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★ Judge Yvonne Gonzalez Rogers Rules, in Excoriating Decision, That Apple Violated Her 2021 Court Order Regarding App Store Anti-Steering Provisions

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I’m linking here to Techmeme’s roundup of news coverage and commentary, but I highly recommend you start by reading Gonzalez Rogers’s 80-page decision. It is excoriating. I’ve read few legal decisions quite like it. But it’s also incredibly cogent and plainly written.

From the start:

To summarize: One, after trial, the Court found that Apple’s 30 percent commission “allowed it to reap supracompetitive operating margins” and was not tied to the value of its intellectual property, and thus, was anticompetitive. Apple’s response: charge a 27 percent commission (again tied to nothing) on off-app purchases, where it had previously charged nothing, and extend the commission for a period of seven days after the consumer linked-out of the app. Apple’s goal: maintain its anticompetitive revenue stream. Two, the Court had prohibited Apple from denying developers the ability to communicate with, and direct consumers to, other purchasing mechanisms. Apple’s response: impose new barriers and new requirements to increase friction and increase breakage rates with full page “scare” screens, static URLs, and generic statements. Apple’s goal: to dissuade customer usage of alternative purchase opportunities and maintain its anticompetitive revenue stream. In the end, Apple sought to maintain a revenue stream worth billions in direct defiance of this Court’s Injunction.

There’s quite a bit of fury in those italics. Rule one when you’re in court, any court, is “Don’t piss off the judge.” Apple has absolutely infuriated Gonzales Rogers through actions that all of us saw as outrageous.

In stark contrast to Apple’s initial in-court testimony, contemporaneous business documents reveal that Apple knew exactly what it was doing and at every turn chose the most anticompetitive option. To hide the truth, Vice-President of Finance, Alex Roman, outright lied under oath. Internally, Phillip Schiller had advocated that Apple comply with the Injunction, but Tim Cook ignored Schiller and instead allowed Chief Financial Officer Luca Maestri and his finance team to convince him otherwise. Cook chose poorly. The real evidence, detailed herein, more than meets the clear and convincing standard to find a violation. The Court refers the matter to the United States Attorney for the Northern District of California to investigate whether criminal contempt proceedings are appropriate.

This is an injunction, not a negotiation. There are no do-overs once a party willfully disregards a court order. Time is of the essence. The Court will not tolerate further delays. As previously ordered, Apple will not impede competition. The Court enjoins Apple from implementing its new anticompetitive acts to avoid compliance with the Injunction. Effective immediately Apple will no longer impede developers’ ability to communicate with users nor will they levy or impose a new commission on off-app purchases.

You know a judge is pissed when she busts out the bold italics. Later, on (page 21, citations omitted for readability):

Prior to the June 20 meeting, there were individuals within Apple who were advocating for a commission, and others advocating for no commission. Those advocating for a commission included Mr. Maestri and Mr. Roman. Mr. Schiller disagreed. In an email, Mr. Schiller relayed that, with respect to the proposal for “a 27% commission for 24 hours,” “I have already explained my many issues with the commission concept,” and that “clearly I am not on team commission/fee.” Mr. Schiller testified that, at the time, he “had a question of whether we would be able to charge a commission” under the Injunction, a concern which he communicated.

Schiller comes across as Apple’s sole voice of reason, fairness, and dare I say honesty in this entire ruling. The only people in the world who seemed to think Apple could or should comply with the 2021 injunction (that apps be permitted to steer users to the web to make purchases) by charging a commission — any commission, let alone a 27 percent commission — on those web transactions were Apple’s finance team members, led by Luca Maestri and Alex Roman, and Tim Cook.

Unlike Mr. Maestri and Mr. Roman, Mr. Schiller sat through the entire underlying trial and actually read the entire 180-page decision. That Messrs. Maestri and Roman did neither, does not shield Apple of its knowledge (actual and constructive) of the Court’s findings.

I mean Jesus H. Christ, that’s scathing.

