skysight-inc/HackerNews huggingface dataset:
> > the character chose alternative therapies before finally trying conventional medicine, but it was too late & she lost her life.

> Isn't this the same story as Steve Jobs?

While much of the news media characterized Jobs' death as partly due to conventional cancer treatment coming too late, such a view is reductive given the nature of Jobs' "rare form of pancreatic cancer, called an islet cell tumor or gasteroenteropancreatic neuroendocrine tumor (GEP-NET)" [0].

Not much conventional medical literature exists regarding the treatment of GEP-NETs (presumably due to their rarity) and Jobs and his care providers had to make choices without much evidence to guide them. Quoting from the above-cited article:

> [W]hat many journalists failed to note is that the evidence supporting any specific conventional treatment approach (surgery, chemotherapy, radiation therapy) for GEP-NETs comprises a slim literature, and the evidence base for use of CAM [complementary and alternative medical] therapeutic approaches for GEP-NETs is virtually non-existent. After a delay of nine months after diagnosis, in 2004, Jobs opted for surgery. He died 7 years later. [0]

[0] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4924574/
I think being informed helps too. I have a couple of extended family members who made this choice. While both were older, they were also both doctors. I imagine that having a clear picture of what treatment looks like can clarify the decision.
I'm going to assume that you've never been in a situation where someone was offering you a course of treatment that had a chance of being 50% successful. Those are absolutely terrible odds. To act like it's the obvious choice is incredibly insulting to anyone who seeks alternatives. 50% is not "advanced". It's medieval.

Yes, there are quacks, but there is also cutting edge science that is not widely understood. You are blaming the people the victim chose to listen to, and therefore, you are blaming the victims choices, claiming that they were a "conspiracy theorist". You are blaming the victim.
Nadine is low-key one of the best characters in Twin Peaks. Her character arc's resolution in The Return absolutely brought me to tears.

One of the most intelligent, irreverent, and powerful series in television history.
How to Test Ideas Quickly
Don’t deep sea fish somewhat explode when raised?
It's not the case. This is clear because lots of countries are having problems with teaching unions refusing to go back to work, but only one country has Trump.

There's a lot of evidence teachers aren't actually afraid, but rather, are in hock to hyper-aggressive unions. They have been paid to not work. They can keep being paid to not work. Why would they work?

To go back to the US context, there's now a teaching union in LA that's refusing to go back post-COVID until their demands are met. Their demands include .... defunding the police. Obviously.

http://www.montereycountyweekly.com/news/state/la-teachers-u...

(The Center Square) – One of the largest teachers unions in the state of California, the United Teachers Los Angeles with 35,000 members, says public schools in the Los Angeles Unified School District should not reopen if certain policies are not implemented on the state and national level, including defunding the police and implementing Medicare for All

This isn't a COVID problem. This is a political problem.
Bhumi Pednekar Age and Basic Information
Depends on the organization I guess. I can imagine some orgs only caring about internal affairs and not gathering international Intel.
Yeah, heard the same about Britain being “so much more liberal back in the days”.

My bet is that isn’t true.
Nope. The end left all the ripping on Mormon origins and founding beliefs they had done throughout the episode intact. A 180 turn would be something that flipped that.

The turn at the end was saying that all that doesn’t matter. They went off perpendicular to where they had been going, not opposite of where they had been heading.
I'm unable to open this without permission, but I'm curious about the extent to which they interrogate the combination of rigid gender roles and wage stagnation.

I'm not mormon, but grew up in an evangelical christian community that held many similar cultural ideals, especially the importance of maintaining a "traditional" nuclear family, where the father is expected to be the primary breadwinner and the mother is expected to play the role of homemaker and often home educator.

I'd speculate that a big factor in its adoption is that it's an income supplemental that allows you to continue childcare or homeschooling.
Herbalife is very popular in Hispanic church communities in Chicago, Texas, etc. John Oliver did a story on how 60-80% of new members were Latino.

https://www.latimes.com/business/la-xpm-2013-feb-15-la-fi-he...
It resembles "gene" but has an independent origin:

meme (n.)

