Video: Police vehicles ram into car, killing woman

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Why fantasizing about killing your boss is totally healthy

Bosses, watch your backs. Not only is fantasizing about murdering your supervisor — a la “Horrible Bosses” or “9 to 5” — totally normal, it’s healthy, Dr. Julia Shaw, a criminal psychologist at University College London, tells The Independent. Shaw addressed the crowd at the UK’s Cheltenham Science Festival, saying “popular targets” in our murderous…
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‘Killing Eve’ Season 2 Stumbled Where ‘Barry’ Soared (Column)

SPOILER ALERT: This article contains spoilers for the entire second seasons of “Killing Eve” and “Barry.”  I was dead certain that “Killing Eve” and “Barry” — two of my favorite television debuts of 2018 — should have ended after a single season. Both coincidentally starring unstable assassins, the shows were smart, propulsive, and extremely weird […]

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China’s African swine fever is killing thousands of pigs

African swine fever (ASF) is decimating China’s pork industry, by far the biggest in the world. Dutch bank Rabobank, which lends to the global agricultural sector, estimates the country’s pig population could shrink by a third in 2019 — up to 200 million animals — through a combination of the disease and culling. CNN’s Andrew Stevens reports.


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‘Killing Eve’ Wins BAFTA Award For Best Drama Series

The British Academy of Film and Television Arts or BAFTA celebrated the stars of the small screen Sunday night.

BBC-produced spy-action thriller ‘Killing Eve’ won three BAFTA awards – for best Drama Series, Leading Actress for Jodie Comer and Supporting Actress for Fiona Shaw.

Patrick Melrose, based on Edward St Aubyn’s semi-autobiographical novels, received the award for best Mini-Series, while
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‘Terrifying’: Crane falls on busy Seattle street from Google campus building, killing 4

A construction crane fell from a building on Google's new Seattle campus during a storm that brought wind gusts, crashing down onto one of the city's busiest streets and killing four people.
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Kail Wants to Quit ‘Teen Mom 2’ After Jenelle’s Mom Jokes About Killing Her

Kailyn Lowry and Jenelle Evans have been through their fair share of drama – but it all came to a head in January when Jenelle and her mother, Barbara Evans, went on Instagram Live and made a joke about killing her. While filming a video with Brittany DeJesus, Barbara joked they should “all get lit, and we’ll go kill Kail.”

The comment almost immediately went viral and Kail, 27, quickly got word. “I heard Barb wants to kill me. … Are drunk words sober thoughts?” she tweeted at the time. The incident played out during the Monday, April 15, episode of Teen Mom 2 and was extremely intense.

During the episode, Jenelle and her mom went to Atlanta for a girls’ trip to destress. Even though David Eason wasn’t thrilled about Jenelle traveling without him, she needed a break from the real world and said that she was tired of hearing Kailyn talk about her on her podcast, so off they went.

After a day of shopping, Jenelle and Barbara broke out the wine and beer and went live on Instagram. She added Briana Dejesus’ sister to her stream, too. However, it all came crashing down when producer Kristen called Barbara while the stream was still going on.

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The Weekend Reset: Buster, Big Beats and Killing Robocalls

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It’s Friday. Looking for something to switch up your weekend, or to give you an excuse to relax a little? That’s what the Weekend Reset is for. Each week contributor Tim Johnstone pulls together five things to get your weekend started. Could be something to read or watch, something to eat or listen to, or even something to do. Enjoy the weekend fellas.

 

READ: Consider this your lifehack of the week.

If there is one thing I don’t do with my phone, it’s actually make calls and such. As in talking. Actually communicating via telephone seems so late 19th century. In the instance when mine actually rings, I deliver a withering side-eye and cuss like a sailor before ignoring it completely. You may have a different relationship with your phone. And that’s all good. I would imagine however, that we are of like mind when it comes to Robocalls. Which means this is totally relevant to your interests. With thanks to Joe for the heads up.

 

LISTEN: Jai Wolf brings big melodies to go with the big beats.

More of this please. Jai Wolf is a Bangladeshi-American producer who, having worked with Skrillex and other big names in the EDM world has released a debut collection of his own. This is electronic music that is warm and embraceable. The title gives away the idea here. The Cure To Loneliness. You have to be working hard to not find comfort in these songs. Yet it all rings true. It feels good. At the dog end of a particularly craptacular day gone by, I stumbled upon this and within minutes I had let my arguments with the day fade away. Not even kidding. There’s an indie-rock feel to some of this in a way that is less moronic than it sounds.

 

EAT: A different take on Spring’s favorite root vegetable. 

Roasted radishes with Herbs. I am fairly flabbergasted at the notion that people roast radishes. It’s not the actual roasting that flabbers my gast, but the idea that in all of my time on this particular orb, I had never run across it or had thought of doing it myself. I am such a disappointment. You, who aren’t burdened with such failure, are free to enjoy completely. But for reals, this is so good.

 

FISH: As in, adopt one. Or two.

My brother spent some time living at my place this summer, because life. While I was off enjoying a week at a mountain lake, he was goofing around at the state fair and when I returned I discovered a big fish bowl and two goldfish on my dining table. I was introduced to Loki and Thor and when my brother moved out last fall, the fish stayed behind. I knew this was going to happen the moment I saw them. What I didn’t know was how attached I would get to these guys. My previous experience with a state fair goldfish culminated with my father dumping the dregs of his scotch into the fishbowl when I was nine. To be honest, it culminated with a ceremonial flush later that night. I have since learned that even goldfish have personalities. So to speak. Mostly. Having lived with them for a good while now, I have to say that this article and this article do a good job of explaining why I am happy they’re still with me. Photo by Sri Lanka on Unsplash.

