skysight-inc/HackerNews huggingface dataset:
> The short story as I understand it is that HMOs actually worked early on, but realized people got really really upset when told that their personal doctor sucked and the treatment recommended sucked. They’d bail for whatever insurer covered every damn thing. So insurers realized better to just jack prices rather than control costs.

I don't know how true this is for the HMO story, but I do know that many patients absolutely hate being told "no" after they've convinced themselves that they need a certain treatment.

We've all heard the stories about the patient who was right about their own diagnosis but was denied care by their doctor, but these are the rare stories. Providers get bombarded daily by demands for antibiotics for colds, for example. If you're well educated about antibiotics you probably wouldn't believe the number of people who think antibiotics treat every infection and doctors are just meanies for refusing to hand them out. Many doctors get tired of fighting these battles and just write prescription after prescription for antibiotics on demand, which creates a loyal customer base of patients who are happy because they get whatever they ask for.

The situation is even scarier for controlled substances. The internet and sites like Reddit have a weird way of convincing people that they need Adderall and/or Xanax, and that doctors are evil if they won't prescribe them no questions asked. I've heard too many horror stories from my psychiatrist friends who get patients showing up demanding Adderall, but on closer examination will describe classic depression symptoms (e.g. having trouble focusing after a recent breakup, but no problems for the first 2-3 decades of life). Some of them have been convinced by Reddit (it's always Reddit) that ADHD is the explanation to their mental health problems and a high dose of Adderall will solve all of their problems.

Then when they say "no", they get pinged a few weeks later by the psychiatrist down the hall because the patient is back with a different doctor trying the same story. The sad part is that they often continue this rotation until someone shrugs and writes the prescription. A disappointing number of providers don't mind having a lot of controlled substance patients because it's a steady stream of easy appointments to write new prescriptions every few months.
It's a statement worth downvoting because it's laden with assumptions, as well as seemingly being a naive, sensational, and combative posturing effort that seems designed to provoke others by questioning the rationality or competency of whoever's in charge of the vessel rather than contribute positively to discussion of the result. Your subsequent responses also seem defensive, and none of these are tonal qualities worth rewarding.

Likewise, mystery is something sorely lacking in everyday life, and it's a shitty move to cast aspersions toward publications on the basis that you don't like it. If anything, we should do more to cultivate curiosity and mysticism.

That's my impression anyway, but I'm someone who'd admit to never having been on a research vessel, or part of any budgeting, logistics, or formal research process, and your comments are exactly what I'd expect myself to say if I was 19 again and just as arrogant as I was then. Perhaps none of these were your intention, and perhaps you have no malicious intent, I'm not accusing you of that, but that's kind of how it comes across.
> you don't need preauthorizations

To be clear, in an HMO you don't need preauthorizations from your insurance but you still need your (not necessarily self-selected) PCP to order care or refer you to a specialist.
It’s actually a stein of beer, carried on the end of the barrel of the tank’s main gun, for others that like me did not understand. It’s cool.
Is it, though? You can ignore that stuff and keep going. You cannot get around MS forcing links from the OS search, Outlook, etc. to open in Edge and nothing else.
> I get the feeling more and more that peak Windows is upon us.

If only. I remember people saying the same when Vista came out.
Ubuntu kinda sucks now too. "Sign up for an account" is part of the install flow just like Windows.

Fedora is my default "easy" Linux install nowadays, the excessively corporate vibes I get from Ubuntu feel very wrong for a Linux distro.
I loved my previous HMO because I was in a union and the (huge) premium was mostly covered by the company however it's really never that simple. Changing jobs and insurance companies means all of a sudden all of my previous doctors are out of network and now I have to pick and choose which ones are worth sticking with while eating the out-of-network costs and which are replaceable. Multiply that by several family members and it's a nightmare.

