Zu den Missverständissen: Wir enthalten keinem etwas Lebensrettendes vor, sind kein "Spar-Insitut", arbeiten auch nicht im Auftrag der Krankenkassen.

Wir sind wissenschaftlich unabhängig. Mit unseren Gutachten über den Nutzen und Schaden neuer Diagnose- oder Behandlungsmethoden für die Patient*innen schaffen wir die Grundlage, auf der der Gemeinsame Bundesausschuss (G-BA) dann entscheidet, was die gesetzlichen Krankenkassen in Zukunft erstatten.

2/6

Auf Grundlage der wissenschaftlichen Evidenz sagen wir angesichts der Tendenz zu einem allgemeinen Prostatakrebs-Screening aller Männer ab 45 Jahren und ohne obere Altersgrenze: Vorsicht.

Denn ein allgemeines Screening führt auch zu Überdiagnosen und Übertherapien.

Was das ist, erklären wir hier: gesundheitsinformation.de/was-…

3/6

Was ist eine Überdiagnose? | Gesundheitsinformation.de

Eine Überdiagnose ist die Diagnose einer Erkrankung, die sich ohne eine Untersuchung nie bemerkbar gemacht und keine Beschwerden ausgelöst hätte.

^{gesundheitsinformation.de}

Mit Altersdiskriminierung hat das nichts zu tun. Die Konsequenzen einer Überdiagnose, etwa die psychischen Folgen eines Krebsverdachts, sind nicht von Pappe.

Und gerade bei älteren Männern ist die Chance groß, dass ein Prostatakrebs bei ihnen nur sehr langsam oder gar nicht wächst, sie also auch in den nächsten Jahren nicht beeinträchtigen oder gar umbringen würde.

Dann macht eine Krebsbehandlung nichts besser, birgt aber das Risiko einer Verschlechterung der Lebensqualität.

4/6

Starts with a great proverb:

"From the ground, we stand;
From our ships, we live;
By the stars, we hope."

#Wayfarers #Books2025

"Building wormholes was not a glamorous profession."

Any sufficiently advanced technology will be a minimum wage job at some point. Eh.

#Wayfarers #Books2025

"Corbin hated people, but he loved his work, and he was damn good at it. In Ashby’s book, that made him extremely valuable. An extremely valuable headache."

Ah, the genius asshole. Overdone cliché if there ever was one.

#Wayfarers #Books2025

This book is a lot more interested in food and community than in wormhole construction.

Which is okay, of course, but I'd love to hear more about their work! It's fascinating and skilled in a very interesting way!

I think maybe I need an inverted coffee shop AU of this? A hard sci fi AU?

#Wayfarers #Books2025

"She’s a rashek. There’s not a word for it in Klip. She’s got a disorder that makes it difficult for her to interact with others. She has trouble understanding other people’s intentions. And she speaks oddly, that much was obvious when I first approached her."

They're aliens with different social needs, but I as an autistic person find random strangers "comforting" me as I must be terribly lonely and sad repulsive - from a personal and a disability rights perspective.

#Wayfarers #Books2025

"Aeluon women didn’t have breasts, but after meeting Pei, Ashby had found that he could do without."

Not even all human women have breasts, dude. And why would aliens have them? And that's up with them all having binary genders aligning with human sexuality?

Boring, and old-fashioned. It's practically a Star Trek level of worldbuilding.

#Wayfarers #Books2025

So Sissix always complains that humans are protective of children, and it's implied that her species doesn't do that.

But then she refers to someone caring as "parental", as "hatch father". So what is it? Do parents make kids take their vitamins, or do they not care whether they live or die? Or is it both in a very fucked-up way?

#Wayfarers #Books2025

"Sometimes they seriously mess themselves up. But that’s the risk you take in trying to be more than the little box you’re born into. Change is always dangerous.” He tapped her arm. “You’re Rosemary Harper. You chose that name because the old one didn’t fit anymore."

💙

#Wayfarers #Books2025

“We cannot blame ourselves for the wars our parents start. Sometimes the very best thing we can do is walk away.”

Yes. And sometimes we have to stop the fuckers who want to walk back to it.

(Says the German person.)

#Wayfarers #Books2025

"There is peace out here in the open. I have friends and a garden in the stars and a kitchen full of tasty things. I heal people now. I cannot pretend that the war never happened, but I stopped fighting it long ago."

May everyone find peace like this.

#Wayfarers #Books2025

"Elders don’t shift around as much. They’re more stable. And most importantly, they’ve got life experience. They’re wise. They know things.” She smirked. “I’ll never understand how the rest of you expect brand new adults to be able to teach kids how to be people.”

Because new adults have more energy and are more flexible thinkers, more willing to question themselves?

Besides, we aren't, from an evolutionary point of view. Children are raised in a mixed-age family clan.

#Wayfarers #Books2025

"she was of a mammalian species. If she ever chose to have children, it would mean spending the better part of a year watching her body stretch and contort, then another year, or more, of letting a fragile, helpless thing that didn’t understand its own limbs feed from her body."

What a cisnormative view of "motherhood".

She could adopt, she could have biological offspring but not be the birthing parent, she could bottle-feed.

#Wayfarers #Books2025

"But it was always, always for you. I wouldn’t have thought to do it otherwise, not in a serious way.” “But … you said. Your pros and cons—” “Were things I came up with after I’d decided that this was something you deserved."

Blergh, I hate this storyline so much. Getting an embodied robot girlfriend because you, the disabled nerd, "deserve" it. Let's hope this is subverted at some point, shall we.

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"The people we remember are the ones who decided how our maps should be drawn. Nobody remembers who built the roads."

Maybe. But. There's a road nearby that dates back to the first century AD. No idea which Roman decided it should be built there, no idea which Romans built it, but the road itself remains useful.

#Wayfarers #Books2025

So I finished it. Hm.

I think it's not *bad* - there are nice things about it! Maybe it just wasn't what I imagined it would be? I think it tries to do many things, but it doesn't really *succeed* at them.

Hm.

#Wayfarers #Books2025

Naja. Erst mal find ich "in der dritten Staffel" ein bisschen zu allgemein formuliert, bislang haben wir ja nur zwei Folgen. Vielleicht wird der Rest viel besser.

Und ansonsten: Ja, ich fand Folge 1 und 2 jetzt eher "meh", aber schon noch ganz okaye Unterhaltung. Vielleicht bin ich von SNW einfach besseres gewöhnt.

yup, they are amazing... using them several years now

You do need sufficient light to read properly so at night 'dark mode' gives some problems