skysight-inc/HackerNews huggingface dataset:
That makes sense and it's the same as software engineering. That's why you have a product manager/generalist to coordinate the different domain experts.

Most surgeries these days require a team of doctors already so doctors are already capable of working together with divergent skillets... Maybe there is no harm if these skillets diverged just a little bit more.

Maybe if there was more focus on communication skills as part of training, it would be better.
Ah, I didn't know that. I thought the third party Yonomi skill had just somehow registered "turn on" as an invocation, but upon further reading it seems that's merely an implementation of the PowerController API†. Thanks for enlightening me.

† https://developer.amazon.com/docs/device-apis/alexa-powercon...
Is this part of the article incorrect?

> In recent years, the number of medical residents has become so restricted that even the American Medical Association is pushing to have the number of slots increased. The major obstacle at this point is funding. It costs a teaching hospital roughly $150,000 a year for a residency slot. Most of the money comes from Medicare, with a lesser amount from Medicaid and other government sources. The number of slots supported by Medicare has been frozen for two decades after Congress lowered it in 1997 at the request of the American Medical Association and other doctors’ organizations.
MS access is often a way better tool for what people do. The problem is that it requires a bit more work up front, a little more abstraction, and usually some programming. Having said that, most companies have people in IT that can help out something like that together for people but that's not their job.
iPad Pro, a pencil and an infinite canvas app. I mostly concentrate on heirarchy and relationships when taking notes, so it’s kind of mind-map-y, though doing it digitally allows me to iterate it’s layout
given that they're responsible for almost all of this crap

Where'd you get that impression? Almost all data public data breaches concern Western companies and Western hackers. And people have been warnings against the lax security standards and worse coding practices for decades.

Your trying to shift the blame to the russkies is just another example of denialism.
>its simply not as useful for adhoc data analysis and reporting.

<rant>

You wanna know what's even more useful? Code notebooks.

I store everything from my sql queries to my processing pipeline to my models, and my vizualizations. Most notebooks have slide-show modes now so your presentation to business stakeholders is simple to prepare as well, and with the right plotting packages you can draw interactive charts that do all the fancy stuff. And when it's time to update the analysis, you just re-run the notebook.

But business analysts are too freaking lazy to just learn to write some python or R, and they're perfectly happy to get paid to do the same task over and over again when it comes time to making updates.

And don't get me started on source control.

</rant>
"I had reached the age of six hundred and fifty miles."

The opening sentence of the novel Inverted World, the relationship of which to this story is better off read than googled.
This is what I was thinking when I was reading. Linus has been thinking carefully about this for a long time. He has taken this piece of software and he has nurtured it for years. He has protected it. He made sure that it is coherent and maintainable. He has put forward as set of guiding principles.

I haven't seen this in the companies that I have worked for, middle and upper management don't have any insight over the products they are building. They just care about dates and getting projects done. There are not insights. There is no long term thinking. There is no awareness of the technical debt that is building up. Their only solution is to throw more money (and people) to the projects.
Prescription drugs represent about 10% of healthcare spending in the US, so while their prices are very high in the US, it's hard for them to explain very much of our high cost system. See https://www.cms.gov/Research-Statistics-Data-and-Systems/Sta...
Just wish that the higher layers of the stack would see it as well, rather than being angry at Torvalds about it and going about how users are dumb sheep.
The marxists are out in full shill on this one. It's all about equality right? Ignore the fact that doctors in America are the best in the world, and spend years to become that. They see the bottom line and are more concerned if billy at McDonald's is making $15 per hour.
FCC Head Ajit Pai: Killing Net Neutrality Will Set the Internet Free
>In Sweden in particular Doctors are more keen to be contractors and hire themselves out to hospitals and offices, mostly due to the fact that Vardcentralen has limits for how much it will pay permanent staff Doctors.

This is much the same in the UK.
Hospitals struggle to fill rota gaps, so offer locum shifts at sometimes 2-3x the normal rate to fill gaps at short notice.

However staffing is so tight now, one can sustain a workweek solely on locum shifts.

Most doctors at junior level have taken notice, and many (more then half afaik) defer entering specialty training after their first two years to spend a year (or three!) solely filling these shifts.

At the cost of job progression and workplace continuity, you're getting paid way more for the same work, but with way more shift flexibility and less CPD paperwork.

Sounds pretty good to me!

Are docs greedy? Hard to say.
If locum wages are what fills rota gaps, is that the market dictating the true price of medical labour?

