skysight-inc/HackerNews huggingface dataset:
> at every level, the incentive is to maximize the profit margins

This is wildly oversimplifying. For example, it theoretically rules out principle-agent problems.
There are just so many factors in play, and many statements in this articles can spawn their own large-scale discussions.

> More than 100m people today live in an area without enough primary-care doctors

I have several friends who are primary care doctors, and their patient panels are 2000-3000 people. That is an absurd number of people, and requires a ton of work on their part, leading to poor work/life balance. Being a primary care physician is becoming more difficult and less attractive, even for people who otherwise would be really interested in being generalists and building the kinds of relationships that come with being a PC.

> the problem is particularly bad in rural areas

Generally, highly-educated people tend to live in urban areas (there are many sources that track this trend). In addition, rural areas tend to imply private practices (because there aren't as many large hospitals in those places), and private practices are even harder to work at — whereas a hospital has an entire department dedicated to billing and dealing with the myriad insurance types their patients have, private practices have to mostly manage on their own with minimal staff. This winds up taking a ton of their time, and is a major reason some folks I know have not gone that route.

> As the baby-boomers age the need for medical care rises and the doctors among them retire

This may be a "usual suspect", but it is a real one.

> it takes 10-15 years after arriving at university to become a doctor in America

IMO, this alone largely answers the question in the title. While training, physicians don't generally earn a lot of money (relatively, and especially since many of them train in large hospitals, which are based in large cities, which have higher costs of living). The expected reward for spending a 10-15 years of your life studying and working hard, long hours, in schools and then residency programs that are short-staffed and have multi-day shifts, must be high enough to justify the cost, even for those that go into it with a very idealistic mindset.
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Right, the two M3 Max SKUs being discussed above are the ones with 300GB/s and 400GB/s memory bandwidth.

That sounds like 3 memory controllers vs 4 memory controllers, likely due to chip binning. TSMC's 3nm processes supposedly still has relatively low yields.
The "bachelor for everything even if it has no direct correlation with the work" mentality is a real plague. It's causing issues with airline pilots too. From what I understand the FAA does NOT mandate it, they "only" ask that you get a PPL and 1500 hours of flight to get your ATP and then you can work for an airline. But airlines want to hire college educated people for some reason...
Why are you expecting the AMA to fix this? The primary bottleneck on producing more physicians today is lack of residency program slots. Every year some doctors graduate from medical school but are unable to practice medicine because they can't get matched to a residency program. The AMA has been lobbying Congress to increase Medicare funding for those programs.

https://savegme.org/
You are describing a bias in terms of expected traits of a doctor. You can imagine (and attempt to measure) that there are a good number of people who share these traits who are not doctors and a good number of doctors who do not share these traits.
I use ubuntu. But I’ve switched away from gnome to the i3 window manager (it is my favorite).

Ubuntu was a nice base in that it provided all the drivers and stuff like that built-in (I had a desktops with Arch for about a decade, and my previous memory of laptops was hunting for drivers on Arch in like 2011. It was kind of a pain, so I switched to Ubuntu for this laptop. I’m not sure whether that was the right decision, though).

Good luck with the crash! FWIW, there’s an Xorg and a Wayland version of Ubuntu’s desktop environment, maybe try flipping over to the other one just to see if that does anything.
Oh, I love strawmen too! I brought my 2024 Easton Ghost Unlimited Pitch Black, what did you bring to the beating?

Primary schooling's mission is to educate children about capabilities to provide for themselves and those in there care as well as operate as how to perform and behave as productive members of society. Ancillary benefits are nice, but not required, to achieve that mission, thus should only be included in the strategy to the point that they support the overall mission.

So kids learn better when both active and not hungry? Yep, we know this, and thus justifies having lunch, cafeterias, gyms, and PE class. (We should have more funding for these things).

So kids learn better when not abused? Yep, we know this, and thus schools are typically required reporters. (And thank goodness they are -- we should fund more training on these things).

What you missed in my prior comment was that the argument wasn't against any of these outcomes. It was bemoaning that society requires these ancillary benefits in schools in order for society to continue operating at all, not that it's nice that schools are available as resources to provide what should be a child's primary caregiver's responsibilities.