It’s worth pointing out that Luca Maestri is no longer Apple’s CFO. (Kevan Parekh is.) Back in August, Apple announced that Maestri was, effectively retiring as CFO “as part of a planned succession”. Apple’s statement didn’t use the word retiring, but rather the word transitioning. With this ruling and Maestri’s central role in Apple’s decision to forge ahead with a compliance plan where they “allowed” steering to the web by charging the same effective commissions on web transactions as they do for in-app transactions, I now have to wonder whether Maestri retired or “retired”. “Cook chose poorly” (by following Maestri’s recommendation) is not the sort of sentence from a judge that keeps CFOs in their jobs.

As for Alex Roman, I think he’s in some serious trouble. Like doing-time-in-the-clink trouble:

Despite its own considerable evaluation, during the first May 2024 hearing, Apple employees attempted to mislead the Court by testifying that the decision to impose a commission was grounded in AG’s report. The testimony of Mr. Roman, Vice President of Finance, was replete with misdirection and outright lies. He even went so far as to testify that Apple did not look at comparables to estimate the costs of alternative payment solutions that developers would need to procure to facilitate linked-out purchases.

The Court finds that Apple did consider the external costs developers faced when utilizing alternative payment solutions for linked out transactions, which conveniently exceeded the 3% discount Apple ultimately decided to provide by a safe margin. Apple did not rely on a substantiated bottoms-up analysis during its months-long assessment of whether to impose a commission, seemingly justifying its decision after the fact with the AG’s report.

Mr. Roman did not stop there, however. He also testified that up until January 16, 2024, Apple had no idea what fee it would impose on linked-out purchases:

Q. And I take it that Apple decided to impose a 27 percent fee on linked purchases prior to January 16, 2024, correct?

A. The decision was made that day.

Q. It’s your testimony that up until January 16, 2024, Apple had no idea what — what fee it’s going to impose on linked purchases?

A. That is correct.

Another lie under oath: contemporaneous business documents reveal that on the contrary, the main components of Apple’s plan, including the 27% commission, were determined in July 2023.

Neither Apple, nor its counsel, corrected the, now obvious, lies. They did not seek to withdraw the testimony or to have it stricken (although Apple did request that the Court strike other testimony). Thus, Apple will be held to have adopted the lies and misrepresentations to this Court.

There’s so much more. The whole ruling is compelling — and damning — reading.

Keep in mind this whole thing stems from an injunction from a lawsuit filed by Epic Games that Apple largely won. The result of that lawsuit was basically, “OK, Apple wins, Epic loses, but this whole thing where apps in the App Store aren’t allowed to inform users of offers available outside the App Store, or send them to such offers on the web (outside the app) via easily tappable links, is bullshit and needs to stop. If the App Store is not anticompetitive it should be able to compete with links to the web and offers from outside the App Store.

Are the results of this disastrous for Apple’s App Store business? I don’t think so at all. Gonzales Rogers is demanding that Apple ... do what Phil Schiller recommended they do all along, which is to compete fair and square with purchases available on the web. She’s not demanding they do what, say, Tim Sweeney wanted them to do. She’s basically saying Phil Schiller was right. Read her entire ruling and it’s hard to imagine anyone disagreeing with that.

But are the results of this disastrous for Apple’s reputation and credibility? It sure seems like it. But it would be worse — much worse — for Apple’s reputation if Phil Schiller weren’t still there. Without him, this ruling makes it sound like they’d be lost, both ethically and legally.

I’ll give the final words to Gonzales Rogers’s own closing:

Apple willfully chose not to comply with this Court’s Injunction. It did so with the express intent to create new anticompetitive barriers which would, by design and in effect, maintain a valued revenue stream; a revenue stream previously found to be anticompetitive. That it thought this Court would tolerate such insubordination was a gross miscalculation. As always, the cover-up made it worse. For this Court, there is no second bite at the apple.

It Is So Ordered.

