#industrial revolution 3

[ultimitethepig]

Guys I have no fucking clue what I'm doing.

[snugcubunny]

Final Fantasy'd ya boi

[ajdrawshq]

i can almost guarantee ive said it before but. he would thrive in a zero escape game

[demento-mori]

do you think fable iii could be considered urban fantasy?

[vse-kar-vem]

how to write vent post title that does not come off as self-pitying and or accusatory (because it's NOT !)

[randomly-generated-posts-machine]

the industrial revolution and UwW:3 … we need to talk about that

[ericmicael]

A few days ago I shared a link that gave some interesting details about the theme of the "Frozen Podcast" such as the origin of the name of the new kingdom and the possible inspiration for the theme of copper mining in the Enchanted Forest. And this is the inspiration:

I don't know how the situation is today in Repparfjord because it's hard to find news, but it's there for anyone interested.

If "Frozen 2" already had a lot of political and ambient inspiration, the podcast will perhaps follow suit, which I appreciate. If you consider the theory that Disney needs to consult everything related to the Northuldras to be real, I think it's really possible that this podcast also had this consultancy.

I'm curious if they will also use this theme for "Frozen 3". The Enchanted Forest, the spirits, the Northuldras and Ahtohallan have now been revealed to the world.

One of the themes that the Frozenverse liked to ignore before "Frozen 2" was people being prejudiced against magic. But do you know who is the person in the franchise before Runeard who showed prejudice towards magic?

Duke Weselton, precisely the character that will have a family member on the podcast. Maybe Disney's preference for the Duke over the Prince isn't so random after all.

And yes, all of this fits perfectly with the theme I've been theorizing since "Frozen 2" will be the theme of "Frozen 3": the Industrial Revolution.

[oars]

also crazy the amount of work deaths that are not covered by the news not only in ups but in usps too and not just drivers but in warehouses/plants/airhubs etc but at this point i just suspect its such a normalized thing its not as if the news can cover them all :/

[peresephoknee]

all this to say I reached the Orientalism Chapter of Alice madness returns and it’s just as bad as you think it it

[seashorepics]

The Origin and History of Steampunk: Its Influence on TV, Films, Music, and Modern Culture

Steampunk, a subgenre of science fiction, is distinguished by its retro-futuristic aesthetic that merges the Victorian era’s design and technological innovations with speculative technological advances. The movement, however, extends beyond just a literary genre—it has evolved into an all-encompassing artistic and cultural phenomenon. This essay delves into the origins of steampunk, its…

[sukunasdirtylaugh]

I don't even know what I ate the other day but my face is badly breaking out

[problematic-fiish]

I was watching tinkerbell after taking an edible the other night (10/10 would recommend) & ive realised in, hindsight, that deciding the direction to take for tinkerbells solo movie is giving her a mechanical engineering degree is fucking wild.

[mostlysignssomeportents]

Epic Systems, a lethal health record monopolist

Epic Systems makes the dominant electronic health record (EHR) system in America; if you're a doctor, chances are you are required to use it, and for every hour a doctor spends with a patient, they have to spend two hours doing clinically useless bureaucratic data-entry on an Epic EHR.

How could a product so manifestly unfit for purpose be the absolute market leader? Simple: as Robert Kuttner describes in an excellent feature in The American Prospect, Epic may be a clinical disaster, but it's a profit-generating miracle:

https://prospect.org/health/2024-10-01-epic-dystopia/

At the core of Epic's value proposition is "upcoding," a form of billing fraud that is beloved of hospital administrators, including the "nonprofit" hospitals that generate vast fortunes that are somehow not characterized as profits. Here's a particularly egregious form of upcoding: back in 2020, the Poudre Valley Hospital in Ft Collins, CO locked all its doors except the ER entrance. Every patient entering the hospital, including those receiving absolutely routine care, was therefore processed as an "emergency."

