skysight-inc/HackerNews huggingface dataset:
I was hoping the article would explain where the 2x cost of US healthcare comes from compared to other developed countries, but I don’t think it provided the answer. Would be nice to see the breakdown of costs per patient between all major parties: physicians, hospitals, insurance, drug makers, pharmacies, etc - in the US vs Canada vs UK vs etc.

Does anybody have a link to this info?
There is no competition because there is no market transparency at all. There is also no pricing transparency, the prices aren’t even posted and you can’t know what anything costs before you get the bill. How can there ever be competition in that environment
No worries, man. I forgive you!

Having knee-jerk reactions is totally understandable, and especially common when a topic is this intense and impactful.

It's crucial to remember that while normal, those reflexive responses don't define who we are, and also to strive to get beyond those initial highly charged responses to something more strategic and constructive.
https://help.kagi.com/kagi/company/hiring-kagi.html
Matt Levine had a pretty entertaining explanation of a different incident earlier this year, involving futures contracts:

> JPMorgan, which does not make batteries or cars, bought bags of abstract nickel years ago. It took delivery of that nickel, not in the sense that a truck full of nickel showed up on Park Avenue but in the sense that an entry was made, on the ledger of the warehouse, saying that the bags of nickel in Row X, Shelf Y now belonged to JPMorgan.

> JPMorgan then used that nickel for its intended purposes for years. Those purposes were to write financial contracts referencing that nickel. The nickel worked perfectly well for those purposes — JPMorgan’s derivative contracts traded and paid off normally — for years, even though the nickel was not in fact nickel, just bags of rocks.

> And then one day a warehouse worker, like, stubbed his toe against JPMorgan’s nickel and was like “hmm that’s not the sound nickel makes when you kick it” and opened the bags and found rocks. And then the [London Metal Exchange] dutifully reported that some nickel was not nickel, and JPMorgan’s nickel warrants were transformed into rocks warrants. But it’s all just a random accident? The purpose of JPMorgan’s nickel was not to be turned into batteries or cars, but to sit in a warehouse. It was doing a great job of that, until someone noticed!

https://www.bloomberg.com/opinion/articles/2023-03-21/jpmorg...
This one used to be the most popular:

https://yandex.ru/soft/punto/win/

I've never understood the reason behind it though, you're either touch typing and looking at the screen, or switching back and forth every couple of seconds to "re-synchronize" and look for typos. People I know haven't used it for longer than a couple of weeks.
Hard to believe this guy is 81. He looks and sounds like he's in his late 60s.
Heightened Human Rights Due Diligence for Business in Conflict-Affected Contexts
Red Alert for America's Wild Arctic Fishery
YouTube ruined the web by... Providing a free platform to host videos open to everybody? By allowing video creators to be paid?
Uber Microservices were such an inefficient PITA. There was buzzword soup of a bunch of half baked infra pieces and they were always migrating. Every part of the stack was rotten. Udeploy, xterra, tchannel, schemaless, etc etc.

My peak “wtf” moment was when we had a SEV because two services that should communicate actually used different versions of thrift, both hard forked by Uber, with different implementations for sets. Passing a set from one service to another caused everything to break.
Natural areas?
https://en.wikipedia.org/wiki/Traffic_collision#Criticism_of...

> In 1997, George L. Reagle, the Associate Administrator for Motor Carriers of the Federal Motor Carrier Safety Administration wrote a letter stating that "A crash is not an accident", emphasizing that the Department's Research and Special Programs Administration, the Federal Highway Administration, and the National Highway Traffic Safety Administration had all declared that "accident" should be avoided in their published writings and media communications.[15] In 2016, the Associated Press updated its style guide to recommend that journalists use "crash, collision, or other terms" rather than "accident" unless culpability is proven. The AP also recommends avoiding "accident" when negligence is proven or claimed because the term "can be read as exonerating the person responsible."[16] In 2021, the American Automobile Association (AAA) passed a resolution to replace "car accident" with "car crash" in their vocabulary.[17] In 2022, the traffic management company INRIX announced that "accident" would be removed from their lexicon.[18]

