skysight-inc/HackerNews huggingface dataset:
They try. They insist on paying doctors as little as possible. They challenge the necessity of procedures. Doctors fight back by choosing to classify procedures in more expensive ways. It's a tug of war. There are whole teams of people at hospitals whose job it is to make as much money as possible by arguing as much as possible with insurance companies over prices and necessary procedures.

The fundamental problem is the antagonistic nature of that system, as disconnected from the need of the patient. Doctors want to do more and charge more. Insurance wants to do less and pay less. Nobody is asking whether a procedure is worth what it costs the patient.

You can't improve system prices with distant and ignorant downward pressure, even if you're a huge buyer. You just don't have the information and intelligence. Medicare tries that, with the result that it sometimes pays for lots of unnecessary procedures and spends too much, and sometimes insists on prices that are too low and has doctors quit taking it. It doesn't have the information to get it right in either direction, and insurance has the same problem.

What is needed is price discrimination at the point of sale. In a very blunt sense, we have this in the patient's decision to go to urgent care rather than the ER. In a broader sense, though, when a doctor says (for example) they'd like to do a test just to be on the safe side, there should be a discussion about how much that test costs and what the consequences might be of not taking it. When someone says (for example) with respect to end of life care, "We can try this very expensive probably-futile procedure", costing the grandkids their inheritance is a not unreasonable piece of that conversation.

My experience is that doctors in insurance-dominated environments typically do not even know what their suggested interventions cost. But I once had a conversation with a doctor in a self-pay environment (urgent care) who said, "We did test A, $5, and it's negative. We have the option to do test B which is more accurate with respect to false negatives but $100, but I'm pretty sure you don't have it based on other signs." Reeeeally useful conversation if you're looking to save money and understand the consequences of a decision. More of that can bring the price of healthcare down by orders of magnitude. The insurance doctor did test B twice a month without even asking me about it, and probably had a team of specialists ready to argue for its necessity with insurance (there was no insurance, I was paying, and I would not have regarded it as worth the cost).
ARM is such a shitstorm. At least the PC with UEFI is a standard. With every ARM device, you have to have a specialized kernel rom just for that device. There have been efforts made on things like PostmarketOS, but still in general, ARM isn't an architecture. It's random pins soldered to an SoC to make a single use pile of shit.
Mostly "doctors stick with their old methods".

Source:

http://freakonomics.com/podcast/bad-medicine-part-3-death-di...

(Caution: this will make not trust your doctor)
There are way too many factors for there to be any single objective way to measure quality of a vehicle.

Personally, I look for an aggressive appearance, good utility in bad weather, and (now) plenty of cargo space.

I'm less concerned about safety and reliability, though obviously I don't want to be driving a deathtrap with loads of maintenance costs. To sanity-check the latter, I look at https://www.carcomplaints.com/ .
The FDA can jail people. Unfortunately, it takes ignoring their orders. By the time that happens in this case, it is reasonably likely that a few people will have died from this.
I would work with my hands.

The most exciting thing would be getting out of a chair. IT has hurt my body.

I do love creating things, though, so I would ideally be building original creations (I don't want to be a framer or service mechanic). So some kind of craftsman.

More realistically, I would create a business that could create value on-site, but dealt with customers on the internet. So ebay, etsy, etc. I understand building customer bases on the internet far better than I understand it in real life, and I also live in a low population area.

Most specifically, and ignoring income decreases, I would like to do some kind of old-timey craft. Woodwork, leatherwork, blacksmithing. Leatherwork in particular is quiet, relaxing, and doesn't need a particularly large area or set of tools, and I'm totally fascinated with handmade leather products. I would need a standing workbench, though!
Related to this is scientometrics, the science of science. It grew out of bibliometrics, the science of books and research papers. Others have observed a rate of decay (e.g. how long does it take for knowledge/facts within a discipline to change or be overturned) and attempted to quantify it for various disciplines. It's interesting to see how slow/fast facts in Medicine change versus philosophy versus religion. A nice read about this topic is a book by Samuel Arbesman, "The Half-Life of Facts".
If it doesn't stand up to "beyond a reasonable doubt" how can you have such faith in it? Hearsay is a fine example, as I wouldn't want my innocence predicated upon someone's flawed memory or whim.
My opinion (as a parent of two <10yr old boys) is that screens are the new rock music/comic books/video games/bad-thing-du-jour that parents are demonizing as destroying the younger generation. There's always something, and it's never anywhere near as bad or destructive as was feared. It's just the next phase of a natural and inescapable societal progression.
Every PlayStation after the first is just a middle-of-the-road play it safe machine imo.

The first was truly groundbreaking in many ways (though some might say that was in part due to Sony was originally developing it with a games company).