Continuing the counterexample, recently my daughter had to be hospitalized literally a month after changing to a PPO. Amazingly, our $175,000 bill ended up costing me just $300 because she was admitted to inpatient care. If I had been on my previous HMO, it likely would have either cost $50k for the out-of-network, out-of-pocket maximum (assuming nothing exempt from that even...) or worse, delayed getting care while attempting to figure out any of that on the spot.
It's more like Ming, who I felt genuinely sad for.

https://en.wikipedia.org/wiki/Ming_(clam)

Sitting happily in the ocean for 405 years.
I think he is referring to the recent fad of giving teenagers sex change operations.
>What makes the install cost high?

US skilled labor costs are insane. It makes all construction costs ridiculously high.
Is there a reason why the Broad Institute cannot provide visa sponsorship?
> Be amazing at bullshitting. Small project? Make the mole hill into mount everest. Big project? Act like you just saved the company. Study people. Your manager and their manager have exploitable weaknesses. ... Fuck people who think honesty is how you get ahead. ... Exploit every weakness. Don't be an asshole of course. That won't get you ahead.

Following the advice in this paragraph—bullshitting and exploiting people to get ahead—makes you into an asshole. There's no way around it.

For myself, I'd rather not "get ahead" if "getting ahead" requires turning myself into that which I despise. I've had to work with people like this, and I will not bring that hell on anyone else.
The infrastructure the simplest little offering on a modern data center is so immense that honestly it’s a good deal often. If you’re a small-midsize company what’ll you do - put a bunch of computers in the office closet and get what uptime and latency?
There's not much sign of "Static Hermes" on the web. Appears to be a JavaScript compiler from facebook.

"Static Hermes is the the next major version of Hermes, still under active development. It enables optional ahead-of-time native compilation of soundly typed JavaScript, using TypeScript or Flow type annotations."

I find the AI images in this presentation to be quite distracting for some reason.
And 240V gives you a lot more power to heat water at point of use. You're not just heating the water, but several kg of ceramics inside.

But I still don't get it: as dishwashers are usually in the kitchen, isn't a hot water line just as far away as a cold water line?

Or is the concern that there are more "on-demand" hot water heaters and a simultaneous shower might max them out?
As with any person or business, you have to judge them not on what they say but on what they do.

You can assume that about 50% of whatever anyone says is either a straight-up lie, misleading, or bullshit.
https://www.energy.gov/energysaver/cool-roofs

Paint roofs white - and then go plant some trees.
Windows 11 is awful. I'll continue to use windows 10 on my personal laptop for as long as possible.
Of all the "new" reactors, that fast breeder concept is the one the world has the most experience with. Some good, some bad. Back in the day it was motivated by the possibility that it could utilize most of the U238 in natural uranium, today it is motivated by (i) the ability to more completely consume Plutonium and other actinides and (ii) the speculative idea that it could be coupled to a gas turbine and get a system cost less than an LWR. If there is one devilish problem involved it is the problem of fabricating fuel as U.S. regulators won't allow the French process and epidemiological studies have shown that their concerns are valid. (Though there are other fuel forms and ways to make it) Russia makes it look easy

https://www.youtube.com/watch?v=Y0Cx2nZTgQg

Personally I'm disappointed with how slow things are going for NuScale, they are going to get beat to market by

https://www.youtube.com/watch?v=ib9xtHNS9ps

On one hand it is an LWR that the world has a lot of experience, on the other hand it is a really strange LWR.

The SMR that's gotten the most buzz this year is

https://en.wikipedia.org/wiki/BWRX-300

but GE has to make it happen faster than NuScale has happened not to mention the ABWR and ESBWR.
It should lack both space and time to reach web 6.0 perfection.
Some of the points are very company/team specific dependent. And also dependent on culture of the company.
> Who actually likes this?