 

WATCH: I’m late to this party but what a party it is.

And by party I mean Western.  An entire anthology of first rate Westerns as only Joel and Ethan Coen could create. You get everything here. All the feels. ALL OF THEM. Because it’s the Coen Brothers, it is laugh out loud funny as well as bark real loud uncomfortable, funny or otherwise. Just don’t get too emotionally attached to the characters. Let’s face it, the American West of the era portrayed here, was not exactly the best of times. It was pretty brutal in fact. And with this as a backdrop, the stories that play out do so in ways that stick with you. The cast includes many Coen regulars along with a few surprises (Dudley Dursley we are looking at you!) including a classic performance from Tom Waits.

 

Tim Johnstone is Dappered’s music correspondent as well as our resident gatherer of all things interwebs related. He’s currently chasing his spirit animal. 


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Watching high-stress TV shows like Killing Eve calms me down. I decided to find out why

Watching high-stress TV shows like Killing Eve calms me down. I decided to find out why


Watching high-stress TV shows like <em>Killing Eve</em> calms me down. I decided to find out why

April is Stress Awareness Month. On HelloGiggles, we are talking about the routines, habits, and activities that unexpectedly keep us calm and grounded in a society where harmfulhigh levels of stress are dangerously normalized. (Trigger warning: This article discusses trauma from sexual assault.)

I was sitting next to my fiancée and we both had our eyes on the TV screen in front of us. Villanelle (Jodie Comer) had broken into Eve’s (Sandra Oh) home. Eve grabbed a knife; Villanelle, a trained and skilled assassin, obviously noticed and called her out on it. My fiancée and I eyed each other nervously throughout the scene, wondering if either woman would end up injured or dead. Eve ended the scene soaking wet and sweating—and I ended it feeling calmer and more in control than I had in days.

I started binging Killing Eve recently after reading about the show for several months on Autostraddle, my go-to resource on what queer women should be watching right now. It seemed like the perfect escape: We’d just recently finished You, the Lifetime psychological thriller that found new life on Netflix, and there was a high-stress media hole in my heart.

It may sound counterintuitive, but watching highly stressful media—horror movies like Jordan Peele’s Us, intense dramas like How to Get Away With Murder, and everyone’s favorite titular serial killer, Dexter—helps me relieve stress.

I’m not alone in feeling this way. According to research by Margee Kerr, a sociologist, fear researcher, and author of Scream: Chilling Adventures In the Science of Fear, a high-arousal negative stimuli, such as watching a horror movie or a show about murder, can improve mood significantly. Watching horror movies can also cause adrenaline levels to spike, resulting in viewers feeling less anxious or frustrated, according to a 2012 study.

“Viewing high-stress media can feel exhilarating and stress relieving,” says Dr. Allison Forti, an assistant professor at Wake Forest University’s Counseling and Human Services graduate program. “Two defense mechanisms, displacement and projection, can explain this. Rather than confront the co-worker who gossiped about you at work, your frustration and anger release through the serial killer’s violent acts in the movie.”

Consuming high-stress media can serve as a way to channel negative emotions like humiliation, rejection, shame, anger, regret, and spite.

This isn’t a universal experience. Kerr’s research only included people who wanted to voluntarily scare themselves, and Dr. Forti explains that some people experience serious psychological distress when they watch high-stress media: “The sympathetic nervous system activates and the body gears up to fight or flee.” So while someone like me, who loves fictional serial killers and haunted houses, might feel happier after a heart-racing experience, this probably won’t be true for people who hate those things.

It doesn’t entirely surprise me that the more I’ve been binge watching Killing Eve, the less stressed out I am.

My adoration for watching high-stress shows as a coping mechanism actually started after I was raped in college, when I found watching The Vampire Diaries and Dexter oddly cathartic. I felt like I’d lost my own sense of agency and control, and there was something comforting about actively choosing to make my heart pound instead of waiting for it to happen because I’d woken up from another nightmare about the attack.

“When our stress level is escalated, using coping strategies that have a similar intensity can often provide a sense of relief,” explains psychotherapist Beth Scarlett.

“Sometimes we feel anxious or stressed, and we have trouble pinpointing the source of it. An intense show gives our brains a ‘reason’ for being wound up, which actually gives a sense of relief.”


After I was assaulted, I found it hard to wake up in the morning and concentrate in my classes; I’d start thinking about what happened and feel overcome by a surge of panic or anger. I wanted a way to deal with my emotions that wasn’t overwhelming and wouldn’t completely consume me. In addition to going to a therapist weekly, I started binge watching high-stress TV series in my dorm room.

The characters always felt a sense of urgency: Maybe they were on the edge of being caught as a serial killer; maybe they were the one being hunted. It gave me the opportunity to safely process my trauma.

“High-stress media can be used to channel unconscious or conscious thoughts and feelings that are too psychologically risky to address in a healthier way,” explains Dr. Forti. I didn’t feel it was safe to confront my rapist, but I could channel my anger into Season 5 of Dexter, where the titular character helps a rape victim track down her assailants and kill them.

