In this way they have come to dominate what I call “the division of learning in society”, which is now the central organising principle of the 21st-century social order, just as the division of labour was the key organising principle of society in the industrial age.

strume11ts

correctness in pronunciation. as in diction and usage. is not an absolute. Language standards arc the property of the ruling class; thus the diction, usage. and pronuncia• lion of the power centers of capital cities tend to be the standards for a national Ian· guagc.

self-evident truths by careful division,

labelled

chains of operations thatlink humans, things, media and even animals

humans, animals, and machines so intimately that it makesvery little sense to attempt to distinguish among these three categories

writing about oneself appears clearly in its relationship of complementarity with reclusion

“If we can’t build what I think of as a pyramid of care with one doctor and many, many other people supporting a broad group of patients, I don’t think we’re going to be able to find the scale to take care of the aging population that’s coming at us,” she says. Caring for patients once they are discharged means including home nurses, pharmacists, physical therapists, dietitians, hired caregivers, and others in the process, Dr. Gorman says. But that doesn’t mean overburdening the wrong people with the wrong tasks. The same way no one would think to allow a social worker to prescribe medication is the same way that a hospitalist shouldn’t be the one checking up on a patient to make sure there is food in that person’s fridge. And while the hospitalist can work in concert with others and run many things from the hospital, maybe hospital-based physicians aren’t always the best physicians for the task. “There are certain things that only the doctor can do, of course, but there are a lot more things that somebody else can do,” Dr. Gorman says, adding, “some of the times, you’re going to need the physician, it’s going to be escalated to a medication change, but sometimes maybe you need to escalate to a dietary visit or you need to escalate to three physical therapy visits. “The nitty-gritty of taking care of people outside of the hospital is so complex and problematic, and most of the solutions are not really medical, but you need the medical part of the dynamic. So rather [than a hospitalist running cases], it’s a super-talented social worker, nurse, or physical therapist. I don’t know, but somebody who can make sure that all of that works and it’s a process that can be leveraged.” Whoever it is, the gravitation beyond the walls of the hospital has been tied to a growing sea change in how healthcare will compensate providers. Medicare has been migrating from fee-for-service to payments based on the totality of care for decades. The names change, of course. In the early 1980s, it was an “inpatient prospective payment system.”

on research and clinician-educators concentrating onclinical work and teaching. And the clinician-educa-tors may branch again, with some focusing on out-patients and others on inpatients. We also believethat the relation between quality and volume inthe performance of procedures may lead to anotherschism between medical specialists who primarily per-form procedures and those who do not

Given the parallel pressurefor funding research,32 one can envision fewer triplethreats in the future, with researchers concentrating

he labour power of a class of landless labourers -the proletariat

All non-communist modes have in common the production of goods by means of the domination and exploitation of one class by anot

divisionoflabour

Division of Labor

eliberatelyandunavoidablystagestheincision,thecut,theintro-ductionofadifferencingzone,astructureofdifferancethatinbeingdividedmakesmeaningpossible

day’sbiomedical journal article is the progeny of occasionallymassive collaborations, the individual members of whichmay have minimal involvement in the fashioning of theliterary end-product itself, with the act of writing beingdelegated to a subgroup or designated spokespersons. I

Y así las cosas, luego se disparó un cañón: como que se confundió todo. Se corría sin rumbo, se dispersaba la gente sin ton ni son, se desbandaban, como si los persiguieran de prisa.

Pero los de Tlaxcala ha tiempo están en guerra, ven con enojo, ven con mala alma, están en disgusto, se les arde el alma contra los de Cholula.

Los dividieron en bandas, hubo división de grupos

When I look at the DevOps “community” today, what I generally see is a near-total lack of overlap between people who started on the dev side and on the ops side.

confused dialectic itself with rhetoric, since in-vention, arrangement, and memory belong to di-alectic and only style and delivery to rhetoric.