skysight-inc/HackerNews huggingface dataset:
I had a gout flareup while in Washington DC for work. It's happened before, last time (in the UK) I phoned up the freephone national number for advice, my wife drove me to the local hospital, I walked (hobbled) in, had a couple of tests, was given some tablets and a presecription, and left in 15 minutes. That cost about $1.50 in gas parking would have cost another $5, but it was the weekend and parking was free. The prescription was $12 (standard price in the UK for any prescription drug or drugs, no matter what it is)

In the US I phoned my insurance company, got an Uber down the road to the hospital, and walked in passed the (armed?) guards to sit in a crowded waiting room. Receptionists took my blood pressure twice, was unimpressed with my (international) insurance. 2 hours later I went into some form of casualty area and sat in a chair, had blood pressure taken a couple more times. Eventually someone came and gave me a tablet, then they wheeled in some computer trolley to take my credit card (about $900), and gave me a prescription. There was no informing me of prices up front, no choices (not that you have much of a choice when you're in hospital - for me it was a really minor thing so I actually would have had the choice to either pay or not pay).

A few weeks later at home I received another bill for $2k from the hospital. I believe the bill charged for each of the times they took my blood pressure, I was never asked "would you like your blood pressure taken for $200", I wasn't asked if I wanted to sit in the comfy chair rather than the plastic chair for an extra two slips of latinum, the price wasn't up for negotiation, it just was.

The difference between the two cases is night and day, the UK treatment is fast and free, the US will make you wait for hours and then charge you a fortune.
No. I'm saying it provides vaccine information which people can use to make an informed decision.

Maybe I'm just old fashioned but I believe in individual freedom. I should have the right to choose. I should have the right to associate with who I want to associate with.

I'm really uncertain why people are so intent on taking away essential rights. Even though you may not agree with the choices people make, they should be allowed to make them.
i believe there ust be crossplatforms interopabililty with access to other catologues by paying the difference cost of subscription/usage between the 2 platforms
This seems poignant. The cost/benefit analysis does not seem to be aligned with the market. I suspect it’s driven purely by lack of qualified practitioners.
I paid $400 for a plumber to do 30 minutes of work this week.

A doctor has more training and a lot higher infrastructure costs and overhead, and thus a higher hourly fee.
> a few years later, open drivers for that GPU were developed

So ... FSF made the right call? What is the point of the certification of a device if there are no drivers for it.
Investing Update: Why I’m Buying Coinbase $COIN $DIS $SBUX $PTON $DKNG $ABNB
That the CARES Act put no restrictions on pricing for tests is, in hindsight, pretty shameful.
Really any healthcare procedure that is not typically covered by insurance has seen costs go down over time. Things like lasik eye surgery, or orthodontics are great examples in addition to the ones you've already mention. The service and technology gets better while the price continues to go down.
Hey, as an obese ADHD person in a country that does not really treat ADHD I would advise against that policy. My overeating is a coping mechanism, not a choice.

It is much harder to take care of yourself when you have less money, also. Typical example from the US is eating cheap, subsidized burgers instead of healthier veggies.

Maybe tackling the stress from the "modern" capitalist lifestyle might help everyone to lead a healthier life. :-)
I just think that it's a shame so many resources go to waste into treating infected unvaccinated people (they have a higher chance of ending up in the hospital) when we could redirect those resources to people that can't avoid hospitalisation with something as easy as getting a vaccine. Many scientists have been saying for months now that the vaccine might not be that effective in protecting against an infection but that it surely helps in not ending up in the hospital. I would have absolutely no problem with people refusing the vaccine if they didn't end up putting the healthcare system at risk. My home country of Romania is plagues by these cases and I have relatives that ended up having to wait for at least 3 to 4 hours for a broken bone that would've been handled in no longer than 20 minutes before. People I know, people with cancer need to postpone their operations since hospitals are working at maximum capacity. With that being said, we are living in extreme situations right now and action is needed. Vaccines might not be THAT effective in preventing infections (since people just go about their lives after getting the jab), but it surely helps with not overflowing the hospitals.
The US's non-paying contingent doesn't need to be any different from any other countries in order to cause the problem. The issue is that the uninsured subsidize the non-payers alone. This is radically different from countries with universal health care where the costs are spread among the entire tax-paying population.

As for why the US spends more than any other country: it's due to an overabundance of caution among the comfortably insured. It's much easier to get a variety of expensive (and often unnecessary) tests and scans (such as MRI scans) in the US. In countries with universal health care these tests and scans are restricted only to those with demonstrable need and they may be subject to long waiting lists.
Did you actually read my comments in this conversation? Are you aware that in Germany clinics have different prices than the ones you pay after insurance? I have always talked about prices before insurance, which is what I'm arguing looks completely out of place.

I'm public insured in Germany and no, dental is not really covered, I had to pay my routine treatment last time at the praxis, and it was not cheap.