In April 2020, Caitlin Wells Salerno – a pregnant biologist – drove to Poudre Valley with normal labor pains. She walked herself up to obstetrics, declining the offer of a wheelchair, stopping only to snap a cheeky selfie. Nevertheless, the hospital recorded her normal, uncomplicated birth as a Level 5 emergency – comparable to a major heart-attack – and whacked her with a $2755 bill for emergency care:

https://pluralistic.net/2021/10/27/crossing-a-line/#zero-fucks-given

Upcoding has its origins in the Reagan revolution, when the market-worshipping cultists he'd put in charge of health care created the "Prospective Payment System," which paid a lump sum for care. The idea was to incentivize hospitals to provide efficient care, since they could keep the difference between whatever they spent getting you better and the set PPS amount that Medicare would reimburse them. Hospitals responded by inventing upcoding: a patient with controlled, long-term coronary disease who showed up with a broken leg would get coded for the coronary condition and the cast, and the hospital would pocket both lump sums:

https://pluralistic.net/2024/06/13/a-punch-in-the-guts/#hayek-pilled

The reason hospital administrators love Epic, and pay gigantic sums for systemwide software licenses, is directly connected to the two hours that doctors spent filling in Epic forms for every hour they spend treating patients. Epic collects all that extra information in order to identify potential sources of plausible upcodes, which allows hospitals to bill patients, insurers, and Medicare through the nose for routine care. Epic can automatically recode "diabetes with no complications" from a Hierarchical Condition Category code 19 (worth $894.40) as "diabetes with kidney failure," code 18 and 136, which gooses the reimbursement to $1273.60.

Epic snitches on doctors to their bosses, giving them a dashboard to track doctors' compliance with upcoding suggestions. One of Kuttner's doctor sources says her supervisor contacts her with questions like, "That appointment was a 2. Don’t you think it might be a 3?"

Robert Kuttner is the perfect journalist to unravel the Epic scam. As a journalist who wrote for The New England Journal of Medicine, he's got an insider's knowledge of the health industry, and plenty of sources among health professionals. As he tells it, Epic is a cultlike, insular company that employs 12.500 people in its hometown of Verona, WI.

The EHR industry's origins start with a GW Bush-era law called the HITECH Act, which was later folded into Obama's Recovery Act in 2009. Obama provided $27b to hospitals that installed EHR systems. These systems had to more than track patient outcomes – they also provided the data for pay-for-performance incentives. EHRs were already trying to do something very complicated – track health outcomes – but now they were also meant to underpin a cockamamie "incentives" program that was supposed to provide a carrot to the health industry so it would stop killing people and ripping off Medicare. EHRs devolved into obscenely complex spaghetti systems that doctors and nurses loathed on sight.

But there was one group that loved EHRs: hospital administrators and the private companies offering Medicare Advantage plans (which also benefited from upcoding patients in order to soak Uncle Sucker):

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8649706/

The spread of EHRs neatly tracks with a spike in upcharging: "from 2014 through 2019, the number of hospital stays billed at the highest severity level increased almost 20 percent…the number of stays billed at each of the other severity levels decreased":

https://oig.hhs.gov/oei/reports/OEI-02-18-00380.pdf

The purpose of a system is what it does. Epic's industry-dominating EHR is great at price-gouging, but it sucks as a clinical tool – it takes 18 keystrokes just to enter a prescription:

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2729481

Doctors need to see patients, but their bosses demand that they satisfy Epic's endless red tape. Doctors now routinely stay late after work and show up hours early, just to do paperwork. It's not enough. According to another one of Kuttner's sources, doctors routinely copy-and-paste earlier entries into the current one, a practice that generates rampant errors. Some just make up random numbers to fulfill Epic's nonsensical requirements: the same source told Kuttner that when prompted to enter a pain score for his TB patients, he just enters "zero."

Don't worry, Epic has a solution: AI. They've rolled out an "ambient listening" tool that attempts to transcribe everything the doctor and patient say during an exam and then bash it into a visit report. Not only is this prone to the customary mistakes that make AI unsuited to high-stakes, error-sensitive applications, it also represents a profound misunderstanding of the purpose of clinical notes.

The very exercise of organizing your thoughts and reflections about an event – such as a medical exam – into a coherent report makes you apply rigor and perspective to events that otherwise arrive as a series of fleeting impressions and reactions. That's why blogging is such an effective practice:

https://pluralistic.net/2021/05/09/the-memex-method/

The answer to doctors not having time to reflect and organize good notes is to give them more time – not more AI. As another doctor told Kuttner: "Ambient listening is a solution to a self-created problem of requiring too much data entry by clinicians."

