MurphyA/hacker-news huggingface dataset:
by spelk | 2025-10-28 18:59:05+00:00
>Some people think single payer system is the solution but then when they talk to Canadians they realize that's not the solution either.

I'm sorry but I don't understand this discourse. While we have gripes with the state of some hospitals that fall short of first world standards (e.g. Gatineau Hospital) and wait times for specialists for non-urgent care (it can take 2-3 months to see a dermatologist after referral for non-cancerous skin conditions in Manitoba for example), I really can't think of more than 3 Canadian residents having ever said in my lifetime that they prefer the US system (and for all of them, their objection had to do with the fact that the government funds treatments they don't like for gender dysphoria and abortions, not that they felt the US system was an effective economy of scale).

On top of that, there is a myth perpetuated in the US that we are constantly at the brink of a healthcare system collapse. We are certainly not - there is room for improvement and health inequalities that we must address, but to say that we're all an ER wait away from dying is simply untrue. [1]

I have been on the receiving end of health care inequalities here in Canada (in Manitoba and Quebec), but I don't go as far as to write off the achievement of having set up an effective single payer health system in a federal state.

[1] https://www.npr.org/2020/10/19/925354134/frame-canada
by noirscape | 2025-10-28 18:59:07+00:00
They mention it later in the article; if they drop connections to internal networks from the graph, Linux shoots up all the way to 97%.

The answer is probably that people that run Linux are far more likely to run a homelab intranet that isn't secured by HTTPS, because internal IP addresses and hostnames are a hassle to get certificates for. (Not to mention that it's slightly pointless on most intranets to use HTTPS.)
by csdreamer7 | 2025-10-28 18:59:24+00:00
> At what point in history have you owned a particular piece of hardware for use with a particular piece of never-to-be-updated software and installed a major OEM operating system release a full 7 years after release without issue?

Linux users do it all the time with WINE/Proton. :-)

Before you complain about the term 'major OEM operating system'; Ubuntu is shipped on major OEMs and listed in the supported requirements of many pieces of hardware and software.

> I doubt such a thing has ever happened in the history of consumer-facing computing.

Comments like this show how low standards have fallen. Mac OS X releases have short support lengths. The hardware is locked down-you need a massive RE effort just to get Linux to work. The last few gens of x86 Mac hardware did not have as much, but it was still locked down. M3 or M4 still do not have a working installer. None of this is funded by Apple to get it working on Linux or to get Windows ARM working on it as far as I know.

In comparison, my brother in-law found an old 32bit laptop that had Windows 7. It forced itself without his approval to update to Windows 10. It had support for 10 years from Microsoft with just 10. 7 pushed that 10 to... hmm... 13+ years of support?
by prmph | 2025-10-28 18:59:39+00:00
> Everything Anthropic does from an engineering standpoint is bad, they're a decent research lab and that's it.

This may be true, but then I wonder why it is still the case that no other agentic coding tool comes close to Claude Code.

Take Gemini Pro: excellent model let down by a horrible Gemini CLI. Why are the major AI companies not investing heavily in tooling? So far all the efforts I've seen from them are laughable. Every few weeks there is an announcement of a new tool, I go to try it, and soon drop it.

It seems to me that the current models are as good as they are goingto be for a long time, and a lot of the value to be had from LLMs going forward lies in the tooling
by abdullahkhalids | 2025-10-28 18:59:47+00:00
My password manager (keepassxc) has a browser extension that only lets you autocomplete the password on a page if the url matches the one stored in the database.

Sure I could manually copy the password from the database, but in practice, this is fairly good security. It also doesn't treat the user as an always-idiot, which is a good thing in my book.
by tim333 | 2025-10-28 19:00:07+00:00
I glanced at the Gaza stuff like https://en.wikipedia.org/wiki/Gaza%E2%80%93Israel_conflict and it seemed quite a reasonable summary. What makes it useless? Any facts wrong?

I'm kind of neutral on the conflict and genuinely curious.

About the only bit of Wikipedia I've come across that I feel is inaccurate due to editorial policy is on covid origins https://en.wikipedia.org/wiki/Origin_of_SARS-CoV-2

>While other explanations, such as speculations that SARS-CoV-2 was accidentally released from a laboratory have been proposed, such explanations are not supported by evidence.

