skysight-inc/HackerNews huggingface dataset:
Medicine, first and foremost, is a BUSINESS.

It is also a game of super-sub-specialization. The entire field. There essentially numerous subspecialties within each specialty.

Some surgeons do nothing but the same apnea surgery 5 times a day. Some oncologists do nothing but specific neuroendocrine cancers all day. Some diagnosticians are good for a specific area of their field - and utterly useless elsewhere, because they just couldn’t care less and want to work on what they find interesting. Just like anyone else.

If you want to see someone who actually knows what they are doing, sees the same exact issue you are having 10 times per day instead of once per decade, you WILL travel. Of course, you can always settle for the clueless doctor nearby who will do the bare minimum, or maybe even nothing.

Remember: patient outcomes are not part of the standard of care. There are no real incentives to do better than bare minimum, as a physician.

Sometimes the talent is in Switzerland. Sometimes Germany. Korea has some leading talents in niche areas.

It just so happens that the US pays the best, and just like engineers who can write their ticket that move to Bay Area, so do the physicians that move to the US.

Real life example: many neonatal surgeons only begin practising on their own, independently, in literally their late 30s, if not 40s. In training until then, whew. Slightly different than picking up a new JavaScript framework.

Would you seek to maximise your income if you had to study for 20 years after high school?

Neonatal surgery is often $1-2 million per surgery. There are only a handful of such centres. Only some of them operated on a specific condition more than 10 times.

The same really goes for anything else from diagnostic to operators. Even in the US, you’d often have to travel out of state if you want to get a proper opinion. Easier with imaging or biopsies because these can be mailed. Tons of people travel for surgeries.
250k Canadians every year travel to the US to get care they cannot get on time (or at all) at home. I’ve seen it all, even Saudis flying over for dental work.

Next time you see your doctor ask them who would they pick for their surgery: someone who does the procedure 100x per year, or someone who maybe does 1-2 cases per year. Then guess where the most super-specialized talent can maximise their income. Probably not the remote Australia with a population of ~10% of the US.

US simply has the best talent. If you can afford it.

As for Canada/NHS/Australia being better - that’s just laughable. Canada is actually dead last among top 10 richest countries, and happens to have the second highest drug prices after Switzerland. Also has as many beds per capita as Mexico. You’d be better off going literally anywhere else.

Mayo at Rochester has a larger diagnostic antibody library than anything in those three countries combined, and can arrive at your diagnosis within two days instead of two decades. Guess where your tertiary centre in Canada/Aus/Uk often mails your blood work and biopsies once they are at the end of the rope?

That’s right. USA.
What is Blink? I searched on App Store, but there are tons of apps with blink in the name.
Seriously? You're such a hustler that you can't afford maybe 2 hours per month maintaining your house/car/electronics? You can't afford to be self reliant and self sufficient?

People used to write their own Haskell compilers, now they buy stagnant/slow computers as an upgrade.
An iPad Pro is essentially a laptop with a shitty OS and some missing hardware. They already have the laptop. They just won’t make it work, for obvious reasons.
Nearly all of US problems can be traced back to the insanely powerful lobbying (citizen united, etc). The gun lobby, the private prison lobby, the healthcare lobby, the tax filing lobby, etc. Corporations not only buying politicians for dirt cheap to keep their own profits high, but also spreading lies and propaganda brainwashing part of the population into believing the bullshit they're peddling.

Just look at the story of Wendell Potter [1], an ex US health exec who basically came out and detailed all the lies he spread about Canadian healthcare. So many people in the US believe those lies still to this day.

[1] https://www.npr.org/2020/06/27/884307565/after-pushing-lies-...
> if you're going to have a heart attack, have it in America

The invoice causes another heart attack. The another heart attack will cause another invoice. It's a vicious, if short, cycle.
Isn't that the purpose of public benefit corporations? eg:

https://en.wikipedia.org/wiki/Benefit_corporation

also:

https://www.bcorporation.net
You can't do that in rural America either.
This is my offer.

I suspect golden stuff on CV / strong interview round. (I'm now a Staff Engineer on 2.5 YoE)
Ubuntu for the Internet of Things (IoT)
But also your insurance provider collectively bargained the cost of a new windshield down to $20 as long as you go to their mechanic.
It's the best device for drawing / pen input imo. Having an all in one device is really nice vs a wacom tablet that costs as much and has 3 cables hanging off it and requires another computer.
This would be a fair point if you were stuck with proprietary software. But this, this is a perfect example of how an open source ecosystem changes the physics. In an open source ecosystem, it doesn't matter how "weirdo" any chain of mishmashed crap might be if it's exactly the same weird crap as a billion other people. Scale means the fundamentals will have already been solved (or, if you're an early adopter, will soon be solved).
Given how the documentation was lacking like you mention, I can understand developers relatively eager to stick to Red Book audio. It’d be relatively easy to set up and it gives the composer a lot of freedom.

