A large pharma company which I worked for until quitting in July went through a similar process this year. The goal was also to reduce the manager / IC ratio - organizational efficiency and span of control, they called it - but in most instances it were ICs who were laid off while their managers were simply relegated to ICs.
All these issues (except, perhaps, the need to switch to asynchronous way of working due to time zones) are these days solved by specialized services for a flat, and not too high, fee; honestly, if there’s a will to hire internationally, there is a way.
How is a third party service going to solve language barriers or prevent a random foreign government from having or passing new laws that cause problems for you?
Or even an OS-level feature like it currently is on MacOS. It is very convenient to change the mode globally and have all your apps, including browser, IDE, email, etc. change as well.
I world argue it’s still cause of money, whether it’s more money or less money doesn’t matter, just the money (and benefits if America) to be able to live. It’s only when your answer is still the same given you don’t have financial responsibilities and health needs that one can truly say it’s not about the money.
Why is this question important? The primary purpose of pain medication is not to facilitate recovery, but to reduce suffering and increase quality of life.
Exactly! Opioids increase suffering and ruin the quality of life for hundreds of thousands of Americans. 80k+ yearly overdose deaths, plus a percentage of those using opioids for recovery become addicted to it.
Is that a worthy tradeoff? I presume (could be wrong) but we did fine recovering with surgical operations 80 years ago without opioids.
One of the first complaints made by the postoperative patient on returning to consciousness is pain. This if due to the actual operative procedure should be at once relieved. William J. Mayo taught us long ago to give morphine during the first twenty-four hours for the pain which we make; viz., by cutting, retracting, suturing, etc. The discomfort caused by such procedures is relieved best by this drug and it is given by us if there be no contraindications for its use, regardless of the amount until full relief is experienced or its physiologic effects obtained.
24 hours post operation is fine. But giving them for weeks after an operation seems unnecessary. I've also heard that oxycontin in the USA is given to pregnant women to deal with pain.
Most countries do without them now and have always done without them except in special cases such as palliative cures. You get opioids during recovery in the hospital, but not once you're discharged. You might get codeine rarely, but that's it.
If the online hate doesn't translate into physical violence and security threats - than, at least for me, the answer is a simple 'yes'. I would be surprised to find out if it isn't the case for but a statistically small sample of the population.
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