skysight-inc/HackerNews huggingface dataset:
Having been on the inside of insurer, facility, and provider insurance systems doing automation work, author is almost right but misses the bespoke entity-entity contracts.

In short, "Can F1 send you to F2 to be paid by X?" turns on the following:

- Regulations / laws
- Contract with the insured (policy)
- Contract between X and F2

The last is essentially "anything X and F2 strike a deal on."

So answering the question definitively requires 3-way parsing of those things. Which is generally a unique 3-tuple for any given patient-provider/facility-insurer combination.

The closest you get to standardization is "We work with X a lot, so generally know how they work."

And as article notes: regulations / laws change years, policies generally remain somewhat stable (post-ACA standardization), and insurer-provider/facility contracts change whenever they're up for renewal.

In short, the system's complexity is what paralyzes it.

Which means simplification is the path forward.

---

>> It’s obvious how to fix health care. Just make everything run systematically, like FedEx or Amazon. There are no technical or business obstacles to this. Anyone who understands IT and/or business can see how to do it.

Also, GOD NO.

Healthcare is complex because it's required to be a 1:1 model of reality. All of reality. Shark bite while riding a train that gets hit by a plane reality.

The reason healthcare is still largely manually done is that it was originally manually done.

It's gotten to where it is by progressive automating... but started at "I start the morning with a stack of paper forms on my desk, and work through them, forwarding them on as needed."

We're not looking at a breakdown of the system, but an incomplete automation. (And part of the current bottleneck is the Cambrian explosion of medical specialists in the last 30 years)
> on top of intelligence

That's enough for a minimum baseline of quality. Medical school in general is hellish enough to drive people to actual suicide and there's plenty that can be said about that but at least stupid people can't get into these schools.

It could always be worse. It could be a pointless system that inflicted hell on students and minted shitty doctors!
How is this different from giving a patient a drug that they say they are allergic to? Doesn’t seem to have anything to do with the patient being autistic
Z-transform is very similar to Fourier or Laplace transform, but in discrete time. These things are not that hard, if you get FFT already then you can get there if you want.
"Who are you going to trust, me or your lying eyes?" The issue is that the stats don't tell the whole story. Most states/cities have simply decriminalized behavior that was previously considered 'crime' so that's why people think crime rates are rising when they see more open drug use, brazen theft like shoplifting or car break ins, and prostitutes walking around in public in their underwear--so people rightfully feel like crime is increasing because they see all this happening around them. Alas, the media and politicians say 'nothing is happening' because now prostitution, theft, and drugs are decriminalized. I am only in my mid 30s and have lived in California my entire life and I've never seen more open drug use, more theft/shoplifting, and prostitution is now more flagrant than it's ever been. Things really seem to accelerate into a free fall after prop 47 was passed.
If you want to make new works that are not GPLd, not GPLing the building blocks would let you do that.

Alternatively, you could LGPL the building blocks, still allow the end products to not need to be GPLd, but require development on the building blocks to be open sourced.
I know when my restaurant food tastes good and when it doesn't. But if I've never cooked the dish before, I don't know the first thing about how exactly to improve it.

Someone can know that their loved one was given substandard care, yet not know enough to know how to improve the system such that the care would have been better. Case in point: the family of the patient who died in the linked article, seem to think the systemic improvement that is needed is neurodivergence training. When in actuality, it was a failure to take into account the medical history of the patient which led to the malpractice that caused his death. It wasn't that the doctors didn't know what autism was or something.
Modern Japan gov't agencies are much less adversarial than people imagine. The bad old days of 1990s are gone. Japan is much more liberal about work visas now. If you have a good reason to be here, you make good money, and you pay your taxes, short of a criminal act, you can renew your work visa forever, without issue.
I've had some users confuse the terms. We use register, log in, logout now.

Sign up and sign in confused some people because of how it mentally translated to some people's native language. We targeted more elderly people too, who didn't know the difference.

I assume that log in and log out might translate poorly to some other languages. Lots of people optimize heavily on registration, like even a 1% difference can be significant. And copy is low effort, so I assume there's a reason it evolved this way. Maybe it's a hint on which market the website targets.
You can give the Israeli part any moral excuse for their barbarity in Gaza.
We will just turn on the screen on any live Israeli TV channel and any propagandist excuse you gave here will be deemed completely irrelevant, overriden by the sick society that arrogance and impunity have fostered.
I'm on the autistic spectrum, but not well-versed in matters related to autism.

Can you please give some examples of autistic communication styles?

This is purely for my own edification. I'm not trying to construct some kind of elaborate undercover rebuttal.
COS supported time-sharing and multiple users quite well, actually, including interactive sessions.