> The Maryland Department of Transportation's Highway Safety Office emphasizes that "crashes are no accident", saying that "Using the word accident suggests that an incident was unavoidable, but many roadway crashes can be attributed to human error."[19] The Michigan Department of Transportation states that "accident" should be dropped in favor of "crash", saying that "Traffic crashes are fixable problems, caused by inattentive drivers and driver behavior. They are NOT accidents."[16] In line with their Vision Zero commitments, the Portland Bureau of Transportation recommends using "crash" rather than "accident".[20]
Healthcare services are not a free market. The idea that competition can drive down costs would be funny if it wasn't driven by such cynicism. Like a lawyer buying time with objections they know they will lose, the "let the market fix things" people push for price transparency, which they don't get, and then they'll push for time to let that work out. It won't because people who buy healthcare - you and me - don't shop. And we won't shop. Insurance companies don't shop either. Providers hire admins who's whole job is to game the system, which enriches the provider slightly, employs the admin, and extracts wealth from insurance companies and ultimately patients.

The hard truth is that, ultimately, providers, are to blame. Skilled professionals should NEVER say "I don't know how much it costs" to their clients and get away with it. It's your JOB to know how much it costs and to understand the experience of your patient. I get it that you don't WANT to know, that it's complicated and depressing. I get that because all patients get that. That is not an excuse for not paying attention to the details.

It is providers who regularly make their patients wait for hours after the appointment time. It's providers who order expensive and unnecessary tests for every condition, or who refer to multiple specialists. Each of these decisions increases the cost of care, the provider profit margin, and the stress on the patient. Because the provider is ultimately the one with the skill that the patient needs, I blame them for this systemic failure. If you're a doctor and you give in to the status quo, hire a large staff of billing agents and write scripts for all the tests and drugs you can, YOU are the problem. If you took your oath seriously, you'd never accept the way things are. Instead you advocate to maximize your profit margins instead of patient outcomes, and as a result you make the entire system sick. With any luck, it will get so sick it will die.
While this is true, physician pay also accounts for less than 10% of Healthcare spending. It's Amdahls law. You could cut physician pay in half, and it would barely touch total healthcare costs. In fact, we have been cutting physician compensation - the average physician pay has not kept pace with inflation for about a decade now. (US wages overall were outpacing inflation until the COVID inflation boom.)
By the way, the scores are always growing, because one of the main parameters in some activities is duration. Especially in regular employment. The more you work in one company, the higher is the score for this activity. But there are also results. Employees with better results can be higher in rankings even if they have less experience.
I think the original MMT folks’s jobs guarantee is the best option. Everyone that is willing to work is guaranteed a job that pays some reasonable wage. That sets a floor on compensation. Employers who want to attract people away from the government job will either have to pay better or offer otherwise more appealing work. The jobs program incomes in turn create a floor on demand. Note that this doesn’t have the UBI problem because it’s not a bonus additional income, but rather an income floor.

Ideally the guaranteed jobs are something more productive than paying people to dig ditches and fill them back in again. But frankly printing money to pay people to exercise 8 hours a day would probably save billions in healthcare costs.

Anyhow it’s not particularly difficult to work out a greatly more eucivic and eusocial regime than what we currently have. In fact it’s sufficiently easy that a reasonable person can only conclude that the enshittification of our societies is the intentional policy of rulers who don’t particularly care for our welfare.
Long ago, in https://graphics.stanford.edu/~boulos/papers/brdftog.pdf we tried to trade off energy conservation and data reproduction at the cost of reciprocity.

In the end, nobody actually cared about automatically fitting material data from BRDFs or if they do, they actually prefer a symmetric and conserving-enough BSDF, which is what most future research improved. In particular, breaking symmetry means making bidirectional path tracing and other techniques kinda weird.
https://archive.today/CxAB4
I think Discord is not the best for organizing an open source project but I think it has a healthier business model than X.