"an idea, behavior, or style that spreads from person to person within a culture," 1976, introduced by evolutionary biologist Richard Dawkins in "The Selfish Gene," coined by him from Greek sources, such as mimeisthai "to imitate" (see mime (n.)), and intended to echo gene.

https://www.etymonline.com/word/meme

Gene: from Greek genea "generation, race".

https://www.etymonline.com/word/gene
> California has been working very hard to kill it's golden goose for a long time. Reasonable people are going to other states.

People have been saying that sort of thing since the '90s, if not earlier. If California has been working so hard for so long to ruin things, why are we still talking about places being the next Silicon Valley, and not the next Austin or the next Research Triangle?
Religion and conservatism is highly correlated with higher fertility rates, and liberalism with much lower fertility rates, so we should expect the next generations of everything to have its roots in these sort of populations.

If the high-fertility population is also intelligent and productive, we should be extremely happy with that outcome.

https://jaymans.wordpress.com/2012/06/01/liberalism-hbd-popu...

The birthrate of the 'extremely conservative' is almost double that of the 'extremely liberal'.
How do you square that opinion with the observation that some of the places with the loosest gun regulations (Oregon, Idaho) also have some of the lowest homicide rates? In Idaho, something like 60%+ of households own guns. But the homicide rate in the capital city of Boise is at Scandinavian levels, 1/10 of the US average. Utah also has high gun ownership and low gun homicides. (Note that this way of looking at the data gets around the notion that you can’t draw conclusions from homicide rates in cities with high control because guns freely flow into them from elsewhere.)
That’s true, but I think in Jobs’ case he actually had a rare type that is treatable.

It’s hard to know how much impact his delay had, but it’s possible his focus on alternative medicine killed him.

https://en.wikipedia.org/w/index.php?title=Steve_Jobs&mobile...

> In October 2003, Jobs was diagnosed with cancer. In mid-2004, he announced to his employees that he had a cancerous tumor in his pancreas.[158] The prognosis for pancreatic cancer is usually very poor;[159] Jobs stated that he had a rare, much less aggressive type, known as islet cell neuroendocrine tumor.[158]
Despite his diagnosis, Jobs resisted his doctors' recommendations for medical intervention for nine months,[160] instead relying on alternative medicine to thwart the disease. According to Harvard researcher Ramzi Amri, his choice of alternative treatment "led to an unnecessarily early death". Other doctors agree that Jobs's diet was insufficient to address his disease. However, cancer researcher and alternative medicine critic David Gorski wrote that "it's impossible to know whether and by how much he might have decreased his chances of surviving his cancer through his flirtation with woo. My best guess was that Jobs probably only modestly decreased his chances of survival, if that."[161] Barrie R. Cassileth, the chief of Memorial Sloan Kettering Cancer Center's integrative medicine department,[162] said, "Jobs's faith in alternative medicine likely cost him his life.... He had the only kind of pancreatic cancer that is treatable and curable.... He essentially committed suicide."
This is common knowledge in the U.S. Of more interest to us is “Mormonism and Intel Corporation.”
I'm just curious: what are you referring to?
I mostly agree, except for some details. Back when I was of military age, some 25 years ago, it was not unusual to see military rifles carried openly, because each reservist had to attend mandatory target practice once a year, you had to transport your rifle to the shooting range, and many people used public transportation to do so.

Carrying a loaded rifle was illegal, but how would the public know one way or the other?

Back then, storing your army rifle at home was mandatory, and, while those rifles had automatic mode disabled by default, converting them back to automatic took 5 minutes and a screwdriver, with an official, documented, procedure.