It’s not uncommon to see PlayStation 1 JRPGs eschew Red Book audio (and use sequenced samples) in order to take advantage of loading game data while music’s playing. In some ways, it’s not unlike the bulk of Snatcher’s soundtrack being mostly YM2612. I wish I saw more of that during the Sega CD’s lifetime, although homebrew could change that!
It depneds on the comment and the article. I actually had some contact with prolog (did a semester in university mamy years ago) and still up till today did not find a reason to use it on real life - mainly because I have responsibily to keep my solutions maintainable for decades and I do not see how could I keep easily find people willing to work on prolog and not switch obver to where reall money is at.
So when I saw an interesting insight that somehow maches my very old intuition (that prolog is mainly constraint solver) I wanted to ask more. And I believe that reading this whole introduction could potentially not give me this insight.
Somewhat unrelated but Citi's software has been ... not very good from my perspective as a customer. The app is crashing/down frequently, as is the website.

Which seems pretty smelly to me from the outside.
Apple sells a rather expensive but high quality keyboard + trackpad stand for the ipad which gives it pretty much the same form as a laptop. It just requires better software for this use case.
what a weird way to justify it. the patents on insulin expired decades ago so why does it cost $400 for uninsured? it doesn't cost pharma companies $400 to produce a vial (or $200 or $100). this is pure greed.

edit: say their insurance covers 80% of the cost, the patient still has to pay $80 (at $400). if the cost of a vial was $20, they only pay $4 which is more reasonable.
Reducing demand by choosing external sources will indirectly cause a subsequent price drop in the US. That would be the "free market, deregulation" approach to solving the pricing issue.
If you want to consume the Untools content via a daily RSS feed, check out my project: https://tips.darekkay.com/
You have a point. Apple's use of the plus circle symbol violates its own Human Interface Guidelines at worst, contradicts itself at best.

From the iOS Guidelines[0]:

> If you create a button that looks like a common button that people know, ensure that the button behaves as they expect. For example, if you create a button that uses the plus.circle SF symbol, people expect it to let them add an item to the current view. Similarly, using the info.circle symbol in a button identifies it as an info button.

From the Mac Guidelines[1]:

> plus.circle - Displays additional detail for an item.

[0]: https://developer.apple.com/design/human-interface-guideline...

[1]: https://developer.apple.com/design/human-interface-guideline...
Seems you need different hardware then. Most people don’t care.

We are literally on a thread where new CPU is made every year and you say people want to replace ssd…
Thank you for this - you put into words very well all of the problems I had with that book. In fact, I found myself very frustrated with the authors, wondering if they had any familiarity with all the rest of the decades of work that had been done in related fields outside Google.
Yes, that's when it was included to Trac 1.0 as a built-in plugin. Before that, it was a 3rd party plugin you have to install yourself. I remember using it before 2010 and I'm pretty sure the plugin pre-dates github.
When I watched the '.the .product', my perspective about the computers have shifted dramatically and permanently. I became an high performance programming (not in HPC sense) enthusiast, and decided that performance and optimization matters.

That path brought me to HPC, efficient and high performance programming and showed me how thinking about writing efficient code made a difference.

Yes, you can't arrive to demoscene level wizardy in every application/tool you write, but optimizing the obvious and then some changes things a lot.

Thinking about it again, possibly coming from C64 and early x86 hardware already primed me to "do more with less" mindset already, but '.the .product' get the things rolling.
If you're doing it professionally, then that adds up.

This is such a ludicrous argument. If something is faster, it's faster. What's the problem?
Err, you are right. I misread.
Housing isn’t just about land upon which the home is placed…..traffic infrastructure, schools, water, power, law and order, fire stations, post offices, sustainability, waste management, sewer etc is necessary.

We saw how devastating this was during the paradise fires and Napa tubbs fires earlier. Some areas are not meant to be habitable because it’s simply not feasible.

There is a reason the tropics are over populated vs the rest of the world. Heating and cooling costs are ridiculously high and not sustainable. We need timber, fossil fuel powdered grids and snaking supply chains..all of them rely on fossil fuels.

The restrictions help us live well. Perhaps it time to build smart and not because we need to get what we demand … and we usually demand what we don’t have..and can’t have.

In other words, ‘desirable areas’ are desirable because there is a high operating cost to it. Putting cheap homes where gas is 6 bucks a gallon and pretty much everything else is expensive is setting people up for penury because they simply can’t afford to live there even if they move there. Harsh truth.

A lot of the costs of city infrastructure is borne by developers and passed on to the home owner in the price.

The city relies on high home cost to fund the city expenses via property taxes.

Low income and affordable homes are also subsidized by high developer built market rate homes.