Trivia: Seymour was user U0100 on our in-house systems.
anger and "concern" about rising crime is a great way to pump the impressions numbers.

i love these "research shows" crime articles. their research methodology is hilarious:

https://www.foxnews.com/us/most-unsafe-cities-holiday-season...

> Rockville, Maryland, ranked No. 1 for having the largest percentage of Airbnb properties without security cameras

isn't that... a good thing? i feel like not having security cameras usually means you don't feel like you need to have an eye on everything... and privacy at an airbnb is quite nice. might find a reason to visit rockville!

> Newark, Delaware, ranked No. 1 for Google searches related to holiday security

i feel like the only relation to actual safety here is the word "security" in this sentence.
Anyone could say exactly the same thing about any hot-button topic and feel as self-righteous as you. Again, it's fantasy until you back it up with something empirical.
The Cray-1's padded seats cover the power supplies. I was sad to see the Cray-1 at the Computer Museum in Mountain View being used as storage for catering supplies for some event in the lobby.
> the Chinese market only buys Buicks because they're the same cars available in the US-- which seems unlikely (at least, I'd expect regionalization)

It's a historical accident. Buicks were the car of choice for party members and government officials in the postwar reconstruction boom so it became the prestigious brand when GM entered the Chinese market in the 1990s via a joint venture with SAIC.
“Standardizing an interface between health care providers and insurance companies would be a huge win.”

There is a government mandated interface and it’s found at http://www.x12.org in the form of the 837, 835, 276/277, and 271/272 among some others. There are also paper equivalents in the CMS1500 and CMS1450.

These are truly one of the main culprits of the problem because of how old, woefully inadequate, and rigid they are but cannot be easily changed as the speech between these two entities are highly regulated via these specs.
That statement is true of all amphetamines.

Look, this is what I'm driving at, you appear to have some illusions that methamphetamine is significantly different than other amphetamines, or has some higher toxicity profile, more addictive, IDK I'm trying to get you to tell me your biases.

At that point, we can go look at the clinical literature and see what the evidence is.
Especially in cities like SF.
Rural healthcare is being crippled in part due to state politicians posturing for political clout. Major reforms like medicare for all shouldn't be held back because they're not perfect, because otherwise we're going to continue having the same problems we've been having where compromised half-assed bills make the system overall worse.
Because cheap.

Often they just run the LEDs without a bridge rectifier so they are only using half the waveform.
One of the things I've observed from lots of interaction with Doctors is that that US health care is FUCKING AMAZING, and that drives up cost.

Everyone wants top quality health care, everyone wants tests, everyone wants scans, everyone wants to cover their fucking ass. Take multiple X-Rays when there is no good reason to, to prevent lawsuits. the guy who lied about taking Heroin gets a full lab workup for no good reason.

USA has top tier health care. It's simply not economical to give it to everyone who demands it, and Insurance companies are not dumb and believe everything that gets submitted.
As a data point, I've worked at several companies powered by software they'd begun writing ~8–20 years earlier. No rewrites.

These projects were the cornerstones of businesses sized from a couple dozen to a few hundred employees.
you can, its just more expensive to do current limiting vs PWM.
For a while now, there has been complete suppression/derision of people who use their own life anecdotes to come to conclusions about society. The church of only using rigorous statistics to draw conclusions is a method of thought control.
>This sounds entirely ripped off from a Joe Rogan podcast. Sounds like you are in the WASP bubble. You likely haven't experienced living in the hood, having to be treated like a Muslim in the US, having to deal with MAGA people bitching about your existence as a Mexican migrant and many other scenarios.

Yet African Americans are WAY better off than those in Africa, and Muslims and Mexicans migrate to the US for better conditions.There is plenty to improve in the US, sure, but it's a better place than the majority of the world, why on the world do you think people go there in the first place?

Hell the US is outstanding precisely when it comes to racism, do you have any idea of how racist people are in Asia? Africa? Even Europe?
Pay whom. Just explain me in brief how this leaking scene works.
The UI integration you described would be awesome for mobile dev.
You have a point: Apple is developing its own hardware and even recently switched over to designing and manufacturing their own components. There's something of a spectrum here (are air quality sensor station producers "tech" if they're just soldering other people's components onto PCBs whose designs were farmed out to consultants?) so it's not so cut and dry but you can probably safely say that if you're designing your own CPUs you need a significant amount of tech expertise.
There is a growing consensus that there is no point in reporting a crime to the police in most instances since it will take up your time doing so and either the police either won't even try to catch the perp or will fail to do so--and even if they do he will not receive a significant sanction.
In those other cities, the bad guys tend to live there. Whereas in SF, then tend to "commute" from the east bay.
Just keep reading TFA

> it was discovered by Jia Zhou et. al. in 2011, and it’s far more efficient than our naïve method. (You generate a five character string where one character is a dash – YouTube will autocomplete those URLs and spit out a matching video if one exists.)
I used to have a Model 43 Teletype. Sending a suitable number of BELs and then sleeping 4 seconds made for a convincing simulation of a ringing telephone.
You mean backing things up with facts instead of anecdotes is thought control? What?
I keep posting this because there’s always this comment.