Some of this has changed in the meantime. Rifles are not necessarily stored at home anymore, and it's been years since I've seen anybody but uniformed military or police carrying openly.
The re-inventing the wheel thing always starts with good intentions and works fine until you have to throw in hundreds of hours to maintain a beast that nobody likes but everybody has to use. You end up being locked in your own solution and instead of blaming your supplier you can blame yourself.
Face Masks Do Matter. The Scientific Evidence Is Growing
The more vulnerable/desperate you are the more likely you are to fall into snakeoil traps. It has little to do with intelligence.
https://archive.vn/iLixB
You don't have to implement Metal, Valve had MoltenVK open sourced specifically to fix the Apple hole in Vulkan coverage.
> 4 years US students spend obtaining an undergraduate degree before starting medical school. This seems wasteful.

While it's not required, the majority of students DO follow a pre-med program that allows them to take Biology, Organic chem, Chemistry, Physics, Psychology, etc...

These aren't wasted years, for the majority of medical students.

I think the solution is more about having more medical schools and reinforcing STEM for younger students so that the supply can keep up with demand.

One of the reasons so many foreign students go into medicine is because they come from countries with very strong culture of STEM education at a young age - something that's not done in the majority of US school districts.
Stay-at-home moms are another big reason for this besides the missionary experience. It is very common for Utah Mormon women to stay at home raising children.

The traditional full-time workplace totally disrespects that choice. SAHMs are not compensated for the hard work they do. It makes sense they would look for something part time to do to make a little money and think about something besides kids. But how can they do that in the traditional American workplace that expects 40+ hours a week and a resume with no gaps?

Many MLMs are built for SAHMs. They build on SAHM social networks and many of them are explicitly about making domestic life more bearable (kitchen gadgets, home goods, clothes, beauty and health products).

I think there’s a story here about SAHMs as a neglected overlooked and disrespected population, and how MLMs fill a need for them.

BTW, I hate MLMs generally, I’m just pointing out that Mormon missionary service isn’t the only thing attracting MLMs to Utah.
The spread of Christianity, and to a lesser degree, Judaism, has a lot in common with MLM.
Genesis 9:7.
Should valid example 2 be y x z? I don’t understand the 2 y write processing so if I misinterpreted this, I would appreciate it if you could explain in more detail.
@jpesal:

I turned on "Show Dead", went to your profile, and checked out your links. I've never seen them before, and have no skin in the game, I just wanted to see why people might flag them.

Personally, I can see no reason for them to be on HN. It's true, I say that about many posts, but in this case they may be great ... but what makes them of interest to the HN community? What connection is there with technology, start-ups, or computing? Assuming HN is a community with a common interest, but then wide interests, they will still, in general, not be interested in everything, so what do you think would attract this community to your work?

This isn't a comment on the quality, it's just a sense that it's not resonating with this audience, and some people sense that and flag it to say: "I don't think this belongs here."

In contrast ... why do you think it does belong here, on Hacker News, for this specific audience?

@onyva:

I read through that link several times, and I can't see why it's anything about Twitter bias. Also, I'm not sure why I should trust them more than anyone else. Again, I didn't flag it ... I never saw it ... but I can't see anything useful or intellectually engaging about it.
You can pretend that's the case, I won't. The only rights a company has towards its customers are to provide its services, charge money, and shut up otherwise. Demanding its customers to harm themselves is none of these things.
Hard disagree. I live in Utah, grew up here, and there's an absolute population boom going on right now because of tech. It's one of the reasons our unemployment rate is so low. Tech has been good to the valley but it's not without its trade-offs. Houses in West Valley that only a few years ago would have sold for $120k-$150k are closing for to $300k+.
Update: Yep, BGP issue, though I was thinking it would be something on the public Internet rather than CF’s backbone.
This is extremely fascinating. (Incidentally, Feynman's description of this technology in his Lectures on Computation is also well worth reading.)
I wouldn't call them the next silicon valley by any stretch, but the tech scene in Utah is undeniably booming.
This is good. The developed world should stop pulling high skilled workers like doctors from the 3rd world.