Mortgages require homes to last at least 30-50 years. You can’t get that with manufactured homes whose main advantage is the low cost.

The solution to housing everyone is not building homes first. It’s building infrastructure first and then build around the carrying capacity of that infrastructure. This is how high density cities around the world are designed.

You can’t guesstimate what it takes to run a city after you fill it up. It’s working backwards. First determine all of the infrastructure load, pressures and costs..and then populate the city. This is exactly the reason zoning and building restrictions exist. As they should.

Unliveable, unloveable and unaffordable cities are a direct result of forgetting the above rules. I don’t know when it happened, but clearly someone thought that cities can be raised out of nothing. Reality? It’s more nuanced and multi layered.
or the $1500 screen :)
> If the US allowed imports from Canada, it's likely the pharmaceutical industry would stop selling to Canada at the rates set by the PMPRB.

Wait, it sounds like you are saying that buy paying higher prices, the USA is subsidizing the rest of the worlds healthcare costs. Is that true?
I'm not sure how much can be gleaned about my competency and experience from just YoE (I jokingly refer to it as "bum in seat time" sometimes)

In any case though, that comp seems pretty typical nowadays, folks I know at Apple are on 250k and that's considered normal.
"but we're rolling an awful lot of dice."

but are the odds better than 2^256 ?
https://youtu.be/S9JGmA5_unY?t=38
$72 is still expensive compared to other nations.
Booting Up a Lego Brick
“I remade the first level of Doom using JavaScript and 64 sliders”
> But we pretty much are already.

LOL sorry, not even close. But it doesn't matter whether we are or not, not in the slightest. What matters is whether we're subsidizing enough to stabilize the fertility rate. Which we're empirically not.
Look out of the fucking window and you see, that climate change is happening RIGHT NOW. Look at India, look at Africa...
> That's probably pretty close to what it was in 1996 also.

No, this is wrong.
Minimum wage in 1996 was around 5$ Per hour and gas was below 1$ per gallon.
I live in a state where it is illegal to buy cold medicine with whatever the p-drug is called, without a prescription. But the next state over sells it over the counter. So when someone goes to the next state, people ask them to bring back the good stuff. I guess they are drug runners, though I never thought of it like that.
Hard to do that with automaker financing when the rates are listed directly on their website.
That is super cool, have you put ReliOn into your insulin pump?

Edit: Sometimes people that can’t afford $400 also can’t afford $72. How does your point matter for those real life humans?
Downscaling video to be noisy low-resolution and effectively unprocessed is a trivial computation task. No need to have low-resolution cameras to get that - if you really want that.
It would be far easier to regulate our prices to be the same as the average of say - Canada, the UK, Germany and Japan.

We’d pay less. They’d probably need to pay more. It’s utterly insane how we’re essentially subsidizing drug development for the entire world.
When you say “we will / won’t be political”, you’re lumping together minor irrelevant dramas (like Depp vs Heard or Lia Thomas) and things which will directly, seriously affect you. You literally cannot stand on the sidelines when your political adversaries are pointing their guns at you.

Putin’s war is directly affecting any Rust members in Ukraine and Russia, and screwing everyone else by hurting the economy. I’m glad Rust has publicly explicitly supported Ukraine because I really support them and there’s not much of a cost to saying something.

That being said, OP sounds like an drama queen and allegedly has his own problems. At best, this isn’t something we should hate on random Rust community members for. This kind of exaggeration isolates the Russians who support Ukraine, who I consider to be allies, and those who are undecided, who I think are still worth trying to persuade.
One presumes they did not walk to the car, to go sit in it; no, they got in the car, travelled some distance, and then were left in the car. The act of driving them is many orders of magnitude more dangerous than the risk of sitting briefly in the car.

Driving is by far the most dangerous thing you regularly do. All else pales by comparison.
More power to you, but that sounds like a pretty inflated title to (not staff) me.
It probably doesn’t matter to the GP. I bet that this person doesn’t know or care about any diabetics that are at risk of this problem.
This was I think more an issue of integrating it with other bits of infrastructure. Things like access control provisioning namespaces. The folks who were on the receiving end of the security team's bullshit were quite capable of getting vault setup but bogged down by mediocre management.

I think we ended up using KMS instead (much to the chagrin of everyone).
Camo will get 1080p60 soon which I doubt Apple will support but that alone would be worth continuing to use Camo. (if they can ever do 4k30 they'll have a strong video recording niche)

I also doubt Apple will include the other video tweaks you mention.
Medicine isn't a business as far as a government is concerned.

It's a utility that exists to protect the investment in it's citizens such that their full productivity can be achieved.

It's in a country's best interest to achieve the highest possible standard of care for all citizens, not just those that can "afford it".

Treating medicine as a business only works for the very top of the totem pole and over time leads to increasing degradation of the labor force. i.e what you are seeing in America right now.