Microsoft.
This is one of the reasons why I stopped using Ubuntu and switched to pop os. Is there something keeping you from switching to another Debian derivative?
And why could the system not put the failed flight plan in a queue for human review and just keep on working for the rest of the flights? I think the lack of that “feature” is what I find so boggling.
Capitalism ensures that can’t happen (in most cases)
I think you've got a point on strategy and standoff weapons, but I'd question whether anyone thinks a strike on support craft (or even combat vessels) while they're sitting in either U.S. or allied ports isn't an even more serious provocation than hitting our ships at sea. A forward deployed carrier strike group has, as you say, supplies for several days (at least) of unsupported operations, and (as long as the carriers aren't sunk) could carry an impressive punch during that time. I don't know how PLAN anti-submarine capabilities are, but fast attack submarines can carry a heavy conventional punch via cruise missiles. I think it's possible attacks on American soil could result in similar retaliation on enemy soil, such as direct strikes on Chinese naval bases and even political targets.
Like how folks now pronounce "forte" as "for-tay" when it's pronounced "fort" as it's originally a French word.
Good! Chrome is a monstrous application, and it's good when people are coerced off of it.
I’m much more concerned that humans are likely responsible for driving a 6th mass extinction event of current known species than the idea that scientists may have uncovered (and removed for study) the only specimen of a new species, derailing its evolution.

https://earth.org/data_visualization/the-6th-mass-extinction...
As a person who only uses Windows for gaming (I use Linux or MacOS everywhere else), I worry about these custom Windows ISOs being merely reskins of Windows. I would love to hear what you like about it -- I think I may try it out, as the sales pitch looks compelling:

> It aspires to re-create what Windows as an operating system should have been - easy and simple

> ReviOS [is] a capable, efficient yet private operating system
And they only force the engine on iOS, not Mac OS, as far as I know.
Great. Do you use it?
> How do you keep a bunch of pretty hard-core fascist propagandists from stirring up the people without any repercussion?

A million Iraqis probably have the same question.

Preserving the ability of the public to organize and publish freely is probably one of the foundational elements of the solution to keeping a populace from getting so hijacked. The problem is that the incumbent state and military fits your description much better and more often than any upstart group.
If you had met the type of guys I know, that are "ugly" in every definition of the word, and are not rich by any means, but are always drowning in poonang, you would not be saying what you are saying. I consider myself average looking, and I have a tendency to get fat very easily. Because of that I've been training martial arts for pretty much all my life since puberty. I realized very early that just by virtue of keeping myself in shape, I started from zero instead of from a negative point. We, as men, have the luxury of not depending (almost) exclusively on our looks to attract women. It helps but is easily forgivable, way easier than for us men to accept a fat woman for instance.

I dated, literally, dozens of women during my years of dating app cruising, and ALL of them would emphatically explain that the main reason that they accepted to go out with me, was that I NEVER ASKED for, nor sent/asked permission for sending nude pics to them. IT REALLY is a deal breaker and a huge advantage on this market, to know these simple rules.

Don't be fat. Don't be unemployed. Pay for the dinner. Do not put sex in the conversation. It's so easy to not creep women out, there's really no secret to it. If you're fat, it's your prerogative to close your mouth. If you're (too) poor, work hard, learn how to save money and it's easy to get to your 30s on a decent enough life situation. I live in a freaking 3rd world country and was able to do it, on a place where a current year iPhone costs the same as 2 years minimum wage salary.

I can't stand men that make excuses in the style of yours, sorry dude. Evolutionary psychology is true, I saw your other comments. And exactly because of that, you should know that it's way easier for a man that started on the bottom tier of the dating rankings to pull himself up by his own decisions, than to a woman. If a woman is born "ugly", it's game over. She's probably going to be a bottom feeder on the dating market. I feel REALLY sorry for ugly women when I meet one, I have a sister that is in this situation and it is not a good life.

Choose your destiny dude.
Microsoft is also forcing office 365 support to end on windows servers in 2025/2026. It's going to be a blood bath if you run on prem.
Assuming you want net metering, you’d need controls in place for grid safety and such and all the permits and inspections which take time and cost money.
It seems a little dangerous. Maybe many companies will be like - you know we panic bought all these online things during COVID and do we really use them all that much?
I agree that windows is a gateway to sell people on office, but open sourcing it? Getting decades worth of apps and drivers working on the Linux kernel instead of, you know, doing nothing? I don’t see how either one benefits them.

