skysight-inc/HackerNews huggingface dataset:
False. The AMA has no regulatory or accreditation authority over medical schools. Schools can admit as many students as they want.

The bottleneck right now in producing more US physicians is lack of Medicare funding for residency slots (graduate medical education). Every year some students graduate from accredited medical schools with an MD but are unable to practice because they don't get matched to a residency program. Congress hasn't significantly increased funding in years. At one point the AMA did lobby Congress to limit the number of slots but they have since reversed that stance and are now lobbying for higher residency funding.

https://savegme.org/

There are already tiers of clinicians. Much routine care can be delivered by Physician Assistants or Nurse Practitioners working under a Physician's supervision. Specific limits on their services are set at the state level.
Agree that this looks useful. I actively do not want NPM in my toolchain.
That explains why doctors like the status quo. Insurers like it, too, because expensive tests and expensive procedures must be ordered by a doctor (at least if insurance is going to pay for it) and if the patient gives up on getting in to see a doctor, then the insurer does not need to pay for the expensive test or expensive procedure. In the US, employers like it, too, because they end up paying the insurance premiums for their employees.
> And I told you if interest rates went lower then priced would rise.

That's not what I meant.

I meant - what if:

- the 20-30% investor demand in the housing market would go away (demand down), and

- sales inventory went back to historical mean (supply up)

^^ then house prices go down bc demand goes down and supply goes up.
The answer is simple, mandatory limits on hours and days worked. Also fix healthcare regulation and the process of becoming a doctor so there isn't a supply shortage of doctors and surgeons.
I'm curious if the OP has tried any of the libraries that control the output of LLM (LMQL, Outliner, Guadiance, ...), and for those who have: do you find them as unnecessary as LangChain? In particular, the OP's post mentions the problem of not being able to generate JSON with more than 15 items, which seems like a problem that can be solved by controlling the output of LLM. Is that correct?
There is an article in Le Monde diplomatique of February 2024 that briefly tells the story of the first numerus closus in France in the sixties.
Aron Levie on AI taking a meaningful portion of jobs that humans currently do
Thanks, I commented a bit above already to a similar response. I would say that there's a balance between very short shifts and 24(or more) hour shifts. 12 hours for example is doable occasionally/with breaks in between shifts. Right now the pendulum is at one extreme.

[0] - https://news.ycombinator.com/item?id=40025540
It feels like OCaml is well positioned for this kind of flow analysis to perform aggressive tree shaking. With GC support in WASM OCaml should produce tiny binaries.
I dont know everything i read online says its copyright infringement to create derivative works, outside of stuff like parodies, fair use and getting permission.
https://filmot.com/
> >She was so tired of this
>
> that when she ages out of it she'll look at her craggy face in the mirror and breathe a sigh of relief? very likely not.

A friend of mine expressed relief when she reached her 30s. She still looks good but isn't treated like a piece of meat by men literally every single day any more.
>to appease google

the only reason they have to appease google is because they had given up on worrying about navigation or discovery on their own platforms, and ceded that to google. which is dumb. google's not forcing them to do anything, they gave up control and responsibility to google.
Here’s some better research https://research.rewheel.fi/downloads/Wireless_market_operat...
The profession as a whole is profoundly hostile to any serious considerations of mental health, and it’s going to take many more suicides before even the smallest steps are taken toward obvious quality of life improvements.
I've been using https://www.appblit.com/scribe to get transcripts into a more readable/ctrl+f-able format
"scraping" usually refers to unauthorized access for the purposes of using that content for something else. what google does to generate search result pages is usually called "indexing", and websites go out of their way to encourage google to do more of it.
I haven't checked lately, but Comcast tried that data cap crap and was completely pushed back on in every economically important state they tried it in or there was actually an option someone could switch too. I was shocked in Chicago when I got an overage fee, but I promptly switched to RCN even before Illinois shut it down.
The shit we make doctors go through is unnecessarily insane. It takes 300-400k of debt and grueling 7-8 years on top of a bachelors degree, with bunch of uncertainty on where you'll be or whether you ever make it, just to start working. If you ever quit before then, any progress made counts for zero and you have to start all over again in a new field with a ton of debt.

Why doesnt an MD or even credits at a medical school count toward nursing, physician assistsnt, etc?

Lastly, med school is unnecessarily long. You don't need most of the material to do family medicine for example.