The impact of high-stress media can be even more powerful if it’s a rewatch, like Dexter was for me after I was assaulted. I’d already watched the show in its entirety in high school. “Many people find comfort in watching and re-watching movies where they know the sequence of the story,” explains psychotherapist Dr. Dana Dorfman. “This knowledge provides a sense of a mastery over scary material, and offers an escape and distraction from the unpredictability of real life.”

High-stress TV shows and movies can also serve as a safe way to expose yourself to something that scares you or makes you nervous, Dr. Dorfman explains.

“This gradual exposure desensitizes the person to the stimulus and reconditions the brain to respond differently,” she says, and the viewer retrains their brain to react more calmly to stressful content.

Watching scenes of Lumen surviving rape in Dexter’s fifth season helped me cope with the trauma of my own assault without leaving my twin XL bed. Seeing a main character onscreen dealing with the impacts of post-traumatic stress, like nightmares and panic attacks, helped me realize that I was capable of healing someday too—even without the help of a serial killer to literally murder my rapist.


It’s been seven years since the assault and my daily life is nowhere near as stressful. I’m planning a wedding with my partner and balancing my career and social life with my disability, but I also have a lot of support. I don’t feel the same sense of urgency every morning when I wake up as I did for months after I was assaulted. But I still reach for the remote to turn on shows like Killing Eve and You, which my partner and I finished almost immediately after starting it. Dr. Dorfman calls this perspective building, which is when viewers use high-stress media to help them keep the stress of everyday life in perspective.

My stress now is mainly over minor things like taking my cat to the vet because she has an infection or realizing when the day is almost over that I don’t have a key ingredient for dinner. But stress can still take a toll on me. A couple of weeks ago, my partner came home exhausted after several crises at work and I was drained after planning out an enormous project.

As soon as we sat down to eat dinner, I suggested Killing Eve, which we’d recently started watching. “You know killers always make us feel better,” I said, hovering over the Hulu play button next to Sandra Oh’s distressed expression and incredible hair.

She laughed. At the end of the episode, when we were met with an enthralling cliffhanger, she asked, “One more?”

The post Watching high-stress TV shows like <em>Killing Eve</em> calms me down. I decided to find out why appeared first on HelloGiggles.

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‘Killing Eve’ plunges back in right where it left off

Picking up almost immediately where its much-ballyhooed first season concluded, “Killing Eve” deftly continues the cat-and-mouse game that made this BBC America series one of 2018’s most pleasant surprises — an espionage caper loaded with dry wit, dark comedy and two splendid central performances.


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Suspect in rapper Nipsey Hussle’s killing arrested in Los Angeles suburb

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‘Killing Eve’ Boss on Why Eve and Villanelle ‘Could Die in Any Episode’

“Killing Eve’s” new head writer and executive producer Emerald Fennell took the reins of Season 2 with the attitude that both of the main characters — the titular MI6 agent (Sandra Oh) and the assassin she stabbed at the end of Season 1, Villanelle (Jodie Comer) — could “die in any episode.” “I never wanted […]

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Tattoos Were Once for Rebels. Is Popularity Killing the Art?

Photo Illustration by Elizabeth Brockway/The Daily Beast/Getty

In 1896, an Italian criminologist named Cesare Lombroso—whose infamous, disproved, scientifically racist theories include believing all offenders were part ape—wrote another spicy take on tattoos for the April issue of Popular Science Monthly.

After studying the prevalence of tattoos on Italian and German law-breakers, Lombroso came to the conclusion that “criminals, like savages, are very little sensitive to pain,” since their lot did not mind getting prodded by needles for the sake of making a statement.

At the same time as Lombroso was spouting his social Darwinist nonsense, aristocratic women all over London were taking to the boudoirs, rolling up their sleeves, and getting ink of their own.

Read more at The Daily Beast.

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Hundreds more missing and tens of thousands are stranded, cut off from roads.
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2 Former Police Officers Arrested In The Killing Of Brazilian Activist & Politician, Marielle Franco

Tribute To Marielle Franco

Source: NurPhoto / Getty

Almost one year after the violent assassination of Rio de Janeiro councilwoman and activist Marielle Franco, Brazilian authorities have arrested two ex-military officers in connection with Franco’s murder, according to The New York Times. Franco’s death reverberated throughout Brazil, a passionate advocate for the underserved in her community.

Franco and her driver, Anderson Gomes, were murdered on March 14, 2018 after a gunman opened fire, showering their vehicle with 14 shots.

Early Tuesday morning around 4 a.m. Brazilian police arrested Ronnie Lessa and Elcio Vieira de Queiroz. Police believe Lessa fired the shots while Queiroz drove the getaway vehicle.

The arrests stoke the fires of numerous speculations that Franco was the target of an attack coordinated by the political powers that be. As of now, police have no motive and have yet to release information regarding who ordered the attack.

“It is undeniable that Marielle Francisco da Silva was summarily executed for her political activities and the causes she defended,” prosecutors wrote in a court document, according to the O Globo newspaper. “The barbarity committed the night of March 14, 2018, was an affront to a democratic state guided by the rule of law.”

Senior investigator Giniton Lages told the Times that 34 additional warrants would be served in order to find out who orchestrated the assassination.

“I don’t want there to be another case like Marielle and Anderson,” he said during a news conference. “It would be very dangerous to leave this matter unsolved.”

