skysight-inc/HackerNews huggingface dataset:
> (1) underfunding

In the context of comparing total government spending, that's a really important caveat.

> (3) an incompetent, corrupt, far-right government that hates public services

Isn't that a problem with a fully government-run system in general? Preferences and motivations in leadership change over time. If the people are dependent on the government program to function they're also at risk of being helpless if and when the government stops running the program well.
Obesity is a failure of preventive healthcare - more like a consequence than a cause of inefficiency, lower coverage and higher spending. And prevention doesn’t start at doctor‘s office.
The library does have Typescript definitions available to use.

https://github.com/vanjs-org/van#typescript-support
Fair point. So I guess it's highly non-trivial to do a direct comparison without going into the details.
Can some one explain how to create an user account? WTF is nsec?
I don't think I've ever seen a system fall over and be replaced. Systems don't fail and get replaced - companies do. Systems at profitable companies keep on chugging along.

Occasionally someone suggests a major rewrite but that usually fails when it doesn't reach feature parity, nevermind meet the expectations of all the new features which were thrown at it to justify the expenditure.
US homelessness up 12% from 2022, hits highest level since 2007
Hey can the reward be a little video of an anthropomorphic bowling ball and pins? It's not the same as back in the 90s: now you can get an NFT of it and trade it!
I think you're confusing the last few years for productive innovation. It wasn't. A whole bunch of valuable capital got pissed away because LPs were desperate for any gains they could get. The world is different now, gains have to be earned. Thankfully there's more than enough opportunities rather than over-funded SaaS startups providing services to other over funded SaaS startups. And that's before we even get to crypto.

Hell, I'm not even bitter, good on you all who got the grift! It was absolutely a grift, though.
I absolutely love Germany, it’s my favourite destination. So I am a quite upset about what you are saying. It’s not all that different to the stories we all heard about how the media and public turned a blind eye at the horrors orchestrated on the Jewish people, but now it’s happening 90 years later on the Palestinian people (the numbers of dead civilians speak volumes). When Russia went to war with Ukraine, I thought it was barbaric… unjust.. and evil. But after 20,000 dead in Gaza (mostly women and children according to media) and the place being flattened, it makes Russia look ten times less nasty. Gaza will be a car park soon.
It takes a lot of money to bring a drug to market. Those costs have to be recovered and there has to be a net profit or no one would do it.

Pharma companies charge different prices for drugs in different markets. Markets with single payer systems usually restrict expensive drugs (either not permitting them or restricting their use to fewer cases) and/or cap prices. Some countries don’t honor pharma patents. Together these controls may make the drug unprofitable in many markets. Someone has to pay full price to make the drug research net profitable, or the pharma companies reduce research into stuff they lose money on.

It happens that the US market is favorable for pharma companies to recoup R&D costs by charging more than most anywhere else. This is possible because of the US regulatory environment and heavy lobbying by pharma.

This is what is meant when someone says that the US “subsidizes” drug costs for the rest of the world.

Note that I am not saying this is a good system; I’m just attempting to describe it.
Here are my observations of the VC market as a founder who is currently closing a round:

- When in (little) doubt, it's always a no. VCs have to take care of their existing portfolio (bridge rounds) and are only opting in for new deals that look like very safe bets (very strong growth or deep tech defensibility).

- Due dilligence takes much longer

- Valuations are down as expected although it's not that bad at early stages. The most affected are startups that raised pre-seed/seed rounds at 20M valuations and now face challenges raising series A without product-market fit and only minimal revenue.

- More focus on capital efficient business case planning. Current raise should give you 24 months of runway instead of just 12-18.

- Growth projections become more conservative (and IMO more sustainable). Previously, VCs always prioritized strong growth over reaching break-even. That is changing now.
It's not just the raw cost, it's opportunity cost. You could make childcare free and would still have population problems because women have to put their careers on the backburner for children. When you have kids at the age of, say, 24, you have to ask yourself: "is this all I'm going to be?"
How is the seal around the bedroom door? Weatherproofing foam strips might help.