Which I don't think is true.
by sebastiennight | 2025-10-28 19:00:15+00:00
You're describing a very charitable scenario. You might get those outcomes while still fighting against literacy and high wages.

Since a rising tide lifts all boats, in a growing economy you might see wages, literacy and health outcomes improve nominally for an oppressed group, in absolute terms, while all of these outcomes improve significantly faster for the other group(s) in the same period.
by LeoPanthera | 2025-10-28 19:00:37+00:00
The US is only ostensibly a democracy. It's not a functioning one, due to widespread voter disenfranchisement.

Voter ID laws, voter roll purges, registration barriers, polling place accessibility, early and mail-in voting restrictions, and perhaps most importantly gerrymandering, misinformation, and intimidation all serve to reduce the power of the ballot box.

And that's before we even get to US citizens in Puerto Rico, Guam, the US Virgin Islands, and American Samoa being unable to vote in Presidential elections at all.
by chuckadams | 2025-10-28 19:00:42+00:00
I've been doing this for 30 years and sometimes I give the wrong key file on the command line by forgetting to add '.pub' to the end. Far as I remember, I've always caught it before I managed to send it somewhere public, and thankfully most of my keys nowadays have a passphrase that gets remembered in my OS's keychain. But the UX is really that bad.
by mothballed | 2025-10-28 19:02:13+00:00
In part because hospital bills are monopoly money and most people just play a game of chicken with debt collectors, and the only actually sue a small fraction of the time and mostly either settle for a small fraction, give up besides annoying phone calls, or it gets discharged in bankruptcy.

Almost no one gets a bill from the hospital and just pays it, and in most cases if you do it's totally financially illiterate.
by zdragnar | 2025-10-28 19:02:25+00:00
FWIW, I do recall hearing that Trump ran with the announcement ahead of RFK's plan, so it's a good possibility that it got over-hyped.

But, the question was why is RFK involved? The answer, it appears, is that he is putting the blame on the government - including the FDA - for not doing its job to regulate industry. Food should contain food. Europe understands this, but America has been a little slow to catch on.

> the guidelines are updated based on best available science

This has almost never been true, given that the available science has long been funded by the ag and food industry. The most recent updates are good for policy documents, but worthless for the average person. He's been promoting a simplified version.

> If you'd actually listen to doctors and researchers, rather than what your echo chamber claims

Actually, that claim has been thrown around, by both doctors in the public arena as well as the government, especially in tandem with the phrase "when used as directed".

All in all, I'm mostly interested to see if there's any actual evidence that comes out from discovery, or if this is all just a big PR stunt by the Texas AG.
by tptacek | 2025-10-28 19:02:25+00:00
Yes, a challenge for major structural alterations to the American system is that the median American family is probably better off under this system than they would be under any of the European-style systems: the wage premium enjoyed by many Americans and the lower tax level offsets the cost of insurance and copays.

So when you're talking about how bad the American system is, you're really talking about a minority of its users. That doesn't make everything OK, but does highlight the political difficulty of enacting seemingly-popular changes.
by AlexandrB | 2025-10-28 19:02:28+00:00
Uhhh, how does that interact with:

> Users are largely unsure about the implications for their passkeys if they lose or break their device, as it seems their device holds the entire capability to authenticate. To trust passkeys as a replacement for the password, users need to be prepared and know what to do in the event of losing one – or all – of their devices.
by shadowgovt | 2025-10-28 19:03:23+00:00
Silly question and one I should probably already know the answer to but never really got around to thinking through: are there practical concerns for not doing TLS in your home intranet?

It means that if someone has patched into your local network they can access anything in there, but they have to get in first, right? So how concerned should one be in these scenarios

(a) one has wifi with WPA2 enabled

(b) there's a Verizon-style router to the outside world but everything is wired on the house side?
by josephcsible | 2025-10-28 19:03:29+00:00
> I read about Passkey comittee being against open source passkey managers during start of this year (can't reference it, sorry) but with open source password/key managers already supporting passkeys, i don't think it turned out to be true.