The best times I’ve had playing online games like League of Legends have been when one of the players formed a party that was using Discord for communications. Some of it is Discord being technically better but some of it is also the sense of community it engenders. In unranked you have to deal with idiots who don’t know how to queue, who argue what kind of position they want to play, how you are supposed to play (like it turns out my support is absolutely creaming the other guy’s bottom, not something I could do on command, why does my bottom care if his character grows?). In ranked you wind up with people who think they can’t get ahead because the matchmaker pairs them with bad players and distract everyone by complaining bitterly about it.

Groups organized on discord had a PMA which was more fun and we played better. Something I think about playing LoL again and starting out a summoner at Lv. 1 but if I do I am going to get a Discord and invite people to it.
Unless smell and touch are important it can be done with VR. Probably not until Apple's is out with finally enough clarity for coding, though apparently still somewhat bad ergonomics.
In the other thread posted on this Gap, I commented that over a quarter of a million people have crossed it already this year, over 60,000 of them being children.

It may be dangerous in an absolutist sense, but it is no longer apparently as dangerous as it was 10 years ago.
The politicians. That's easy. Next??
Interesting idea, is this the only recourse consumers have?
That's subsidized electricity in China. If you would be selling liter of gas for 10cents, people would be driving car even between single blocks.
It’s been happening since the dawn of time, fat client/thin client, static link/dynamic link, micro services/monolith, centralised/decentralised, it doesn’t just migrate from one to the other, the pendulum swings back and forwards, and will do for eternity.

You can be all angry about it, but being angry at the storm doesn’t affect the storm, it only affects you. A lot. Negatively.

The trick is to position yourself to maximally profit from the next trend swing, I’ve been doing it for 20 years now, if you can predict where the next place is gold will fall from the sky, then go and stand there, with a really big bucket.

I always found it strange that there is a certain type of intellect who is capable of accurate observation of reality, but incapable of execution (sometimes called “the disconnected intellect”), they can tell you exactly the problem, and the solution, but sit angry/frustrated that the observed world doesn’t match some imagined ideal in their head, and rather than adapt their internal model and be entrepreneurial enough to capture the value that generates, they bleet and complain while losing all opportunities - opportunities they can see! I can’t imagine being like this.
> (Not talking about the dumb Christian idea "You are already forgiven no matter what because someone is killed 2 millenia ago!" here.)

Even though I'm an atheist, this is quite an ignorant take on Christian beliefs. In Christianity, Jesus' death only cleansed people of Original Sin. That is, people who died before Jesus were already doomed, regardless of how they lived their life, because they were all tainted by their forefather Adam's sin.

Jesus is supposed to have forgiven humanity for this sin, and allowed each person to be judged for their own actions in life, not be condemned a priori because of the actions of their ancestor.

Separately from this singular event, God forgives anyone who commits even the most heinous acts as long as they later come to truly regret those acts and spend the rest of their lives atoning for them. This is obviously a necessary component to any moral system as, without such a belief, the rational thing to do after committing a sin that condemns you to hell would be to continue sinning even more, since nothing worse can happen to you.

Of course, none of these religious inventions are necessary for leading and believing in a moral life. Most people are moral simply because that is the right thing to do, not because they fear some big bad punishing them if they are not.
Yeah, it feels like the drug store chains have really struggled to find their niche here. Their selection and pricing is closer to a convenience store, but it’s usually slower to get in and out, more like a grocery.
They were the ones to lobby the residency bottleneck into place for that purpose, yes, but recently the problem has become so acute that they have been (at least pretending to) push to expand the cap. Their bet on systemic dysfunction payed off a bit too well and they are keenly aware that if they are seen as part of the problem they will have less say in the solution, so at the moment they are allies.

As of a few year ago, anyway. I haven't been paying attention recently and the situation may have developed.
I agree the fact that Harvest blindly redirects helps enable the attack, but according to the OAuth standard, a redirect_uri which does match a registered one should not be accepted before authorization takes place.

