skysight-inc/HackerNews huggingface dataset:
Is the doctor doing that for fun?

If the doctor is getting any of the money, then that part is the kickback.

If the doctor really gets nothing extra, and the hospital gets nothing extra, then that's not a kickback, it's just weird.
> A kick-back would go to the doctor or pharmacist for pushing the customer toward a medication.

Why is it not a kick-back if the customer’s insurance company is the one being paid to push the customer toward a medication, via differential coverage/co-pays/etc?
Okay. I'm not sure about the United States but here in NZ you can't enter a restaurant if you don't have a vaccine. You can't attend a funeral with over 25 people while unvaccinated. You can't attend or have a wedding with over 25 people.

I find it hard to think these restrictions can be justified as a public safety measure if they don't lower transmission. Limiting severe infection is up to the individual. They seem more like coercion to me. I think the government should be in the business of education not coercion. I'm triple vaccinated because I think it's the best choice for me, yet I have no right to make that choice for anyone else.
Numbers in the UK suggest higher death rates. There seem to have been something in the order of 150,000 excess deaths with fewer than 20 million positives (with a free and extensive testing programme). Both estimates come with caveats but this still suggest that pre Omicron strains had higher mortality rates.
The key is using excess deaths statistics which seem much less subjective.
Not everyone in the world has access to a government that will uphold their ownership in a just way. Like I said it this likely isn't valuable for you personally, you are not looking past your specific situation.
I'm not sure what your point is: It seems you are cherrypicking and then generalizing. For example Duloxetine (generic for Cymbalta) is $4 at CostPlus and $15 at the Walmart link. That in and of itself really does not prove anything either. I may be wrong, though, it's just one additional data point.

Maybe you can do the analysis you mention and publish it? The worst that will happen is that all us laypeople will be better informed.

I think though that CostPlus, if nothing else, has opened the eyes of a great many people who just assumed medicine was like any other product where the manufacturer controls the price and if someone is making obscene profit, it's an outlier like the Shkreli douchebag. Now a lot more people know that it's possible to pay a lot less. Even on TikTok I'm seeing people paying much less for their prescriptions when they bypass the insurance company and pay full retail price, which is counterintuitive as hell, and I personally would have never guessed.

So all in all, I think it's hugely positive that the secrets are getting out, and CostPlus is invariably a large part of that.
Like Twitter redefined "disingenuous" to mean "disagrees with me", now "monopoly" is redefined to "successful thing I don't like".
I can get behind cryptocurrency and stuff, but the idea that anyone can write a contract that says "I get to do what I want with your money" and then build their own custom, one of a kind UI with no way to limit what the user thinks the button does for you to sign such a transaction, it's got to be the biggest, most massive security hole I've ever seen brushed off. You want me to put the title to my house on it? You want code to be law?

This shit isn't ready for the mainstream, and some of these architectural decisions are indicative of engineers who are in over their heads (but that's almost all code nowadays, even mine).

They build a mechanism that enables me, at the click of a button, to give away control of my fortune, and they designed the system so that anyone can design whatever interface they like to get you to sign any transaction they like. It's laughable. I'm in disbelief. And this is web3? No thanks, I think I'll stick with bitcoin or whatever, keep it simple. At least I can tell what a bitcoin transaction does without having to learn a programming language.
Last War Brain
One insight into YC leverage is that they are working in larger and larger batches instead of moving to a continuous process or many smaller batches. I believe that a significant source of leverage is their ability to create two "Demo Day" auctions a year. This leverage might be considerably diluted by spreading the 400 startups in the most recent cohort into, for example, 13 fortnightly events with 30 startups spread over the same six months.

From cohort sizes in the teens in the first few years to several dozen in the next decade to now hundreds, the only constant has been two events a year.

I believe the logistics and support models for a 400 firm cohort are very different from one of 40 (in the same way 40 is distinct from a dozen). They cannot be analyzed in isolation as there have been many other changes in the venture funding and incubator models over the last 15 years.

I never did get an answer to this question from ten years ago (https://news.ycombinator.com/item?id=3711131)

"Initially we didn't have what turned out to be the most important idea: funding startups synchronously, instead of asynchronously as it had always been done before. Or rather we had the idea, but we didn't realize its significance. We decided very early that the first thing we'd do would be to fund a bunch of startups over the coming summer."

I wonder what the best batch size is: each cohort seems to be larger than the last. When does it makes sense to do three, four, or six a year as smaller batches.
Basically it was the smart contract[1] that came with the NFT where the victim is essentially executing foreign code that gets granted access to their digital wallet. That's the reason the scammers were so insistent that he did it on his main wallet (i.e. where the funds were)

[1] Think of these as being similar to Word or Excel macros embedded in a document... nothing bad ever happened with them, did it? ;-)
Trumbull saved Star Trek: The Motion Picture. The film was scheduled for Christmas 1979 but the effects were not done. Millions were uselessly wasted. Trumbull came in and completed the effects in time, including the amazing drydock scene (<https://www.youtube.com/watch?v=tpEv8pRGkME>). When Kirk thanks Scotty at the end, he is really thanking Trumbull on behalf of the audience.
"The dangers from allowing use of cryptocurrencies by criminals are far less"

I think you have never come across real organised crime, we had a family friend murdered by one.