Here's an Okta employee threatening to use the attestation (anti)feature of passkeys to block open-source implementations, because they allow you to export your passkeys: https://github.com/keepassxreboot/keepassxc/issues/10407#iss...
by atourgates | 2025-10-28 19:03:53+00:00
Yes. Though I think technically none of that happened here.

If I sound like I'm defending the morality of the hospital for billing a private individual $190k for services they'd expect to be paid $37k for, please know that I'm not. But it helps to understand WHY the hospital billed that much, and whether it's legal for the hospital to bill that much.

The biggest semantic "mistake" the author makes in their thread is saying, "Claude figured out that the biggest rule for Medicare was that one of the codes meant all other procedures and supplies during the encounter were unbillable."

The Medicare rule does not make those codes "unbillable" - it makes them unreimburseable.

The hospital can both bill Medicare for a bigger procedure code, and the individual components of that procedure, but Medicare is gonna say, "Thanks for the bill, you're only entitled to be paid for the bigger procedure code, not the stuff in there."

Neither the FBI nor Medicare is gonna go after the hospital for submitting covered procedure codes and individual codes that are unreimbursable under those procedure codes. That's not crime, that's just medical billing.

Actual double billing would occur if, say, your insurnace paid the hospital for a procedure, and then they came after you for more money, or billed a secondary insurance for the same procedure. Or if they'd said, "Oh no, the OP's brother in law wasn't here for just 4-hours, they were here overnight so now we're billing for that as well."

NOW - a much better way for the hospital to handle this scenario would be to see that the patient is cash-pay, and then have separate cash-pay rates that they get billed that essentially mirror Medicare reimbursement. That's essentially what the author got them to do, and it absolutely sucks that's what he had to do.
by ryandrake | 2025-10-28 19:04:21+00:00
It's very hard to believe that a company setting out to fight against one of the major "legs" of the stool of the US Economy is going to be playing on a level playing field against companies whose mission is to strengthen those legs. Even if the business idea is sound. There's simply too much money and power wrapped up in ensuring healthcare remains a money sponge that soaks the public. A company fighting that will never be funded by anyone significant.
by raaxe | 2025-10-28 19:04:24+00:00
The technical information for this thing seems to be light on the ground. What kind of diagnostic stats are provided? How is it figuring out true Rx/Tx power without a light meter?

Also, reading "Just insert any brand’s SFP or QSFP module, select Copy, and insert any UI module to write the profile." suggests that this only works to reprogram UI optics
by tonymet | 2025-10-28 19:04:42+00:00
That’s exactly what we experienced. There is no way to be an informed customer or “vote with your wallet”. For many diagnostics and services, the “provider” is 2 referrals downstream – the patient never elects or engages with them.

Plus, your life is on the line. If they don’t run the test, it means the wrong treatment and your prognosis goes from 80% survival to 80% mortality
by tracker1 | 2025-10-28 19:04:54+00:00
I was hospitalized about two decades ago, before ACA passed, so my insurance was limited to 500k, I was on the hook for about 180k beyond that... because I was making decent income I was ineligible for Medicaid or any other assistance... I worked extra jobs for a number of years after, every tax return, the couple bonuses that I'd earned all went towards paying it down... Anyone who was willing to negotiate the amount or take reasonable payments got paid... the rest could wait... after the 7 years before it was no longer eligible for being on my credit statement, I stopped (still owed about 40k iirc).

The past few years, I've been receiving some very expensive treatments for my eyes... given the job market, I've been without and switched jobs a couple times... been caught with a few unexpected bills for around $15k... it just sucks. I'm currently making about 2/3 of what I was a couple years ago, with no better job prospects, the insurance I have is "emergency" based and doesn't cover my regular doctor bills... I'm at my max at this point, thinking about bankruptcy for a while now.

The system sucks... the billing system(s) suck and the fact that it's as messed up as it is, is so much worse. From monopoly positions, to messed up billing, to everything else... I don't even know. Even on a six figure salary, I cannot afford private insurance and the multiple $300-400 doctor and pharmacy bills each month are seriously destroying me.
by saaaaaam | 2025-10-28 19:04:56+00:00
Again, forgive me if this seems mean but are you writing your responses using AI? There can be many reasons for this, including English not being your first language, dyslexia, neurodiversity and many other things.