I really don't understand how such inefficiencies could be tolerated.
"Medicine used to be a meaningful pursuit. Now it has become a tiresome industry. The joy, purpose and meaning of medicine has been codified, sterilised, protocolised, industrialised and regimented. Doctors are caught in a web of business, no longer a noble vocation. The altruism of young doctors have been replaced by the shackles of efficiency, productivity and key performance indicators."

That's textbook Marxist alienation of work. It was not supposed to happen to middle class workers though.
IMO this is doctors acting as enablers of a toxic administration. They need to refuse outright to not work crazy hours and force the system & administration to come to a crisis. The admins are not working those hours and thus do not feel the consequences of their actions and by enabling their bad behavior they are not getting consequences from their bosses, which are politicians and customers.
I literally just bought one of these. It’s still in the post. https://www.tindie.com/stores/zitaotech/
It is multiple things based on a simple concept: no traffic should be discriminated based on source, destination or type. That means that netflix ones and zeros are treated the same as facebook, same as your web page filled with cat pics, same as torrents.
When I have a talk to give I can't think of any better use of my time than getting it right. If you don't need to practice, good on you—a lot of people who don't probably should, though.
No one should do business, or collaborate academically, with anyone associated with the video or company again. To co-author with anyone involved with this is misconduct, and every University should be aware of that - they are liars, they cannot be trusted to do research. The VC's should retrieve all unspent cash and sue the founders.

They can reflect on what they did looking at the canvas of the inside of their tents in a homeless camp.
> How a fund can manage this relationship correctly based on view counts is beyond me.

nobody other than the publishers is trying to say the money should be based on view counts. tying anything to view counts is obviously a dumb idea.
Iran said to begin attack on Israel, launching drones
I like dead code elimination much better.
If you want x number of items every time, ask it to include a sequence number in each output, it will consistently return x number of items.

Numbered bullets work well for this, if you don’t need JSON. With JSON, you can ask it to include an ‘id’ in each item.
I haven’t read that literature very closely, but will say that I have seen lots of handoffs, and they generally involve someone who has been working 12+ hours, very often 24+ hours, who needs to hand off 10s of patients to 3+ people, all of whom have things to do and can be hard to schedule around, before they can go home.

It is not at all surprising to me that these kind of hand offs result in things being missed, and equally obvious that decreasing the patients per provider and increasing hand off window hours would at least reduce some of those errors, if not outright improve them. Bonus points for putting the peak of handoffs into late morning hours, where much more of the decision making is completed.

Of course, the only way to do that is to either:

1) drag hours out longer, which I think lots of MDs would be fine with if they weren’t expected to turn around and do it again in 18-36 hours, requiring increased staffing

Or 2) increase staffing all around and just maintain more reasonable ratios
It's interesting that consumer sentiment apparently tracks the older formula more closely. Presumably we have data that could allow us to include "the price of money" in inflation metrics, perhaps weighed based on how much the average American borrows.
Do you have any number that can back up your claims?
And any real info about the owners having yachts? If not, you should really delete your conspiracy shitty comment
My not so generous and extreme take is that the medical profession has a “hero culture”.

There is prestige in working your ass of and living for work. Work life balance is for the weak people who can’t take it, they are not real health professionals. They don’t have what it takes.

I have seen the same culture in aid work.

I find it ironic that both health professionals and aid workers are there to help people, but not for each other. Then it’s cut throat.
Then they make a mini console with some "greatest hits" included. Or (in exchange for $$) license some 3rd party to do so.
Perhaps there's a little of that going on here in the UK. Doctors can certainly command a decent salary especially if they specialise, run private clinics etc. That said, I feel it's probably more complicated than that. Each place costs approx £230k (only £65k paid by student by way of loans). This means increasing supply is a costly endeavour. The government also says that they wish to maintain teaching and learning standards; although, I don't really buy that part.
The entire medicare residency slot system seems a bit self inflicted, why hasn't an alternative system popped up?

Also this is a global problem, not just the USA. You look at videos of student doctors in the UK for example and there are similar abusive schedules. https://www.youtube.com/watch?v=KE1XwEMGm0I
I’d say computational molecular biology has been over promising and underdelivering for a long time, when I was in grad school they were recruiting heavily for a program to determine how proteins fold in water that failed because proteins don’t fold, they get folded. I’m glad they finally took down the poster for the conference (held almost 30 years ago) just a few months ago in my building.

In recent years these new approaches informed by ML are making a lot of progress finally. But there is so much fatigue on AI after just a year or two of revival one is tempted to not use the phrase at all.