Thus my comment. Schools shouldn't have to be police, meal kitchens, exercise facility, or child care in order for society to function. But they too often are. It's a failure of policy to which no one holds others to account. And insisting or expecting that schools provide these as primary responsibilities does harm to the students to whom need these in their lives, but for the school would not have them.

Help the marginal student? Yes, absolutely, we should fund.

Provide long term assistance (disguised welfare) through the schools? Not appropriate, a full change in situation is warranted for basic needs to be met for children by their caregivers.

Consider this. During the pandemic, we could have conscripted all school teachers in the first few weeks to deliver food to everyone within their school operating areas. A ready, idle workforce to solve one of the fundamental problems, allowing virtually everyone but teachers to remain locked down while focusing use of protective gear during its limited availability. Why didn't we rely on the schooling workforce to deliver food during lockdown? Most of the answers I can see apply to long term welfare and social safety net assistance being provided through schools as well -- training, safety, and other elements that simply aren't appropriate to expect of educators.
Was going to say exactly what you said. The whole approach the AMA takes seems very much in-line with cartel behavior. Through lobbying and other similar actions, their behavior is quite similar to OPEC and Latin American drug traffickers.

They have their own interests to protect, and those interests aren't 100% aligned with the medical needs of the American population at large, nor with doctors struggling to make ends meet after taking on a ton of debt to go to med school.

Is it any wonder that those who enter med school (or residency) with a deep sense of altruism get burned out rather quickly? I think not.
At some point I wonder when is progress enough.

Comparing htmx (modifiers in html, lot of abstraction) vs remix (front/backend in same file) and then the readability of rust (lot of chaining/calls and "decorators" eg. tokio). It just works but if you get used to that syntax/rely on abstraction. I'll learn what's hot to be employed but yeah. I've been happy with just ReactJS/Express.
No one has mentioned this: once upon a time, a lawyer with capital would rent out more space than he needed, say, a floor with ten separate offices, all accessed by a single door. He rented nine of them to other lawyers, charged a fee for a shared receptionist, copy room, (not phones--everyone needed their own line) and tried to make sure that his lessees preferred different specialties so they could refer business to each other. It worked pretty well.
But nobody called it "co-working."
I think web browsers should be the exception to Distro's "stable" release rules. Browsers do not work at all like every other package. There are so many security implications, everything is so complex that I really think having whatever is the newest release is actually the most stable strategy. New releases tend to be pretty stable considering how much testing they get everywhere.
Just make sure your anti-histamine is not in this list of drugs to avoid.

https://youtu.be/16n80OQCVSM?si=_Ve2HH4U2N-ATTnj
Well, square feet of Rubylith maybe. I haven't been able to find the exact date that Intel switched from Rubylith to digitally-generated masks, but I'm pretty sure they had switched by 1982.
Thankfully I've never worked seriously in Java. Ask similar questions about Python, C, x86 assembly, old versions of C#...

I just looked up >>>, it's something I'd definitely know had I delivered any Java projects.
Location: Baltimore, MD

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I'll give a warning with that, the traffic generated by adnausem starts to get cloudflare suspicious and then you end up having 1/2 of the internet made inaccessible because Cloudflare decided at some point you are a bad actor and you're pretty much hosed from that point on.
There are many things that are true and real that you can't point to in external objective space. Categories. Concepts. Language. Grammar. Numbers. Something doesn't have to be physical or empirical to be real or useful to human experience. So I repeat: empiricism is inadequate for capturing what is true or real. Check out the writings of David Hume. The needful distinction between physical and metaphysical goes all the way back to Aristotle, to be fair.
I can write and edit C++ for hours without thinking too much too, and I’m no language lawyer. Almost all code one encounters in the wild is not particularly esoteric.
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It's pronounced Pae-ctra. Or call me Pat. That's much easier.

Software Engineer with 3 years of experience in both back-end and front-end development. I initially interned for USGS and NASA while getting my Bachelor's degree in Computer Science. I then got hired full-time, contributing significantly to the development and maintenance of web-based tools and applications vital to NASA's scientific data production for their Earth Observing System. I am now seeking an exciting, full-time opportunity that will enrich my skill set with a focus on DevOps and infrastructure, learning new tech, and challenging my problem solving ability. I am open to work in both United States and Europe as well.

