skysight-inc/HackerNews huggingface dataset:
> Medicare reimbursement levels are sufficient to support most medical practices.

Big Nope.

Most practices have fairly fixed costs:

Medical malpractice

Facilities rent, or mortgage

Front office

IT & EMR

Privileging/Credentialing

Practice

CME/required education

The only highly variable cost is physician compensation, and considering the limited availability, this will merely cause the retirements and limited access to specialists.

Perhaps you have some evidence to support your extraordinary claim?

I'll provide evidence to the contrary, based on Hospitals and practices refusing to accepting Medicaid [1] patients, or, not accepting/limiting medicare patients[2], [3], [4]

The simple fact is, there is a limited supply of physicians, and many of them don't want to practice the higher volume, 5 minutes per patient, 5 minutes for notes x 12 hours a day type of practice. Not only is the higher volume more dangerous for the patient, it is also more risky for the medical provider, both in terms of quality of life, and also, the risk of an error, or inadequate information exchange.

[1] https://www.reliasmedia.com/articles/147019-when-hospitals-r...

[2] https://www.investopedia.com/articles/personal-finance/10021...

[3] https://www.verywellhealth.com/doctors-accept-medicare-insur...

[4] https://www.hlc.org/news/more-physicians-no-longer-seeing-me...
well, for the 4 people left using a Moto, maybe??
Welp - affordability. It's expensive and arguably less reliable to get an external hard drive.
The Japanese don't necessarily agree with the Michelin guide for rating their restaurants. Some claim that the inspectors didn't proprly understand Japanese food and culture.

https://trulyexperiences.com/blog/the-asian-apathy-to-the-mi...
created (grown?) just for this submission!

user: coldturkey
created: 38 minutes ago
karma: 4
I use a mac because mac os X is much more stable, doesnt have a registry, has a *nix shell, doesnt seem to accumulate random stuff over time that slows the computer down to a crawl, and time machine is amazing. I have used it multiple times to immediately get up and running (once after my mac was stolen, once when I upgraded, once when my mac lcd died when I dropped it).

Im still using a 2015 macbook pro because I want my hdmi port and usb ports. I have a backup in case this one dies. Over time the computer has not slowed down at all.

I use android because the iphone system does weird things that I cant be bothered to figure out. For example we have icloud turned off everywhere, but icloud still manages to fill up and send messages. The iphone periodically requires authentication with a device I dont have on me (e.g. an ios device that I dont have in my possession). Text messages still get echoed to multiple devices meaning my kids and wife see each others' texts.

It is also still missing features that I need. The dialer still cant use T9. The calendar cant change the default snooze for 2 minutes before an event. It also wont keep reminding you if you dont kill the snooze.

My home desktop uses windows because it runs blue iris which manages my security cameras.
> He estimates he applied for hundreds of positions, relying on nearly a dozen jobs boards, researching potential employers, and writing personalized cover letters to accompany his résumé. For the most part, he heard nothing back, regardless of how qualified he was.

I’ve worked on and off as a mentor in some programs that do resume review and interview coaching. I’ve never seen anyone apply to “hundreds” of jobs and get zero responses without also having serious issues with their resume. In one case someone produced a PDF resume from some obscure program that wouldn’t load on standard PDF viewers, so none of the companies could even open it. More commonly, people fire off rough draft quality resumes that are full of typos and half-finished sentences that would send their resume to the bottom of any hiring manager’s pile.

The good news is that most of them respond well to coaching. Even 30 minutes if resume proofreading, advice, and practice interview can be a game changer in these cases. The tough part is getting these people matched up with these services, as many of them have become very disgruntled and convinced that the problem lies with employers, not with their application style.
Make no mistake, I think the entire health insurance industry is a meat grinder for profits and we should move to single-payer like most other affluent countries.
It's very disappointing, because I think the IPFS protocol has legs, but unfortunately they're promoting what I believe amounts to crypto grift here, and they're not even doing a good job at that promotion. There might even be a viable use case for an alternative root on blockchain, but this implementation with pre-mined associated coins and uncapped pricing is not it.
The fxtec looks neat in theory, but one thing I love on my PinePhone is its ability to just boot any OS on any SD-card you insert.

Do you know if the fxtec will offer the same? For a tinkerable Linux phone where you genuinely go distro-hopping, that's truly a game-changer.
I was in a similar boat years ago. The company I rented from wanted to increase my rent 12% year over year. I told them I didn't make 12% more money, spent a lot of time pleading, and talked them down to merely 9%. Rents were all over the place, and there was little I could do about, except move to a new apartment every year.
Ah, I see now. "the recent calls" refers only to calls about ivermectin, not ALL recent calls.

