skysight-inc/HackerNews huggingface dataset:
> has significantly worse problems of obesity and drug overdoses

Which can easily be caused by a destructive and broken healthcare system leaving the ill unable to seek treatment and thus left to fend for themselves.

Even for those with insurance the costs - in time, in bureaucracy, in often money when your insurance provider refuses to cover - are unreasonable to consider seeing a doctor in a thousandfold situations that Europeans never even second guess. Because they don't need a waist deep paper trail to go to their physician, because they won't get a dozen different bill collectors harassing them in every legally gray way possible, because they don't need to break out the checkbook on the way out to pay the minimum barrier to entry extortion at the end.
Yes, I know and that's why I am still paying. But seriously, we are paying for emergencies, this should be stated when paying for the insurance. Second, why were the costs $150000?
A browser-based client could persist the log in localStorage for basic history. It wouldn't capture conversation when you're offline, and it wouldn't store years of history or anything, but (1) it would solve the problem where the user refreshes the page and loses all their channel history and (2) nobody who is using such a web IRC client has a bouncer anyway.
90% of the booze is consumed by 10% of the population. They're all alcoholics. These are the people who prop up the industry.
Thanks. Good correction.
California's GDP is $2.75 trillion, or $229 billion monthly.

Giving each adult $1k costs $32 billion a month.

Assuming none of GDP is attributable to the exclusions, the program seems mostly possible, at a cursory glance. Not fully funded, but reasonably close to fully funded.

The state currently spends $220 billion a year. This program would be a substantial increase to the state's expenditures, more than doubling them.
Right on. What does "regressive" mean in this context?
Still positive population growth, though.
I can't imagine buying or selling most high-value items on Amazon: the buying side has already been covered in various places (https://seliger.com/2017/01/09/tools-continued-careful-buy-a...). I've sold cameras and lenses on Craigslist, which can have its own challenges, but never one as expensive as an A7R IV.
That’s the one I was thinking of. Nice mattress for the price.
Wouldn't that be a good small claims court case? There's good documentation that the item has been shipped, and the seller is out of both the money and the camera.
3d image description saying it is from Lombardy, "France" is a strange mistake in an otherwise well documented article.
The US and the UK are both polarized because of the two party system. In Europe even opinion from the outer fringe are heard and compromises have to be made to govern. People need to be heard. I sometimes also think that the European model of government offering a lot more local influence is a stabilizing factor. Yes it is not that efficient but all people are able to participate in the democracy and this prevents the need to take over control.
FBA = Fulfilment By Amazon

https://services.amazon.co.uk/services/fulfilment-by-amazon/...
Why not let your employees choose? From what I’ve seen single people love 4x10, people with kids don’t. 2 extra hours a day means my kid can’t possibly make it to practice in time 4 days a week.
I’m curious what kind of plan you have now. Where did you find it?

I thought plans had to be aca compliant.
The Tiniest Nuclear Plant Is Coming to Idaho
Yes, it was his cognomen. The cognomen is what you as a modern Westerner would think of as a name -- it is the only part of a Roman name that identifies the person. The nomen identifies the person's family, and the praenomen identifies nothing at all -- there are so few praenomina that they are conventionally abbreviated by just their first letter. (Or in the case of a couple that begin with the same letter, two letters.) Imagine if "J. K. Rowling" was, by itself, sufficient information for you to know that the first name was Joanne.

The cognomen is unlike the concept referred to by the English word "nickname". It is part of the full formal name. It is fixed. It is like a nickname in that it is not assigned at birth and in that you have the option of referring to someone by cognomen or not.
> a swag of patents

Is this the correct term for a group of wild patents? What do you call a group of wild patent trolls?
No, this is talking about single payer healthcare which would mean the current insurance industry would be out the door. No Obamacare, just one government agency paying for healthcare.

Employment sponsored healthcare will likely still exist in some form, perhaps to ensure speedier access to some care.
I've been using Anki for learning foreign language words for at least 2 years during my commute. At the start of using flashcards I could learn near 20 words for a day, but now, based on my experience, the number of learned cards decreases. At the same time repeat learning helps me do not forget words which were learned a year or so ago and rarely used.
I also noticed, for me, the best approach for better remembering is practicing during the morning commute. It became my everyday routine :)

Using Anki is very helpful if you need to repeat much information for a small period of time, e.g. before exams or interviews.
Alarmist nonsense.
I was curious for context on this, and honestly didn't find much in my brief search, but apparently it's thought that for professionals, the hours worked has gone up, while for the working class, it has gone down. I didn't research it, but I wonder if part of the explanation is that working class people tend to be under-employed, and/or government policies that kick in at say, 30 hours / week (like the ACA, for example) push the numbers down. Professionals of course tend to be salaried, so you really want to squeeze out as much as you can.
Cockroach Labs (nyc) used to have a 4 day workweek as their version of “20% time”, looks like it’s still in place: https://www.cockroachlabs.com/blog/can-a-4-day-work-week-wor...
Engel's Pause
Do you live in a state that rejected ACA funding?
Bernie Sanders briefed that Russia is trying to help his presidential campaign
KC isn't really a place for startups. In my experience there's only demand for a handful of "Senior Staff / Principal Staff" engineers. Having worked with a few out in Kansas, they have the skills experience of a "Senior Engineer" in SV or less.