Franco was referred as a political force to reckon with, serving as the lone Black woman on the city council. She frequently spoke against the increasing state-sanctioned violence in Rio and also openly advocated for the rights of Black women and members of the LGBTQ community, two communities that she fiercely identified with.

Thousands of people in Brazil and across the world took to the streets to protest her death in the days following.

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The Killing Eve season 2 trailer has officially landed

And we need to see it. NOW.

REX

Killing Eve was undoubtedly one of the most talked-about TV shows of 2018, with the thriller series turning the already acclaimed Sandra Oh and Jodie Comer into household names.

But even though it feels like the first season has just left our screens, we’re already desperate for its second instalment – and we have A LOT of questions.

How did Villanelle escape after getting shot by Eve? Will the two women spark up a relationship in season two? And what couture looks will the high-fashion assassin be sporting next? (We’re still dreaming about that Molly Goddard pink dress from season one).

Thankfully, it looks like Villanelle is almost back, with the series creator Phoebe Waller-Bridge answering our prayers and dropping season two’s trailer just this week.

Spoiler alert – it looks incredible.

What can we expect? A lot of black comedy set in Rome and Paris.

Plus, according to the video clip, we can also expect Villanelle getting hit by a car, some comic book PJs, a terrifying kitchen knife scene, a pig mask and a chilling looking flower delivery.

Killing Eve’s second season comes to BBC America on Sunday 7 April, and while there’s no word yet as to when it will be aired in the UK, we’re sure it won’t be far behind.

The post The Killing Eve season 2 trailer has officially landed appeared first on Marie Claire.

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Liam Neeson Says ‘I’m Not A Racist’ While Addressing Comments About Killing A Black Man | PeopleTV

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Man surrenders in California police killing

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Opioids are killing more children and teens, too, study says

A growing number of children and adolescents in the United States are dying from opioid poisonings, a new study shows.


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Police: California officer killing suspect in US illegally

Authorities are searching for a man believed to be living in the country illegally who they say gunned down a California police officer the day after Christmas, inflaming the nationwide debate on immigration
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Killing Snoke Saved Star Wars

Snoke ranks #4 on our list of the 100 most popular villains of 2018 (check it out here).

The Force Awakens presented an interesting challenge for Disney. When Star Wars first came out, no one knew a thing about it, so information was taken at face value, without question. Luke is a farm boy with space wizard blood in his veins. Darth Vader is an evil emissary of an evil Emperor, who is so evil he recently dissolved the Galactic Senate. They have a Death Star, which is very scary, and very evil.

At no point did we ever hit pause and say, “Wait, but WHO is the Emperor? What’s his deal? What other characters is he connected to and why?” We just nodded, accepted that there was an Emperor, and that he was evil, and moved along with the story unfolding in front of us.

What If The Force Awakens Was the First Film?

Imagine if The Force Awakens had been the very first Star Wars movie. We’d nod along as a hotshot pilot searches for a map to an old war hero (General Kenobi, you’re my only hope) only to be pursued by the evil Kylo Ren, an evil emissary of the evil Supreme Leader Snoke, commander of the First Order (and #4 on our list of the 100 most popular villains of 2018). They have a Starkiller, which is very scary, and very evil.


Starkiller Base Star Wars
This is some grade-A evil stuff.

Who is that old war hero? He’s just a war hero. Who is Kylo Ren? He’s the evil son of two other war heroes and works for Snoke. Who is Snoke? He’s in charge of the bad guys. We nod, accept, and move along.

Eventually, books and toys would come out to fill in the blanks as we waited for the second film to hit theatres. We would consume it with a frenzied passion, but we wouldn’t pick it apart or look at it with skepticism. We’d accept this wonderful new information at face value. “That guy’s name is Bossk? Cool!” We’d ask “what else?” instead of saying “yeah, but uh.”

Skipping to the Third Act

However, The Force Awakens was not the first Star Wars film. Worse: It was the first after years and years of lore building and world construction. The who, what, where, why, and how of Star Wars wasn’t just in place — it was an indestructible death machine capable of destroying planets. Awakens was the first Star Wars thing to give us new information without the safety net of established lore. There was no trilogy of books to read to make sure something checked out. Even Wookieepedia was helpless in the face of the Dark Side of New Information.

To make things more challenging, it was, in a lot of ways, the third act of a story we didn’t get a second act of. We saw the first act: the rise of Luke, Han, and Leia and the fall of the Empire in the original trilogy. But we didn’t get a second act trilogy about their adventures protecting their New Republic, or any seeds of the First Order rising to oppose it. We were dropped directly into their final days as heroes, a new generation, and the fully realized threat of Snoke. Obsessed and driven as we are by needing to know the information about Star Wars, that was a tough pill to swallow. So needing to know, we took to the lore and made our own guesses. Forget the story unfolding — we need to know.

And it is through that lens that I like to examine Supreme Leader Snoke, an Emperor that exists on two timelines at once: his timeline as a character being introduced to Star Wars fans and the timeline of his character’s actual arc.

It’s All for You, Kylo Ren


Supreme Leader Snoke Star Wars Episode IX
Snoke’s story is not uncommon in literature.

The arc of Snoke’s character is simple enough: From the Unknown Regions, this cruel Force user assembled the elements of what would become the First Order, a war machine that would dwarf even the military resources of the Clone War era. He took Luke Skywalker’s prize student and twisted him in the dark side. Always a master, always an apprentice. In the moment of Snoke’s greatest triumph, his apprentice betrayed him, murdered him, and took his place.