Still, the AP misunderstood as well, misreported it, and later issued a correction. Before the correction, it was syndicated by many news outlets like New York Times. I think most people are unaware of the important correction.
Tips and tricks for doing this the easiest way possible?
Do you know of a tutorial on how to do assembly with KiCAD/JLCPCB? I've designed a few PCBs and tried to do assembly once, but IIRC my biggest problem was figuring out which parts they had that I could use and how to send them the info.
https://twitter.com/compgeke/status/1309634616127418369
I think the only good thing about the Apple ecosystem is making money off it. Much easier to make a living selling apps on the app store than the play store.
Facebook CTO Schroepfer to Step Down
Yes it is; especially, if there’s long parameter names. And I disagree with the obfuscation and confusion, but that’s a discussion on Swifts goal of self documentation not code length.
> pharmacy shouldn't be allowed to decide not to fill it, as if they know better than your doctor

They are legally required to make decisions about whether or not to fill it.

They are not just some supermarket cashier.
No the dose response curve alone can be sufficient. Remember that the FDA has approved multiple SSRI drugs for treating clinical depression despite a lack of understanding on the actual mechanism of action. There are several plausible hypotheses but we really don't know why they work.
We got John F Kennedy over here
I generally agree with you here, and don't think this article is particularly well researched or argued. I'm no fan of Matty's argumentation in any of his articles in fact... I don't think he "merits" the popularity he has ;)

That said, I don't really think there is any sort of useful distinction between "necessarily wrong" and "impossible to define". That is, I believe many meritocracy-enthusiasts to be "necessarily wrong" since they often imply or casually argue for achieving a meritocratic society, while, as you put it, "a stable, shared view of merit doesn’t really exist". So, seeking something that doesn't exist (like the tooth fairy, or a profitable MLM scam) is necessarily 100% wrong... not 20% wrong, or 50% wrong. All we got is this boring cave :(

So, I guess I welcome any "meritocracy considered harmful" posts, despite who wrote it and how it's written.
We’ve been able to write buggy automated software for a very long time. That’s not interesting. It’s also not that interesting that stealing/replicating code replicates bugs.

When the AI/ML programs can actually create lines of code without references and do it with quality that’s when there’s a real story that isn’t playing tricks on tech authors for stock gains.

Tricks like this are why everyone always thinks big innovation is 5 years away when no one is really working on the things that’s make it 5 years away.
Off topic but please shoot me a message (I'm easy to reach, first at company dot com) with what you find hard to use. I may agree and we're working on better ways to support creators, but I hope to capture your specific issues. Thanks.
As a person who formerly worked on the technical side of anti-abuse (both content and account) at Google, I urge you to read these kinds of reports critically. There is no reason to believe any of the details given in the post, which incorporates a lot of supposition about how this system works. For example, we have no rational basis for believing that this was done by some robot at Google. It is at least as likely that the content was flagged by some other user.

Anyway, Google will never ever comment on the reason for account disabled in public, therefore whining about it in public is not going to work. The way to get accounts enabled is https://support.google.com/accounts/contact/disabled2
Sorry, but you are wrong. Antibiotics are used in the treatment of severe viral infections, because your body is not able to fight secondary infections with bacteria very well. Antibiotics are given to help your body in cases of bad viral infections. Covid-19 is no exception. https://www.thelancet.com/journals/langlo/article/PIIS2214-1...

The point is: there are more mechanisms by which our body can be helped fight covid, and the Ivermectin proponents say that it works only in the early days of the infection, not like a full cure.

There are more ways to fight this disease, you are aware that the virus itself is not what's killing most people, right? Most people die because their body overreacts to the virus and damages the lungs (that is why standard treatment includes steroids to calm down the antibodies). A drug doesn't have to kill off the virus to win.

I have no idea if Ivermectin is helpful or not, but the trashing in the media (even calling it horse dewormer - while it's a human drug as well) before there is any proof against it is just bad, it makes me think there are ulterior motives for this.
I'm willing to bet that within 5 years we'll see a CPU that effectively embeds a DMA engine used through this instruction. The way I'd implement it is a small FSM in the LLC that does the bulk copy while the CPU keeps running, while maintaining a list of addresses reads/writes to avoid (i.e. stall on) until the memcpy is finished.
Google One, and Google Workspaces both offer paid support plans that cover Google Drive.
By demanding transparent pricing (and other aggressive policy, like say not being able to bill patients without them seeing a price and agreeing) might we force the system to replace itself? Because these companies are very good at complying with regulations, but the regulations allow them to use faces to communicate because most of the regulations are designed to keep most of the system compliant.
How many times does that have to happen before people realize there is no cloud, only other people's computers.
The data that is stored there is no longer yours, just as thanks to Apple and Co. your hardware no longer really belongs to you, but you only enjoy a temporary right of use.
It will be interesting to see when hardly anything remains of an entire generation because everything comes from the cloud: Photos, videos, games, film, music.
No more treasure troves in the attic, no more of grandma's record collection or dad's DVD collection or uncle's old console games. Everything just rented and when removed from the catalog, they are gone forever.
Only our plastic waste remains.
Design flaw in Microsoft Exchange protocol is leaking domain credentials
>Big time the loser there is the environment for literally any bovine farming.