The 3rd world needs them if they are ever to develop.

The developed world should figure out how to create more doctors from their own countries
It varies depending on the project. For static sites/assets I use either Netlify or own VM with CloudFlare in front. Using CF to manage DNS and as resolver on my machines/network make changes immediate.

For the VMs, use certs from Letsencrypt. The renew process is still not fully automated with Nginx and would try Caddy2 next time around.

I don't work with any block storage so nothing for S3 etc.
Yea, that all makes sense, I don't think Stripe is trying to hurt your business it is just a standard process that they themselves are subject to terms of as well (mainly because of their fraud insurance and upstream banks). The part that sucks is usually when you are having chargebacks/refunds is the exact time cashflow is critical, so I totally respect the issue.

Fighting chargebacks is a painful process for companies. Even with voice recordings where the consumer called in and requested the service and the transaction was confirmed through a secondary agent the company I was consulting for would lose a good percentage of the cases. I personally believe that is why the secondary confirmation agent (super common in the past) is rare now since companies found it was an expensive process and they still only won a small percentage of cases.

If you look at each transaction on its own it is almost always too much hassle to fight over (barring multi-thousands of dollars), but if you have hundreds of smaller transactions a month it adds up quickly. I know of one company in the home security monitoring business who decided to stop allowing credit cards and requires ACH now because of the chargeback issue. You can buy their products via credit card but not pay for their monthly monitoring service via credit card.
This is not clear. Based on the article:

> Soon after Sean found out his cancer had returned, when he had decided he was rejecting chemotherapy, the pair found themselves watching countless YouTube videos

it seems that he first decided not to undergo chemo, then clinged on whatever he could.
I disagree. Letting addicts lie on the street and sell their bodies for their next fix is the real death sentence.

Once you have addicts in this system, you can manage them and work with them to get them out of their addiction.

50 years of a punitive policy have shown that punishment does. not. work.
My head of product is looking at the Azure offerings and how they compare with what we have from Cloudflare as we speak.

No we are not using Cloudflare's free plan.

I was simply interested to know if anybody else had recommendations for a Cloudflare alternative.
I'll agree cargo pants are military cosplay if you'll agree that denim jeans are cowboy cosplay.
Ask HN: Dynamic memory/CPU provisioning for VMs?
When AWS EC2 (Elastic Compute Cloud) was launched, the young inexperienced me initially understood this was a service to hire virtual servers by the hour, but the price would vary (in an "Elastic" way) according to how much RAM or CPU resources you use.

To my disappointment, this was obviously not the case.

Now, 15 years of technological development later, would such a service be possible?

What is the closest service to a truly "elastic" VM instance to date?
One of the talking points of the NRA is that the US has many gun laws that aren’t really enforced all that well.

The NRA agrees that you shouldn’t be able to buy a guy if you have mental problems, drug problems, aren’t in the US legally, criminal history, etc.

The only one restriction that is strongly enforced is the criminal history because it’s easy to do a check. But the system for mental health checks is a patchwork across states.

And to layer on, if someone does violate these laws, there is often no punishment. Straw purchases are a good example - it usually falls on the dealer to stop the transaction, but there is rarely any police follow-up.
The letter from stripe said there was an increase in chargebacks and refunds on the account. And if sales decline, that means refunds and chargebacks are an even higher proportion of total money in the account.
Ready assimilation and apprehension, resulting in rapid propagation. Memes fare poorly against any significant selection criterion based on epistemic validity, but compensate by simply breeding like mad.

This applies similarly to low-truth-valence ideologies and belief systems, for which current and pending crises may prove strong checks.
The doctor shortage is their intentional strategy. The fewer new doctors, the higher their pay.