We’ve seen this story play out countless times in literature and pop culture, but what gives it a new spin in Force Awakens and Last Jedi is the moment we’re brought into it. We’re only given the end. Could we have had a “second act” trilogy covering the origin of Snoke? Probably. Would it have been about as rewarding as the origin of Palpatine in the prequel trilogy? Probably. Instead, the fat is removed and we’re given the story beat about Snoke that truly matters: the rise of Kylo Ren.


Kylo Ren Star Wars
The rise of Kylo Ren was inevitable and necessary.

After all, even Palpatine is simply a means to an end. He’s a lightning-shooting Faceless Evil. It’s why he’s usually just called “The Emperor.” That’s all he needs to be: a lightning rod of fear for the galaxy, and ultimately a guy to be tossed into a pit when Darth Vader needs to be redeemed. Sometimes we just need to get to the fireworks factory, and Palpatine manipulating Naboo into a land war isn’t the factory — getting tossed in a hole by Vader is the fireworks factory.

Let’s Play a Game — With the Audience

In The Last Jedi, it’s revealed to the audience that they’re watching the end of Snoke’s story. The fireworks factory. His end is a means to Kylo Ren’s beginning. A lot of words have been written for and against director Rian Johnson’s “subversion of expectations.” But in this case, the reveal that we’re at the end of Snoke’s story — not the beginning — is less of a subversion and more of a meta kind of twist — a game with the audience.


Kylo Ren standing triumphant with lightsaber
Snoke's end shifts our focus to Kylo Ren and the future of the franchise.

How do you make an audience raised on knowing all of the lore actively watch a new story play out and engage with it instead of just playing “Star Wars Expectations” bingo? A simple shake-up of Joseph Campbell storytelling theory and trilogy structure — killing the Emperor ahead of our expected schedule — takes us out of our dependency on the past and forces us to actively watch the future play out.

“Kill it, if you have to,” Kylo says. And so he does. Killing Snoke cements that Kylo Ren has his own destiny to follow. It forces us to realize that for better or worse, we are watching something wholly new that isn’t concerned with the things we knew. It challenges our ability to absorb something new that doesn’t match our expectations and asks us to make ourselves comfortable with the idea that everything we tried to guess about Snoke was meaningless.

All of that in one stroke of a lightsaber.

The Supreme Leader is dead. Long live the Supreme Leader.

The Psychology of Emperor Palpatine

The post Killing Snoke Saved Star Wars appeared first on FANDOM.

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Netanyahu condemns killing of Saudi journalist but keeps focus on Iran

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A Saudi Prince Says Harvard Disinvited Him After Killing of Jamal Khashoggi

Win McNamee

Harvard has become the latest institution to spurn association with a top Saudi after the killing of Washington Post columnist Jamal Khashoggi at the Saudi consulate in Istanbul.

Harvard Belfer Center’s Kennedy School disinvited Saudi Prince Turki al Faisal from a long-planned week in residence, the prince told The Daily Beast in an interview at his Virginia home.

“I got notice… very politely saying ‘this may not be the right time for you to come and lecture because of the Khashoggi affair,’” said Turki, the son of the late King Faisal, and former ambassador to the United States.

Read more at The Daily Beast.

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Readers And Tweeters: Are Millennials Killing The Primary Care Doctor?

Letters to the Editor is a periodic feature. We welcome all comments and will publish a selection. We edit for length and clarity and require full names.


Health Care Wasted On The Young

I feel Sandra Boodman’s thesis is inadequate without a historical comparison to how young people accessed health care five, 10 or 20 years ago (“Spurred By Convenience, Millennials Often Spurn The ‘Family Doctor’ Model,” Oct. 9). As a family medicine doctor practicing for 33 years, my experience is that healthy young people use medical services only for urgent care and pregnancy until they develop chronic conditions. And, as a society in general, we have become more demanding about receiving services “now.”

Why should medical care not change as our expectations change? Certainly we have the technological ability to provide a portable health record one could take from site to site to improve continuity. We also have the ability to have a single electronic medical record or shared information hub so one’s health info can be accessed by any provider anywhere.

However, demanding “now” care at any convenient site does not allow one provider to get to know a person in a way to better inform them of how that individual’s situation (emotional-social-economic) impacts their health. So, convenience has its price.

— Dr. Kevin Walsh, Ellensburg, Wash.


Family physician Ajoy Kumar of Florida led a lively debate on Twitter and, in a series of tweets, emphasized how important it is to build doctor-patient relationships early because “nobody is young and healthy forever.”

— Dr. Ajoy Kumar, St. Petersburg, Fla.


It’s not so much the new generation as it is the age group. I didn’t have a primary care physician from the time I entered university until I was 42. I also only went to the doctor when I had a particular problem to deal with. Even back then (25-30 years ago), a $ 200 deductible meant I could pay for insurance but could not afford to use it for anything other than a dire emergency. Of course, back then almost everything was traditional indemnity, so we all paid full-freight unless you were covered by one of the nascent HMOs (which often controlled costs by denying care).

— Brenda F. Bell, North Plainfield, N.J.


Another primary care doctor bemoaned the trend as part of a larger move away from generalized medicine:

— Dr. Holly Mitchell, Amarillo, Texas


As long as we are talking about new models for medicine, here’s a plea for “human-centered design thinking”:

— Julie Schilz, Northglenn, Colo.