Do you know that if you don't have insurance (which is however mandatory in Germany) you get an actual bill for the medical services?
Is he though? Yeah he is definitely intelligent and surely ruthless. However: there is a reason he’s still in power. There is no one, in the world, to be able to guarantee his and his family’s safety once he leaves power. At the moment he’s all-powerful, but wouldn’t you rather have the option to retire?
In this case it seems like the steep price is to prevent frivolously using the emergency room. You can get covid tests dirt cheap (or free) if you schedule and appointment at a hospital or one of the testing sites. Emergency room has to have capacity to take on actual life threatening emergencies.
I'd never drink on the job, but I also don't actually drink alcohol in general. I haven't drank regularly since my clubbing days ~15 years ago and not at all for the last 10-ish years. Well, that isn't _technically_ true; sometimes I'll have a sip of champagne if the restaurant treats us as a surprise, but this is so rare that I don't even remember the last time it happened. It isn't that I have anything against drinking, I just never really liked the taste of alcohol and the health effects make drinking a totally pointless activity to me.

I know this is rehashing what others in the thread have already said, but if you feel the need to drink to enjoy your work it seems worthwhile to dig deeper into the root cause rather than self-medicating with alcohol.
Pretty sure I read on HN the other day that iPhone minis are below 10% of sales and won’t be continued next gen.

I have to carry two phones for work and really like the second one to be small. Stuck it out with a 1st gen iPhone SE for a long time (headphone jack ftw), whereas the current gen SE is as big as a 6. Bah.
Incredible. I did the PCT in 2019 and considered quitting multiple times. I can't imagine the mental strength required to push through the AT, CDT and PCT back-to-back.
I’ve tried but failed to understand NFTs. One thing I don’t understand is —- couldn’t you change one pixel in an image and register your ownership of the slightly different image in the blockchain? Then how would it be adjudicated which is the authentic version?
Just because some proprietary code exists doesn't mean you should leave the door open for them to add as much extra proprietary code as they wish.

You can regard it as two separate features: one that's needed for the CPU to function, and another that's the door for more code being added. In that perspective it's better to go with preventing additions.
Lol what? Insurers are hugely profitable— many are public companies and don’t hide that. And you can underpay plenty of people if you give them difficult to do bullshit jobs that don’t provide value. That doesn’t make “administrators” liars. Doctor salaries have declined over time with inflation— is hard to blame them for higher healthcare expenditures. My main point is outright calling people liars and playing a blame game isn’t going to get anywhere. The system is fubard.
I may be considered a somewhat talented dabbler of many things. What I've found is the most important thing in getting good at something is building up things slowly, patiently you could say, and having some type of encouraging environment to let you flourish.

And then having a variety in what you do is great also. Physical exercise is almost as critical as having the motivation and time for doing something. When your mind is feeling good, you'll also get better results.

I'd say forget about coding something amazing and just focus on your physical and social side. Cut the Youtube a bit and find other sources for entertainment. Just break your routines and maybe you'll find that one intriguing thing you feel you can just endlessly immerse yourself into. We all in the end have quite limited resources to get good at many things and have to pick - even if you were super smart - what to focus on.
Then the issue becomes sourcing the beans. But I can see that becoming more available, as well as information about how to best use them, just like hops, grains, malts, and yeasts at brewery supply shops. And that will certainly give you more control over the taste of the chocolate.
Finger is even older (by over a decade).

Gemini is actually pretty new, sort of like a re-imagined Gopher.
Cryptocurrencies You Should Definitely Invest in and More by Stephen Ajulu
>Then they spin narratives about how this is important for not just freedom, but also security/privacy/etc, while their policies have absolutely nothing to do with improving users' security or privacy

i think i have always held the opinion that for FSF and GNU their concept of security was "security through free software". that is free software (according to how its understood by them) comes first
That is not the problem, IMHO. I would suggest that the problem is that the consumer, i.e. the patient, is doubly removed from price considerations.

Firstly, insurance shields the patient from the direct cost of healthcare. Second, many people are shielded from the cost of their insurance as it is chosen and paid for by their employer.
You'll be up for review shortly, here is your list of 'healthy' substances as declared by the health minister. Deviating from this list is considered unhealthy and you shall be scheduled for gastric band surgery and excluded until that time. (yes I'm being deliberately extreme :p)

Do you see how using such a narrow lens could be unwise? How many boosters are you willing to tolerate to maintain your certificate, 2, 5, 10? How about we make them a monthly requirement, any issues?

The certificate does not stop you catching or spreading covid, but it will make you feel more 'safe' and better about yourself.
Yep, and the Tesla units are also more compact and from looking at the Eluminator it doesn't attach directly to the short axles, would require some other gearbox attached, no?