The feeling among a lot of my friends is that if regular and locum wages met in the middle, it might help things.
Can't really account for that flexibility of what is essentially taskrabbit for doctors though.
But is the average doctor worth more in the US vs another country? 700 worth of taxes better?
I agree, the issue is not Excel as such but how it's being handled: I once wrote a blog post on how you can unit test Excel spreadsheets, too: https://www.zoomeranalytics.com/blog/unittests-for-microsoft...
has anyone been in the airforce in the late 70s? My dad died on active duty in the airforce, and I heard second hand stories and was wondering how common they were.

in particular, he said they kept notes on everyone and turned them in (not sure to whom), in order to prevent russian espianage. For example, if you saw someone order something from a vending machine, it was up to you to write down who, what item they selected, etc. presumably these were checked for patterns.
See: Hacker News vs. Slashdot

Free speech is great, but a bit of regulation on the obvious trolls goes a long way in making this a good place for the non-deranged to discuss things.
Apologies :-)
Not getting sued for millions or billions of dollars? Not watching their reputation end up in the gutter due to negligence on their part?
Constitutional reform of that nature in most countries makes the current battle over net neutrality in the US look like a piece of cake by comparison.

If you live in a State that allows for some kind of “entrenched” statutes that are more difficult to change (the US Constitution is one such example), pushing for a right to net neutrality on that basis is probably the path of least resistance. Of course some nations, like the U.K., unfortunately have no such thing (all statutes repealable/changeable with simple majority).
> it requires a bit more work up front

Because of this "bit more work", it's also much less flexible in the long run.

Excel is not a great database, but it's a highly flexible one.
It also comes from how git is used. With git small commits are possible. It's nice to be able to manage those and build larger, coherent ones. Also, because of the distributed nature, sometimes rewriting is useful to fix mistakes.

However, yes, that is not the only possible workflow. SVN and CVS have been used on very large projects with moderate success. SQLite development is done in fossil. It's not impossible to do it correctly with immutable history.
> As it stands right now, I have to disagree with letting nurses or PAs do more "doctor things". Their training isn't anywhere close to what it needs to be.

Sort of. What people in this thread refer to when they say nurses should do more "doctor things" is a nurse practitioner:

https://en.wikipedia.org/wiki/Nurse_practitioner

If you needed an experience ranking, it would look like this:

CNA -> Registered Nurse -> Nurse Practitioner -> MD

(think of an MD as a commissioned officer in the military, whereas a nurse practitioner is a non-commissioned office who rose through the ranks but is still slightly below a commissioned office in ranking)

Source: Mother was a registered nurse

TL;DR Leveling up nurses around the country to "nurse practitioner" and having them take on more traditional doctor responsibilities is a solid path to success versus churning out more doctors overloaded with debt
I agree that reducing barriers is better, but in the USA it's unworkable. It requires haggling with a patchwork of thousands and thousands of state, county, and city governments and even things like homeowners' associations.

Telecom networks also qualify as a natural monopoly to some extent. Allowing any startup to form a telecom and try to deploy their own infrastructure would look like this:

https://news.lovepattayathailand.com/wp-content/uploads/2017...

The lowest hanging fruit for real deregulation and opening of the broadband market would be to get the FCC to nuke analog TV and open the UHF spectrum for last mile Internet access with a policy that is very pro-competition. For example they could limit TX power in some bands to no more than what it takes to get ~5km range and require some kind of minimal few-hundred-per-year license to use them in a given geo-region. That would allow anyone to start a last mile wireless ISP using commodity hardware and a single fiber uplink such as to a data center. But since this FCC is the definition of regulatory capture I highly doubt this will happen either. Pai and his FCC is completely in the pocket of entrenched telecoms and this kind of move would threaten them more than any kind of net neutrality regulation.
1. Someone's paying for those mansions Doctors live in.
2. Someone's paying the people selling drugs to doctors, advertising on tv etc
3. Someone's paying to run the insurance business

According to my uk taxes I'm paying £800/year for the NHS
While I do agree completely with you, let me point that some of the worst offenders in the world of macros also originated in Lisp.

Give a mad man enough rope and he can find a way to hang himself.
Clickable >> https://resistbot.io/
Is it ethically wrong when big companies influence the tax code itself? Because that's what happens now. Loopholes are created, not just "found".
I saw a nurse practitioner at a drug store who prescribed some antibiotics for an ear infection I had. It went well, it was a simple problem, and it didn’t require being examined by an MD. There are definitely things they can do.
It's surprising to me that the rather straightforward question of whether Tether (Bitfinex) is actually holding the dollar reserves against the issued tether tokens is so difficult to answer.

Just the fact that the company has not definitively disproved the accusations of fraud against it, which have been instesifying for weeks, is evidence that there is something to the charges.

There is a not much discussed point I'm curious if anyone here has a perspective on.

Tether has claimed that their business model is based, in part, on earning interest on the reserves they (supposedly) hold to back the issue tether tokens.

It was pointed out by Bitcoin analyist Tone Vays the other day that such a business account should not be interest earning, as it is not supposed to be put at risk (by being lent out.)

This strikes me as rather suspicious: that a significant part of the explanation for how Tether earns money doesn't make sense.
There are such code bases, look to the OSS projects to learn.