Factory farming probably does cause externalities that aren't addressed. People could choose to buy from grocers who only source from smaller farms but there isn't as much interest in that due to price sensitivity.

>...and since you can't support yourself on minimum wage I see that as her losing.

Even in the case where you didn't tip, she likely would have preferred having the work than there not being a job available at that location.
On the other hand, Mozilla fans are mostly morons who are actively hostile to success and want a pristine FOSS project funded entirely on donations. (I was one of those morons back in the day)

I think initiatives like Pocket, Brave Search, Brave Talk, a privacy-respecting ads ecosystem, Vivaldi's Mail/Calendar/RSS setup and integrated barebones Notes module are all pretty much exactly what should happen. There was an article about how using Firefox alone is meaningless: http://dpldocs.info/this-week-in-d/Blog.Posted_2021_09_06.ht...

I'm drawn to agree: The browser alone is a hard sell, a bit like how Steve Jobs said that Dropbox is not a product, but a feature. A browser company needs to provide services for users to stay relevant. Search, notes and communication tools are part and parcel of that. If you're just a window, you're going to die.
In the US, most legalization started with ballot initiatives initiated by activists. California's medical marijuana; and Colorado and Massachusetts 100% legalization, were all direct ballot initiatives.

The states control most of the policing anyway, so legalization at the state level basically makes federal drug laws difficult to enforce.

Are there popular ballot initiatives in the UK? (Ok, there was Brexit.) But, can you do something in your town like, "The town police shall treat marijuana laws as their lowest priority." or "The town police shall not enforce marijuana laws or cooperate with county police on marijuana enforcement?"
Racism can be considered hate speech, which is illegal in places with no right to free speech such as most countries in Europe.

For example: https://www.report-it.org.uk/reporting_internet_hate_crime
Anyone know where Apple stated they'd "welcome Epic’s return to the App Store if they agree to play by the same rules as everyone else" as Tim states?

I see where Apple said everybody should play by the same rules but given that Epic not only violated the policy (which has now been changed) but also purposely cheated on the review process it seems justified that they are still banned.
See https://bravebat.info/ for the full list of sites and channels.
I'd say we want different things from the service staff we interact with. Every time I've interacted with american service staff, the interactions have mostly just been bothersome. I'm never left alone, and there's a very 'fake positivity'-kind of vibe over the whole deal. I generally want to be left alone with my meal and my company when dining.
A dose response curve in an observational study is irrelevant for establishing causation.

There is a dose-response relationship between umbrellas outside and rainfall., but umbrellas do not cause rainfall.

And the SSRI point is tangential: they were approved based on RCT evidence. Observing umbrella use and concluding it causes rainfall, even though we don't know of a reason why umbrella use would cause rainfall, is quite different.
The eternal September continues.
How many surgeons do you want operating on a patient? How many pilots should hold the stick? Politics might be particularly suitable for more distributed power but I'd say that's an exception.
This introduction post to the series of swift regrets is placed somewhere in the middle of all the posts.

If you want to read these, it might be easier to start here: https://belkadan.com/blog/tags/swift-regrets/
I won't click because I don't trust Google anymore, and really never trusted
The tokens were not minted by Namebase. HNS can be mined and there was a wide initial distribution, many of them including to large OSS project s.
Dexamethasone, Remdesivir, and monoclonal antibodies are part of the go to treatments for severe Covid cases. They’re the major exotic bits of what they gave trump when he got sick, along with a bunch of over the counter stuff (zinc, vitamin D, melatonin, etc.) My understanding is that the monoclonal antibodies are the really expensive treatments.

The Dexamethasone one is an interesting story. It started out as a more controversial “throw everything at the wall and see what sticks” solution by a specialist who knew steroids well. Later studies have shown a strong effect on survival, so it’s become a fairly uncontroversial part of the tool kit for severe Covid.
> Unless you’re using a true random number generator that works on a mechanical/electrical process…

…you're not using a one-time pad. OTP requires the pad to be truly random: at least one bit of unique, never-used-elsewhere entropy for every bit in the message. Merely XORing some plaintext with a pseudo-random stream based on a smaller seed, which as you say is the basis for various other encryption algorithms, is not a one-time pad.