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satadru
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Don't piss off judges by blatantly lying to them.
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sarcozona
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Oklahoma education standards say students must identify 2020 election 'discrepancies'

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Oklahoma Superintendent of Public Instruction Ryan Walters, seen here in 2023, has championed the new state education standards that include instructions for students to "identify discrepancies in 2020 election results."

New academic standards in Oklahoma call for the teaching of "discrepancies" in the 2020 election, continuing the spread of a false narrative years after it was first pushed by Trump and his allies.

(Image credit: Sue Ogrocki)

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sarcozona
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acdha
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the unflattering photographs, the cat medicine, and other times people used their power for good

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Last week we talked about times people “misused” their power for good. Here are 12 of my favorite stories you shared.

1. The payout

I had a colleague, “Carol,” who decided to retire, and went in to tell our site HR person this and get the pension paperwork started. The HR person, “Grace,” was apparently unhelpful and said that she couldn’t do anything until the following week, and Carol should come back and remind her on Monday.

Two days later, Grace called Carol and the rest of her team into a meeting to inform them that their entire department was being outsourced, and they were being laid off. This is the UK; there’s legislation around minimum payments in this situation, and typically my company pays at least double the minimum, which meant Carol got something like £30k payout.

There is no way Grace wouldn’t have known about the layoffs and if she’d let Carol submit her retirement request Carol wouldn’t have qualified for the payout.

2. The time away

Many years ago, I was a supervisor at a company that offered no schedule flexibility, and working from home in my department was absolutely taboo.

I had an employee I’ll call John who was really struggling with his mental health and had no support network other than his dog. One morning, he came into my office in tears because his dog needed emergency surgery and was not to be left alone after for something like two weeks. He didn’t have that much PTO, and the company would terminate employees for taking unpaid time off.

I told him I’d handle it, just work from home and get his job done. And suddenly John was in a lot of meetings and then attending a free conference hosted at another company’s offices. Finally my boss stopped by and commented he hadn’t seen John in a while. I reiterated he was at a free conference, and my boss said he hadn’t heard of that conference before. I just cheerfully responded that John said it was going well. He looked at me and then just slowly nodded. A couple of days later, I heard him telling someone else that John had been pulled into some project meetings and might be hard to catch for a while.

John’s dog recovered and he returned to the office. No one other than my boss ever figured it out.

3. The admitted students party

You can decide if this was misusing my power for good, or merely being irresponsible.

I was a second year grad student with no professional experience, still basically a kid in terms of responsibility. Every year, admitted grad students for the next academic year would visit, and, among other activities, the current students would host a party for them and all the other students in the department so they could get to know us.

Well, every year the department struggled with enrollment. The school was well regarded, but located in a small, cold town. The department was actually shrinking due to poor enrollment. The department was also pretty quiet and nerdy, and people felt a bit isolated and lonely.

Enter … very irresponsible me. The department chair just told us to put on a party and said that we’d be reimbursed. So for a party with about 40 students (current and prospective), I bought eight cases of beer. Ten bottles of (local!) wine. And around eight bottles of liquor, including single-malt Scotch. Oh and like two bottles of soda and two bags of chips.

The party was very boisterous and went long into the night. Everyone got home safe. And then we got our highest enrollment ever, literally three times the previous year, with a group of people who were not only academically excellent but also close-knit and got along well.

My tab from the liquor store was around $500 ($750 in today’s money, with inflation) and I was never invited by the department to host this event again. It all could be coincidence but I choose to believe otherwise.

4. The unflattering photographs

There is an appointed board for a public institution in my town that has been taken over by people who do not support the mission of the institution. It’s caused a lot of controversy, community strife, and lawsuits. It’s also spurred lots of local news coverage. A photographer for the local newspaper would take and publish the most unflattering photos of the board members that he could find. He has since moved on but the paper has not bothered to take many new photos and has continued to use many of the absolutely terrible photos he took. They’ve even been used by other outlets when reporting on our community. It’s a small thing but they have caused, and continue to cause, a lot of problems so it’s nice to see them being accurately portrayed.