From the POC authorization URL, the redirect_uri parameter and value are:

redirect_uri=https%3A%2F%2Foutlook-integration.harvestapp.com%2Fauth%2Foutlook-calendar%2Fcallback?state=%7b%22return_to%22:%22/time%22%2c%22subdomain%22:%22example.com/%22%7d

So if Harvest registered the redirect_uri as:

https%3A%2F%2Foutlook-integration.harvestapp.com%2Fauth%2Foutlook-calendar%2Fcallback

then why does any extra URL parameters added to that value get accepted by the Microsoft OAuth server before authorization, when they clearly do not match the registered one?

edit: I tried authorizing using another OAuth server provider, with a changed redirect_uri by appending URL parameters to the encoded value, and the OAuth server (I believe, quite rightly) rejected the authorization request.
> In theory, they can both do any computation, so they differ only in their performance characteristics

But surely, the exact same thing can be said when comparing any two different machines that engage in computations and can do conditional branching.

GPUs can be used for any computational task that a general CPU can be used for, but a GPU is optimized so it will do certain sorts of tasks much better (and as a consequence will be worse at other kinds of tasks). CPUs are meant to be adequate (if not spectacular) at any sort of task.

It seems to me characterizing GPUs as "specialized" and CPUs as "not specialized" is entirely correct.
Interesting. Do you have any support for this claim?
I feel like git should have a standardized howto.md or something that gives you some version of instructions on how to use the software in this repo. Especially in a case like this where there's no context as to what this thing needs to be used for how it's useful why I should use it what the advantages might be etc.
I would be cautious with any argument about higher ed that focused on student pricing. Higher Ed is full of completely opaque pricing activity, where colleges publish a ridiculous nameplate price, then give enough grants and other financial aid that the average student pays less than $2,500 per year, plus room and board:

> Since 2016-17, the average net tuition and fee price paid by
first-time full-time in-state students enrolled at public four-year
institutions has been declining after adjusting for inflation; it was
an estimated $2,250 in 2022-23.

https://research.collegeboard.org/media/pdf/trends-in-colleg...

If you want to criticize colleges on their cost, the data to use is expenditure data, which is much cleaner.
I keep waiting for someone to build an alternative to wamp/autobahn and to deepstream.io

Bifrost seems to be a great contender. Client code looks a bit convoluted, but that probably can be improved over time. Will keep an eye on this!
The whole trilogy of 'long way round', 'long way down' and 'long way up' are well worth a watch. Especially if you like travel and motorbikes.
it was 0.01¢ and the rep / software was billing it as $0.01 - saying 0.01 of a penny is $0.01.

I may be off by a factor of 10.
What are you talking about? The vast majority of people would rather disable their adblocker on YouTube then subscribe and pay $15 a month... How is it a dark pattern for YouTube to suggest the most likely option?
Each head of the hydra (providers, insurance, drug companies) points at the other two heads and says "don't look at me, they are the real problem!"
It's one of those right/left differences that actually spring from the same flawed human impulse, it's just expressed differently.
Yeah. And it’s possible the process is defective if code review can result in that much change. Oftentimes people skip most of the design process. I’ve been guilty of this.

Reminds me of the army mantra, “slow is smooth. Smooth is fast.” Skipping or rushing design has never actually saved time in my experience. And I see veterans repeating this mistake over and over.
Not easy to make such a tool. But a low Accessibility score (i.e. AXE or Google Lighthouse) is a very good indicator for an annoying website. At least for stuff on the page - not for notification badges etc.
150+ animals per person per year? Citation needed.
Yes, that’s exactly the convention that C4 specifies: add legends on every diagram and make sure things are labeled in a way that people can understand.
Not yet. Give it time. Some really smart folks in China and a bit of espionage at ASML and some reverse engineering and trial and error and in probably less than a decade they’ll be surpassing the west.
Intro to Colorimetry: Color measurement basics and how colorimeters work
Yes, that’s exactly what my point was.
Exactly. The capital of Alaska is on the mainland, but only reachable by boat or air.