That aside (as it isn’t necessarily important) I think you need to find three things that represent the “sweet spot” for your app and try marketing around those.

Sadly I don’t think it’s possible to scale what is effectively a commodity app with plenty of competition without having a strong purpose, and without actively marketing.

I’m not sure todoist is your competitor. I use todoist. I use it because it allows me to create tasks and assign them to people and then it gets out of the way. I pay for the team plan (pro plan?) where I can assign to half a dozen folk.

Fabulous is very interesting - I got sucked in on a deal. Quickly realised it is VERY woo woo and aimed at a certain female focused audience. As a very non woo woo non-female I found the ‘coaching’ very not for me.
by JohnMakin | 2025-10-28 19:05:10+00:00
I make a good living. I have some of the "best" available health insurance. It's just bordering on scam/fraudulent. Not aware of what programs you're talking about other than medi-cal (medicaid). Which I do not qualify for.

As I alluded in another post I do often let debt go to collections. The issue is often not the collections calls, but that your provider will be even more aggressive about demanding up front payment to continue receiving care. Or stop seeing you. I have a rare neuro muscular disease that only a handful of doctors are even very knowledgeable about where I live.
Show HN: OpenAI Apps Handbook
by init0 | 2025-10-28 19:05:12+00:00
I went swimming in the ocean of OpenAI's Apps SDK… and came back with a handbook!

Over the past few weeks, I’ve been diving deep into the ChatGPT App SDK: exploring its APIs, tools, and hidden gems. Along the way, I built, broke, fixed, and reimagined a bunch of little experiments.

P.S: Indeed OAIs official docs is the source of truth, this is just a rough notebook

Maybe, I can create a CLI tool to scaffold app?
by kragen | 2025-10-28 19:05:21+00:00
Oh, is .cbz that simple? Does it use the file order of the zipfile members or some other order? (https://acbf.fandom.com/wiki/ACBF_Editor_-_Creating_Metadata says it uses alphabetical order, which is the wrong order in this case.)

It may be useful to use zip -Z store. JPEG data isn't going to get much benefit from another layer of LZ77.
by cogman10 | 2025-10-28 19:05:44+00:00
Totally agree. For the average federal employee there are (or at least were) a huge amount of checks in place to weed out corruption. That was sort of the entire point of the inspectors general, to track down and weed out fraud and corruption.

Even for the FBI and most of the other police agencies there was a decent amount of checks in place to make sure they weren't acting out of pocket. It's ICE and the CIA that have had much less restrictions.
by terminalshort | 2025-10-28 19:05:44+00:00
> later realizing that the commenter failed to mention they are a major investor in the product. You would feel mildly annoyed or misled, right?

I wouldn't really care if the claims they made were correct. An opinion is an opinion (and we are talking about the opinion rather than news section here) and I find that peoples personal emotional and ideological biases are actually a lot stronger than commercial interests in most cases. So really every single editorial should have a disclaimer "this entire article is biased as hell" at the end, but if it applies everywhere do we really need it at all?

disclaimer: this comment is biased as hell
by slg | 2025-10-28 19:05:52+00:00
Some people are of the opinion that the world is flat, I would say it's objectively round. That is the context in which I'm using that word. I'm not using it to describe 100% consensus, because there will always be someone who disagrees with something.

News without opinion is objectively impossible because the act of reporting the news is inherently governed by an opinion on what is worthy to report. Pretending otherwise is just pulling the wool over your own eyes.
by schuyler2d | 2025-10-28 19:06:05+00:00
From the article: > Another argument supporting the suggestion that species which have lost their GLO gene were under no selective pressure to keep it, is that all species which have lost their GLO gene have very different diets but all of them have diets rich in vitamin C

What would a diet poor in vitamin C be considering that "everything else" makes it? I guess root vegetables? It feels like, if anything, this would imply a GLO gene decay more often than has happened, no?
by LeoPanthera | 2025-10-28 19:06:22+00:00
> It's not a simple democracy, no (i.e. "enact a national-level vote for every issue and majority vote wins").

