timelets

In the medical desert that has become rural America, nothing is more basic or more essential than access to doctors, but they are increasingly difficult to find. The federal government now designates nearly 80 percent of rural America as “medically underserved.”
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What Van Horn offered was a three-year contract with $300,000 guaranteed for the first year, which was about 50 percent more than Cummings could have earned in a big city. He wanted to practice in a small town where he could get to know his patients. His wife liked the nearby mountains. They would be close enough to drive back to Central Texas to visit family. The federal government would forgive much of his student debt as a reward for his working in a medically underserved area. Van Horn had sealed the deal with a $5,000 signing bonus and a $3,000 monthly stipend during the final year of his residency.
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Even during his residency in tiny Winnemucca, population 7,400, he had worked with a medical team of emergency physicians, hospitalists and general surgeons. Once he started in Van Horn, he would eventually become the only doctor on call.

https://www.news-journal.com/news/in-the-medical-desert-of-rural-america-one-doctor-for/article_cff7ecda-e2f2-11e9-a269-330f202342cd.html

Polanyi’s well-known example of tacit knowledge is the skill associated with bicycle riding. The formal dynamics of balance on a bicycle do not comprise the rules of riding. A rider may know nothing of centers of gravity and gyroscopic forces yet can still ride, whereas the most expert bicycle engineer may not be able to do so. The rider knows how to ride but without being able to say how; indeed, too much self-conscious attention tends to be counterproductive.

The same tacit qualities apply equally to nonphysical cultural skills, such as recognizing significant objects in a “noisy” environment.



H.M. Collins, ibid.

Trump said: "If you get along and if Russia is really helping us, why would anybody have sanctions if somebody’s doing some really great things?"