5. The baked goods

I have a part-time job in the bakery of a major retailer that sells more than just food. I have often baked more than I know will sell because I know it will get donated to the food banks (this particular company does allow/encourage donations of food that does not sell by the best before date). The extra amount is not something totally outrageous, just a little bit here and there that will help someone in need.

6. The off switch

One of my former libraries was next to one of the town’s middle schools, so kids would come over in droves after school to wait for their parents to come pick them up. It was a constant war between the rowdy middle schoolers and staff/regular library users. The biggest battle was over the bay of computers smack in the middle of the reading area — the kids would either blast YouTube videos at 100% volume or play intense games of Roblox. Asking them to quiet down was a Sisyphean affair; they would stop for about 10 minutes then get right back on the horse.

One of the library assistants realized that the circulation desk had an emergency on/off switch for all the computers and ended up using its power for good. If the kids got too loud and refused staff and patrons’ attempts to use the library more respectfully, the switch would be tripped. “The computers are off!” they would say, exasperatedly. “Oh no, how troubling,” the library assistant would respond. “Sometimes they get overloaded. We’ll have to call in IT to take a look, but they can’t get here for a few hours.” The kids would then get bored and leave to the park across the street.

This was only used maybe twice in my year-long stint at this library branch, but I appreciated it nonetheless.

7. The shout-outs

I have a coworker who is extremely difficult to work with. She is technically a supervisor, but it’s been years since anyone has reported to her. Business needs finally upped her work to the point where she needed help, so she was given her first employee to manage in years.

It went horribly. This was a young man’s first “official” job out of college, and he disclosed many health-related issues to her that he shouldn’t have. She hit every point on discrimination, both legally and by our policy. I work in HR, but it’s government, and getting anything done regarding dealing with how she managed him was impossible. As soon as I sent something up, she threatened legal action and it got slapped back down. She was mean, derogatory, and straight-up toxic to the poor guy. She tried to discipline him for clocking in on time (“I TOLD him he needs to be here exactly 15 minutes early!”), for using his ADA accommodations (“He can only use them as long as he isn’t being a burden, and he’s definitely misusing them!”).

It’s important to note that she was extremely volatile. Well, she had a vacation coming up and spent the week leading up to the vacation loudly complaining about how she just knew her employee would screw everything up. I saw my opportunity.

While she was gone, her employee did amazing. Our facility has adopted a practice of doing “shout-outs” — basically anyone can send a mass email congratulating people for doing a good job. I am a very bubbly person and employees are used to me being very encouraging and optimistic, so when I casually reminded everyone that this employee was doing extremely well, and his boss was concerned about his ability to do the job well in her absence, and she would definitely appreciate it if she had a flood of shout-outs for him, it didn’t come across as odd or suspicious. Also, wouldn’t it be great to tell her how great he did, in person, also in front of him directly to her?

When she returned, she looked like she was drinking poison all week having to listen to and read all the compliments. People were streaming in and out of her office for her first several days back singing his praises. (I may have helpfully reminded them to do this. Often.) And it worked beautifully. With all the glowing recommendations, I asked her if she was considering putting him in for a raise.

That did it. She flipped out and tried to make a case to fire him (her case was entirely based on his accommodations and how “difficult” his disability was to work with, so … not a good case at all). Then when she got a meeting with the HR director about it, she had a meltdown and the director told her she couldn’t be trusted to supervise this employee and she would be required to undergo extra supervisor training.

She is now no longer a supervisor, and her employee has been promoted to equal standing as her and is in line to promote to the head of the department, meaning she will need to report to him.

8. The wheel of cheese

At my first entry-level nonprofit job, at the end of a fancy reception, the executive director noticed there was a whole wheel of hard cheese that hadn’t been touched. She wrapped it in a napkin and handed it to me, saying, “Put this in your purse.” She explained that the organization had paid for this food and somebody might as well enjoy it. Some may find this gross, but I was a broke, in debt, and overwhelmed kid and it felt like such a luxury. She made me feel at ease and like we were in cahoots about something! It’s almost 15 years later and I’m an executive director now, and I use a lot of what I learned from her.