I suspect the inverter was not released with it because there is IP there that they cannot give away / sell. Tesla wouldn't either, you can only get that drive unit by salvage.
What would you say the modern windows shell is missing that existed in Windows 2000?
Block quotes (>) are standard practice on HN. Never had anyone get confused by them before…
I object to articles that don’t provide enough information for anyone to have any understanding of the issues. A journalists job is to spread information to let people understand issues. That can’t happen based on this article.
The Intel 4004, the first computer on a chip, turns 50
The US is not a market-led economy in healthcare; I currently live in a country with universal healthcare and I make clear to people that when I disagree with universal healthcare it is not because I think it should be more like the US.
Marginal vs fixed costs.
I've found solace in the fact that I wasn't blessed with the circumstances, disposition, possibly intellect, or combination of those that led to any of the things you mentioned, and those aren't necessarily within anyone's control.

So you know how to program assembly, and Tycoon games haven't been invented yet. Suppose you have the idea to build a tycoon game and the time and money to do it; unlikely. Do you have literally nothing else you'd rather do for year(s) than work on building a Tycoon game that may or may not be popular? I sure as hell wouldn't want to. I'd rather have a social life, be in nature, or anything else. Ya it'd be satisfying to complete it, but how many people now complete building games that in retrospect were a total exhaustion of their enthusiasm without any substantial payoff?

It's important to consider the things you are lucky/fortunate/skilled at. If you've been employed consistently in any arbitrary position, for 10 years, you're already way further ahead financially or experience-wise than me. I've burnt out 3 times and have lost my job because I didn't realize early enough how to identify the problematic relationships with life and discipline that have caused me tumult. I've had a fine time in other respects, but have zero money and have no prospects for earning enough over my career to retire, buy property, or have children if I wanted them. That said, I can hold a conversation well, am decent at certain things athletically, and have a great relationship.
Hospitals publish data on overall non-payments. There's a significant amount of cost there but not enough to be driving prices.

https://www.aha.org/fact-sheets/2020-01-06-fact-sheet-uncomp...
Meanwhile, the most expensive MRI I’ve ever gotten in Japan was $300 before insurance.

Even the private clinic is making bank like there’s no tomorrow.
You can check the Keychron K3. These use low profile switches have 3mm max travel distance.
You can create a smart contract where only a set group of people (ie, the devs) can mint NFTs. You cant just mint arbitrary nfts whenever you want, that's why they are unique.
You can get all kinds of mini android phones in China. Check aliexpress
They don’t exist. They’re the imagined scapegoat for what is actually just a much harder to comprehend creeping bureaucracy cost.

The human mind loves clear enemies but Hanlon’s Razor almost always applies. Almost no one ever actually has malicious intent, but our brain evolved to watch for enemies and loves seeing patterns where they aren’t.
Most of the time I restrict myself from this kind of comments, but here is what experience is typically like in Russia.

You are sick or even probably sick, like biten by tick and worry about it is infectious. You go to the neatest hospital, local ER, register yourself (no documents needed). Any time of day. You get triaged immediately, if your situation is not life-threatening, there is a queue. Waiting times are anywhere between nothing and two hours. Doctor sees you, you get medication, procedures, tests as needed. Everything is typically done in professional manner, quick and no bullshit. There are sometimes signs hospital is understaffed, like single nurse doing everything.

In Moscow, treatment is world-class. In rest of Russia, your milage may vary.

You typically leave diagnosed, fixed, with documents. Nobody ever asks you about payments or bills. What bills? The state-provided health care is free
If I'm reading the NICE site correctly, the NHS appears to pay a around 20% of that: https://bnf.nice.org.uk/medicinal-forms/etanercept.html

£715 (approximately $950) for 4 doses, almost a month's worth with 1 dose per week coming out around $1k/month.

Even ignoring the fact that patients here don't pay, just having NICE and a system which will fight drug companies over costs appears to massively bring down the costs of these medications.
The only thing that is particularly unusual about the US is that private insurance companies are probably not very efficient (admin costs are multiples of similar mixed healthcare systems).

But if you look at healthcare spending as a % of GDP: the US has the largest public healthcare system in the world, and it has a private healthcare system that invests very heavily in people's health (I think people get confused about this because US life expectancy isn't much higher but that is largely a function of things like obesity that, ultimately, aren't solvable without people eating less...the US does very well with quality of life and difficult to treat stuff like cancer, I am in the UK and a lot of cancers are treated properly, there is just no money to do so).

