skysight-inc/HackerNews huggingface dataset:
Did you read it? Also, are you familiar with any modern nations where a single-payer healthcare system has been tried? Perhaps we could use them to predict the effects.

> Is waste, fraud, and abuse taken into account at all in this study?

From the paper: "In addition to savings on overheads, a comprehensive database of health-care charges would facilitate detection of fraud, which extracts $85·7 billion every year. Following the transition to a single-payer system in Taiwan, an 8% reduction in overall national expenditure was attributed to the reduction in fraud. By moving from a fragmented health-care payment system to a unified system, irregularities in provider claims can be more easily detected. For example, under the fragmented system excessive claims for physician time can be spread across patients with several different insurance providers. However, acknowledging that improvements have been made in fraud detection since Taiwan's transition, we conservatively assume that the improved fraud detection would garner savings amounting to half that observed in Taiwan, corresponding to 4% of total health-care expenditure."

https://www.thelancet.com/journals/lancet/article/PIIS0140-6...

> People who have a proclivity to go to the doctor too much will go even more when its 'free'. Younger people who eschew doctors because it interferes with their current lifestyle will feel even safer continuing bad health habits because free care will be there for them later in life.

Is this a significant problem in countries with single-payer systems?

> Why should I subsidize other people's bad decision making?

You already are? That's how health insurance works. What this study is showing is that you'll have to subsidize other people less, because the whole system will be less expensive.
We have No Meeting Wednesdays, which being salaried and having generous work from home policies, is roughly a four-day work week if you want.
> OCaml on BEAM would certainly appeal to the intersection of FP and static-typing enthusiasts, but it would not remotely be popular.

I realise what I said is not an undisputable truth and I wouldn't argue about it. I probably should have just said that I am observing an almost global strive for dev teams to be able to catch bugs earlier and to have a bit more guarantees by the mere virtue of the program successfully compiling. But it might be my filter bubble.

This is why I said an OCaml with the BEAM guarantees would likely rise very high; because my observations lead me to the belief that people want more compile-time guarantees. And yeah, that might be a skewed observation.
My wife's aunt has been on disability for years because she hurt her back and refuses to quit smoking. The doctors said the smoking is preventing her back from healing correctly, and 3 back surgeries later, she still hasn't quit. Because she's poor and on disability, she doesn't have to pay for any of it, and is pefectly content sitting in her trailer watching TV and taking pain killers as her health deteriorates.
Bots are just humans posting with alternate clients.

We have not yet invented bots that post to twitter all by themselves.
> Just having a day to be able to easily knock out chores between Jira issues

This seems to conflate working from home with having time off. Is your employer paying you to work on that day or not?

I work four days a week (30 hours). On my days off, I do not work at all. On my days on, I do not do random house chores during office hours. That's what my employer and I agreed to, and I think it describes what most people understand as a four day workweek.
CA politics are bad. There has been a constant stream of poorly considered legislation over the past 10 years or so. I can think of only one move that brought a positive outcome. Newsome, the current governor was once the mayor of Frisco. He was an asshole then as he is now. He slept with his best friends wife. Even so against the council of many, he started marrying gays in city hall. This singular action started a chain reaction that eventually changed US law and also attitudes. I have to give the little shit his due.
Progressive Income Tax on UBI != Progressive Guaranteed Income.

For one, think about China back in the day when people all gave blood to the same vat, and then some contaminated blood caused some otherwise healthy people to get ungood diseases. Why collect first + distribute when there is cost in collection and cost in distribution? Just because I can move the fridge around my house all day does not mean it will not tire me out for other tasks. Same deal, money dries up in converting between "types" so it's not smart to Collect + Progressively Tax.

Minimize motion, that's how you close the inequality gap, not by adding more oxygen-exposed piping that can be funneled, embezzled, exploited, and ridiculed.

Compare: PGI means only some people get a monthly check for Basic Income, and its based on how much you earned (this year, last year) and you can future-withdraw from what you would get next year, take too much and you owe it. It's even smaller than the social security office and would actually close the inequality gap. If you consider the most naive argument: the absolute amount of paper is minimized, that might be a simpler way to approach how collect+distribute techniques lose a lot of velocity to friction. Trying UBI with Progressive Tax is also not the same because one is multiplication and one is linear addition. $1000 to someone wealthy is not going to move the needle, but for someone at the bottom of the barrel it will move the needle a great deal, maybe even multiple indicators will move for them at that point. Thus, money is not linearly equal, its value depends largely on how much you have already.
Maybe it's too early to say it's a success story, but how about that College Promise program giving new students 2 years tuition-free at community colleges?
It's a far cry from when the UCs were tuition-free, but it's something.
I had the same experience when I lived in NYC. A 45 minute commute on the subway was a lot less stressful than the 45 minute bumper-to-bumper driving commute I do now (in Seattle). I would usually play mindless puzzle games and listen to music on my commute. Other people mention the train delays being stressful, but my company had a standing "subway delays ¯\_(ツ)_/¯" attitude about showing up late. People would show up between 9:30 and 10:30