Not a lot of upward mobility. Hard to hire young talent.
Great barbecue and 4 seasons if you're so inclined.
If there is a deliberate policy decision to penalize someone for working on the grounds that "hey you would do better as a stay-at-home mom", that would be one thing; it would at least have some consistent internal logic to it.

But I don't think the UK's or US's systems are like that; they just got hobbled together by being pushed in different directions by various groups with conflicting desiderata that combined to produce ridiculous incentives, and those incentives should be corrected.

Moreover, to the extent that valueless jobs and valuable non-monetary jobs exist and can be identified, the proper response is to explicitly target them (either with penalties or subsidies), not just allow anti-market-labor incentives to exist because "hey, not every job is worth doing, you know?"
I am not defending the current system. My point is that insurance and single-payer are not the only 2 possible models. A freer healthcare market, not encumbered by the inefficiencies of insurance, could actually put market forces to work in the industry. If prices were known prior to service competition would begin and people could vote with their feet. Right now we have a overly consolidated monstrosity in the insurance and drug industries sucking profits out of the public, and these guys just want to switch it out for a different monstrosity.
The reason I disagree with this is because our healthcare system is largely built upon treating someone after they have an apparent issue, instead of preventing the issue.

It seems very difficult for a healthcare system to stop someone from becoming obese to begin with, or stop someone from abusing drugs that is intent on it and not seeing anyone intentionally, or stop problems like depression by their root cause instead of attempting to fix all of these things afterwards.

I'd be surprised if you really think a healthcare system by itself could be powerful enough to stop obesity.
"It doesn't matter" (much) that it's a mess is one thing.

"It's not a mess" is quite another.

But 'compression' and 'mess' are very very different things. You can have organized compression. Look at the length encoding on RISC-V, or something. No prefix bytes in sight. On x86 the balance and methodology for getting different instruction sizes is completely garbage for historical reasons.

> The appearance of "mess" is a result of "if was successful." But the problems it solved were/are real.

It's because it's been collecting legacy since it was 8-bit all the way to 64-bit with vector units, not as an inevitable result of being successful.
I found this article after receiving an email from (him?) telling me slick wraps had been hacked and were doing nothing to prevent the loss of my data.
Sounds about right. Amazon's return policies have always heavily favored customers, even after creating the marketplace.
It's also hard to get good info precisely because helping someone or encouraging someone to kill themselves can get you charged with something -- or make you feel at fault, even if you don't get charged with something. So most people don't want to provide that info by any means whatsoever.

See, for example, the Michelle Carter case.
Show HN: Codeless end-to-end UI and performance test automation service
Despite this being an extremely serious statement and should be considered as such, I feel this is also like stating the obvious. Like isn't this something everyone is fully aware of, despite the human race as a whole not doing anywhere near enough to combat it?

I'd like to hear less statements of "our house is on fire" and more "I'm getting a bucket of water". Let's concentrate on the doing...
> Saw your comment on the Posthog post yesterday. Sounds like you felt the pain of scaling at Heap, which bodes well for FP.

Yep! At Heap I had to build a system to ingest a ton of data and process queries over that data that returned in seconds in real-time. For Freshpaint, we need to ingest the same amount of data, but without the need to query it. I honestly think building Freshpaint has been several times easier than building Heap.

Early on, I had a conversation with Heap's CTO about Freshpaint. He said something funny along the lines of "I wish I could work on this because I would absolutely destroy this problem."

> Segment's great, but super expensive for business models where the # of your tracked users doesn't scale with pricing.

Definitely! This is one of the things Fitz and I noticed before starting Freshpaint. It seems like until now, Segment hasn't had any real competitors. Segment is kind of now known for being overpriced.
Insurance and single-payer aren't the only two choices. It is possible to not like either.
Why won't the rising cost of labor for the employers that currently pay less be offset by the falling cost of labor for the employers that currently pay more?
i've done medical billing systems too and it is, indeed, crazy but what's make you think the gov. would be any better?

