  1989  23495    9.5
  1988  22436    9.2
  1987  22517    9.3
  1986  22768    9.5
  1985  22201    9.3
  1984  22255    9.4
  1983  23846   10.2
  1982  25520   11.0
  1981  27373   11.9
  1980  27749   12.2
  1979  27669   12.3
  1978  28521   12.8
  1977  30145   13.7
  1976  32105   14.7
  1975  33989   15.7
  1974  30122   14.1
  1973  30998   14.6
  1972  32882   15.7
  1971  35217   17.0
  1970  37137   18.1
  1969  39120   19.3
  1968  42623   21.2
  1967  45647   23.0
  1966  47767   24.3
  1965  49016   25.2
  1964  50874   26.5
  1963  54042   28.6
  1962  53315   28.6
  1961  53726   29.2
  1960  55494   30.7
  1959  57535   32.4
  1958  63534   36.3
  1957  67149   39.0
  1956  69895   41.4
  1955  77368   46.6
  1954  79775   48.9
  1953  84304   52.6

Source: https://www.cdc.gov/tb/statistics/reports/2022/table1.htm for 1953 through 2022. 2023 added from https://www.cdc.gov/mmwr/volumes/73/wr/mm7312a4.htm


People travel, and being sick does not stop them. Testing does not always stop them. We learned this from the rapid spread of Covid across the globe.

Unless you plan to lockdown the country entirely, preventing people traveling is not an effective approach.


It's not "people traveling" as this phrase is commonly understood, that is the issue; it's "relocation of 5% of a small country's population (Nicaragua for example) into the USA".


https://pmc.ncbi.nlm.nih.gov/articles/PMC2746906/#:~:text=Mo....

>Most tuberculosis (TB) cases in the US are diagnosed in foreign-born persons, and undocumented foreign-born may face particular barriers to timely access to health services.


When leaving the USA, getting TB vaccine is highly recommended and (at least in my experience) free and easy. I think it's fairly clear GP meant folks coming into the USA, and not for short periods, from areas that are not able to supply vaccines regularly.

This very well might be an issue. UNICEF and other aid organizations work dilligently to eradicate TB and other poverty-adjacent diseases, so perhaps individuals and the US Gov should increase their aid to other nations.


Ah yes. People didn’t travel before 2020, and that’s why we didn’t have TB back then.


TB is a disease of poverty, it doesn't spread that easily, but the risk goes up for people in overcrowded living situations and for those who are chronically malnourished.

It's not a great surprise that one would find TB in cross-border migrants, but it's an indictment of the system that the disease continues to spread over here.

Next up: lepra, also caused by a mycobacterium


> lepra, also caused by a mycobacterium

yup, and also due to those pesky immigrants!

oh, but wait! it is actually endemic among native armadillos (USA) and native red squirrels (UK) - you almost never see a red squirrel in the UK, so don't worry.


Eh. My mother had TB as a kid and lost her childhood best friend to it. Homegrown Americans in a rather pale area.


Why are we shocked?

Computers should generally give us the same output with the same input.


We're not governed by poetry on statues. If we decide we're full, that's ok.


Sure, though we shouldn't hold up the poetry or the statue as a symbol of our country then.

There is a lot of what went into America that would be (or has been) lost by completely abandoning the idea though. Maybe its worth it, that's not for any one person to decide, but its a huge change and there's always the risk of throwing out the baby with the bath water.


It is still a symbol of the country. Settling the US was a meat grinder, and you basically turned up and sank or swam. You weren't ever a cost back then; you were an asset.

Now with all the various welfare programmes you can easily become a cost, although of course that's only a proportion of the people coming in, just as it's only a proportion of the people born in the country. But it's silly to equate what happened back then with what's happening now. And it's unfair to hold the US to this standard and not any other country. Particularly when the US takes in more (legal) immigrants than any other country each year.


Totally agree on the challenge with welfare programs. To me that's more a sign that welfare programs were never going to be sustainable though. We still haven't found a way to secure our borders, without that welfare is a blank check.

I don't hold other countries to a standard only because I have no say in how the are run. I would actually prefer to see countries freely allowing immigration and emigration, but I'm not going to say anyone else has to or even should.

What's often lost, in my opinion, with regards to the statue is that the whole point was that anyone should be able to move here if they want to give it a shot and none should be able to take away that right from anyone else.


That might be the point of the statue; I don't know. But equally the point of the pyramids might've been to ensure the world venerated the Pharoahs for eternity, and that's not happening today. I don't see why a landmark would have legal force.


To be fair the society that idolized those pharaohs is long gone though. It'd be a different story with the statue of liberty if the US was gone.