Linux, FreeBSD, MySQL, Postgres, Apache, a lot of your favorite projects have been around for quite a long time. We don't consider them legacy, but they are if you use that to refer to software that has been around for a long time.
Nurse practitioners can prescribe in the US as well.
Almost all pokemon related sub-reddits (too many to list).

https://www.reddit.com/r/Marvel/

https://www.reddit.com/r/personalfinance/

https://www.reddit.com/r/financialindependence/

https://www.reddit.com/r/justnomil/ (Honestly, some of the most messed up people in normal day to day lives. The mil...)

And a couple of nsfw ones I won't bother naming.
It's not the null hypothesis the rules were implemented in 2015. The fact that some people assumed net neutrality when it did not legally exist makes NN the exact opposite of the null hypothesis, unless you discard the entire internet prior to 2014/2015
OK considering the time it takes for someone to start making that amount of $ in medical field to be honest we in IT should really be the last to complain.
Other than setting a default app, isn't the SiriKit SDK exactly what you describe?

Edit: Nevermind, looks like Music apps are explicitly not allowed.
And then userspace goes on to piss on that by breaking their own stuff left right and center...
Lightweight diagramming with PlantUML
Nobody `decides` anything. Some people just don't have the funds to afford these treatments, and as much as it sucks, these treatments take resources and someone needs to cover that.
> "Tristan Roberts is completely within his rights according to the FDA and the rule of law in this nation… to self-experiment on himself in any way that he deems medically appropriate. It is his body and it is his right."

Any doctor or scientist making it possible for him to do so, however, is very much NOT within their rights and shall be keelhauled for a year. And that's if it goes well. If it goes wrong ...

(unless there is explicit permission from the ethical board of a hospital)

> Another thing that concerned scientists about Ascendance was the lack of detailed information on the company's website - there's no phone number, nor a list of employees or advisors. Traywick said this is in part due to proprietary reasons and in part because the company is still so young. But he also said he needs to obscure the identities of the working scientists who are biohacking for Ascendance on the side, to avoid opening them up to legal or reputational risk.

Heh ... you mean reputational risk because they're experimenting on humans ? Yeah, there's government institutions that take a really dim view of such practices.

The thing is, even if those humans "know" what they're doing (we're talking about a 28 year old programmer. I don't feel like I'm going out on a limb when saying his knowledge of HIV is less than complete). Besides, it's not like even perfect knowledge of all HIV research would enable one to predict the outcome of this experiment with sufficient certainty.

So there is no informed consent here. This is experimenting on humans. That he's "paid" for it (in maybe getting cured, not quite in money) doesn't change that fact.
> doctors in America are the best in the world

citation needed
Yes, of course. Being resilient, technically adept, and intelligent are critical skills. Everyone should become more like that.
TI's wifi enabled watch for hacking
All of my close friends are doctors and the toll that school and residency does on the body and mind is honestly shocking. I'd want to open up the residency and med school programs for nothing else but to not force our young doctors into 24 hour shifts. They're treating these young doctors like it's Hell Week in a fraternity, and the main excuse you'll get from the AMA is because that's what they (the older doctors) did so all of this fanfare is a right of passage towards full membership (attending physician) which unlocks all of these riches to justify sacrificing your youth for.

To me, that's a much better narrative to support increasing the number of doctors than "they get paid too much." Instead, this article reads like a con artist who is using slight-of-hand to distract you from the watch he's taking from your pocket. The trick is the doctor's salaries, but the real stealing is happening from the health insurance companies.

The article mentions how many billions of dollars this "problem" impacts the Federal budget. "Billions" - it's a large number in absolute terms, but relative to the problems with our inflated military budget ($850B), it's a pittance.

What I'm trying to get at is this feels like the kind of thing a propaganda outlet would do to give you a false enemy to hate. Even if the premise is grounded in truth (that US doctors are paid twice as much as everywhere else), it just feels like the wrong villain.
Honestly, while cost is a real factor, I don't think the number of doctors that pass the bar would increase by as much as you think. The amount of knowledge, skills, experience in that practicing physicians possess dwarves what people in many other specialized professions have. I doubt most people would have the grit and patience that it takes to cross that bar. (Disclosure/source: my partner is a physician, I am a software engineer).

That said, (only) one of the reasons for compensating physicians more is the time and money they put into their education. At least 2x - 3x more than other professions. Reduce this time / money commitment, you will be able to reduce the salaries.
My first question was going to follow the poster above, and you answered it for me. I didn't realize Excel couldn't write back to the database. It shouldn't be too hard to develop an extension for that purpose, would it?

Aside from that — what about MS cloud services? I mean, maybe that's not appropriate for healthcare or certain businesses, but for others it allows there to be a single source of truth if the workflow is correctly tuned, no? I can produce a doc in my local instace, push to 365, edit remotely on the web, have somebody else edit remotely, and sync it back to my local instance without a hitch.