Laryngitis On The Campaign Trail?

It isn’t surprising that health care is a priority issue for voters (“Health Care Tops Guns, Economy As Voters’ Top Iissue,” Oct. 18). After all, the chief cause of personal bankruptcy is medical bills. Nor is it surprising that voters have not heard much about health care from midterm election candidates, who know the future success or failure of the health system and their political futures depend on how they respond to voters’ top concerns. It is much safer for our political leaders to leave the administration of the health system to the insurance companies.

But, so far, private insurers have shown they are more concerned with shareholders’ concerns than patients’. The result is a fragmented, impersonal health system overrun by multiple insurance plans, each with different copays, deductibles and insurance panels — where doctors are held captive by insurers’ regulations. If we vote people into office because we believe they will respond to our needs, why are so many of them so quiet on health care?

— Dr. Edward Volpintesta, Bethel, Conn.


Metrics Show Medicaid Is True To Its Mission

Both Medicaid enrollees and taxpayers see real results from Medicaid health plans — despite contrary claims (“As Billions In Tax Dollars Flow To Private Medicaid Plans, Who’s Minding The Store?” Oct. 19). Medicaid plans are held to high standards by the states, improving health, quality and savings for millions of Americans, including children, veterans, seniors and people with disabilities.

Medicaid plans run many programs to improve patient health — driving quality, coordinating care, and helping patients stay compliant with treatment. The vast majority of every Medicaid dollar pays for care, while Medicaid plan profit margins average less than 2 percent.

Medicaid plans report metrics that are made public. Results show that insurance providers saved states about $ 7 billion in 2016 alone — helping states realize the highest value for their Medicaid investment. Research shows that Medicaid enrollees have access to care that is similar to those who have coverage through their jobs, and are satisfied with their coverage.

Medicaid serves nearly 75 million Americans. Insurance providers know that Medicaid must work for those who rely on it — and the hardworking taxpayers who pay for it. We are committed to working together to ensure that Medicaid is effective, affordable and accountable.

— Matt Eyles, president and CEO of America’s Health Insurance Plans (AHIP), Washington, D.C.


A tweeter reading the same story noted the outsize level of Medicaid oversight compared with that of corporate America.

— Fran Quigley, Indianapolis


Imagine No Big Pharma

I know that we are all supposed to think the pharmaceutical industry is the savior of our country and that without them life itself would not be possible. What if we instead began to think of them as just the manufacturers of medication? What if we did our own drug research (maybe researching medication to treat millions instead of medication to make millions) and collected bids from every drug manufacturer for production only? What if we used tax dollars to pay for the manufacturing of the medications, and patients had to pay only a token pharmacy fee? I wonder what that would look like.

— Dr. David Herring, Staunton, Va.


Unamusing Cartoon

The publication by Kaiser Health News of a Nick Anderson cartoon with the caption “Inadequate Mental Health Services” above a picture of a prescription bottle reading “RX for Violence” from which bullets spill forth, is both surprising and deeply disappointing (‘Alternative Treatment’? Oct. 18).

How easy it is to imply that gun violence, indeed violence of any type, is largely attributable to untreated or undertreated, mental health conditions. But the facts, which I and millions of readers have come to expect from KHN, say otherwise. Mass shootings, the thought of which this cartoon invokes, account for less than 1 percent of gun violence, and for which mental health is a factor in but a small minority of cases. And while suicides are in fact increasing, and 85% of completed suicides involve guns, this too is only a small fraction (about 2%) of gun violence in the U.S.

It would be expected that KHN editors would be familiar with the oft-cited statistic that only about 4% of all violence may be attributed to people with serious mental illness, and the fact people with mental health conditions are far more likely to fall victim to violence than to perpetuate it against others.

As a trusted source of factual news, it is shocking that Kaiser would perpetuate and reinforce the erroneous, albeit widely held belief, that mental illness (treated or not) equates to gun violence.

— Debbie Plotnick, vice president for mental health and systems advocacy, Mental Health America, Alexandria, Va. 


I appreciate the perspective that inadequate mental health services can lead to negative consequences for the individual and, ultimately, for society. However, the implied connection between mental illness and violence is unfairly stigmatizing and not supported by evidence. In addition, the use of a prescription bottle seems to suggest that medication is the prescription for “adequate mental health services,” which vastly oversimplifies the need for a range of services that should be included in an effective, comprehensive system of care. I hope that you will consider removing this cartoon from your website, as it is harmful to engaging and truly supporting people with mental health needs.

— Jenifer Urff, Northampton, Mass.


A Call For Deeper Reporting

I was disappointed by Phil Galewitz’s reporting on the negative aspects of Medicare Advantage HMOs (“Medicare Advantage Plans Shift Their Financial Risk To Doctors,” Oct. 8), although it was nice that he quoted me and that you incorporated “risk shifting” into the headline. Galewitz cites a Health Affairs report but should have mentioned years of reports by the Government Accountability Office and the Medicare Advisory Payment Commission detailing overpayments and risk analysis and overpayments. There is a big dark side to Medicare Advantage plans that patients/consumers do not understand. They think it’s all about “free” care. It is hard to sue these HMOs for medical malpractice and failure to coordinate and manage care — which is what they promise to do. Medicare Advantage needs more critical reporting.

—Dr. Brant S. Mittler, San Antonio, Texas


For a Georgia reader, the story raised more questions:

— Colleen Mahaney, Woodstock, Ga.