They are a labor organization that's intentionally limiting supply.
Doctors are a service industry. So the way to afford to pay them more is to develop 3rd world economies.
Using its bandwidth without paying it doesn't encourage a for-profit company.
I wish this existed for iPhone too
But after reading a lot online, Sean believed he could cure his cancer by detoxing and completely changing his lifestyle, avoiding the gruelling side effects he remembered from chemotherapy.

Strongly recommend reading "The Unwinding of the Miracle" by Julie Yip-Williams (https://www.goodreads.com/book/show/39216478-the-unwinding-o...). A NYC lawyer and mom diagnosed in her 30s with Stage IV colon cancer, she provides a document of her thought processes as she is confronted with terminal cancer.

She describes the multiple types of modern medical treatments and trials she participated in and (with her oncologists' permission) flirts with Chinese medicine and alternative diets and treatments. It really is unflinching and uncomfortable look at the disease from a patient's point of view, but also a beautiful book.
These ultrablack fish are on par with the blackest artificial pigments:

“A feat of engineering allowed humans to best them all with synthetic materials, some of which reflect only 0.045 percent of incoming light. (“Black” paper, on the other hand, returns a whopping 10 percent of the light it meets.)

Now, it seems fish may come close to trouncing them all.

One species profiled in the paper, a bioluminescent anglerfish in the genus Oneirodes, reflects as little as 0.044 to 0.051 percent of the deep-sea light it encounters. The other 99.95 percent, Mr. Davis and his colleagues found, gets lost in a labyrinth of light-swallowing pigments until it effectively disappears.”

The use of ultrablack combined with bioluminescence is especially interesting — the fish puts a glowing lure to attract other fish, and has ultrablack skin to stay nearly invisible as the prey approaches.
All that does is ensure no one gets fairly compensated for 12+ hours work, and shifts the complexity down the chain to accountants as people managers try to find other ways to compensate people for their extra effort. People don't stop being sick 12 hours in.

It also unfairly hamstrings smaller practices with fewer covered professionals. Work gets offloaded from the covered individual to uncovered people in order to maximize the amount of work the covered individual can get done in that time span, or people start getting really particular about what is practicing and what isn't.

Hate to sound like a broken record with other folks in the thread, but nothing is fundamentally changing the game with that regulation, just who pays the complexity tax at any one time does.

So ball bustingly frustrating how bloody interconnected everything is while remaining so broad it's nigh-impossible to model within the confines of your own head. I say this as someone whose occupation centers around being able to very quickly jump between distinct verticals and subsystems while maintaining the capability to project the consequences of a change in one vertical through subsequently connected verticals. Everything seems to come back to a form of dynamic equilibrium where as long as you don't stare too hard the thing behaves well, but the closer you look the chaotic it becomes.
I would add one item to the list of requirements: as I walk around and engage in other movements, objects should not flop around uncomfortably or jiggle around and make noise more than necessary.

That is a big advantage of locating pockets near the hips. First of all, as you walk your hips stay in a relatively fixed position, whereas your knees move back and forth a lot. So items nearer the knees are swung back and forth a lot more. Also, close to the waist where the cloth fits more tightly. Looser cloth closer to the knee tends to swing back and forth because there is more slack which allows it to do so.

Unfortunately, I don't know way to solve this and solve the problems that they have solved like accessibility when you're sitting down. Maybe you could stick pockets near the hip but on the side of the body instead of front or back. But those pockets would have to bend a whole lot.
"If a tree falls in the forest and nobody is around to hear it, does it make a sound?"

Similar thing here. A mystery is a concept which can only occur within human consciousness.
If there is a country that benefited most from this virus, it's Russia. Crippling economies of China and especially US (with additional misinformation to make people not wear masks).

Why would a country that wanted to deploy a bio weapon started on it's own land? It's not like travel to other countries was restricted.

Also Russia is not a country that would have qualms about affecting own citizens. Putin get to power by coordinating bombings on apartment complexes and blaming Chechens for it.