For the bottom of the door, there's strips of flexible plastic/rubber/etc usually used on garage doors as a "garage door seal" or "draft stopper". It comes in a roll or a pack of precut strips. I put a strip on both sides of the bottom of the door, flush with the floor.
No it is the underpinning of civilization.

Funnily enough, in the eastern block almost everyone had to work. But as long as the wealthy people call themselves general secretary or commissar and talk about Marx it's all good, right?
Blood letting and crystals have been around for a while as well; I don't think that's really the benchmark you wanna go with for healthcare treatment.
The “allowed” terminology indicates they’re gonna suggest AMA licensing, etc. never mind that every country has those, and probably more restrictive versions.

One of the major reasons the U.S. has low physicians numbers is because med school is just so expensive. You either have to pay a ridiculous amount of money upfront, but more importantly, need to figure out how to pay for your existence for nearly your entire 20s where you’re studying and not earning, or you need to take massive student loans.

That’s just too much of a ln upfront burden or risk for large chunks of the population to take.
the per capita health care cost is estimated to be around $11,590 in 2019, per the CDC for the USA.

Your $1,055 in administrative costs is not even close to "The largest cost of healthcare in the US is all the admin associated with it.", in fact it is less than 10%.
Here i was thinking TikTok was broken by not doing it.
That's a cute coincidence that 1000 divides (11-1)(101-1), but I doubt it was intentional. The test writers didn't have much choice unless they chose a different base than 5+5.
1 million active physicians in the US. At $352k/ year that is only $352 billion in physician compensation, or less than 10% of total healthcare spending.

> That’s a big chunk of the difference.

The math disagrees with you.
In that case, detonate the bomb above its axis of rotation. Unless the rotation axis is precessing as well...
Unfortunately, it's a matter of where you get it done. Getting literally anything done at a hospital is highway robbery. That said, i get two MRIs a year at not a hospital and it's a couple hundred dollars, not a a couple thousand. It's not cheap, but it's a about 1K expense twice a year, which you can budget for.

I feel like this is the crux of the US's issue. We have medical care deserts and for many people the hospital is the only way to get something taken care of. This is where the US is different from many other wealthy nations. We really don't get economies of scale at all. We have cities, but a lot of our major cities juet have nothing like the population of other nation's major cities.
Isn't daycare cost indexed on income in the Netherlands?

It is here in Flanders, and I think it's quite reasonable (also, government subsidy goes directly to the creche, so you only pay the remainder). About 100 euros per child/day/week, in our case.

That's cheaper than for you, but I suppose our income is rather lower since 2200 euros/month rent seems awfully high to me, in the end it seems more or less the same relative to what we pay for housing.

It's also rare to have 4 children going to daycare at the same time, since they go to school at 2,5 years old, so the costs don't last for long.
Oh wow. An app that you just pay for once and that’s it. I’m in love.
They're that. There is also the massive inefficiency of of having non-universal system, due to administrative operational complexity cost and marketing spending.

France is one of the less efficient in europe due to having a dual system, the universal part is very efficient (5% of budget spend on operational costs), the other part, operated by competing organisms, loses up to 20% of their budget on marketing, plus the general operating cost of having a multi tier for insurance coverage.
Also there's a big difference in the quality of pretty much everything, from the chairs in the waiting rooms, to the medical technology and equipment used. In US everything looks a lot more newer and fancier - at least from the patient's point of view, but I think doctors would agree too. Also US doctors are far more willing to order extra searches and tests, while in many EU countries doctors have limits on how many lab tests or medication they can prescribe monthly, which affects the quality of service that patients receive. And still the medical system is in huge problems in many EU countries, e.g. in Croatia where I live the quality of service has been really devastated in the last 3-4 years, there's a lack of everything including the medical staff - doctors've been emigrating to countries with better salaries (Germany and yes, US).