The real problem with OTP is key distribution: You need to share pads with everyone you might want to communicate with, one pad per sender/receiver pair, and those pads need to be at least as large as all the message you'll eventually want to exchange. There is no OTP equivalent to public-key cryptography where you only need one private/public keypair per recipient.
Yeah, that's why FPGAs typically drive the matrix of dumb LEDs. But if you use APA102s, they remember their PWM setting, and a little chip inside each LED handles that. You just burst the data out over SPI, and the LEDs remain lit until you inform them of a new color to display. Expensive, but easy to use!
At least in Europe he could file a complaint with the data protection authority, and at the very least request a copy of all his data.
Providing a defined, non-violent outlet for grievances is good, otherwise they come out as violence, like with Yugoslavia in your example.

My view might be biased because I'm from the subcontinent, but basically the whole of the Indian subcontinent has done better with democracy than it was doing without it.
this is exactly what I came here to say. it took a lot of effort to find work a few years ago because I'd dropped out of college, yet had plenty of personal experience under my belt. I know many other people are in this same boat and it's endlessly frustrating to be rejected from entry-level job after entry-level job when your skillset and experience is above what is being asked. when this is happening to you and at the same time you see articles about how meritocracy is bad and should be abolished, it's hard to see how meritocracy is supposedly working for you when your (self-evaluated) merit (for an entry-level position, possibly doing something fully outside of your intended career trajectory) outstrips your credentials.

I don't understand why everyone trying to tear down "meritocracy" doesn't start by focusing on credentialism instead.
HN should delete this post and probably your account.

You are actively encouraging people to get on a path that ends up in overdose and death.
Why not all drugs of all types. Why call it an opiod crisis and not just here is what happens when you give everyone whatever drugs they hear on the internet make you feel good?

First you deny someone ivermectin, next minute you are saying only 1 oxycotin with your beer.
I'm not dead set on it being made by a for-profit company but otherwise yeah, that's about right.

Dream big, they say :)
As with most things, I would expect scaling up production to reduce the costs drastically...
And why should you or I judge and decide on that? If their opinion is that it doesn't impact them, that's good enough.
Given the extreme wealth and aging condition of baby boomers, I feel like we are going to see a lot of money dumped into for-profit drugs and health services designed to 'counter' their normal mechanisms of aging.

You could argue that society-wide COVID lockdowns and forced vaccinations, in reaction to a virus which is really only driving excess deaths in that generation, would never have been supported if that cohort was smaller or less influential.
That's fair. But I still don't think the situation translates; businesses have significantly more options for mitigation and less downside risk. They're likely not going to prison if they have a data leak, and they have access to good information and the world's most reputable vendors for solutions to those problems.

Outside of exceptionally high risk (or exceptionally low revenue) businesses , I don't think many are going to choose to go back to paper. Although, we may see more systems being air-gapped, virtualized, or using other forms of isolation. The types of enterprises that could afford the labor cost of using paper can also afford the price tag on digital solutions that do a good job of mitigating those risks. Most breaches, ransomware attacks, etc are things that could have been prevented. Rarely do incident response crews say "this company couldn't have done anything to prevent this"

Additionally, legitimate businesses have customers that will demand that they use digital solutions. Criminals dealing with other criminals might be willing to use paper to mitigate risks. Customers of established B2B or B2C companies will not.
Not just the Apple ecosystem, pretty much every ecosystem, especially Android and Windows.
Never funded NOM or that video, Don. Try not lying so much about me. Once again, https://news.ycombinator.com/item?id=28621826.
As far as I can tell, An0m has the same marketing pitch as Purism.
Indeed! Regulatory reporting is clearly defined, i.e., what needs to be reported and how. Yet I see groups trying to use ML to determine what to report, which makes me think they don't fully understand the topic they are working on.
Personal anecdote: LiveView is absurd. It's the biggest change I've experienced in web development since Rails v1.

I've been able to build rich, interactive, games without a single line of Javascript. It takes complicated server / api / front-end build projects and results in literally 1/10th the amount of code for the same result.

It's one of the few times in our world that the technology isn't just "new and cool" but "fundamentally better".
Maybe potential for mining rare earth elements?
That's not how profits work. Or accounting in general. If you sell for +1M and then buy a different home for $1M, you've recorded a gain of $1M. It doesn't matter if you spend it on another house or don't. Your balance of cash may stay the same, but you've still profited. And the gain is taxable.
https://one.google.com/about

$2/mo or $20/yr
Mozilla, the foundation, is a nonprofit. The Corporation is a for-profit entity (though it apparently invests all its profits back into the company).
I smell a false analogy fallacy. Axie NFTs are fad so just avoid all NFTs at all cost?

I think that the concept of an NFT is quite a useful one, and you should maybe not consider the value of it as a first thing.

Domain names were also speculated upon in the early days. Remember people buying up 3 or 4 letter dommain just to sell them for more money?

It's just a change in the trustmodel behind DNS that is really needed here. Instead of trusting a chain of certificate authorities you can trust a blockchain's consensus mechanism instead.