(Also I suspect that 90% or more of folks, even at a place like HN, is not aware there is anything more to AI than “Ask ChatGPT” but there is.)
And the schools prefer it (at least in the US) - limited highly paid doctors means they can charge exorbitant tuition.
The red and white Cherenkov glow of canadons in maple syrup is quite beautiful.
FWIW the default soft keyboard on Android functions the same way. Remembering to use it is the big trick!
Vehicle Trends in Europe 2024
The European automotive industry remains a significant economic powerhouse, despite all the challenges and radical changes in recent years. It’s hard to make long-term perspectives, so let’s have a look at insights and trends shaping the sector in 2024.
My Blackberry was the first platform on which I ever used Google Maps. By the way a Blackberry user need not go without GPS. They can pair with and use a standalone Bluetooth GPS peripheral that is about the size of a pack of chewing gum.
What did I just read.
Why is that weird? HN is a global community, and antiques are something that exist pretty much everywhere on Earth, people who are interested in them also exist pretty much everywhere on Earth. It's hard to even think of a more universal and culture spanning topic than antiques. I would think it a lot more weird if only people from the UK cared and commented about TFA.

Nevertheless, if you think it's wrong and only people from the UK should read and/or comment about a story from the UK, how do we accomplish that? Should we start putting country code tags on all of the posts, so that way only people from specific countries read and comment on them?
Build systems may exist in the class of problems around solving constraints: trees of dependencies to resolve. Constraints can be observed in scheduling, bin-packing, memory management, and so on.

Workflows also operate under constraints: Github Actions (specific tool) can define workflows where one must wait for the other.

That brings us to managing threads. Deadlock, concurrency, and strategies to handle those are everywhere, from games to databases.

Now that we acknowledge dependencies, we have introduced state. We have state machines and state charts, reactive programming and render loops.

Build systems exist beyond code: generating a math notebook or manual page, multiple formats of an ebook, or even copying a static website to production could be a "build" (deployment).

Even so package managers and CSS. Gradle's transient dependencies, npm's peer dependencies, and CSS selector hierarchies.

So I think the one fundamental piece of these is graphs, and combining smaller data structures within nodes.

One possible exercise is creating (or importing) a graph data structure and specifying a node. The node takes input and you hook it up to outputs.

That gets into audio and shaders, dragging literal nodes around.

The rest is details: work dependent, project dependent, or interest dependent.
The science of smell is fragrant with submolecules
iGPU Compute and LLMs on the AceMagic AM18
Even some newer houses have garage space issues.

Mine was built in the mid-2000s, and thanks to the way the face furnace+AC unit is installed, 14.5’ is the longest car that can be parked in it, and even that’s not ideal because it leaves no space to move around. At least a foot shorter is better and two feet shorter would be ideal, but that eliminates the majority of what’s being sold in the US today.

I don’t yet have a car but will be needing one soon, and it’s a real pain, especially since I’d prefer an EV which further cuts down options.
I’d like to see a lot more nuance.

> For example, would it be “unreasonably discriminatory” to create a 5G fast lane that includes the most popular apps in a category since it responds to consumer preferences?

What’s in it for the ISP if they can’t collect money for it?

> There’s lots of ways for ISPs to use slices for things that are not normal internet service such as a dedicated slice for a farming operation using remote controlled tractors, slices for telemetry data and oversight of autonomous cars, or providing a slice for a stadium’s video system at a crowded game.

Really? Will the ISP allow anyone to get such a slice under fair, reasonable, and non discriminatory terms? Or will this just favor companies with a cozy relationship with an ISP? Just because these industries aren’t direct-to-consumer doesn’t mean the same issues don’t exist?
Actually, right, but it's not about the hobby of gaming in its ideal form (playing the game software). It really is about "scalping" (oof! so much for the entrepreneurial spirit and the sanctity of buying cheap and selling dear) and collecting or some other passionate hobby. What is this other passionate hobby? Emulation actually makes playing games so easy and accessible that the perverse nature of playing them "correctly" (with original hardware) is completely exposed. These perverted game hobbyists insist on the "correct" experience: I want to hold that dusty, magnificent copy of Pokemon Stadium 2 in mine own hands, to smell the corroding copper contacts on its PCB edge, to snap the power switch upwards, to see the dull red oval light up... but alas, I must emulate.

Really, every one of these occupations is gross. Even gaming "ideally" as the poor sap relegated to emulation does is a perversion. And let's not forget those digital collectors. Who reading this thread doesn't have an organized stash of ROM files on their external drive?