But it's worth remembering that, if it were, Trump would still have won. He won the popular vote. So, assuming that enough votes were legitimate, a majority of Americans actually do want the current health situation in the US, in fact arguably they want even less coverage.
by throwawayqqq11 | 2025-10-28 19:06:26+00:00
Isnt this just whataboutism?

A compensating law against some negative effects of the shutdown is still no solution to it.

On the other side, refusing to pay obligations, like wages, is clearly against the law or (employment) contracts. So no matter how many partial new laws try to work around the shutdown, there will likely remain reasons to sue over.
by dragonwriter | 2025-10-28 19:06:46+00:00
> Has this interpretation actually been upheld by any courts?

That copying into RAM, including specifically in the context of running software, is included in the exclusive right of copying reserved to the copyright holder except as licensed by them? Yes, the main case I am familiar with being MAI Systems Corp. v. Peak Computer, Inc., 991 F.2d 511 (9th Cir. 1993) [0]; note that for the specific context of that case (software that is run automatically when activating a computer in the course of maintenance or repair of that computer), Congress adopted a narrow exception after this case , codified at 17 USC § 117(c) [1], but that validates that in the general case, copying into RAM is a use of the exclusive rights in copyright.

[0] https://en.wikipedia.org/wiki/MAI_Systems_Corp._v._Peak_Comp....

[1] https://www.law.cornell.edu/uscode/text/17/117
by slau | 2025-10-28 19:06:54+00:00
Yes, that was exactly my point. A local government handing me a bill that is not proportional to which roads I was driving on.

There are many systems, many of them imperfect. The vignette system, per week/month seems maybe the most responsible, as it guarantees I’m paying my due in the place of and proportional to the amount of time I will be using the roads.
by dclowd9901 | 2025-10-28 19:07:18+00:00
No one is "putting up with it." We don't have a choice.

The way our government is designed right now, the populace doesn't really have elected representatives. More accurately, they have a corporate bought-and-paid for stooge that managed to be more likeable in a political race than their opponent, so we don't actually have anyone representing our interests _as a country_ at the federal level.
by runningmike | 2025-10-28 19:07:36+00:00
“Passkeys are the future of authentication” …this is not the future I hope….When Google, Microsoft and a lot of other B*G-Tech companies promote Passkeys, you know it is not done to protect your security and privacy.

Nice read https://techrights.org/n/2025/05/02/Passkeys_Are_Vendor_Lock...
by g-clef | 2025-10-28 19:08:12+00:00
Until passkeys can pass the test of "my non-technical friends and family don't call me for help about them", passkeys aren't ready. Vendors keep making assumptions about how users behave which are not safe assumptions, and that keeps blowing up the interactions of non-technical users. (I'm sure there's an "assumptions developers make about user accounts" blog out there somewhere.)

For example, my family has had to call me for help on the interaction between passkeys on Apple & Amazon multiple times. They have a shared Amazon account, which neither Amazon nor Apple seem to like. The first problem came when they didn't even know they'd been moved to passkeys - there was a popup that one of them didn't understand, they clicked OK to get it to go away, and suddenly the other partner can't log in, and neither of them can figure out how to log into Prime Video on their AppleTV. Another time one of them got "nudged" to add a fingerprint to the account, again freezing out the other person.

Until that nonsense stops happening, Passkeys aren't ready.
by Brainfood | 2025-10-28 19:08:30+00:00
Thank you for sharing. I can personally say this same process has driven me to the brink of sanity. 10 years of managing a chronically ill child’s healthcare with multiple surgeries. Being a developer with the ability to navigate complex problems, social engineer people who have turned into robots, and enough income to make it through unforeseen lump sum payments - I cannot fathom how the average person deals with this. I made more $ than I ever did before to cover the costs and afford the best healthcare possible but the system is designed so we still get screwed and have nothing left. Thankful for the people who dedicate their lives to helping others. To everyone else who can justify profiting off of someone else misery, while being the richest and most advanced society on every other level? I have nothing nice to say to you.