EHRs are one of those especially hellish public-private partnerships. Health care doctrine from Reagan to Obama insisted that the system just needed to be exposed to market forces and incentives. EHRs are designed to allow hospitals to win as many of these incentives as possible. Epic's clinical care modules do this by bombarding doctors with low-quality diagnostic suggestions with "little to do with a patient’s actual condition and risks," leading to "alert fatigue," so doctors miss the important alerts in the storm of nonsense elbow-jostling:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5058605/

Clinicians who actually want to improve the quality of care in their facilities end up recording data manually and keying it into spreadsheets, because they can't get Epic to give them the data they need. Meanwhile, an army of high-priced consultants stand ready to give clinicians advise on getting Epic to do what they need, but can't seem to deliver.

Ironically, one of the benefits that Epic touts is its interoperability: hospitals that buy Epic systems can interconnect those with other Epic systems, and there's a large ecosystem of aftermarket add-ons that work with Epic. But Epic is a product, not a protocol, so its much-touted interop exists entirely on its terms, and at its sufferance. If Epic chooses, a doctor using its products can send files to a doctor using a rival product. But Epic can also veto that activity – and its veto extends to deciding whether a hospital can export their patient records to a competing service and get off Epic altogether.

One major selling point for Epic is its capacity to export "anonymized" data for medical research. Very large patient data-sets like Epic's are reasonably believed to contain many potential medical insights, so medical researchers are very excited at the prospect of interrogating that data.

But Epic's approach – anonymizing files containing the most sensitive information imaginable, about millions of people, and then releasing them to third parties – is a nightmare. "De-identified" data-sets are notoriously vulnerable to "re-identification" and the threat of re-identification only increases every time there's another release or breach, which can used to reveal the identities of people in anonymized records. For example, if you have a database of all the prescribing at a given hospital – a numeric identifier representing the patient, and the time and date when they saw a doctor and got a scrip. At any time in the future, a big location-data breach – say, from Uber or a transit system – can show you which people went back and forth to the hospital at the times that line up with those doctor's appointments, unmasking the person who got abortion meds, cancer meds, psychiatric meds or other sensitive prescriptions.

The fact that anonymized data can – will! – be re-identified doesn't mean we have to give up on the prospect of gleaning insight from medical records. In the UK, the eminent doctor Ben Goldacre and colleagues built an incredible effective, privacy-preserving "trusted research environment" (TRE) to operate on millions of NHS records across a decentralized system of hospitals and trusts without ever moving the data off their own servers:

https://pluralistic.net/2024/03/08/the-fire-of-orodruin/#are-we-the-baddies

The TRE is an open source, transparent server that accepts complex research questions in the form of database queries. These queries are posted to a public server for peer-review and revision, and when they're ready, the TRE sends them to each of the databases where the records are held. Those databases transmit responses to the TRE, which then publishes them. This has been unimaginably successful: the prototype of the TRE launched during the lockdown generated sixty papers in Nature in a matter of months.

Monopolies are inefficient, and Epic's outmoded and dangerous approach to research, along with the roadblocks it puts in the way of clinical excellence, epitomizes the problems with monopoly. America's health care industry is a dumpster fire from top to bottom – from Medicare Advantage to hospital cartels – and allowing Epic to dominate the EHR market has somehow, incredibly, made that system even worse.

Naturally, Kuttner finishes out his article with some antitrust analysis, sketching out how the Sherman Act could be brought to bear on Epic. Something has to be done. Epic's software is one of the many reasons that MDs are leaving the medical profession in droves.

Epic epitomizes the long-standing class war between doctors who want to take care of their patients and hospital executives who want to make a buck off of those patients.

Tor Books as just published two new, free LITTLE BROTHER stories: VIGILANT, about creepy surveillance in distance education; and SPILL, about oil pipelines and indigenous landback.