So, just keep in mind with these types of news, it might be more economical system overall when you look just the numbers, but it's not like everything is working great in EU either...
If Twitter is your truth-in-media source in Germany, that's unfortunate. The friends and family I have im Germany don't seem to lack for legitimate news sources, so I'm a little surprised by your claim. Can you elaborate?
That assumes high chronic diseases from other things causing high health care costs. What if we got rid of most chronic diseases? Most are caused by lifestyle but they’ve become topics we just don’t talk about. They’re taboo.
It’s not quite as apples to apples comparison. To employee someone in different EU countries the organization pay an extra 20-30% on top of the gross salary. And if we wanted to be more accurate we could factor in statutory time off.

You also factor in a percentage of their salary incase you need to exit them (maybe doesn’t apply to doctors). I’d assume the states is still ahead but not as drastic as the shared numbers
this is 100% real life 0% satire, and doesn't work in a not-funny-at-all way if your partner is not a remote office worker. source: a friend
I thought ‘The Price We Pay’ by Marty Makary was a great way to dive into some of the reasons of how expensive and complex the US Healthcare system is.
Here’s a quick summary of the book:
https://alijiwani1.medium.com/summary-of-the-price-we-pay-4b...
lol then it must also have lower performances on Fridays and weekends, oh and off hours
Archive of The Podcast Reader is now free
2019 here; I love it… but…

FSD beta I use everyday, but it is still not feature complete with what was promised “within a year”

The bottom of the car is literal cardboard, held on by plastic versions of rivnuts. They come out really easy and then the bottom is scraping in the ground. I had to get it replaced after driving through a shallow puddle (<1”) in the rain on the highway which splashed into the undercarriage. It happened a second time back in 2022 and it has since been ‘fixed’ by putting duct tape around the edges and over the plastic bolts. This is a known defect which Tesla corrected on newer models.

My control arm bearing failed at 4-years. As I was sitting at the dealership waiting for it to be failed, two other cars drove past making the same exact noise. Looking it up online it is another known early failure.

All that said, I’ve still spent less on it than maintenance in any other car. The frustration is just being told stupid shit like ‘don’t drive through puddles’.
A century, or a major catastrophe like losing a major war…
well it is a 'choice' in the sense that politicians campaign on it, and people vote for those politicians - so it is a choice.
Fascinating to me that religious weird conspiracy posts are almost immediately the largest portion of videos.
And lawyers. You hear about how elite lawyers are in the US but not in Europe, or in my country at least.
Careful with “without a doubt” thinking when presenting a strong argument without facts to back them up. BMI is the foundation of a lot of health studies and it is increasingly called out as a bogus standard to base people’s healthfulness on. Science changes.

The body positivity movement, plus sedentary lifestyles, plus the increasing cost of healthful foods, the time it takes out of your day to exercise, almost mandatory amounts of sitting in a car daily… there’s a lot of factors in modern American life that are just bad for our health. It’s not just the money spent on healthcare.
Perhaps fathers could.
All three biggest German news sites have Israel/Gaza on their index pages right now. The fact that you antisemitism is punished doesn’t mean that there is no reporting.

"Attacks on intellectuals" is I guess giving them prizes, while they can do comparisons between a military exterminating a terrorist organisation that uses civilian infrastructure to attack Israel and its military and systematic murder of millions.

As a Jewish person I’m very happy there is at least an attempt to protect me from hate in this country.
Americans May Be Taking on Too Much Pay-Later 'Phantom Debt'
Evil exists, society and it’s systems will fail you, and you have to learn to trust your gut. Overall a pretty accurate (but unfortunate) rundown of the current societal decline that most will face at some point in their life. Hope this story teaches more people to keep their head on a swivel.
Reducing obesity is part of our public health goals in Europe though, so the fact we have lower obesity in universal health system countries is likely not entirely an accident.
US healthcare system is run by mobs. That’s my conclusion after working in the industry for a decade.
> It can do live migrations to any device on my LAN, with zero downtime. KVM is really cool! It transfers the RAM continuously until it's fully synced. This takes about 30 seconds.