Think mexican drug cartels and the amount of damage they cause. Ofcourse they operated just fine before crypto existed.
In America, it is a charity effectively to provide what is essentially a public service by “only” taking a 15% cut on generics when other manufacturers are selling at magnitudes higher costs.

It’s Costco for generic meds. No one calls Costco a charity, but their employees and customers love them for being fair and their business is held up as an example of how to create value from customer loyalty. And they still generate value for their shareholders.

If you have insurance, this is likely not for you. If you are uninsured, this could be huge for you. Perspective is important.
~330 million people live in the United States. 7.6 billion live outside of it. Be honest to yourself: which of your vs. op’s take is probably the more valid one?
I think this metaphor is missing a step - it would be like if you somehow bought "shampoo insurance," and under this policy the insurance company paid for your shampoo needs in exchange for a fixed monthly fee. And since people are buying under their shampoo insurance policies, then one shampoo company starts paying people directly to effectively direct the insurance companies dollars towards their brand. Isn't that a bit more like what is happening? You are being paid to influence the direction of your own policy.

I don't think this is as much as a problem with normal kickbacks since the party being directly "harmed" here is an insurance company not getting as good a deal as they could and their whole job is to set prices for policies to account for that. Of course, this could lead to a bigger problem, because insurance companies could account for programs like this in rates, and now you have an arms race where your policy only makes cost sense if you are getting these incentive payments.
Coinbase Super Bowl Ad
Cartel was the word that came to my mind as well. Any kind of exa-corporate relationship between companies leads to a cartel type situation. It doesn’t have to be about coordinating prices for services either. It could be as little as companies prefer to do business with a cartel member so as to open up opportunities with other members.
I was impressed by https://www.timelineapp.co/

I saw it on James Shack’s channel a few times, see here at 5:42 https://youtube.com/watch?v=ANjA7TEfezE&t=5m42s for an example in use.
Optimism, Arbitrum, and other Ethereum L2 rollups plan to have decentralized sequencers.

It’s all new technology so they’re taking it slow.
What sparks joy in Hacker News readers' lives? Anyone?
> with compilers that can that can do aggressive optimizations

we're still talking about real-mode DOS here. Most of those optimizations aren't going to work.

Regardless, you can target DOS just fine today. You'll need some code to bootstrap your program into protected/long mode and then your app has full freedom. You'll need to figure out the correct switches to pass to gcc to get it output a freestanding binary, and possibly a special linker script, etc.

Freedom but, let's be honest, no real utility today. You can't access the network because you'll need to write the entire network stack from scratch. You'll need to write a driver for your network hardware. Can't touch video without writing a driver for your Nvidia hardware. Or sound card.

I suspect what most people want from a "modern" DOS would be something like this: a very thin API layer that contains OpenGL (or Vulkan), audio, and networking capability. As well as drivers for common USB devices and something that can read/write FAT/exFAT. But once you add all of that you realize it's nowhere near as lightweight as old DOS was and your app now has a thousand more responsibilities that something like the Linux kernel is currently handling for you.
At this point it’s hard to see vaccine mandates (certainly without alternative options such as proof of recent infection/recovery or recent/regular negative test) as anything but punitive against the unvaccinated.

(I am triple vaccinated, for the record)
I come from a poor family and now my family is no longer poor because of my work. I wouldn't say I'm smarter than the average person, but somehow I'm luckier. But with that said, I don't seem to be even smart enough to realize what unconscious bias you're referring to, care to spread some light for me?
> freedom actually matters and a citizen's duty is to keep government interference in people's lives at a healthy minimum.

Close to 100% of people would agree with that as a guiding principle and would quibble rather about the specifics.
It's possible you're one of the two kinds of "C/C++ programmers" and so you've assumed that since this is how C prefers to introduce things it must be how C++ does it too, but not so.

C++ 20 introduced concepts. In C++ 17 "concept" is a perfectly reasonable name for an identifier. Maybe it's a class, a variable, a free function, all fine. In C++ 20 that's a reserved word and can't be used as an identifier.

Rust does not have this problem, a 2015 function named "await" is somewhat annoying to use from Rust 2018 or later where "await" is a keyword, but it's only annoying it isn't actually difficult.
I’m not an accountant but Google seems to think those things are substantially similar: https://www.quora.com/What-is-the-difference-between-an-audi...