Landmarks don't have to have legal force. My only point here, that I'm almost certainly over complicating or muddying, is that the statue is still held as a symbol of our country but we seem to fundamentally disagree with what the statue stood for in the first place.

It seems disingenuous but that alone isn't a huge deal. My concern personally is that I do still believe in what the statue stood for, and I think most people arguing immigration miss the fundamental question of should one person be allowed to stop another from choosing to live here and make a life for themselves. The argument usually jumps straight to how to limit it, not whether one should have the right to limit it.


No one disagrees with what it stood for; in fact, the US is still the world leader in immigration. But that doesn't mean illegal immigration is okay. If we want to play statue originalists for a second, the fact that the statue stands as an invitation shows it believes that an invitation is required to enter someone else's country.


Interesting, I don't actually read the poem on the statue as an invitation so much as an ideal that an invitation isn't needed since everyone is welcomed.

Illegal immigration is a whole bag of worms since it only comes down to what laws we choose to write. Our immigration policies today are much more strict than they were historically (with a possible caveat for wartime years). Where it once was legal as long as you went through a port of entry and provided basic info, today its a multi year process tied to merit and limited by caps on total immigration and country of origin. Both were legal if you followed the rules of the day, but the rules are drastically more strict today.


> If we decide we're full, that's ok.

We've got both a declining birth rate and an economy that demands growth. Our biggest competitor is 4x our size. We have vast open spaces, and a history of repeatedly, successfully incorporating waves of immigrants. We're not even remotely full.


Its still a more fundamental question for me than whether were full.

Should we be able to decide who has a chance to live here at all? We have laws and you have to abide by them, but beyond that I'm not sure why I should get to be gate keeper at all. We'd have to get rid of welfare programs if we have no cap on immigrations, but honestly if someone wants to move here and try to make a better life for themselves I don't see what the problem is.

I'm sure most would say crime, but that's just not a compelling argument. We will never have a bulletproof immigration system, people will find ways to sneak through went we don't want to let them in. More importantly, crime isn't a foreign problem - we have domestic crime that has nothing to do with immigrants.


"I'm sure most would say crime, but that's just not a compelling argument. We will never have a bulletproof immigration system, people will find ways to sneak through went we don't want to let them in. More importantly, crime isn't a foreign problem - we have domestic crime that has nothing to do with immigrants."

So let me rephrase: "we have already some internal crime so there's no point trying to limit another source of crime" ?


> So let me rephrase: "we have already some internal crime so there's no point trying to limit another source of crime" ?

I've got some bad news for you, about babies.


As far as I'm concerned, it isn't my right to tell someone else that they can't live here. If someone wants to come to the US to try to make a better life for themselves, I wish them the best of luck and hope they succeed. I don't think its anyone's right to claim the right to decide who is worthy of getting a chance here.

When it comes to crime, its not that we already have crime so don't bother. We have to deal with crime either way, and the potential benefit of closing borders isn't worth stepping on what I consider a fundamental right. We also haven't answered how to know who will commit a crime if they come here, unless we have precogs hidden away in a pool somewhere.


Oh, I absolutely agree. I just think the idea of us being "full" is completely wrong.


It's still too high.

Illegal immigration often ruins the idea of immigration in the minds of the native population.


The proletariat can rock that soviet tech, making some lips/forth/prolog insanity. Once they're done, I'll simulate it at 10,000 times native speed on one core of my Apple iThing.


unless you own land and manage not to sell it to buy food, you should not assume that you will still have your current lifestyle in ten years. even if you are of the rentier class, you should not assume that there will be enough people who can afford your prices in ten years.


The US population has gone from 150 million in 1950 to over 350 million. This has been accompanied by a huge migration from rural areas to the city. There is no way house prices could not go up but there is always going to be a limit on how much things increase by before they stop selling because the buyers vanish.

The more interesting question for me is once the baby boomers start dying off and population growth becomes a big fat negative is what will happen to property prices.


your population won't shrink, you'll import the third world first.


TLDR: Other than the child identifying as a wolf, the child doesn't identify as a wolf. And you're a bully for even noticing. Bully.


A better TLDR would be "other than the child saying 'I identify as a wolf', they do not actually identify as a wolf, and no accommodations have been made for them."


More awesome young men for my company to hire!

I used to try and make my team look like a Star Trek crew. Not anymore. Competence over anything.


Nowadays? It's so bad and cringeworthy that my young sons picked up on the STEM girlie nonsense and are actively rebelling against it and running with whatever they have. Leaving the coddled scrubs behind.


Shouldn't you teach your sons how to cooperate with the fairer sex instead of assuming that robots have cooties? This is silly.


You think encouraging more people to become more interested in jobs that are essentially the future of civilization is “nonsense”? Don’t you think that’s odd?


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