Yes! It can take hours or days if you're moving a large machine with tons of traffic, too. Everything is fast for small n.

This doesn't make it less cool, though.
> Almost like journalists collectively forgot how the world was before Covid.

Well that tracks, journalists also seem to have collectively forgotten what the world was like during Covid too.

Most journalism today is way too focused on what's right in front of them that can give the most sensationalist headlines. Context doesn't really matter when its all about clicks and engagement.
The owners are under no illusions - at least not the professional ones. They are buying an asset that is vastly more efficient to move across borders than cash.

Look at the Singapore Money Laundering Bust a few months back - all handbags and rolexes.
In my experience it works well when you discuss specifics and compare approaches - how do I do $x, compare $y and $z, I have this functionality so far, help me extend it in such and such way etc.

I don't think that asking it for a big refactor, or generally leaving it do all the coding on its own is the way to go. A lot of the value it provides comes from the conversation you're having with it and from the fact that it can help you discover patterns and tools you didn't know existed (e.g. what are the best practices for solving a given problem).

Using the paid version with GPT-4 is much better too.
Nostr is a protocol for the decentralized sharing of Notes and Other Stuff (Through Relays). Nostr uses private keys for accounts, and nsec is such a key.
correction "The fact that you antisemitism is punished" should be "The fact that antisemitism is punished", `you` is a leftover typo.
It’s true that the UK health care system is a disaster, but that’s through deliberate actions by politicians both conservative and “new” Labour (I.e. the faction of Labour that are basically just Tories but in the Labour Party for some reason).

For example, instead of just publicly funding hospitals (you know how the Government can issue bonds at lower cost than private finance can borrow, before even thinking of profit margins) the Tories introduced Private Finance Initiative (PFI) schemes, which were then massively expanded by Blair, which up to 2017 (I think which is around when they finally stopped entering into new PFIs) the UK Government had paid private companies more than £308 billion for what amounted to £59 billion of actual capital investment.

Many of these PFI schemes were wildly profitable for the companies, and the public have to pick up the pieces for the ones that fail. At the same time, care quality was often inadequate, even for the ones making profits.

And that’s just one of the “privatisation by stealth” methods, there are a bunch of others (the NHS is too popular to overtly privatise).
This is false. As a regular employee, the system is fully regulated by the state. You can choose your "state-regulated" healthcare provider (gesetzliche Krankenkasse, but the differences between those are only in extras, which are neligible - something like rewards for going to the gym, living healthy). You and your employer pay monthly fees to the healthcare provider. You never get to see the employer's part, and you never see the money that you have to pay, because it is deducted from your monthly salary before your net salary is transferred to your bank account. The monthly fee is regulated (https://www.bundesgesundheitsministerium.de/beitraege). If ylur gross salaray is lower than about 62.000€, it is mandatory to stay in this state regulated system. With higher salaries, you can choose to opt out into the private healthcare system.

If you are self employed, you can choose to stay in the regulated system. However, since you are now both employer and employee, you have to cover both sides of the fee. For many self employed people, switching to a private healthcare provider saves them money, because there the fee, depending on some factors, is usually lower - it does no longer depend on the gross salary, but on the insuranced person's personal circumstances. However, private healthcare provides are to some degree also state regulated; there is a minimum set of service they are required to provide.