Not being an accountant I rely a lot on inside baseball, but I know some whales and I’ve never heard Tether described as credibly backed.
Just replying with a web page showing the 80386 has having control registers doesn't imply that MS-DOS used them in any meaningful way.
This Bitcoin Laundering Case Confounded the Internet
Note that this was a big deal not because 45K was a lot of memory in general by that point, but because the first 640K ("conventional" memory) is special in DOS. If you didn't have enough of it free, many programs simply couldn't run, so having DOS itself take up significantly less of this memory was a big win.
The actual clip says "liquids" not sure what the small print says. Have no idea if anyone cheks what is in the bottled water though

>You should drink when thirsty.

is that an expert advice?

>Too much water is in fact bad for you.

If you link me something that proves that 2L daily is bad then please do, I drink that much and I don't want to get poisoned with water.
This is just a rant.

I want Amazon, Facebook, Google, Apple, Walmart, all the so called evil multinational corps, billionaires like Cuban, Gates, Musk, Zuckerberg & Co. and the the government to get into American healthcare industry and dismantle the multi trillion dollars racket, change it into something functional and useful for the people.

I don't care if it will mean millions of people in the insurance, hospital administration, public and private health policies will be out of jobs. Sorry I don't. Also for doctors, medical schools, state medical license issuing bodies, you are gonna allow minimum 10x increase in new doctors entering your field. The gravy train must stop. The system must work for the people, not at the expense of the people.

Should it be socialized healthcare or free market healthcare? At this point, I don't care. Anything else is better than this heap of trash. I've experienced both systems in my life and both systems are superior to the American system. But these discussion are distractions to what's really causing the problem in the American health care system. There are trillion dollar protected class of people who make the entire system unworkable. This system needs to collapse and be replaced with something new.
USDP (Paxos) and surprisingly, BUSD (Binance USD) which is just a white labeled version of USDP, also managed by Paxos.
I once had the misfortune while travelling abroad for almost a year to have a monthly data quota of a mere 2 gigabytes. Calculate that out. It's only a miserable 60 megabytes a day.

When some web pages can be 2 or 3 megabytes EACH! due to all the crap (advertisements, mainly), it's easy to see that your whole internet bandwidth capabilities are horribly restricted. And more to the point, you're paying for those companies to restrict your overall usage.

I have always used an adblocker. I have most times also used a site-blocker. I have no apologies for doing so.

My machine, my money, my choices.
In my neighborhood people keep complaining about coyotes killing their outdoor cats. The solution is simple: keep your cats indoors.
The only logical reason at this point to mandate vaccines is if you wanted to remove the control group from the great human experiment. Or just see how far you can push your population.

* I am triple vaccinated
No need to be an ass. Also, you're quoting the limited edition price which seems to amount to aesthetics and priority shipping.

Elsewhere on this page, you literally said that you would have been happy to have paid 2000 for the quest 2 - which this device would utterly dogpile both in terms of optics and raw power.

Cute though that you feel the need to paint the completely normal aversion to having a corporation having the ability to depth scan your surroundings at all times as tin foil hat territory.

I'd rather you skip the hysterics and just "give up" if you have nothing constructive to say.

P.S. I own a Quest 2.
>I learned you cannot shoot them at people.

That's not true though, .50 has never had an issue being used on an antipersonnel role
Some of the things that you can learn from reading this were:

- More than one program can listen to the same port on the same IP address, depending on how things are initialised

- Multiple IP's can be listened to for the same port

- TCP and UDP ports are separate, so even without allowing port re-use you can have two processes listen to the same port

And lots more! For me, this was a really engaging way to learn the nuances of how the concepts of processes, ports, protocols, sockets and IP addresses relate to each other. Perhaps the format isn't ideal for everyone. Also, I have probably learned all of these concepts before, so maybe that helps.

Anyway, I bookmarked this for the next time I forget it and need to learn it again :D

edit: formatting
Many normal pharmacies also have mail-order options.

Which are often very annoying to use. I have tried many times to get my pharmacy to deliver by mail. It typically works for a few months, then they stop bothering, or fail to request a refill until I call them, or mumble something about the drug not being legal to ship even though it was successfully delivered earlier by this pharmacy and by other mail-order pharmacies I've tried.

There always seems to be some reason why it's necessary for me to drive down to the pharmacy, stand in line with a bunch of other customers during a pandemic, and grope around with various pens, styluses, and touchscreens that were previously handled by someone with who-knows-what infectious condition. Funny how that works. This business is well past ripe for disruption.

It's like everyone read the press releases and just decided it sounds correct.

Do you have any stake or interest in the pharmacy trade? It's like you're making the most negative possible assumption at every step of your argument, so turnabout seems to be fair play.
We built and used several ones. Much better than 802.11b wifi links in 2.4 GHz, but finicky, pain to align, horrible mechanical design, requires super-stable mast, prone to bad weather, and also stopped to work during dawn/sunset, if the link was aligned with sun :-).