They’re just monetizing users as much as they can stand to juice revenue. No other explanation is needed.
Ya, it's just tough out there. I was laid off in April, haven't worked for a Canadian company since 2020. We'll see how it goes.
Like others have said, there will always be a cost X to desalinate water.

I think the best way to pay for X, is to use energy from an external source. External from the Earth. I'm obviously talking about the Sun.

We could use the removed material as a general filler. I'm sure we can get creative about it. I think the problem is lack of incentives and misalignment of goals amongst people.

I truly think if we can figure out how to how to use the most out of the Sun's rays - i.e. as most directly as possible - we will solve all our needs. The energy is truly free to the Earth.
Truth be told (which will stick it to the "that's disgusting" response), we don't do it very often, and definitely try to stay away from the bad-for-dogs foods (onions, garlic, grapes, chocolate). The bulk of the pre-washing happens in the dishwasher or in the sink.
If you're serious about global warming we could change the building code for residential/commercial. With just a swipe of a pen you could reduce the need for more power plants, cut pollution and CO2 and make a massive impact on not only the environment but the money saved on less energy used. It wouldn't require anything but better building practices and perhaps more insulation, better windows, geothermal HVAC, etc. Totally doable and low hanging fruit. Perhaps not as exciting as superbatteries though.
"But if there was nothing there, why did Jack Ruby kill him?"

I was a teenager living outside the US when I learned about JFK's assassination. It was a Saturday morning where I was and I remember it vividly more from the shock reaction of my parents than from the radio news report (I heard the news first and told them about it).

From that moment onwards the news coverage was intense. When Ruby shot Oswald we were struck with a sense of disbelief—even with my naïve sense of US politics, law enforcement, etc. the first things that came to mind were why would the seemingly sleazy Ruby want to shoot Oswald at all, second, how did US law enforcement let it actually happen. Either the US was in more chaos than the news was reporting and it was a free-for-all over there, or that Ruby's ulterior motive was more than just loyalty to the US/JFK.

I wasn't alone in thinking this, many were of this opinion and it was the first thing that came to our minds. I'd stress we'd formed that opinion within days if not hours of the news—that's well before any of the conspiracy theories or 'grassy knoll' stories emerged.
Any recommendations for an AI/LLM assisted shift scheduler application?
My workplace has roughly 80 people distributed across the country in smaller units and every unit can have very different working schedules.

Currently, our managers spend a considerable amount of time planning the coming shifts, taking employee preferences, vacations etc. into consideration.

I'm between options at the moment. I'd prefer to go with some type of SaaS or local app that could make this as painless as possible for us or develop some sort of custom tool for ourselves.

So, as I don't really know much about shift planning software offerings, I'm asking you all. Any suggestions?

If I were to build it myself, I'd need some platform with an easy way to add all of employees and managers with different roles and the ability to group them into their own units. Then write some algorithms or functions to keep track of what shifts the workers have done and distribute the shifts evenly. It should be possible that every unit had it's own rules. Do you know of any low code platform that could work for cases like this?
That's super interesting (and a little terrifying). It's funny how different industries have developped different "cultures" for seemingly random reasons.
> With dishwashers, it's rare that I don't have to further rinse or clean items

Even when they do, I just leave them for the next cycle. Unless the next cycle was already going to be at capacity, the added water/energy use for re-washing is minimal.
It's the runtime used in React Native.
Huh, I thought people around these parts knew better than to trust some hacked up Windows “distribution.”

At that point you might as well just use an illegitimately-activated copy of LTSC — at least you can be sure it wasn’t tampered with.

Especially since installing Windows using customized install media is explicitly prohibited by the EULA of almost all Windows editions. You have to have the same sort of enterprise support contract with Microsoft that would get you access to LTSC to legally use this thing anyway.
It really depends on the specifics. If there's a lot of contention then performance will drop off a cliff. Even atomic instructions can become a bottleneck ( https://stackoverflow.com/q/2538070 ).