After that later generations have mostly just gone with “make it faster” style evolution and taking the best parts of the previous generations competitors.

No drive to evolve like we’ve seen from Nintendo (Wii, Switch) or MS (Kinect, XBL, or even their games sharing ideas that got them pilloried).
Whoa, this is awesome. It's a work of millions of people and lines of code, and it's MIT licensed.

Although http://www.dropzonejs.com/ is still great, this looks much better, it supports many plugins. I'm very impressed.
The median home price to median income ratio in San Francisco is 10.8x.

In San Jose it is 7.8x.

Nationally, it is 3.8x (5.8x in NYC metro).

http://www.burbed.com/wp-content/uploads/2017/09/SFvNational...
Recently, I went shopping for vitamin D supplements and I was surprised by the very wide range in products marketed for daily usage, going from 600 IU to 12,000 IU.

The recommended intake and upper limit vary depending on which country's ministry of health or which non-governmental health organisation you ask.

The Mayo Clinic places toxicity at 50,000 IU [1] and there is anecdotal evidence (i.e. unverifiable comments from the EFSA public consultation on vitamin D) of individuals taking up to 100,000 IU a day.

[1]: https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-h...
There's also latency though :/ it seems that programs that make a lot of syscalls will be affected more than programs that are doing in-process calculations
This is a wonderful idea.

You mention Facebook - I think FB could be leveraged here as well.. perhaps a neighborhood group.
A patch is in the works for ARM chips as well (http://lists.infradead.org/pipermail/linux-arm-kernel/2017-N...), but I am not clear on whether it's enabled by default. It seems like a good idea to have this, independent of current ARM vulnerability.
Surely you knew multiculturalism would destroy your high-trust homogeneous society. If not, the lesson is now very clear.

It's not too late. We can go back.
I was in the same boat. I had a very low vitamin D serum value. I started taking a 1000 IU D-3 and and it did nothing. But once I upped it to 10K my depression and panic cleared up. It makes a large difference when you do not have enough D.
It's not just a step up it's a factor up.

Space stations are less expensive than moon bases so why do a moonbase? It teaches us nothing much more compared to a space station and cost a fraction.

They help by being a habitable space station which can be docked with. It might even be a place to escape and wait for rescue if something goes bad on the planet a much cheaper way to rescue than having everything based on the planet.

"I don't think we'll ever get to a point where going to other planemos makes sense from a corporate profit-and-loss perspective, not if we don't go there for non-economic reasons first."

It's not about corporate profit-and-loss it's a matter of making it unnecessarily expensive.

There are so many things to solve even when it comes to the space station. Just getting the price down substantially is hard but necessary before it make sense to putting a base on the moon without any point that isn't mostly already solved by the ISS.
I think a real opportunity was missed by not branding this as "Natural Selection" brand water.
This is the same problem Netflix & Amazon have been successful in combating. The answer is to become a content owner by competing with the big labels directly.

All Spotify needs to push the big labels back on their heels is to sign a few top 40 artists of their own.

I might be wrong but I remember reading something like 90%+ of streams on music services are of songs currently on the charts. Capture the popular culture like Netflix has and the labels will start rolling over on rates.
Clover Health insurance startup angered customers, missed financials
Ant Financial, MoneyGram deal off
My doctor prescribed me 10000 IUs/day, which seems to be pretty high based on the values listed in the article. I had a D deficiency at the time, but he suggested that I continue those doses as "preventative maintenance" in the future, even after my levels returned to normal.

I assume that it's just a consequence of normal variation regarding (A) the journals your doctor is reading and (B) how they're interpreting those articles.
The economic game is what makes it all make sense.
From the merge commit:

+#ifdef CONFIG_PAGE_TABLE_ISOLATION
+# define DISABLE_PTI	0
+#else
+# define DISABLE_PTI	(1 << (X86_FEATURE_PTI & 31))
+#endif

PS - MSFT has not published relnotes, so we do not know yet. We'll find out soon enough.
> If local governments are the future of ISP services, I'm not sure we'll have made much progress at all on the anti-monopoly front.

It seems to me that this is real progress; or do you mean "this just replaces the private monopoly with a government monopoly"? Even just moving a monopoly from private to public hands seems to me like progress. Comcast, for example, doesn't need, or particularly care about, my vote, whereas local government does.
As someone else did (deep in a comment thread), I'd recommend MemPa, an algorithmic password generator that uses one master password plus the site and your username to generate (or recover) your password.

Using MemPa (which is basically one line of JavaScript), your passwords are always hard to crack, retrievable with one password and yet never stored anywhere so there's no tempting honeypot for hackers to target.

The original article is here: https://hackernoon.com/mempa-a-modern-deterministic-password...
(There are links to iOS and Android MemPa apps, too.)