9. The raise

Never told anyone I did this, but some years back one of my then direct reports (Z) had adopted a pair of cats who developed serious health issues, and she had to take a ton of random PTO for all the emergency vet visits. I knew what the PTO was for and that her vet and medication bills were piling up, and I also knew that the department head had some complicated ideas of what it would take for someone to deserve a raise.

Previously, I unsuccessfully tried to get some of my reports’ pay bumped up but was told we’d “be fine keeping everything as is.” Fine, but when my boss asked me what was going on with Z taking all that PTO, I had a burst of inspiration and casually said, “Of course I would not be able to confirm, but I wonder if she’s been interviewing. Z is one of my star performers, and I would not be surprised if she’s getting headhunted.” That set off a rapid-fire series of emails between my boss (department head) and HR, which resulted in a promotion for my report. They even had to create a new tier for her to be able to make it happen, and I didn’t have to do anything myself.

10. The cat medicine

My very sick cat was prescribed medication that had to be filled by prescription at a commercial drugstore. It was essentially people medicine that could be used, under a veterinarian’s direction, for pets. When I went to pick it up, my heart sank at how expensive it was. I was working as an underpaid fundraiser for a nonprofit at the time, and the amount of the prescription ($90 at the time) was an absolute budget buster for me. The pharmacist at the independent (non-chain) drugstore saw how distressed I was and asked me how old my cat was. I said she was 12. The pharmacist said, “Well, then, she qualifies for the senior citizen discount,” and took 10% off of the price. And continued to give me the senior citizen discount for the rest of my cat’s life.

11. The class requirements

Three weeks shy of graduation, I went to my undergraduate research advisor and told him that I was going to drop out. I was a single parent of a pre-schooler. My dad had just undergone a really complicated surgery and I was caring for him in his recovery. He was my mom’s caregiver, which meant now I was my mom’s caregiver and I couldn’t keep up with the remaining coursework, study for finals, finish my research project, do what I needed to do to support my family, and ever sleep.

He asked if just dropping the research component would give me the space I needed to finish (it was five credit hours and I was literally there in the wee hours of the morning most days because it was the only time I could squeeze it in). I told him it would but that I wouldn’t graduate without the hours associated with it. He took my lab keys from me and said, “Oh, you misunderstand. You got an A. You’ve finished. Don’t let me see you here again until after graduation.”

I graduated with honors. My dad recovered and lived for another 25 years. My mom is doing fine. My kid is an adult now. I work in the field I trained under him to be in, doing the kind of work he valued, and I’ve been in management for 10 years showing the same kind of grace every chance I get.

He waived three weeks of work, a publication, and a presentation and the world got me in a dedicated career in save-the-world type scientific public service.

12. The retirement papers

A few years ago, I was working for a (non-U.S.) government organization. The deputy director of the department was a well-liked man in his early fifties, quiet and hard-working. His role had full job security, healthcare, and a solid pension plan.

He decided to put in his form for early retirement, in order to change career path completely. Everyone was sad to see him go as they felt he was a valuable asset, but respected his will to change even though many feared he would face age discrimination in his job search.

The procedure for retiring could take almost a year, as the services needed to calculate his rights to pension, end-of-career pay, and many more benefits that end up being quite complex. However, once that decision form is sent, there is no turning back, even if the situation changes in the meantime. This also means the decision to retire early had to be a leap of faith, as no recruiter wanted to keep a job open for a full year before you had formally ended your previous contract.

The day after he submitted this retirement request, he ended up in a terrible accident. He was hit by a drunk driver and had to be put in an artificial coma for a few days, in the ER. It was touch and go for a while, and even weeks into his year-long recovery process, his doctors did not know if he would be able to speak and walk again. A heart-breaking moment, especially since everyone knew how much of a safe driver he was. (Ultimately, he ended up doing a fine recovery and could walk again, albeit with a cane and sometimes a wheelchair).