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On Work-Life Balance
This is all absolutely true, but it's not really an argument for or against ACPI or DTS or OF or any of that stuff. They're all sort of messy, but frankly all aimed at solving the wrong problem.

The root cause to every single problem in this space is simple: the OS and the firmware need to coordinate, period. That's a software problem. It's a complicated software problem. And it has to be solved with software engineering, with stuff like interface specifications and division of responsibilities and test suite and conformance tests and all the other boring stuff.

And ACPI is, sure, a reasonable language for expressing most of that work. But... no one does the work![1] Vendors make windows run and then ship it, and will occasionally fix bugs reported by critical customers. And that's all you get. Linux comes along later (even new versions of Windows often have crazy workarounds as I understand it) and needs to piece together whatever the firmware is doing ad hoc, because none of those vendors are going to bother with anyone that isn't Microsoft.

[1] In the PC world. In the world of integrated hardware things are much better. You can rely on your Mac or your Chromebook or your Galaxy S412 not to have these kinds of bugs, not becuase they use better firmware interface languages (arguably they don't -- I've seen DTS trees for ARM chromebooks!), but because they treat this as a software problem and have the firmware and OS teams work with each other.
No worries, I believe you may have misinterpreted what I said. See other thread.
If they were free, more people would take advantage of them, potentially earning more, bumping them into higher tax brackets, where their taxes would be used to fund tuition free education, and the cycle would continue.
You should actually time how long it takes you to write it yourself rather than guess. The results may surprise you.
The program was started by a guy hopped up on cocaine the whole time, that's why the hours alone suck:

"William Stewart Halsted developed a novel residency training program at Johns Hopkins Hospital that, with some modifications, became the model for surgical and medical residency training in North America. While performing anesthesia research early in his career, Halsted became addicted to cocaine and morphine" https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7828946/#:~:tex....
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Generic comment: have you checked for sleep apnea ?
Or you can spending a day or two creating enough things to track the "end to end" numbers and debug problems the hard way when they appear.

Modern APM is completely out of proportion, and most people that use it do absolutely not get enough benefit for paying for those systems. My impression is this is yet another of those Gartner-created hypes that survive as a meme on the high-management minds and don't survive touching the ground.
That explains my experience. I wonder if they pivoted to coworking in my area due to the pandemic and having too much unrented space.
I'm on Ubuntu so I'm also using the tarballs. I wouldn't want to have to update it manually every time, though. Instead, I've extracted Firefox into ~/.local/opt/firefox and the auto-updater works as expected.

I'll definitely switch to the apt distribution down the line, though. Package management is one of the main reasons why I use Linux in the first place.
> Starving the farmers and consequently others is rather characteristic of communism,

You're confusing communism with dictatorship. Communism is about communal ownership, and likely some version of worker-ownership ("own the means of production"). If the system, or its leaders, are starving the farmers, and the farmers and their customers can't actively negotiate against that practice, you don't have communism at all.
I'm at a loss for words. It's as if you assume that a family is by default an abuse mechanism. And that schools are a safe haven?

Not sure which is worse.

I have an education thanks to my family and despite public education. I was partially homeschooled. It was my family who helped me go through high-school, not the other way around. For the high-school I went to, I could have (and almost did at one point) ended up being dead, for all they cared.

I won't deny there's abuse and cases in which public institutions have helped and saved people, but by assuming that this is the norm you completely overshot it here with your absolutism.
This is the best form of prompting for generating code. You tell it to first generate a technical spec for solving the stated problem problem, consider multiple options, return for your review. You then use a trigger command like “build” to then implement, once you’ve specified any changes.
https://en.wikipedia.org/wiki/Catharism#Beliefs
> ... appealing to popularity and cult of personalities are sins I didn't imagine the programming area will suffer from, yet it happens every day. Try criticizing one of Python's many obvious pitfalls [...] and you'll be buried under a mountain of "millions are using it successfully every day, have you considered that you are the problem?". As if the amount of supporters of a thing ever had any correlation at all with quality...