The cases of regular employees that don't go with state regulated healthcare providers are low. The cases of self-employed people that don't go with private healthcare are low. If you make enough money, you can start calculating wether switching to the private sector is benefitial to you. But it is impossible not to have health insurance, and it is impossible to go bankrupt because of health related costs in Germany.
Our better model (in Canada, Quebec) is increasingly disliked by our population. The private sector is getting more popular, enough so that our government is thinking about banning it.
> Kind of like the argument Europe is benegiting of US military spending

They are. The US should pull out of NATO and save a bunch of money; the EU is wealthy enough to provide for its own defense.
Agreed, though Satoshi isn't a prophet or messiah. Just a pseudonym.
Cool, any examples?
> you antisemitism is punished

What gives you the right to call me antisemite? You don't know anything about me. The intellectuals I have listed are jewish intellectuals (Ilan Pappe, Candice Breitz, Masha Gessen, Deborah Feldman, and many others). They too are antisemites?

You are very typical for the discussions going on in Germany. Attack anyone that deviates from the mainstream narrative.
Obviously I am speculating and have not personally solved the problem of agency, but it's a common feature of basically all life forms, so probably boils down to survival pressure or something similar.
Universities are primarily businesses, and loan guarantees are effectively a state subsidy to those businesses.

If students were given grants, and universities were given grants, and that was all the money on the table, what pressure would there be to increase the cost of tuition?

None - and we know this because the more the system was privatised and deregulated, the more fees started shooting up.

Forced debt is slavery. Whether it's medical debt, educational debt, or rentier landlordism, it's the deliberate creation of unnecessary scarcity to reduce the personal agency of most of the population.
I don’t understand how anyone manages their money and how they want to use it when medical expenses are concerned.

Your “how I want to use it” is completely out of your control and based on when you fall sick, get injured, need advice, etc. Nonenof which are choices you make. So even an extremely efficient entirely private system doesn’t allow you to either manage your money nor allow you to choose how you want to use it.

You could take insurance, but again, you’re neither managing your money nor choosing how to use it.

Medical expenses are not like buying a toaster that you can decide to put off or buy whenever you want or never if that’s what you prefer.

Also, in any modern decent society, if you choose never to eat toast no one is concerned. However, if you’re dying on the street because you aren’t paying for medical care society will step in. So there’s also a burden you’re imposing on society based on your choices that are not involved in most non medical situations.
I think obesity probably explains a lot of the cost difference which is why people are so excited about drugs like Ozempic. It may make financial sense for the government to cover the cost for everyone since it could end up lowering overall healthcare costs by a significant amount.
pure capitalism is not an answer to the USA, especially with the system which allows lobbying of any type.

lobby + pure capitalism is creating a system where anyone who has more money can push ideas to make even more money and use an excuse that this is a free market balanced by supply/demand, because pushing many millions to lobby their ideas is not trivial or almost impossible sometimes.
It's so off putting I wouldn't touch it with a ten foot pole. I wouldn't even curiously browse a landing page of an otherwise interesting project beyond the point I notice that something is mildly "cryptocurrency-adjacent", or it becomes obvious that it has involvement from devs who also enjoy working on blockchains. Thanks for the heads up.
Given that the source of payment is unrelated to the cost of the service or quality of service, the answer is probably elsewhere?

Also I don't think you can come up an example where transitioning from private to state operated enterprise has improved the quality of service. Tragedy of the commons/OPM etc.
What is this website? Insider implies some sort of inside knowledge, maybe of rejected PR strategies?
I think my family has one of the biggest that cousin declines ever: my mother had 32 cousins, while I had only 1. I know that number for a fact because I've done my own genealogy. I guess the advantage is I have a huge number of second cousins

that is one of the reasons I hope to have many children as I get older so that my nephews would have cousins to hang out with.
maybe one of the reasons, but imo, not even close to the biggest reason - look at the diet and weight and sedentary lifestyle of the average american - that is likey a HUGE reason that people are not healthier - not because they didn't get go to a doctor enough.

and doctors don't even try to solve that problem anymore - they just push pills to counter the bad diet and bad lifestyle.
and do you know what most people use bit torrent for ? "think , mark think..."
Federal reserve