The morning after the accident, as news reached work, his boss, the head of department, quietly took the retirement form. Without informing HR, he ripped up the form and instructed the department to avoid mentioning the plans for retirement to anyone outside.

During the year-long recovery process, the injured deputy director benefited from complete medical coverage plus a medical pay leave, and had his former job waiting for him during all of this time. He ended up returning to work, with full accommodation for his disability. He even had better prospects in the administration that were provided for him, as thanks for his years of service.

Had the director not made the retirement form disappear, he would have come out of the hospital disabled, without a job, no pay, no desperately needed health care, in a job market that was sure to eradicate him due to his age and disability. There was also no way for him to job search from his hospital bed, especially when speech was impaired at the beginning of his recovery. Unemployment was a certainty in this case. And, due to the administrative process, the retirement procedure would have gone on regardless.

Instead of full unemployment, he ended up staying a few more years in the administration, where everyone took care of him, and was able to keep on rising in the ranks.

The director took the risk of delaying his departure and going against his will when he made the paper disappear. But, as everyone recognized, he acted in the injured deputy director’s interests while he was in a coma, and absolutely made the right decision.

I have since moved on, but saw during my last days that the former deputy’s condition had improved significantly, and he almost didn’t have to rely on the cane. He was ultimately thrilled to keep on working there.

The post the unflattering photographs, the cat medicine, and other times people used their power for good appeared first on Ask a Manager.

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hannahdraper
15 hours ago
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Always be this type of boss/colleague.
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sarcozona
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SMS 2FA is not just insecure, it's also hostile to mountain people — stillgreenmoss

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i have a friend — she's an old lady born and raised here in the western north carolina mountains. she hates computers, yes, but she's been willing to learn a lot and quickly after joining a big signal group chat that our shared local community uses to keep in touch.

aside from memeing with the best of them in the group chat, she also maintains a large fish pond outside the house she built herself. this despite being in her 70s. she's an inspiration.

she has a landline. it works great, and the landline phone hardware works great with her hearing aids. she's had it for years. spectrum has a monoply in our area so the landline and her cable internet service is with spectrum.

she got a cell phone a few years ago. she got a smartphone basically because she had to to do basic life tasks, including joining the big signal group chat. at first she just used it on wifi, but quickly she decided she wanted to be able to use the phone everywhere so she got a cell phone plan from spectrum because they were already her ISP. spectrum mobile uses the verizon network — famed for its good rural coverage.

this is where things started to go haywire.

all her accounts on websites, things like email and bank accounts and health insurance and healthcare providers, they started trying to send her SMS messages in order to let her get into her accounts.

the SMS codes don't work, because they don't come. she doesn't have cell service at her house. it's up in the mountains, sure, but it's not isolated. she lives 20 minutes from downtown asheville and she has lots of neighbors on her road.

she turned on wifi calling on her phone. now she could receive SMS messages from friends and family, but 2FA codes still weren't coming through. i did some digging, and it turns out messages from 5 digit shortcodes often aren't supported over wifi calling. sometimes they are, but in her case they're clearly not. she has a current, stock iphone. she's using the spectrum-provided internet hardware. she knows how to use her phone.

i did more digging — it turns out some ISP-provided landline services support receiving SMS messages to the landline, and then a computer voice reads them out to you. “we don't offer that service” the spectrum chat told us.

some of these accounts can likely be converted to using TOTP 2FA rather than SMS 2FA. this is good, but you have to get in to begin with in order to turn that on. so what my friend has to do is:

  1. make a list, over time, of the websites that she's locked out of because of SMS 2FA
  2. not be able to use those sites at home the whole time she's making the list
  3. schedule a meetup with a friend like me
  4. drive to town to meet the friend
  5. sit down and systematically go through the list of websites and convert them to TOTP
  6. inevitably discover that some of them don't support TOTP
  7. try and contact those companies and explain that they need to turn off SMS 2FA on her account so that she can use their healthcare/banking/email/whatever service from her home
  8. discover that it's not possible to talk to a company anymore in 2025

other options available to her include

  1. port her cellphone number to a VOIP provider that does support receiving SMS from shortcodes over wifi
  2. spend hundreds of dollars setting up a cell tower signal booster outside her house
  3. move

these are all ridiculous options that shouldn't be necessary in order to log in to a website.