I wrote a specialized service dealing with Medicaid in a handful of states and it was even worse than normal. The incompetence at Medicaid is dangerous. Formularies, eligibility, reimbursements changed randomly with reimbursement changes retroactive to some random date. I have zero faith in any part of gov to get it close to right.
$6000/year sounds very low for healthcare in the U.S. When you say "I pay" are you really only counting the employee contribution? For purposes of analyzing aggregate healthcare costs for a whole country, we ought to be using combined employee+employer costs (W2 DD) and not just the (usually small) employee portion highlighted by HR at benefits season.
>there was that kid in the UK with an easily fixable, but fatal, heart condition

i'm curious what story you're referring to. The two that were in the news recently were Charlie Gard and Alfie Evans, but neither of those were heart conditions and neither were easily fixable. They were denied access to treatments that most medical experts agreed would not be effective.
Bad Subway is better than no subway; I wish we had that or any public transport in Northern California.
General consensus is that this is a bug though. Apple has not come out with any announced change.
A Look at the Case for Bayesian Deep Learning
Meta takeaway, probably:

A popular PetaPixel post that gets coverage on additional social platforms is your only form of recourse against Amazon.
"Why should I subsidize other people's bad decision making?"

You already are through record high premiums, deductibles and what not to private insurance companies. The problem is that those companies are in it to make money which means everything is inflated and not to mention the bullshit of in-network/out of network and fighting with billing/administration to get bills corrected. No. I am sick of that and I would gladly pay to subsidize other people's decision making because we all already are.

If you really don't want to pay for other people, then no insurance should exist and everything should be out of pocket straight. Free market baby. But not gonna happen in the US when it comes to healthcare.
I got an MRI within a day and CT scan within a day as well. I got an endoscopy within 5 days. My friend waited 4 months for her MRI to diagnose gallbladder stones. The same friend has to wait 2 years for autism therapy for their children. The waiting times for specialists in Canada are in the months. When I lived in Canada, it was practically impossible to find a GP in downtown Toronto that was taking new patients.

Yes, I didn't have to pay much for health care (I remember having a health care tax in Ontario) but it wasn't a bed of roses either. I'm a lot happier with Kaiser in California than any treatment I received in Canada.
How does this disagree with my point, which was that creating FOSS can get you in trouble with the law (particularly given all the random jurisdictions your contributors might be in), and thus "You should not use services that can rat on you and your friends to the cops" seems like a fair value to hold in the context of FOSS development?
I think she'll keep smoking as long as she doesn't face any repercussions for it. Right now, she keeps getting free medical care to fix anything wrong with her, so she has no incentive to get better. If she didn't have that, then she'd have to make the choice between continuing to smoke, or having to be immobile and in pain because she couldn't keep getting medication and surgery to mask the health problems she's bringing on herself.
they basically already have endless, mostly free power in the sense you are getting at. that it isn't clean is irrelevant to their use case.

china, iran, the united states, etc. militaries are not hurting for energy and already make heavy use of small nuclear reactors where just hauling fuel is not an easier choice.
At least on Craigslist you can restrict the sales to meatspace.

Asking to meet on the steps of a police station does a great job of filtering out scammers.
Wow, someone with actual experience in a single payer system getting down voted for raising a concern.

Well done HN.
The GTK Project
It’s right in the name. It’s called Insurance, not Healthcare as a Service.
This study however, doesn't seem to account for the dramatically increased usage of the system. If medical care were "free" -- the demand would quickly outstrip supply -- there's a real cost to that.
I don't disagree with that. But if the medical industry has a certain amount of bandwidth, moving to a different organization for compensation won't increase access as the paper suggested, it will just re-organize who gets access. Maybe that is a good thing on the balance, but it seems like it will come without trade-offs.
Pythonista has been featured by Apple several times. As others have pointed out, only pure-Python modules can be used unless they are precompiled and included with the app.
Pilot would crash with probability 0.9^p, where p is the number of things you did at once, p=4 was a limit I never surpassed. With UNIX p=30 was commonplace.
But when you use Amazon you agree to binding arbitration...
Well, as someone who pulls out their laptop pretty frequently on the train, I can say I've never had anyone spill coffee or kick it, though granted I don't pull it out if the train is at-all crowded.

I recently got a GPD Win 2 as well though, so I've been able to do more computerey stuff lately, even when it is crowded.
Is that saying that we could give 2 years of severance to all displaced insurance workers for less than what we would save in the first year? That's incredible, and a great argument against the cries for lost administrative jobs.
Is this confounded by the number of Americans would _want_ treatment, but can't afford it or can't access it via their health insurance?
About 10 years ago, I was a freelance consultant for clinics, hospitals and insurance companies (EMR, billing, claims, practice management, etc.). I've also been a volunteer EMT for about 20 years and have many friends who are clinicians.

The amount of administrative overhead is just absurd: a common and believable number is about 15%. This does NOT include the "shadow labor" that everyday people have to deal with, like being on hold with a billing department or insurance company, the merry-go-round of "prior authorization hell" for procedures or prescriptions, etc.

It's TERRIBLE that someone like me--conversant in business practices, ICD/CPT codes, and clinical practice in general--struggles to interpret a bill. It's literally worse than buying a car.