I use Office365 for that purpose regularly at my job. I'm a developer, but I have regular communication with editors, producers, project managers, division managers, operations managers, art directors, and so on. A lot of the information we share is tabled and needs to stay updated, and editable by each party involved. It's worked well for me in that regard.

Maybe others have had different experiences?
And it takes years of education and training to become a nurse. Why do people think that nurses shouldn't be able to prescribe medications? Is it because of the gender they're traditionally associated with?
Does it cost $150k/yr of actual concrete costs or does it cost $150k/yr because that's what they're used to receiving and they want the gravy train to continue?
A big point people often forget when comparing doctors' s salaries to other fields: physicians are expected to cover a large number of their own work-related costs, like continuing education, insurance, or even medical equipment and (sometimes) overhead like office space. Because physicians almost always pay AMT, these work-related expenses are not tax-deductible.

$250,000 sounds like a lot, but it's really not once you take into account how much of that goes towards insurance, licensing fees, equipment, supplies, and all your normal business expenses. (The article linked says that this is "even after malpractice insurance and other expenses", but that's clearly not what the underlying source data represents.)
MVP Prequel: The Ultimate List of Tools for Early-Stage Entrepreneurs
I wonder if in a parallel world we would have a library system similar to the one used in Node.js with npm, and many installable libraries would consist of a single macro.
In that situation it is your place to intervene because the person has his or her willpower and logical mind hijacked by alcoholism. We are creatures of logic but also of passion. Sometime our body will do things that our mind don't want them to. In those situation, help is required. The person can't defend itself so it's your place to help them.
You can clear that much Bitcoin in five minutes with maybe 5% slippage, or in a day with close to 0% slippage.
eBay could've been where Amazon is at right now.

I still like eBay since you can get better prices over there with a little more risk(top reputation sellers).
You don't try these things expecting to become addicted. The overwhelming sense that using a cell phone, apps, and the internet is safe, from an addiction perspective, is something that we in tech circles has seen challenged repeatedly, but the average user doesn't know that.

Let's talk about those users as well. They could be in poverty. According to contemporary research, poverty creates lower willpower, rather than the other way around. Could it be time poverty? We have people that drive several hours to work and home every day, again lowering willpower. You mention unprocessed food, training in the gym, access to nature. Do you know how lucky you are compared to most of the people who live under the constant stresses of American life? How few of these things are available to everyone?

No, I don't blame the users. When these companies have an army of PhD's working all week to find ways to subvert the willpower of their users, I assure you that many users simply don't have the willpower pool necessary to fight back.
Agreed. Serious opposition to net neutrality is premised upon a reflexive, blinding hatred of government.

In their minds, any form of goverment is evil, and if it didn’t exist, we’d all live in paradise, free from chemtrails and tax sheets.

After going through these arguments and others linked here, I can safely say it's all excuses and handwaves; a thin veneer over an anarachist misanthropy.

Which isn’t too different from other conspiracy circles actually.
Iirc residents are a profit center for hospitals, meaning that if they really wanted to, residency slots could be self funded by the host institution without federal funding. That line of reasoning sounds like an attempt at obfuscation (not necessarily by you, but by the hospitals and medical profession in general).
All the Cool Kids Are Doing It
Like everything, "squashing commits" has good use cases and bad use cases. They have all been documented to death but just as a quick reminder:

Bad: squashing commits that have been pushed. Very bad. Not just because it rewrites history but because it's going to cause headaches to other people.

Good: squashing commits in your own local branch before pushing to origin. In my opinion, this is not just good, it's excellent. Nobody on my team needs to know how many micro commits or dead ends and backtracks I've gone through before I reached the current shape of the code I'm about to push. I love squashing in this situation so I can rearrange and make the commit more pretty before it becomes public.

On top of that, I'd argue that this kind of commit squashing contributes to making better commit logs.
I stumbled upon this while on the TI website for by day job. They have a 50% off promotion at the moment. I don't know what I'd do with it, but I want one. I thought this might be appreciated by some of the hackers on this site.

NB. I am not affiliated with TI and am not receiving any commission from them. I just thought this was cool.
> doesn't allow any paid prioritization, even if such prioritization isn't anti-competitive.

Please give an example of paid prioritization that isn't anti-competitive.
You don't always have to have an undergrad. A good friend's Dad earned an MD/PhD from the University of Chicago without an undergrad. This was in the 1960s though and he entered after doing a stint in the Peace Corps.
I worked at a major PBM and saw the same thing--stupid mess of Excel spreadsheets and Access databases. Major systems still on AS/400 with file drop off as the mechanism for communications instead of queues. Oh and one major system still running on a DEC Alpha OpenVMS system that required replacement hardware purchases on the gray market used equipment side.