I don't ever recall feeling comfortable pulling out a laptop on the train though. Not even for fear of someone stealing it. I'd be worried about a subway monkey doing some spinning dance move and destroying the screen, or some hipster spilling coffee on it when the train slows down. Fond memories...
The point is, it didn't matter as people wrote assembly by hand, and it doesn't matter now when everybody is using compilers. The opcode details are trivially solved by the tables, the know-how of those who programmed assembly was enough for most of the times they programmed, compilers can handle a lot, and the real problems that really have to be solved are simply not dependent on these issues at all.

And diagonally, the instruction set is surely not the reason why every internet page is tracked by thousands of companies and has to download more megabytes than the total RAM the whole x86 computers had.

And like I've said, all instruction sets since a while have to take care to be "compressed" in a way, which is simply a total opposite of what the critics pointed since RISC was introduced. Pure RISC was/is useful only under some very specific assumptions.

The appearance of "mess" is a result of "if was successful." But the problems it solved were/are real.
> There's going to be a lot of disruption and people who need new jobs when that revenue goes to other things in our economy.

From the paper: "Improvements in system efficiency, such as reductions in billing tasks, will involve a contraction of the workforce. Although the country will benefit from lower costs, 936 000 administrative positions and 746 600 positions in the health-care insurance industry are estimated to become redundant. However, detailed transition plans have suggested either funding for early retirement options, extensive severance, retraining programmes, and relocation expenses for all workers in these sectors. Implementation of such a plan is estimated to cost $61·5 billion annually over 2 years, a sum which would be recouped within the first year by the health-care savings estimated here."

https://www.thelancet.com/journals/lancet/article/PIIS0140-6...
> I think where we disagree is on "no evidence". There is not definitive, comprehensive evidence, but there is some evidence.

We don't disagree on this, as I indicated, we're not starting from a null hypothesis here. It's a useful abstraction for the sake of argument.

All available evidence suggests that vaping is dramatically less harmful than cigarettes. There is a large enough population, who have been vaping long enough, that we should have some evidence to the contrary by now, if any was to be forthcoming.

Cigarette smoke, in addition to dozens of known carcinogens, contains small particle and carbon monoxide. Both of which are known to be terrible for your health, both of which are completely absent in vaping.

If I were trying to convince a young person not to vape, I'd stress that nicotine addition is a pointless and expensive mental slavery that is best avoided. Unless I knew they had ADHD or schizophrenia, in which case I'd leave them alone, since other people's medication is none of my business.

Stressing unknown harms that haven't been observed and probably won't be is a bad argument. They would be right to ignore it.
Somehow, the current US health system is the most expensive on the planet [0], for outcomes that aren't better (and in some cases worse) than the rest of the developed world. Have you considered the possibility of waste, fraud, and abuse being high in the present system?

[0] https://en.wikipedia.org/wiki/List_of_countries_by_total_hea...
The tax credit can be paid in advance directly to the insurance company on your behalf [0]. Basically, the federal government pays for your insurance.

[0] https://www.irs.gov/affordable-care-act/individuals-and-fami...
The article doesn't really explain the difference merely saying Bohemia is a historical kingdom.
https://chrome.google.com/webstore/detail/neat-url/jchobbjgi...
Medicare billing isn’t any different, it’s just a different payer.
What else would you call students voting for loan forgiveness? Point blank the candidate is effectively saying, "we will give you $xx,xxx" in the form of loan forgiveness. It is the same for healthcare. This is a literal voting for benefits; and, this creates perverse incentives for the electorate to vote for whomever will "pay them" the most for their vote. Candidates are simply buying votes by offering free stuff with taxpayer monies. It is completely broken at this point with one candidate trying to out-give the next.
I'm paying nearly 20k (parents+child) on insurance I don't have time to use (and luckily no serious need) and once my son went to see his pediatrician and our 'private' insurance company (that i'm not going to name) sent us bill of $500, for a check-up. We disputed the charge with the insurance and they agreed to wave the payment next month. Next month comes and guess what? The same letter comes in mail. We disputed it again and again the month after when the bill was sent to us the third time. This is been happening for 6 months and don't take it seriously anymore, I don't have time to waste. I realize that a lot of money goes to waste on a system that is not working even if you're paying a lot. It is utterly broken. Downright revolting. And on top of it I get a better deal if I use no insurance at all for prescriptions. Then what am I paying for? Emergencies? I am paying nearly 20k a year for possible emergencies? It's become so complicated that nothing can be reasoned about it, this is a monster that has to be killed with fire then drowned in deep waters.
> Isn't this a core tenet of all UBI proposals - it's an alternative to other aid programs, not a supplement to it.