I can make lots of choices in life, but one of them isn't health care: if I need it--especially urgently--I'm not in a position to game out every scenario possible to minimize costs because the ecosystem is non-transparent and labyrinthine.
I am a member of a public, nonprofit organization that uses a tool that explicitly bans me, automatically, when I am trying to use it in a way that protects my privacy.
Other meta takeaway: it's really easy to scam sellers on Amazon if you're unscrupulous.
i said this in another thread but you're assuming the single paying entity gets it even close to right.
I rest my case. As you see he is banned.
The tragic last days of Brandon Lee
It appears to take a fairly substantial press/vacuum sealer to squash these down, get them into their plastic bag so they don't explode, and roll them into a tight cylinder.

https://sleepdelivered.com/bed-in-a-box-mattresses-packing/

This machine looks pretty elaborate -- not sure that you are going to get a consumer version.
The bill might have shown 150k, but costs to a hospital for 2 a weeks stay due to an infection should be a long way from 150k.
Not saying everyone needs to have the same level of say in the outcome of the economy, but there's a minimum below which the system becomes unresponsive to real human need and a maximum above which diminishing returns sets in.
If an employer decides to cut 30% of their workforce for tax resasons, who is going to do the work? Do they make the rest of the staff work overtime to cover for the people they fired? Are they just going to produce 30% less product/service and let the market sort it out?
Real takeaway: Amazon doesn't give a shit.
That would be really interesting to me. I have been eyeing Kakoune for a while and love the idea but I'm too invested into VS Code to completely switch editors.
I assume you are in a high deductible plan (HDP)? They don’t pay anything until you hit ~$4k/person, then 80% until OOP maximum of $7k for a family. But yes, a physical should have been 100% covered.

Yeah, so between my employer and I, it is $20k for my HDP for family of 4. Then I sock away the HSA max of $7k every year to pay for the actual costs (including dental, which I don’t have).
The US also has the highest rate of maternal mortality in the developed world.

https://www.propublica.org/article/lost-mothers-maternal-hea...
Still harder than Slack, right?
I feel as if there is a meaningful distinction to be made between a program that occasionally downloads binary patches to itself (and will run fine without it), and a program that gratuitously downloads scripts every time it is run, runs them directly from ram so that they can't be audited, and refuses to run if it is not allowed to do this.
Currently that money is flowing from the pockets of everyone into the pockets of investors, legislators and workers tied to the healthcare industry. What is the correct amount of profit? Who is to say the healthcare industry was making enough before they started hiking prices? Perhaps they saved their industry? Other countries have cheaper healthcare costs, but maybe they have less healthcare? Sure other countries might be living longer but perhaps that is tied to diet/lifestyle. Maybe Americans are living less because they are working harder, are being destroyed by a bountiful food industry that they can't resist, maybe the healthcare industry is picking up the slack... The solution offered here is a state-controlled market, which didn't work well for the Soviet Union so is it good now, or is this just our last desperate attempt to pick the lesser of two evils? But then is that the solution for out of control internet charges? For out of control property prices?

The single issue we should be focusing on in America, across healthcare, tech, government contracts, is fair markets, not free markets. Free markets are the flag which incumbent industry rallies behind because they can rig the system when there are no rules. Similar to the Glass-Steagall Act which enabled a fairer market for average investors competing against financial institutions, the hospitals, pharmaceutical companies and insurance companies need to be broken up, so that we can restore a fair market for healthcare. Politically it is our best strategy for an improved service. Since it will raise industry allies, those with solutions that are being unfairly crushed by an uncompetitive industry. Remember we are living in the Citizens United era, corporations have very strong political power. Universal Healthcare is going to cause the healthcare industry to stop infighting, they will circle their wagons, and collude with better effect by engineering supply shortages, confusing legislators using bribery and misinformation, and doubling down on pricing loopholes...
Canada forces physicians to choose - work in the public system or work in the private system. You can't do both.
What about your pension or your company car? If you work an extra day in the week 100% of that money can go straight to your pension, giving you 10 years of early retirement.
I do find there's a lot of benefit to flexibility though. If I'm in the zone at the end of day, and don't have anything else to do that night, I'll often work an extra ~2 hours (or until I feel like I've lost it.) But on the flip side, I will also leave early on a night where I have a lot to do outside work.
Thought so too until I got into the industry. The establish players have run up marketing costs so that your average cost per acquisition can get out of hand quickly. It’s really hard to crack profitability with a cheap mattress.

I’d have to look at my data to see CPC costs but i tried a lot of angles and channels to generate sales cheaply and struggled to find anything sustainable.

CPCs, ad dollars, imagery, affiliate commissions hell, It’s only a matter of time before some affiliate comes in this thread pumping their garbage mattress review site. Half of them you can even get listed on without them asking for a special deal or rate.