There’s been a pretty standard way used for decades to determine whether crime is actually rising or increasing in the US that’s immune to reporting, legislative, etc changes.

Look at homicides. Dead bodies do not get hidden in the US.

And homicides are decreasing.
Same boat. Its so frustrating.
Blue Shield of California are criminals, truly. I've seen lots of great reporting by ProPublica, a reporter named Maya, they're fighting the good fight, have petitions you can sign and forms you can send.
Jealous Behavior in Chimpanzees Elicited by Social Intruders (2020)
It seems like this effect should be measurable in some kind of principled way.

Also, there are some crimes that haven't been decriminalized and are hard to
sweep under the carpet (murder, manslaughter, etc). Are there trends for those crimes?

Edit: The article does say that murder is down in big cities, but there is some weasel text in there about it being down "since the pandemic" which leaves me wondering whether it's up or down since, say, 2017.

Edit 2: This paper seems to be on point, at least in California: https://data-openjustice.doj.ca.gov/sites/default/files/2023...

Homicides per 100k population hit a low of 1679 in 2019 and bounced up to 2206 in 2022. I don't know the numbers for 2023 yet, but that does suggest the original article is misleading. I would note, though, that this is against a rate of 3530 in 1995.
Agreed — but are there any other potential mechanisms that would explain how a rational Hitler —who had known that he failed to get Maikop and Grosny by Mar 1943 at the latest— would still have wound up in the bunker in Berlin in Apr 1945?
There also seems to be the chance that by calling the police you yourself get shot by them.
I use my phone one handed a lot. I imagine that would be a lot harder on foldable phones. Are there significant ergonomic differences with using a foldable phone? A foldable tablet seems like it would be a bit easier to use.
I'm sorry for your loss. I hope you find the fortitude to get over it.
Great blog for the info. What’s the best way to get into MacOS programming? It seems like all the resources are pretty old, any recommendations?
Plants can obviously react to light. Photosynthesis, that's how they get their energy. Most plants seek light one way or the other.

Assuming the plastic plant really turn out to have an effect,
It would be possible, I think, for a plant to somehow sense shade patterns using photosensitive chemicals diffusing through the plant at specific speeds.
US health care is fundamentally broken. Things like "standardizing the interface" are really just arranging deck chairs on the Titanic. The US spends the most on health care for fairly terrible outcomes.

Health insurance companies are rent-seekers. They provide absolutely no value. They are simply designed to siphon money to shareholders at the expense of people dyijng due to denied or insufficient coverage. They are literally merchants of death.

Did you know that lobbyists managed to sneak in a provision to the ACA (aka "Obamacare") that prohibited physician-owned hospitals? That's still in effect. That's what we get with this ridiculous system.

Even non-profit hospitals engage in similar behaviour to for-profit institutions because their executive are overpaid [1] and are incentivized not to spend money on healthcare and instead engage in fundraising and increasing funds under administration, a little like how elite colleges do.

Also unlike every other developed country the US government is prohibited by law from negotiating drug prices with one exception: in the Obama era the VA was allowed to negotiate prices and thus pays a lot less than, say, Medicare. It's even more ironic that most novel drugs are the result of Federal research dollars. The only research most pharamaceutical companies engage in is patent extension.

Last year, the IRA was passed that will allow in a few years the government to negotiate prices on a handful (8?) medicines and even that faces stiff opposition in Congress.

This system needs to be scrapped.

[1]: https://revcycleintelligence.com/news/how-nonprofit-hospital...
This has been my experience as well. My wife has end-stage kidney disease, and we have found that the system works (for us!) when we stay within our hospital system. We don't travel much, we keep to within a certain radius of the hospital we trust, and we make sure any new specialists are inside or at least connected to the same (Epic) system. That has solved the "no interface" issue and the issues described in the "Traditional life in the ruins of systematicity" segment.

We are also blessed to have a kidney specialist that, as part of this system, has some tenure and traction in this hospital system, and is -- in my opinion -- an incredible doctor and hospitalist who proactively navigates these systems on our behalf. I 100-percent realize that this doctor does not exist everywhere, and we are incredibly fortunate to have him on "our team".

In any setting -- ER/ED, inpatient, outpatient, clinic, urgent care -- when you talk with doctors and nurses, answer their questions, no matter how repetitive. Be kind, and understand that the person you're talking with _now_ has exactly 20 seconds of experience with your case and influence over a very small part of the system.