Nobody in Australia ever wonders if they should call an ambulance if they are injured or worried they could be very ill, they just pick up the phone and dial 000. They are guaranteed as citizens of Australia to have access to life saving care whenever and wherever in our borders. They do so with no fear that they will financially ruin themselves.

In Australia we would go as far to call this a basic human right.
This irks me greatly. I never ever use Excel and only rarely spreadsheet (and only for easy graphing).

I use 1st year university-level math very frequently (stats, algebra, etc), but very very rarely anything more advanced.

PhD in CS, not from a school on his list.
You can code on it for the last 10 years already, Pythonista, Continuous, Shaderific, LispPad, Swift Playgrounds, among plenty others.
Considering that the mortgage payment on the median asking price home jumped by 40% year over year, it’s a bit shocking that prices continue to rise. How can it be sustainable?
Probably is honestly.
A question I've always had.

In Castle Rock, CO vs Gonzalez, 2005 , one of the supreme court justices is asked "Then what was the point of getting the restraining order" and a reply is heard "to ask the police to do their job". (and nothing more . ie. they don't HAVE to help you if you ask).

So we've established asking the police to do their job is OK. And surely speech is a way to do that. And we know money is speech.

So does that mean it's legal for me to "ask" the police to investigate someone or something by giving them a few million dollars?

Doesn't that also mean I could continually give them millions to investigate something or other to keep them nice and busy so they don't have time or resources to investigate whatever I'm doing on the side?
Why do you force me to defend Apple?

Trotting the 30% tax as an Apple exclusive problem is extremely disengenuous.

Sony, Microsoft and Valve also charge 30% (and have draconian agreements that are even worse than apples).

It’s like Foxxcon all over again; when Apple does the same as everyone else, suddenly it’s a pariah. (For context I’m talking about the suicides at Foxconn due to the abhorrent working conditions, despite the fact that nearly every large OEM and board maker used them: Apple got the most shit).

Sometimes I think the media might have a bit of bias against Apple for some reason.

Not that the criticism isn’t justified, but it’s definitely not levied even handedly.
> The benefit of the iPad is the touch screen, that's it.

The fact that you can remove the keyboard half is a big benefit to some as well.
Go to the Mayo Clinic and see if you’re singing the same tune. Apart from airports and the UN it’s probably the most diverse place I’ve been.
>Are we really better off having competition for competitions sake rather than looking at what delivers the best outcome?

No but competition is the bedrock of the resource distribution philosophy at hand. If thats not the case then we should just let all companies consolidate in to a large monopoly because their products are superior to non existing companies.
Who gets to decide what it serious? Many people are happy to code with what it offers in the box.
Developer experience (interactivity, debugging), libraries, performance. At least, it is what lispers say: https://gist.github.com/vindarel/c1ef5e043773921e3b11d8f4fe1...
Bear in mind:

If you can reasonably prove it wasn't you, you can likely go home within a day or two.

If you can't, you get to personally spend a fortune on a lawyer and wait in jail and attend court for 6months to ultimately be vindicated but bankrupt and unemployed...
I’ve never received an explanation of benefits that showed all that much of a discount. Usually it’s something like $400 adjusted down to $370.
I realize different context, but I'm curious how many other HNers do the same as me: I haven't had a fully new personal desktop computer since ~2001.

Since I originally built it, it's undergone dozens of upgrades: close to a half dozen motherboards, a few more CPUs, several GPUs, lots of RAM, drives, etc. I think 3 cases, and at least that many power supplies. But it was never all at one time. I definitely did a couple generational upgrades that were nearly everything, but stopped short. There's literally nothing left from the original build.

The parts were always then passed down to other uses: builds for other people, or a server in my basement.

This year, due to a failing motherboard, I did probably the biggest upgrade I've ever done at once; including AMD over to Intel, new case, SATA SSD to NVMe, but still but full: I kept the power supply (I hust bought it a couple months earlier, thinking it was the thing causing me trouble) and GPU (impossible to buy something reasonable).
Court Gives Treasure Island’s AI Text Bot a TCPA Pass
They are generating the largest _profit_ in the US. I wouldn’t say they are subsidizing since afaik they are still selling with some profit in other countries.
It seems to me like you actually don't want to be a parent?
I think you are confusing this with U2F support using the secure element, which has been added much earlier (I have also been using it for years already). The difference between that and Passkey is that Passkey syncs private keys between Apple devices through iCloud Keychain. The older U2F support is per-device.
Stranger things have happened. I mean, would you have imagined in 1942 that within 20 years German and Japan were going to be staunch US allies?
Cook on Sundays and freeze your meals.
Mandated paternity leaves is to provide an equal part contributions towards children for both the mother and the father. Otherwise the mother take most of the hit ( as evidence in countries without it ).