It's a core tenet to some UBI proposals. I'm aware of proposals that are supplemental to, and not replacements of, other benefits.
That's what it is

https://addons.mozilla.org/en-US/firefox/addon/neat-url/
On election day YouTube is set to advertise just one candidate: Donald Trump
"eliminate copays and deductibles, something no other universal healthcare system has done."

Scottish NHS has no deductibles or copays in general, dentist has an fee for some people though. English system has a flat prescription fee of £9 or so for a minority of the population up to £100ish a year. It's very close to free at the point of use, however.
I've written a simple bookmarklet I call UrchinKiller that does the job:

javascript:window.location=window.location.href.replace(/\?([^#]*)/,function(_,s){s=s.split('&').filter(function(v){return(!/^utm_/.test(v))}).join('&');return(s?'?'+s:'')});
And you think if she wasn't allowed to either have private health insurance (which is subsidized by others with health insurance) or have government-paid insurance, that she would suddenly stop smoking?
Here's a study of wait times in the 80's:
https://www.nejm.org/doi/full/10.1056/NEJM199410203311607

here's an article talking about wait times growing since then:https://globalnews.ca/news/930260/medical-wait-times-have-do...
It's hard to imagine anyone successfully protesting a power source which is non-polluting, very close to non-radioactive, dispatchable, and likely cheaper than any other system with those properties. However, if the U.S. does turn out to be that silly, we'll likely get over it when we find ourselves being outcompeted by China, which will certainly have no qualms.
I work in healthcare as a CIO. I interact with all of our billing systems, processes, and departments. Frankly, I think the estimate of a 14% savings due to reduced administration to be low. Single payer would eliminate 30% of non-medical jobs in my company.

Teams eliminated or dramatically reduced:

* VOB, verification of benefits, they fight with the insurance company just to determine what coverage the patient has, and it is purposefully not automated. If it were automated, it would be easier for us to know what they'll pay. By making it a manual process (or at least only partially automated) we have a greater chance of making a mistake they can reject a claim over. We also have a greater chance of simply getting someone on a bad day and refusing to cover things preemptively, required it to be elevated to our Appeals department.

* Coding, people whose jobs it is to make sure the notes left in the record by medical staff (doctors, nurses, techs, etc) is properly translated to ICD10 codes.

* Billers, people whose job it is to bundle up claims and records, make sure they're properly sorted for each insurance company, and submit the claims.

* UR, utilization review, the group that reviews how accurately we're tracking the treatment guidelines of the INSURER so they don't deny the claim for missing a comma. Our UR group missed a small technicality on some claims and we had to submit paper copies of every claim for 6 months to the insurer, in addition to the electronic requests as a "remediation and verification step", aka, punishment. We would literally print out the electronic claim, and mail it, so it's going to be identical to the electronic claim, but we had to do it for 6 months for one facility to one insurer.

* Collections, the people who call up the insurance company to demand payment for claims they approved but haven't paid on. This is a much larger group than you'd think, as most insurers will happily make you wait for payment until you complain.

* Appeals. They address complains made by insurers over rejected claims, either fixing the issue with the charge, or going to the insurers appeals department to tell them why it's correct. They also talk to insurers over patients that are rejected at the VOB stage.

* Out Of Network, these folks do nothing but deal with insurers we're not in-network with, collecting payments, negotiating Single Case Agreements, etc.

VOB and OON would be gone completely. Coders, UR, Bilelrs would have a lot less to do because there would be one insurer to deal with, so we could have fewer people. Medicare pays promptly and without hassle on approved claims, so does Tricare, so we'd need a lot fewer people in collections. We'd need fewer appeals people too due to one set of rules for everyone.

Healthcare in the USA is REALLY messed up, it's the worst sausage I've ever seen being made.
> The proposal they cite would make federal healthcare expenditures 69%(!!!) of the GDP

That's not remotely true. I'm mystified how you could even type such a sentence without realizing its obvious falsity.
Google play has emulators, here are some examples [1] [2]

It even has Bochs [3]

Or am I misunderstanding something?

[1] https://play.google.com/store/apps/details?id=com.explusalph...

[2] https://play.google.com/store/apps/details?id=org.mupen64plu...