I think what you're observing, i.e. that in many cases just use a lock and don't worry about it (or your variation) is true. But there are certain applications/situations where you can do better. Having a consumer pull out everything from the queue with one locking operation and being careful with how you signal the consumer from the producer(s), assuming there's a signal, can also make the queue more efficient/have higher throughput (e.g. you shouldn't signal for every item you put in the queue, only when it becomes non-empty).
I have a 2016 Bosch SHX65T55SS (USA model) that offers a 40 minute Express cycle. We use it all the time. Works great.
I love my Bosch washer. Bought one for my house, my rentals, my cottage. Whisper quiet and food is never stuck on the dishes after a load - unless someone packs the unit wrong.
Conspiracies have several variables, from feasibility in general, to number of collaborators, to motives, to methods of discovery.

Assassinating a popular, progressive president in the 1960s was very doable and didn't take a lot of people to pull off. It will never be settled as to the true motive of the killing.

Compare this to "the moon landing was faked" or "9/11 towers were not only an inside job, but imploded" and they are much less plausible.
> The direction completely changed. Now it's all about fancier foods and restaurant stuff. Compare an episode from 2010 to now. Complete difference.

Is the fanciness of ATK any different that CK's Milk Street? Season six of the latter had Jordanian, Brazillian (pizza), Turkish, falafel, Mexican, Greek cuisine; season five had Ethopian, Japan, Ukraine, Crete, etc:

* https://www.youtube.com/@ChristopherKimballsMilkStreet/video...

If anything it's Kimball that seems to have gone in the high falutin' direction. Regardless: if fancy is where the viewers/audience numbers are now, then that's the direction that either/both shows have to go to. What was done in 2010, or whenever, is irrelevant if the landsacape has changed.

> That's literally why I watch it: because they know better than me and they put in the work.

That's fine, but the authority should at least explain why so the more curious viewer could dig into things more. The YT link to the Technology Connections videos is to a comment by a chemists that breaks things down:

* https://www.youtube.com/watch?v=Ll6-eGDpimU&lc=Ugxn7pFkryB_j...

For example:

> Some pods, such as our top pick and runner-up pick, contain additional liquid cleaning agents in separate chambers that release when the PVA film dissolves. This design keeps liquid and powder separate until they are dispensed, allowing detergent boosters that best operate in liquid form to combine with powder detergent during a dishwasher’s cycle, enhancing their effectiveness.

* https://www.nytimes.com/wirecutter/reviews/best-dishwasher-d...
which is why my .config/emacs/init.el has this in it:

(cond ((eq system-type 'darwin)
(macos-config))
((eq system-type 'gnu/linux)
(linux-config))
((eq system-type 'windows-nt)
(windows-config)))
Win10 requires a lot of tweaking to make it usable. Win11 just requires more. I'm guessing every windows version going forward will be on the same escalator. When it's un-tweakable it'll be time for me to go.
It's like that in canada too, we have to hardwire a special unit and the washer plugs into that.
On Salem Witch Trials
RestGPT
Meh. I just use text files and emacs. And I hacked sc to use emacs key bindings for spreadsheets. It's far from an ideal system, but it works for me. Simplicity can be nice.
Depends on the number of kids that are in the house in the last 48 hours
> Diesel truck emissions have been reduced by 90% since 2000.

The CO2 emissions haven't. That's not even remotely close.
TV, game consoles, most computers (assuming you aren’t mining Bitcoin or something) are basically a rounding error compared to HVAC, and water heating.
I built a Slack app for exactly this use-case: https://regardingapp.com. It's still in Beta right now so if you want to take it for a spin, I'd love your feedback. corey@regardingapp.com
I am really worried that this experimental thing was included (although not by default) in "stable" OpenWrt version for more than a year. How many routers were pwned?