If you'd like an essay-formatted version of this post to read or share, here's a link to it on pluralistic.net, my surveillance-free, ad-free, tracker-free blog:

https://pluralistic.net/2024/10/02/upcoded-to-death/#thanks-obama

Image: Flying Logos (modified) https://commons.wikimedia.org/wiki/File:Over_$1,000,000_dollars_in_USD_$100_bill_stacks.png

CC BY-SA 4.0 https://creativecommons.org/licenses/by-sa/4.0/deed.en

[littlessparrow]

I feel like it will be set before or during the fall of the guild. Bowerstone and Fairfax Castle are bigger so it has to be set after fable 1 (then again I think it they were smaller in the game due to limitations at the time). With the guild seal appearing a lot it's safe to say the guild is still around at this point. Either way I'm excited to see where this goes!

THEY JUST SHOWED THE NEXT FABLE AT THE XBOX SHOWCASE

I'm not going to be calm about this whatsoever because at this point I'd sort of given up hope but it's actually happening!

and it's probably continuing the same timeline as the other fable games because we see Fairfax castle

but the hero named Humphrey who's doing the narrating has a bunch of stuff with the guild symbol on it, so maybe it's set before the fall of the guild? in fable 2 and 3 it was said that the heroes became arrogant and annoying so people got rid of them, maybe this game takes place when that's happening? anyway going to obsessively watch this tiny bit of info on repeat now if anyone needs me

[todays-xkcd]

The Watership Down rabbits removed an additional 0.1 nanometers constructing their warren, although that was mostly soil. British rabbits have historically mined very little coal; the sole rabbit-run coal plant was shut down in the 1990s.

UK Coal [Explained]

Transcript

[The following formula is shown (with the divisor below a horizontal line in the comic, rather than inside parentheses):] UK total coal production (1853-present, UK DESNZ) / ((coal seam density) × (UK land area)) = 25 billion tonnes / (1.3kg/L × 240,000km²) ≈ 3 inches

[Cueball is standing to the right of the formula, upon a dotted line representing the prior ground level. Two arrows indicate that the dotted line is 3 inches above the solid line that is the current ground level.] [Caption below the panel:] The UK shut down their last coal power plant today, which means that over the course of the industrial revolution, they dug up and burned an average of 3 inches of their country.

[ericmicael]

List of things that could happen in “Frozen 3” (even some I don't care about and some I'm 100% against).

The KristAnna wedding: this is a complicated topic for me since the franchise has the habit of liking the passage of time of 3 years and I don't believe they will change that, although the wedding apparently happens in less than 1 year after “Frozen 2” . I would bet that the wedding will be the first scene of the movie (or one of the first ones) and then there will be a time skip like it happened in the other 2 movies.

ElsaMaren's canonization: what I would most like to see happen (https://at.tumblr.com/ericmicael/will-elsamaren-be-canon-in-f3/h3b8byamyk9v). If they want to make it implicit, there are a thousand and one ways to confirm the relationship between Elsa and Honeymaren without running the risk of being boycotted... Although I would like a kiss to happen.

Kristoff's past: I don't think it's a topic that needs to be addressed further because there's going to be a book about it ("Lost Legends: The Fixer Upper"), but it's a possibility, it just won't be the focus. And technically Kristoff is already Northuldra (Kristoff is a Sami and Sami are the inspirations for the tribe) so I don't think there will be any revelations about that.

More about Fifth Spirit: today this term is almost not said in the franchise (I don't remember the last time it was), Jennifer Lee has already given a new context by bringing Anna into the equation (it seems just a better context on the dynamics of the bridge of the anything else) and Elsa's official title is Snow Queen. I would not be surprised by the exclusion instead of deepening.

Explanations about Ahtohallan: unlike Quinto Espirito, the Goddess of Memories is something still explored, and in fact the two terms may even be put together in a muted way. There is a whole theory created through a parchment about the origin of the world involving Ahtohallan, maybe they confirm it.

More on King Runeard, Agnarr and Iduna's past: A lot of the three's past is being covered in books like Queen Rita ("Dangerous Secrets", "Polar Nights"), so I don't think it will be... But the background of Iduna's family has not yet been addressed, there is only a mention that the entire family and original tribe of Anna and Elsa's mother was killed without further explanation. If I'm going to bet on one of those pasts coming to light, I'd bet on the past of Iduna's family.