On Shooting Down Sky-High Bills …

We in Montana were frustrated in our process to address the balance billing issues for air ambulance, with little success (“Will Congress Bring Sky-High Air Ambulance Bills Down To Earth?” Sept. 27). But the issue arises from insurance companies inserting a coverage cap in the policy, stacking deductibles for in- and out-of-network carriers. Much about this issue is aimed at air companies. They are solely responsible for their charge practices. But insurers also share the responsibility for their decisions to put those who are insured at risk as they seek to constrain premiums by policy design.

— Bob Olsen, Helena, Mont.


… And Missing The Mark?

The Oct. 19 Facebook Live broadcast (“Facebook Live: What About Those Sky-High Air Ambulance Bills?”) failed to note critical facts and provided misinformation. Alarmingly, this may cause patients to question whether they should board an air medical flight even when their physicians or first responder requests the transport based on patient need. We’d like to set the record straight.

1. Insurance Coverage

FACT: Dr. Naveed Kahn’s insurer’s payment was far lower than the actual bill, and air medical services, like all health care providers, are required by federal law to “balance bill” the patient the remainder. Dr. Kahn’s insurance company failed to adequately cover his bill.

[Editor’s note: KHN’s coverage did not focus on the mechanics of “balance billing,” but rather the prohibitive amount of the original bill.]

2. State Regulation

FACT: States can and do regulate air ambulances. Court decisions and Department of Transportation opinions have reaffirmed states’ authority to regulate all medical aspects of air medical transportation. This includes standards and coordination of patient care, including protocols controlling which air medical operator is called to a scene. Air medical operators never self-dispatch; they are called by trained first responders and medical personnel, operating under state authority.

3. Medicare Fee Schedule

FACT: The implementation of the Medicare Fee schedule did not increase rates for air ambulance services; it changed the way air ambulances are reimbursed, increasing the rates for some and dramatically decreasing the rates for others. While the data demonstrates the industry has grown over the last 37 years, according to “An Economic Analysis of the U.S. Rotary Wing Air Medical Transport Industry”, 22 of those growth years occurred before the implementation of the Medicare Fee Schedule.

Industry growth, over a 30-year period, reflects growth in demand for air medical transport services in response to continued closures of rural hospitals and trauma centers. Air ambulances are filling that gap — more aircraft means better coverage and better outcomes.

— Carter Johnson, SOAR (Save Our Air Medical Resources) Campaign, Washington, D.C.

Kaiser Health News

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After killing 1 man in Florida, the Category 1 storm is now making its way through Georgia with 90-mph winds

What’s in Michael’s path | How to help | Mexico Beach is in ruins


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Don’t buy the UN’s bull — The US isn’t killing planet Earth

The United Nations and nearly 100 climate scientists from across the globe have issued their latest environmental primal scream. Thanks to climate change, the planet is evidently on a path of “unprecedented environmental destruction” that will destroy life on earth as we know it. Within a generation we’ll be overwhelmed by catastrophic wildfires, rising sea…
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The Latest Thing Millennials Are Killing? The Primary Care Doctor

Millennials are killing everything from car ownership to home ownership to beer to vacations to the institution of marriage itself, if the headlines are to be believed. (Full disclosure: I am a millennial.) So why not add another victim to the list? In this case, the primary care doctor.

A Kaiser Family Foundation (KFF) survey and followup analysis by Kaiser Health News found that 26% of 1,200 respondents said they didn’t have a go-to primary care physician. But, digging a bit deeper, the survey found sharp generational shifts fueling that trend: Nearly half (45%) of 18-to-29 year olds said they didn’t have a primary care doctor. That figure fell to 28% for Americans aged 30 to 49 and just 18% and 12%, respectively, for people in the 50-to-64 and 65-plus cohort.

Some of this can likely be explained by a divergence of needs. It’s not implausible to think that, the older you get, the more you may want to have the security of a personal medical professional versed in your health history.

But it also represents a sea change in thinking likely fostered by an increased emphasis on convenience (and, perhaps, increasingly transitory lifestyles), according to some experts. A same-day telehealth appointment in a stranger could prove more valuable to some than a long-standing relationship with a doctor who may not be available at the click of a button.

The broader question is: What long-term effects will this shift have on public health? People with chronic conditions, for instance, may benefit from the stability of a primary care doctor who can provide continuous (and, theoretically, more personalized) care. At the same time, Americans who live in the numerous areas with a shortage of doctors may have entirely understandable reasons for pursuing more transitory medical relationships.

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Are Superlatives Killing Your Credibility?

What are speech superlatives? How can they possibly affect people’s perceptions of you? We share tips & tricks you can use to improve your speech patterns in the future.

What Is A Superlative?

A superlative is a part of speech, usually an adjective or adverb, that is expressing the utmost or highest in quality. Some examples of superlatives would include bravest, most fiercely, or most nervous like I am right now given that this is one of my first videos for the channel. More generally, a superlative can also refer to an exaggerated expression of praise such as “The best thing ever”; This is the type of superlative we’ll be talking about more in depth today.

These types of superlatives are definitely becoming more common as a sort of conversational crutch. Many people these days, especially Americans and particularly people under the age of 30, are using these kinds of superlatives to describe really any opinion they might have on any subject at this point. For example, something like “I saw this picture on Instagram, it was the funniest thing I’ve ever seen!”.