I've also wrapped the algorithm in a single-page web app that you can copy to your own site or thumbdrive to make using the MemPa algorithm easier.
https://codepen.io/jones1618/full/eeqBNG/
Before Apple, Steve Jobs was an acid-gobbling, horticulturalist commune dweller
Light therapy is not about producing Vitamin D, it's about modifying circadian rhythms using bright light, which people often don't get enough during the winter. Generally, light therapy does not use UV.

https://www.mayoclinic.org/tests-procedures/light-therapy/ab...
It took me nearly a year to crack into the SF nightlife scene. There are a staggering amount of events going on in the city and Oakland, you just have to meet the right people. Unfortunately, you won’t find these people at expensive bars.

Hanging around dance places and being proactively social (or a dance maniac) is a good start (Public Works, 1015 Folsom, Nocturnal Codes, etc). Eventually you’ll be invited to the most exclusive beach fires, kikis, kickbacks, etc.

Whatever you do don’t just stand in the corner expecting things to happen.
There's a lot of talk about this, including in the article. But I would suggest that it is somewhat distasteful to outright threaten to quit, when you can be more subtle about it. Diplomacy is about making sure both parties win. And in this scenario, remember that your boss and the company are two separate entities, with differing agendas.
Are you saying they don't need to have a dean in order for the school to function?

That might be true but, assuming it's not true, the best they could do to reduce the cost of deans would be to reduce the dean's salary by half. And laying off 2 or 3 faculty from departments that are not in high demand will lead to a much higher cost savings than half of a dean's salary. Removing a whole out-of-demand department even moreso.
For dependency management we use Dep (https://github.com/golang/dep) combined with (https://github.com/getstream/vg). This works pretty well.
Some of us grew up on well water. It's generally fine, although you need to inspect and treat it regularly, and if one of your neighbors really messes up his well, it can affect the whole water table around him too. My digestive track always gets a little messed up when I visit my parents back home (although this could also be from the water being treated for hardness).

If you were really interested in non-municipal water, the best route to go would be some sort of filtered reverse osmosis setup or something similar, of which you most certainly do not need a Silicon Valley snake oil salesman for. You can also get a home system to make distilled water just for drinking that won't cost that much.

Honestly, the biggest issue that the average person could have with municipal water is it being overly hard. I might get a filtration system in our new place to deal with that. I might also be tempted to get some kind of filtration system for water just for my coffee and tea, simply for taste reasons.
Same story with me, starting at age 7, but in Poland. I crossed the biggest street in the 38k population town on my way.

But I think parents were ok with it mostly because it was considered normal at the time and noone spent time pondering what could happen.
> now you’d need a cell phone, and giving one to a 5~8 year kid is still not practical.

I'm not sure about that; there are phones specifically designed for that market (e.g., Firefly), after all.
My employer just went through IPO. I was really disappointed how within days of the public confirmation of the S-1, competitors were lying very openly and publicly about things they knew we couldn't refute well because of the quiet period.
How to Improve the Performance of a Java Application
The Windows CE APIs were an optional interface rather than its primary OS. But most developers chose to use Sega's APIs rather than CE.
What is DCU? Also what is AAA? What is "car" - is that car loan?

I see you have another entry for car service plan which looks expensive to me at $750. I pay around £220 a year for servicing and a similar amount for insurance - my car expenses - excluding petrol amount to around £70 a month. Your electricity bill looks high too - are you running an aircon? My electricity bill is around £240 a year or less. My rent is £6k a year (I share with partner - we have a two bed cottage in the countryside). Your Comcast bill (I assume for Internet) and T-mobile combined is nearly $1k - I pay around £300 a year for Land line, internet and mobile phone, but I have no smartphone / plan, just pay as you go and I only really use the mobile for emergencies.

It's possible if you could get into some kind of shared living arrangement you could reduce your housing costs. I'm thinking something along the lines of a shared house or shared apartment to get the rent down. I guess it depends though on exactly where you live - I know that California has crazy accommodation costs.
Childcare / alimony is not an expense like any other because in many legislations you cannot really decided to stop paying that expense, see
e.g. [1]. In the US you typically go to prison pretty swiftly if you refuse to pay.

[1] http://www.realworlddivorce.com/
> I'm not sure there's such a thing as a city that's not vulnerable to at least one climate change or natural disaster threat.

Denver seems pretty safe. No earthquakes, safe from rising seas, no hurricanes or tsunamis.
You should probably know that amongst the voting class of the SF Bay Area, "Manhattan" is a four letter word.
Hate to say it but I think if you have to ask for a raise you're probably not going to get it (or won't get as much as you want).
I've seen companies let bonafide rockstars with the most domain knowledge in the group walk over money. I just don't get it. It's like someone in the HR industry made up this rule and bad companies stick to it for whatever reason. I'd go as far as saying the majority of the attrition I've seen has been money related, and all of my decisions to bounce have been motivated by money.