So, imo, the US is more expensive than similar systems like Germany. But incomes in the US are much higher, people are willing to spend more (particularly on quality of life stuff like joint replacements), and a lot of the additional cost is not in treatment but admin. Maybe moving to a public insurance system would help but look at France: public healthcare system, and doesn't spend that much less than the US (and in the US, public healthcare prices are cheaper than private but private does subsidise the public...and the gap isn't huge)...doctors don't work for free, medicine isn't free, nurses aren't free, you just pay the same but in taxes (btw, I think a public healthcare system would reduce costs by removing admin...would they like it when they couldn't get a knee replacement? No. Would they like it when a parent got cancer or their kid has a rare type of epilepsy and they can't get medicine? No...there are trade-offs, fully public healthcare systems generally do not perform as well as mixed systems like Germany or Netherlands...making insurers non-profit might be a good first step).
Merriam-Webster: How New Words Get into the Dictionary
Can you expand on what regulations are allowing successful suit to be brought, and maybe an example or two of how that works in practice?
> You might as well ask yourself why the universe is four-dimensional (or 11-dimensional) and not 2-dimensional.

We do ask ourselves that the number of degrees of freedom is tied to the laws of physics, so it’s now really a question of why X but what are the physical laws that give us X.

And if we continue with the circle and parabola analogy then what we are tying to figure out is whether our universe is a circle or a parabola.. that’s a pretty worthy question to ask in my book.

We are thing to answer if the the values are actually random and thus have to be fine tuned to produce the universe we live in today or are they not random and if such what is the relationship governing them that makes them take the values they have.
We're working on something related.

https://joinlesson.com
Another also: right and left keys worked pretty well
I just tried Poetry on Windows.

Installation is a mess, and official recommendation of "copying a powershell line" was already a red flag. Now I can't remove it.

Poetry is a convoluted, insecure mess. Please avoid it and use official PyPi recommendations.
I misunderstood your comment then. Sure what is billed is a different thing. Sorry.

For the dentist: They often bill you for stuff that is covered but it lucrative to add something to the bill.
Seriously! I didn't realise how much I used this feature because I've found myself missing it on my 2021 MBP multiple times :(
I’m very confused about NFTs. If they are kind of an in-joke (that maybe some influencer types are taking a bit too seriously) why did they get mentioned by zuckerberg in his keynote address for meta? Say what you want about him, but I think he and his team are above falling for crypto jokes making fun of influencers.
This is a double edge sword.

If there are issues with what are initially released and you do not patch you do not get those fixes.

So they could add stuff but they definitely will fix stuff. Not updating could be more dangerous then updating.
Please watch the Bill Gates interview.

The articles on this are very clickbaity. Bill Gates did not warn of a small pox attack. He used it as an extreme example of bio warfare which the world can prepare against through investing more in desease & epidemic research.
There is no nuance there. Without free software there is no software freedom. If blobs are allowed at all that is already a measure to have a system that works in practice, but in no way makes it the position against closed software and blobs wrong.

The people criticizing the FSF here act as if Stallman were wrong about these issues because he said it back then already. While in reality again and again he was right about how user freedoms are limited when the principles he outlined are not followed.

To give Intel a way to distribute closed source software updates to your processor is definitely a security risk. And we know for certain the actors in the USA that try to use those security risks for their surveillance programs. Don't act like this world does not exist.
Literally zero media mention of the fact that this protest evolves out of Rotterdam dockworkers strikes and protests ongoing for past 72 hours, threatening massive disruption to European logistics across the entire Rhineland and beyond.

They don't want it known how much power blue-collar workers (who are primarily unvaccinated) really have. "It's just some kids who want fireworks, guys, it can't change anything. Now, as we were.. Covid papers, please! Jetzt deine papiere, bitte! Schnell!!"
Did you see that 70s vintage Ford F-150 with the Tesla power train transplant? This sort of thing makes even more sense for computers than for cars, considering the lack crumple zones and such pre-80s.
Yeah. But both NFT fans and haters seem to not quite get that.
Meanwhile in Georgia, Jimmy Carter's still too busy building homes and eradicating guinea worms to paint dogs.

https://www.cartercenter.org/health/guinea_worm/case-totals....

Ask President Carter:

https://www.youtube.com/watch?v=-68iTvhWNB0
I think that happens to everyone. I think most times people say they're "looking forward to seeing you" do it out of politeness, not an overwhelming feeling of anticipation.
No. betterC is terrible and limits you with no real benefit outside the first few minutes of playing with it. I wish they'd stop advertising it; real D is better in every way. (you can use regular classes with real D with minimal runtime too: http://dpldocs.info/this-week-in-d/Blog.Posted_2020_07_27.ht... and the new trait the parent link talks about means no more mangle hack like I did last year which also will help it work cross compiler).

betterC just plain disables a bunch of features. With real D, you can start with an empty runtime then enable stuff as you want it.

...or frankly just use the standard runtime and find joy.
I'm curious, are there just more staff? How many admins / doctors does the US system employ compared to other health systems?

I'm willing to believe addicted's[0] rationale, but maybe most people are getting paid poorly, there's just more of them in the system?

- [0]: https://news.ycombinator.com/item?id=29287371