This is the same thing as an island in practice. Pretty common for people to live on islands.
> You can encrypt your data with your own key with trivial effort on all the major cloud providers.

Believing that this actually protects you from the provider is wishful thinking. What keeps them honest is that it's mostly not worth it for them to mine cloud customer data, but if they wanted to they absolutely could.
I can’t tell if you love it or hate it… is this sarcastic?
>systematic reason why people like Satoshi, Buckethead, Banksy, etc are not uncovered.

With Satoshi and Banksy it's not so hard to figure out but given that they both want anonymity, informed people tend not to say. Meanwhile random idiots post all sorts of stuff, some right, some wrong.
I’ve worked in billing and basically it starts with the fact there’s no competition.

Hospitals can veto any building plans of a hospital near them. This is to “keep the current hospital profitable”

The AMA artificially limits the number of doctors coming out of school (limiting supply).

FDA puts a ton of regulation around producing drugs and equipment.

Insurance companies and Medicare set the price for goods and obviously need to make a profit so they gouge. There’s a long tail there, so the average person pays FAR more than their share to cover the long tail.

When you wrap this all up, yes. But the solution is massive deregulation. Let the market drive down prices similar to Mexico or India. Socializing medicine basically just regulates it to maximize profits, which is why Europe and US has insanely expensive healthcare (I added Europe because they’re subsidized by taxes, not massively cheaper).
The AMA has been pushing congress to increase the number of residency slots for the last 20 years.
I’m 30+ years in and I don’t think there’s any bad faith. It’s just people who are new seeing all of the problems with the old implementation and thinking their way will be better.
Would it be a triumph of engineering culture to pave over the whole world?
It's called capitalism. Some confuse that with the more neutral concept of a market economy.

In capitalism, individual wealth accumulation is the primary goal, not employing and paying people living wages.

Since capitalism is a disequilibrium state, full employment is not expected. Busy work is part of the system.
P2P. They could have implemented it years ago but instead prefer to control humanity’s video library and take on the full financial burden.

Some people don’t want to pay Google to continue to harvest their data, and they despise the parasitical corporation.
How difficult is to make a 3g proxy, something like the Stingray?

https://en.m.wikipedia.org/wiki/Stingray_phone_tracker
And as soon as you have a rigid 3-body collision, indeterminism comes back. If A hits B before C, you generally get a different result than if A hits C before B. If A hits B and C at the same time, a range of solutions are possible, including both limiting solutions of the previous two variations.

The extreme example of this is the indeterminism of a break shot in billiards.
Outside of Pharmaceuticals, most of the US health-care system is non-profit, so no dividends are allowed. High salaries are allowed, but there aren't business owners that get the surplus the business generates.
Many companies don’t even give top performers raises large enough to cover inflation. Who are you kidding here
I think it belongs in the category of self-licking ice cream cone. The more bloated it gets the more stakeholders there are wanting it to get more bloated.

The same thing drives government bureaucracy growth and the ridiculous amount of administrative overhead at universities. At the root I think a lot of this kind of thing is a kind of unplanned jobs program.

I also think a related sort of dynamic might drive complexity growth in software. Every layer and every feature has stakeholders and people employed to maintain it, and all those people become defenders of all these things.

One of the factors behind “worse is better” in software and systems engineering might be that worse employs more people. Clean well thought out systems are not inefficient enough to create large communities around them because they don’t need enough babysitting.
Yeah, it’s primarily for React right now, but it does generate HTML as well
Recommend the 1970’s Land Rover documentary of a British expedition supported by 60 army core engineers successfully crossing the gap: https://youtu.be/u31yhCmIJ5E?si=GlpzSSvKZzxTn2FE

There’s a lot of YouTube spam of people talking about the gap but precious little content from people who have done it.