Companies will spend $100k+ on Christmas parties, sport box suites, and other marketing/sales related things but won't give a critical piece of the team an extra $25k or whatever? Just mind boggling.
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Please check out our careers page, ziprecruiter.com/careers, for all our tech positions.

We're growing rapidly and have a large customer base (primarily small and medium-sized businesses). We have interesting problems to solve in the areas of search, yield management, analytics, scalability and new product development. If you'd like to learn more, please visit https://www.ziprecruiter.com/hiring/technology or email us at techjobs@ziprecruiter.com.
When mentioning the Miata you probably also want to mention this review that neatly summarizes it:

https://www.youtube.com/watch?v=kp1kuo6xkbE&t=139s
Partial Application of Functions in Elm
I'm introverted too, but it really feels like a cop-out to use that as a reason not to do something. I recognize that my default position of "not doing stuff" is worth pushing against a bit. And whenever I do a lot of social stuff (that is, what I consider a lot), I then spend some more alone time. I think it would be a real shame if I had avoided doing a lot of the things I did when I was younger, because "I'm an introvert".
Surprising Approaches to Achieving Urban Density
Even if he knew about it, if it was more than 6 months in advance and he follows all the legally-mandated protocols for setting up a regulated stock trade, isn't he safe?

The marvel is that somehow the news was kept from hitting the media until he had finished his trade, and then was revealed immediately after the transaction was complete. I wonder how that coincidence happened.
This should be obvious to anyone who's ever lived in NYC. It feels normal here to see 5 MTA employees in orange safety vests standing around watching one guy putting safety cones around a puddle.
> Yeah, you are the one claiming that blockchain has to somehow identify and categorize songs automatically in order for it to be in anyway useful.

Nope. Not me. I've even quoted the claims.

> The undeniable appeal claimed is about how organizations coordinate and share information.

Once again. I asked several times: the organisations cannot organise and agree now. Why would they agree in the case of blockchain? Just be cause you say "blockchain" it won't magically happen.

> Aren't those mostly the same assumptions you have to make to have music licensing work at all?

Yes. So. Once again. What's the undeniable appeal of the blockchain? You need all of the exact same assumptions that don't work or work very poorly in the first place, and you decide to add a blockchain on top of that because somehow it will magically make everything work.

So, once again. What exactly does blockchain bring into the equation if everything remains the same?

> Again, don't take Bitcoin's limitations for Blockchain limitations.

Riiight. There apparently exists some magical blockchain that doesn't have any of the limitations that every single blockchain on the market has.
What do you mean by "We don't eat carbon"? All food that humans consume is mostly made out of carbon, hydrogen, oxygen and nitrogen. The carbon is indeed breathed out in the form of carbon dioxide, but no animal is capable of taking carbon from the air and integrating it into their body.
Martha Stewart did jail time for insider trading. Turns out the SEC isn't messing around, and they don't hand out community service, probation and fines for this stuff.
First off, if you're so skeptical, then at least get a 25(OH)D level blood test. If you're under 32 ng/ml (80 nmol/l) that's bad. You don't even get the absolute minimum necessary not to get sick very often. The benefits start showing up from 40 and above. Strongest benefits seem to be around 55 ng/ml, and toxicity starts around 66 ng/ml. To get to 40 ng/ml you need around 9000 IU (240 mcg) per day.

So get your test, see that you're deficient (very likely), and then I would suggest starting on 5,000 IU per day. Then 6 months later, take another test. See if you've at least passed 40 ng/ml. If you haven't, I'd suggest going to 10,000. Then 6 months later do the test again. See if you're anywhere near the toxicity level. If you aren't, keep taking 10,000, and do the test in another year. See if anything has changed.

This could save your life or at least make you feel way better every day (kind of like how we feel when we're bathing in the sun). See my other comment here for more details on this Vitamin D issue.
Very very few highly tuned "peak performance" workloads are dominated by syscall overhead like the test that produced that 30% number was. It's best to hold off on the hyperbole.
Have you worked in a company where you've hit CPU performance limits. At my last job, we'd have some services run in 25 containers in parallel and we'd have to optimize as much as we could for performance bottlenecks. We'd literally get thousands of assets per minute some mornings, and had a ton of microservices to properly index tag, thumbnail and transcode them.

Our ElasticSearch nodes all had 32GB of ram and we had 10 of them and they were all being pushed to the max.

Something like this would be a massive hit, requiring a lot more work into identifying new bottlenecks and scaling up appropriately.
Wah, I misread then! I thought this was a new Apple-supplied program joining its others in being non-removable. I agree this is even worse then; I just also think I should be able to remove Safari, Chess, et al. too.