The phrase that has gotten me farthest is "Hey, I'm a dum dum, but." For example, everyone along the way was ready to tell me why what she had _wasn't_ a seizure, and I wasn't going to argue with them, but what I said instead was "I'm a dum dum, but it really looked like a seizure to me. Her fists clenched, I tried to unclench them but I couldn't. I rolled her onto her side because Seizure Protocol. She said herself she lost control of her muscle movements."

The best thing you can do (like the post author) is be an active, participating advocate for your loved one, the patient: Every. Single. Time.
Commenting on topic on social media posts is not "solicitation". If all comments are unwanted, then don't put public posts on social media.

If you post on IG about Gaza and someone comments with a different viewpoint than yours, that's not "spam". If on your Gaza post I comment about how you too can be your own boss selling vitamins, that's spam. And if I comment about Palestinian rights on you post about fashion, that's spam.
You may want to read this: https://arxiv.org/pdf/2304.03442.pdf
Knowing that "you" is the formal and "thou" is the informal is hard to grasp. I can't imagine saying "f--- thou, buddy!"
Overall, very thoughtful post. You must be someone with a lot of experience living in Japan.

At the end:

> So despite having a better ability to pay his rent

I disagree. From the perspective of the landlord, he was suddenly much less reliable as a counterparty, after leaving his stable job with a Japanese corporation. A huge deposit will fix this issue most of the time -- six months will suffice for most conservative landlords. This amount is unheard of for Japanese nationals, but will demonstrate your resolve to the landlord.
I spy a paradoxical comment
No, that never happened.

https://www.motortrend.com/news/hummer-is-history/
If you're using an exchange, you're missing the point ;)
For anyone that is curious, according to 4chan (i.e. take it with a mountain of salt):

> Apparently there are 3 leaks in circulation:

> 3.3 gigs, src only

> 17 gigs, src + partial assets

> 1 TB, src + full assets

I really wish more games shared the source, even if it's under a restrictive license. It's just interesting to get a peak under the hood.

It makes me wish that copyright lasted less time and that submitting source code was a requirement for software projects to receive protection. Then once copyright expires the source can be in the public domain, and we don't have to waste time reverse engineering to reconstruct what was already done. Admittedly, it's a pipe dream. But it makes me sad how much software is destined to be lost to time because of copyright law.

A lot of people love GTA5 online, and hopefully this leak contains everything needed to create a private server should Rockstar decide to take down the service.
Besides that throughout the 2000s and 2010s when crime hit historic lows in the US Americans continued to say crime was increasing.

We’re talking about murders going down by an order of magnitude in many cities and people were still saying crime was increasing.
What about overdoses which are at all time highs? Also, there are crimes beyond murder that affect quality of life. It seems like a fallacy to argue that because murders are down that all crime is down...
The human brain can understand the world without collecting statistically significant samples
It's only in war that you truly find out what is poorly maintained or poorly operated. That said, the USN had multiple incidents of ramming other vessels down to basic failures in seamanship, so I'm not sure I'd be entirely as confident as you are..
> Amazing tooling.

Apparently you're comparing to java 20 years ago. Not to modern dev friendly ecosystems.
No they are higher than theyve been in like 30 years (since mid 90s). And they have been trending up for like 10 years, not just pandemic thing.
I'd say sooner or later enough people would learn from others' misfortunes, but BTC is at 43K USD, so... maybe more later than soon?
ransomware
What about deaths classified as suicide/accidental?
So much knowledge of various places (downtown of my city, for example) is not first hand, but from (social) media.

I'm reminded of this video from Bowling for Columbine, where they stroll around South Central LA, and realize its pleasant and nothing crazy is happening.

https://vimeo.com/39131010

Even without any nefarious motivations, simple survivorship bias will mean any form of media will report on the exceptions to the rule, not the rule itself. Don't substitute media input for first hand knowledge.

Since Covid+WfH, I've felt this acutely and had to remind myself online is not real life.
Yeah, the article assumes that people even update or want to update their PCs, or even know they can update them...

Windows 11 or 12 is what they'll get when they buy a new one one day.
American healthcare is an easy target, plenty to criticize.

There are complicating factors here:

We culturally, societally, and philosophically don’t really know how to make decisions about end-of-life care, and death in general.

We also lack an agreed upon moral framework for how to care for people with diminished cognitive capacity (the extreme being permanent vegetative state).
https://www.investopedia.com/terms/g/greaterfooltheory.asp

What Is the Greater Fool Theory?

The greater fool theory argues that prices go up because people are able to sell overpriced securities to a "greater fool," whether or not they are overvalued. That is, of course, until there are no greater fools left.