So you may be asking, why do these superlatives matter? Our answer is that using superlatives this much robs our conversations of three things: variety, specificity, and veracity. Those may be fairly large vocabulary words but we’ll give definitions too.

Superlatives

Superlatives

Excessive Use Of Superlatives Robs Our Conversations Of Three Things

Variety

As you might well imagine, there are all kinds of other words in the English language that we can use to describe things aside from simply, best, or worst. For example, if you were to use words like sweetest, largest, or coldest, even these things while they’re not necessarily complex, provide much more detail than just best or worst. Of course, you could always default to the old standby: most amazing f**king thing ever! Just kidding.

Specificity

If you use other words aside from just best and worst, not only does it add more variety but you can make your point much more clearly. It’s always helpful for the listener if you can provide a more nuanced position in your speech. That way, things aren’t just as clear as mud. Let’s say for example, instead of saying “That was the best chili I’ve ever had”, you can say “That was the most flavorful, spiciest chili I’ve ever had”. That way, people know that you enjoyed it but they also know specifically why.

Make it a point to improve your vocabulary and conversational skills

Make it a point to improve your vocabulary and conversational skills

Veracity

Last of these three points is veracity and this is the one we feel superlatives really hit the hardest. If you overuse superlatives in your speech, it will eventually diminish your trustworthiness among your peers. If you’re using these words all the time, they’re going to lose their impact so people will stop listening to what you’re saying. As you can tell by now, we think that avoidance of superlatives is one of the hallmarks of speaking like a gentleman.

In A Nutshell

We think that being a gentleman is an aspiration that every man can achieve and it’s not tied to wealth or status. On that note, how you speak is something you have direct control over. You can change it.

It's not what you say, it's how you say it

It’s not what you say, it’s how you say it

Superlatives Interfere With Your Ability To Make Reasoned Arguments & Have Nuanced Opinions

After all, when someone offers their opinion, their end goal is usually to try to convince their listener of their own point of view.

For example, instead of saying “You have to see this awesome movie I just saw!” go for “I just saw a really tense psychological drama and I think you should check it out!”, the latter provides a little bit more interest. Of course, if you have natural charisma when speaking, this goes a long way but supplementing that with some rhetorical skill can definitely help you in the long run.

Try to demonstrate that your opinion is carefully considered and that it’s coming from a place of experience. That way, your listener will be that much more likely to trust you. After all, it’s definitely more relatable to give people your own experiences rather than just gossiping about what Lisa down the block thought of something.

Too much superlatives makes you sound unreliable

Too many superlatives make you sound unreliable

Superlatives Make Your Reasoning Cheap & Untrustworthy

Another example is saying that something is the “best in the world.” Well, if you haven’t been all around the world to have multiple examples, you really don’t know if it’s the best in the world or not and other people might pick up on the fact that you might not know what you’re talking about.

So make an effort to observe the complexities and things like art or sports and use a nuanced vocabulary to describe just how you feel about them. Put it this way, the more you use superlatives, the less likely people are going to pay attention to what you say.

Extreme use of superlatives

Extreme use of superlatives

Love & Hate

Here’s an important subset of using superlatives. The words love and hate. Especially in American culture, these two words are used all the time even though if you think about it, they’re pretty extreme. For example, if you say “I love ice cream!”, really? Do you love ice cream? You might love your family, it’s probably more likely that you simply enjoy ice cream very much.

Do you really love a bag of Cheetos that much?

Do you really love a bag of Cheetos that much?

To put that another way, if you truly do love someone or something, maybe it’s best not to put them in the same linguistic category as a simple dessert. If you love everything about which you feel positively, that’s kind of another way of saying you don’t really love anything. There’s no nuance to your emotions.

A letter from grandma

A letter from grandma

Of course, all of these points are the same for the use of hate as well. Think of it this way, do you really love Cheetos as much as you love your grandma? Probably not! Especially because a bag of Cheetos isn’t going to send you $ 20 on your birthday.

Tips & Tricks To Lessen Use Of Superlatives

  • Take a day to observe how many superlatives you use yourself or how many you hear in daily life. For example, if you turn on the radio and the DJ says, “The best mix of hard rock”, count that as one. If you step outside your car and think to yourself, “This is the hottest day ever”, that’s two.
  • Take a day to observe all the things you say that you love or hate regardless of the context or how you might have meant it in the moment. For example, you might say “I love pizza”, “I love my new smartphone app” or “I love this yoga class I’ve been taking!”, after a while, take some time to examine this list. When were you being truly genuine and when were you needlessly exaggerating? After observing these habits, make an effort to try to construct your sentences differently and with more nuance in the future.
  • Increase your vocabulary. For example, you could pick up a word of the day calendar, try to read more books, listen to more radio, anywhere that people are using words you might not already be familiar with.
  • Come to the Gentleman’s Gazette YouTube channel and watch more of my videos!

Conclusion

To wrap up, our philosophy on this topic is simple. If you want to be a more genuine person, you have to speak genuinely. As we mentioned at the beginning of the video, increasing your vocabulary doesn’t have to come across as pretentious or elitist as long as you’re doing it for the right reasons.

In other words, don’t use complex vocabulary just to seem superficially smarter than those around you. You should look at this as an activity for self-improvement. Think about it this way, your new vocabulary should ultimately make you seem more genuine, not less. Say what you mean and mean what you say.


Gentleman’s Gazette

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