[3] https://play.google.com/store/apps/details?id=net.sourceforg...
Bayern Munich 3-2 Paderborn – BundesLiga – FootballGH – Video Highlights
Universal Care = Medicare + Medicaid + ObamaCare + Employment sponsonered care ???

My opinion is that we should first optimize the existing system to lower the medical cost first. Health insurance is just prepaid medical costs.

If the cost is lowered, no system would work.
"any affects of changed consumer preferences if you eliminate copays and deductibles"

I am curious on what you think are the effects.
Biggest question when becoming self-employed: What do I do for health benefits?
I just give a unique key to each user. That user does a lookup of key-<scroll-position>.tracking.example.com when they get to that part of the page. As they scroll I gather data via dns.

Source: was my job to track people and what they do.
For the single payer system to work as Bernie has set it up, everyone must be within coverage.
Explain your reasoning. No GPI is given to people above the cutoff. Thus minimizing cost while closing the inequality gap.

Earn 0: get 12k GPI
Earn 10k: get 4k GPI
Earn 20k: get 2k GPI
Earn 30k: get 0 GPI

(for the example of a 24k cut-off bound)
If economic policy is not in the scope of government then you certainly have a very narrow concept of government power. Even the judiciary's only power is to discover inconsistantancy in law. However given that you described elected officials as Authoritarian I would imagine you are simply a libertarian.
Author misses two important points:

1. I'm not going to self-host any of that stuff for my own projects, nor am I willing to pay for an alternative SaaS that a privacy-extremist finds less objectionable.

2. Few projects are important enough to me to sign up to use their weird self-hosted or non-mainstream-SaaS solutions.

Discord wins for the same reasons that GitHub wins, that Sourceforge used to win, and for the same reasons that no upstart projects are standing up their own Trac or Bugzilla servers any more.

Insert "Old Man Yelling at Clouds" meme.
'I don’t know what to do to please you, Google ' (2018)
It’s hard in theory, easy in practice if your options are worth millions. I have friends who did it. I don’t know too many of the details but they made some kind of contract with a financial firm to sell the upside from the stock without actually “selling” the stock. The fees are not terrible, like single digit percentages. These firms don’t want to talk to you if you have a small amount of equity because it isn’t worth the overhead to make a transaction.
> from an engineering perspective

It's pretty awesome. Remember engineering doesn't happen in a void. It's influenced all sorts of shit including economics, existing investments etc.
Yep. It's not 100% perfect, but it's good enough.

Of course it's also be great if I could figure out why my language server plugins for Vim cause the entire editor to freeze up for a few seconds periodically despite running asynchronously, or why my intellisense menu plugin flickers like crazy every time I pull it up. But the ways in which VsCodeVim don't work for me are more conducive to getting things done than the ways Vim doesn't work for me.
There are basically 4 groups of people without insurance (though note that the distribution is based on 2015 data):

1. 42% make too much to qualify for premium subsidies but elect not to purchase coverage, typically because it's unaffordable or just not worthwhile (the sibling commenters mentioning their expensive, crappy plans fall into this group).

2. 27% qualify for Medicaid, meaning that they could get coverage approximately free but they either don't know how or don't bother to sign up.

3. 22% qualify for partially subsidized coverage, but either they don't think the coverage is worth the money, they don't know how to sign up, or they just don't bother.

4. 9% are in the coverage gap - they live in states that didn't expand Medicaid and make too little to qualify for premium subsidies.

https://www.kff.org/uninsured/issue-brief/a-closer-look-at-t...
Good explanation.

Another article I stumbled upon some timr ago
https://lucasfcosta.com/2019/04/07/streams-introduction.html
If brevity is what you want then what’s wrong with the default field record ls output? It’s even a regular language!
My neighbor, a colorectal surgeon and very into what he does, has remarked on several occasions that if single payer ever happens, he and most of the other surgeons he knows will likely walk away from the profession very shortly thereafter. There would be no financial or professional motivation to continue practicing.
"The net savings would be $450B, but the total cost would still be in the 10s of trillions of dollars"

US health care spending for 2018 alone was $3.65 trillion.

10 years of that sort of spending would result in $36.5 trillion.

So we're already talking tens of trillions of dollars, even if nothing changes.
This. I literally cannot get anything done on the weekends unless the inlaws stay over to look after our 2 toddlers. As the kids get older I'm sure it'll get easier.
The 69% figure doesn’t sound right.
Most of those things are pretty international. Finance is a very old domain, and as a famous man once said (albeit specifically about speculation, but it also applies to the structure of the contracts): "There is nothing new in Wall Street. There can't be because speculation is as old as the hills. Whatever happens in the stock market today has happened before and will happen again."