Hear hear. The last 10 years of my career I was surrounded by this attitude (about Python); there was literally no possibility of putting a dent in the groupthink and cult-think surrounding Python (because after all, wasn't it "the most popular programming language in the galaxy"?), which eventually became the corporate-ly mandated language for all software development (and that was that). Yet when I retired in late 2021, my employer's minions were still developing almost entirely in Python 2, having half-heartedly put forth multiple parallel Python 3 migration initiatives which had largely come to naught.

/rant
> Based on our math, we’ll be 25 to 30 years into our careers before her medical education with have a better ROI than my career choice. I didn’t even push for top-dollar jobs.

I just want to point out that - you landed (probably more random than intentional) into arguably the best career in the history of labor.

Compare a doctor to almost anything beside an engineer - and it won't seem so terrible.

Most people that have been in engineering for >10 years got into it because it's what they liked doing - and then it just so happened to be ridiculously lucrative and not require you to go into hundreds of thousands of debt to get trained to do the job (medical, lawyer, etc).

Even most trades (electrical, plumping, beauty, the taxi medallion system, etc) are designed similar to the medical industry - and require ever more schooling (debt, opportunity cost) to get the job - to artificially reduce the work force to benefit current workers at the cost of future workers and everybody who uses those services.

I think the particular problem with the medical industry is... it's particular detrimental to society to be overworking doctors to the bone and it not really paying off for them until they're in their 50s.

We're all gonna need medical help some day...

Maybe we can do our own plumping and cut our own hair and be good law abiding citizens and not need a lawyer. But we're all going to have severe medical problems at some point.
Its not clear if you want programming help, to be hired, or people to notice your product. People are more polite IRL, you could go to a tech meetup.
This is one of those things that the majority of people simultaneously choose to ignore and also are very interested to talk about. For some reason, even though it'll happen to everyone, death remains a taboo subject.

Live life, minimize regrets, have fun, enjoy it while lasts. I have discussed end of life issues with my kids, so they have an idea of what to expect. Even though I'm not looking forward to it, I'm not afraid of it.

I take our caskets and hearses out to public events to provide insight and hopefully get people to think about and openly talk about death, trying to make it less taboo.

Personally, I participate in a monthly death cafe, help preserve history by volunteering at our local cemetery, helping to run events, assist taking care of the grounds, repair and preserve headstones.
Crypto is decentralized so it eliminates the middleman
I met the founder of https://www.deskpass.com/ at one of these small local ones, and used it some while traveling. It might not have the extensive network of Wework, but at least in major US cities, I could always find something. Looks like there's a couple (only) in Spain too.

But it's an interesting model, at least. Many local credit unions are also part of a shared ATM network, for example, and often science museums will have reciprocal memberships across the world (via the ATC Travel Passport program).

But yeah, I hear you. It's the same reason Starbucks is popular everywhere... consistent reliability + availability is a big perk that locals have a hard time matching.
Why on earth would medicare have anything to do with residency spots to start with? Why wouldn't the hospitals use this as an apprenticeship program and pay the residents and charge appropriately for their services?
Either the AMA will reform, or super nurses will do everything.

Ideal outcome is accelerated MD for nurses as continuing education. Not having this is plain classist af.
They aren't locked in. That's the one provided for free. It doesn't seem to stop private schools and homeschooling at all.
I'm wondering if PHP's reputation has been rehabilitated somewhat in recent years. At least amongst those who understand the significant changes in modern PHP, and the difference a stable framework like Laravel makes.

I've found PHP with Laravel a stable and solid workhorse. Good for getting things done quickly, and then a stable system over time.

In contrast, I've gradually become disillusioned with the node.js and JavaScript/TypeScript ecosystem over the years. You can build quickly, but the systems turns into a pain to maintain and update.
Same, especially when the bleeding edge tends toward fun stuff like "We changed the way the engine works entirely so none of your browser extensions work anymore!"

RIP classic NoScript...perhaps it mostly works the same now, but when Mozilla updated Gecko (around Firefox 58 I think) they pared back what extensions were allowed to do for security reasons and NoScript had to change a lot before it could work.
I on the other hand can't get to sleep without weed, and that's my sole purpose for consuming it.