We mostly abandoned them when 802.11a wifi links in 5 Ghz came. Later, we bought some 100Mbps professional FSOs (free space optics) that were much better than Ronja, but still more problematic than radios.
People killed by wolves aka dogs: maybe thousands if we include dog attacks

People saved by wolves aka dogs: countless.
> Unless you jump off buildings on your bike this should be very rare.

That's true, but kerb impacts are pretty common when cycling a lot in traffic, especially the rear (though, intuitively I would assume that that detensions the spokes rather than that it tensions them). For the front not so much, you can usually pull up the front in time. But on a bike heavy with shopping you may not always have that luxury.

I think I understand where you are coming from: competition MTB is a pretty interesting niche and it allows you to really max out on the bike for those conditions. But it makes me wonder how long such a very tight setup would last in everyday use over 10K km / year or so. Because that's my application, I've never done any MTB / offroading and at a guess stuff breaks and gets replaced far more frequently in that setting.
Ruby on Rails because it can generate all the scaffolding you need instantly and then you can focus on adding business logic instead of worrying about boilerplate BS.
>Insured people still pay some co-insurance, up until their out-of-pocket maximum.

I honestly don’t know what this sentence means, and I’m glad I don’t need to deal with such things in the UK.
Subscribed for the postmortem about the outage during the commercial. I feel for those engineers on call right now.
When it comes to code, we’re all in over our heads. I can reason about significantly more complexity than most developers I know and it’s still laughable how little complexity I can manage.
> lean and mean
I don’t often take notes, especially since I listen to a lot of audiobooks while walking, but I am not sure it’s ‘good’ that I don’t take notes. I’ve often felt like there were concepts I’d like to discuss or go further with later but without notes I just plow into the next set of thoughts. I guess even with notes I often do that, but I think perhaps a practice of more collaborative or public-ish expression would be easier with a more robust note-distill-synthesize practice, which is what led me into taking a class on note-taking (Building a Second Brain) though I’m still not enough in practice to see a big impact on my output.
I think we have to look at Recital 23 through 31 they clarify what 'goods and services' mean.

https://gdpr-info.eu/recitals/no-23/
Firefox + uOrigin, Blokada, Pihole
> Any headline that ends in a question mark can be answered by the word no. [0]

I wonder if the author chose this headline on purpose. I doubt it.

[0] https://en.wikipedia.org/wiki/Betteridge%27s_law_of_headline...
Thanks for your feedback! I will try to investigate the registration issue and fix it. I've seen that you finally were able to register and to post some test content.

Also, would it be a problem for you if I reset the database when I redeploy the website for the launch or do you prefer if I keep the content that you have created?
It's basically the Spirit Airlines of pharmacies.

>Mark Cuban's pharmacy, however, refuses to deal with your insurance

I would say this is a net good. It significantly reduces their costs.

Also there are many, possibly the majority of, cases where their prices are substantially cheaper than Walmart.

https://www.walmart.com/cp/4-prescriptions/1078664

https://costplusdrugs.com/medications/
Are there even any studies that have done an effective job of examining this phenomenon? Most analyses seem to just look at the original platform's metrics, note a drop in reports and complaints, and conclude that deplatforming works while ignoring where those banned users go.
Maybe this sounds a bit dumb, but you could just use git and store everything in files?

I mean if you think about it, git is technically a CRUD app...
blocked or banned when you don't express the same exact opinions in lock-step with everybody else.

Wait, did you get banned because you expressed your own opinion or because your username contained a slur?

Or do you mean that using slurs is something that should be allowed because it in itself is expressing your own opnion?
Pretty similar here. And I trust my own wheel building skills more than the kid at the bikestore (and once upon a time I was that kid... respoking wheels and patching tires for pocket money).
Yes, that's called "base rate neglect" or "base rate bias."

In a twist of irony, you can see another example of it in the distribution of terms reinvented by internet rationalists :-)
Curious more than anything. If your intent is to use the tool as opposed to importing the tool as a feature or product, is the AGPL a problem?

Also, "everyone nervous" is an interesting choice of words - I'm pretty sure most people wouldn't really care one way or the other. What is it about AGPL that causes stress among the masses?
> imagine you love animals so much you decide to dedicate your life to breeding sheeps ... Every morning you wake up to the mutilated corpses of your little sheeps.

Nice melodrama.

I will say it again knowing that people don't want the truth and is not ready for the truth:

https://revistajaraysedal.es/wp-content/uploads/tres-perros-...

Most of this attacks are by dogs, not by wolves

By feral or by domestic dogs. The only responsible of this attacks is the shepherd, that don't feed their dogs and allow them to roam free to attack the cattle of other people. This common offenders include the Patou also. And we all pay for their loses.