if you look at the spectrum mobile coverage map where my friend lives, it shows she has perfect coverage at her house. and all her neighbors do too. all the way up the holler in fact!

this is simply false. she usually doesn't even have service 100 meters down the road.

another friend of mine who also lives out in the county, a millenial, once said that “SMS 2FA is the bane of [her] existence.” the valley she's in isn't even that deep.

and TOTP, the obvious alternative solution, is still pretty sorry. you have to download an app to do it, it's not just a capability that a phone has by default. and then when trying to find an app to use for it, you're presented with a multitude of high-stakes choices, and often pretty technical explanations if you start internet searching about which app to use.

i understand why SMS 2FA is so ubiquitous. when it works, the UX is good, nontechnical users intuitively understand it, and it's usually secure enough.

but there are 1.1 million people in these western north carolina mountains, 25 million in the rest of the appalachians, and many millions more in the mountain west and pacific ranges.

we have internet, but we have F-tier cell service — what are we supposed to do?

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sarcozona
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Trump's sanctions on ICC prosecutor have halted tribunal's work | AP News

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sarcozona
7 hours ago
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Holy shit
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Sierra Leone battles mpox surge

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Sierra Leone reported its first mpox cases in January, and activity is now skyrocketing, so much so that the Africa Centers for Disease Control and Prevention (Africa CDC) has added the country to its list of most affected nations.

At a weekly briefing today, however, Ngashi Ngongo, MD, PhD, MPH, who leads Africa CDC's mpox incident management team, said cases are down in the other high-burden countries, such as Burundi, Uganda, and even the Democratic Republic of the Congo (DRC), which has been the main hot spot throughout the region's outbreaks.

"We've started seeing some light at the end of the tunnel," he said.

Exponential growth in Sierra Leone

Last week, Sierra Leone had half of Africa's confirmed cases, with its outbreak expanding over the past 6 weeks and cases up 71% last week compared to the week before. Ngongo added that the country is averaging about 100 new cases a day.

The outbreak in Sierra Leone is driven by clade 2b, the global strain of the virus. Ngongo said 68% of patients are male, mostly 30 to 35 years old.

Seven percent of the illnesses are in people who have HIV, a high-risk group seen in other African countries during the outbreak.

Most of the cases are concentrated in the western part of the country, including Western Area province, which includes Freetown, the country's capital.

He said the country has only 60 mpox isolation beds, and most of the patients are receiving home care, which makes it difficult to ensure compliance with isolation. And though Sierra Leone has good mpox testing coverage and a good testing rate, it currently has a low contact-tracing ratio.

So far, nearly 24,000 people have been vaccinated, almost 60% of them healthcare workers. Other target groups include contacts of patients and people in high-risk areas.

Promising signs in the DRC, other affected nations

Ngongo said the situation in the DRC' North Kivu and South Kivu provinces, where conflict had nearly shut down the response over the past several months, is stabilizing and that officials have started redeploying health workers and restarting vaccination.

Testing coverage has been a challenge owing to insecurity and global health cuts, but he added that testing coverage is rising steadily, at nearly 60%, in Kinshasa, which has been the DRC's other mpox hot spot. 

In Uganda, cases have declined in the past 4 weeks, down 60% from the peak at week 11 of the epidemiologic calendar, he said. The country has also seen higher deaths in people with HIV. 

Of 10 districts that have reported the most cases, illnesses are still elevated in only 2: Masaka City and Holma City.

Burundi's cases are down more than 84% from the peak in late October 2024, and the country has intensified surveillance, with a goal of interrupting the remaining transmission chains.

Though the trends in the main outbreak countries are encouraging, "we're not yet out of the woods," Ngongo said.

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sarcozona
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