Hans' revenge: he has already returned twice in the franchise (https://at.tumblr.com/ericmicael/disney-magic-kingdoms-hans-and-his-two-comebacks/p5nullsk82gv) and maybe there will be a third and this time canonical? It's an easy plot idea and would work as a farewell and finally have a match against Anna. But to me it makes as much sense as Palpatine's return in "Star Wars: The Rise of Skywalker", both arcs are already concluded and while Palpatine was brought in to take Kylo/Ben out of the villain arc that was built up in VII and VIII and generating cheap fanservice, Hans wouldn't be much different: Anna already had her arc concluded with Hans and between bringing the King of the Southern Islands as a villain or creating an original character with new philosophies, I much prefer an original character. But to please the prince's fans he may come back to be humiliated again as a recurring joke.

RETCON – Elsa returns to live in Arendelle: it would be a retcon because Elsa herself has said that she feels more like herself in the Enchanted Forest than in the castle and that now she has both worlds. I think it's impossible to happen since, as the franchise said, it reinforces that the end of F2 was right.

EXTRA THINGS THAT MAY HAPPEN... ARE MORE PERSONAL WISHES THAN THEORIES:

Anna fight someone using a sword.

Ryder and Kristoff communicate with the reindeer and use it to save the day.

Kristoff being frozen: Anna was frozen in F1 and Elsa was frozen in F2, it will be funny if Kristoff is frozen in F3 or cite that fact.

Yelana passes command of the Northuldra tribe to Honeymaren.

Characters from the Frozenverse (those who didn't first appear in a movie but in a book, comic, etc.) make an appearance or are mentioned: Of all this list I really believe that this is the least likely to happen..., but in the "Frozen 3" novelization there will be some characters, that's for sure.

Mention of the "Tangled" universe: While the two universes were likely created from different centuries ("Tangled" in the 1780s and "Frozen" in the 1840s) over time, the insistence on creating easter eggs linking them (although taking a visual comparison they are only present in the Frozenverse) or even mention these easter eggs (like the quiz with the cast of “High School Musical: The Musical: The Series”). But I advise you not to get carried away with this, because if it happens it will be just a sentence or an easter egg with the same screen time as the moment that happened in “Frozen 1”.

Elsa fighting ships: technically this already happened in 'Polar Nights', but not in the way I wanted. I want a really powerful manifestation of Elsa that surpasses Eternal Winter, and no, manifestations of her power in "Frozen 2" don't even come close to that moment where she freezes without realizing an entire kingdom in a very short time.

Duets between KristAnna, Elsa and Anna, ElsaMaren, Ryder with Kristoff, etc. Olaf and Sven can be part of that. By the way, still talking about music, I really hope to have an opening sequence similar to the dynamics of “Some Thing Never Change”, but showing Arendelle and the Enchanted Forest at the same time.

Greater depth in the relationship between Mattias and Halima.

The trolls and Yelana are more important: They are the greatest living sources of knowledge about magic and in "Frozen 2" it almost doesn't matter... although there is an interesting detail about it: Honeymaren became the new source of knowledge about magic by learning from Yelana and passing the knowledge on to Elsa.

Yelana tells stories about Iduna's past in the tribe: unfortunately I have less and less hope for that to happen, in “Polar Nights” Elsa technically replaces that role of Yelana with Ahtohallan.

Focus on the Industrial Revolution: this is a theory of mine that came up in F2 because of a quote from Olaf (“Oh! My theory about advancing technologies as both our savior and our doom?”) and that had some more elements in the comics reinforcing it 19th century technology like trains, photography, etc. Magic vs Technology for me will be one of the themes of “Frozen 3”.

That the fact that Anna and Elsa are living far from each other is relevant: as I said in the “retcon” topic, the franchise reinforces that the ending of F2 is correct, but in such an objective way that there is almost no time to address the topic “ separation” (although I don't think that's the right term to refer to the end of F2). I wanted it to have a conversation about that and to have lessons about love and family, as that's the focus of the franchise.

Let no new funko pops appear, I mean elemental spirits: I'm not saying I don't like Gale/Bruni/Earth Giant/Nokk, but let's admit that their main function is commercial, the second is related to pleasing children and maybe just the third function is plot related. Honestly what I most want to happen in "Frozen 3" is to develop what was presented in "Frozen 2" and was not developed instead of creating even more elements that will probably not be satisfactorily addressed in its debut.

Family photos: it was presented that there is photography in the franchise and if they don't use it until exhaustion, for me it will be a big waste.