Back to the scalper: what actually separates him from the collector? That he fetishizes the money form over the commodity form? In objective terms, the money form really is the purer and cleaner one; it's the commodity form that is marred and gross. Although:

> Whenever there is a general and extensive disturbance of this mechanism, no matter what its cause, money becomes suddenly and immediately transformed, from its merely ideal shape of money of account, into hard cash. Profane commodities can no longer replace it. The use-value of commodities becomes valueless, and their value vanishes in the presence of its own independent form. On the eve of the crisis, the bourgeois, with the self-sufficiency that springs from intoxicating prosperity, declares money to be a vain imagination. Commodities alone are money. But now the cry is everywhere: money alone is a commodity! As the hart pants after fresh water, so pants his soul after money, the only wealth.

But none of this matters if you want to stay constrained to some narrow set of nerdy interests. After all is said and done, don't let me "yuck your yum"! So yummy, that corroding PCB smell, those shallow vertical bevels in the gray plastic, that soft crackle of the compressed music of the Nintendo 64... who am I to take that from you? I am no "scalper"!
Oddly enough medicine has never been more regulated and financed by government so hard to say this is some sort of marxist dynamic, more like the consequences of centralization that happened after (because of) WWII. You see this in the US/UK/Canada regardless of whether they're "socialized" it's a mess everywhere.
It is at least a bipartisan hobby, to go searching for any alternative numbers whenever there's good news for your opponent.

Though this is an impressive amping up: "previous" is 1983. This isn't some dastardly bit of math by the present administration. This dates back to Reagan.

Of more interest is that consumer sentiment is indeed grumpy, and that is a big deal with an election coming up. They don't really need this guy coming up with mendacious explanations for it.
Can you prove out "do not kill" as necessarily true?
This is like the Dr Evil scene in Austin Powers when he suggests holding the entire world to ransom for 1 million dollars, and is confused by his henchmen being underwhelmed by what he thinks is a big number.

Of course he'd been frozen for 30 years of inflation and progress, not sure what the authors of this report's excuse is.
It's about the precedent. Without protections like this, it's pretty hard to imagine creators being incentivized to produce new work.
No they don't. Show me copyright law from ONE US state!
I invoice in USD and have expenses in a different currency, and while I've seen a few (~5) percent decline in the exchange rate since then, it's been nowhere near 18%.
How can drones that take hours to arrive be a threat?
Combinatory Programming
The answer is implied, right there in the first paragraph: "... I’ve never been diagnosed with a mental illness."

At least in the US, there's a kind of masochistic pride in the physician community, that everything he described in his essay is laudable, noble, to be emulated. Nowhere does he acknowledge the risks to his patients or whether the costs are worth it in the end, or if a different system might be better. And he's holding up the lack of mental illness diagnosis as if it's something to be proud of, as opposed to never being diagnosed with say, cardiovascular disease or cancer. He's proud he's never sought help or tried to change anything. Sure he mentions problems with patient care in passing, but what he's really upset about is "just being another employee".

In the end in his mindset whatever he's complaining about is better than the alternatives, which is ceding over some of the care responsibilities to others or opening up healthcare to a more competitive market so he's not the only provider who could provide those services (note the comment about denying other physicians income). The AMA and physicians union (yes it's a union) basically guarantees this in lieu of having real competition, decreased income, and so forth.

Why is it different in something like aviation? My guess is because the failures are more visible, they're on the nightly news, people are there posting pictures on social media? For whatever reason, I don't think pilot organizations ever managed to remove themselves from scrutiny in the same way as physicians did. We see pilots as highly skilled professionals, but part of a system, with alternatives, and the subject of fair scrutiny from outsiders who are not pilots: engineers, safety experts, investigators and so forth. In my experience when these kinds of issues come up in healthcare though, everyone defers to physician groups themselves, as if no one else has expertise enough to scrutinize them.

I imagine too at some level, part of the issue is that the pilots themselves are subject to their own mistakes: if a pilot crashes a plane, they take themselves out at the same time. If a surgeon makes a mistake and kills a patient, they still walk home and can rationalize whatever they want, all they want.

I'm growing unsympathetic to these types of essays (the one linked). If physicians want me to empathize with them more, maybe they should stop stigmatizing mental unwellness and recognize it in themselves. Maybe they as a professional group should admit that others could take on some of the load, maybe even better in some situations. It feels a bit like they create a mess out of selfish greed or ego and then expect me to feel bad for them.
Just needs OCR for the perfect meme searching solution!
Well I have no intentions of finding their personal information quite the opposite I want to avoid these people at all costs.
There is a lot of protectionism & abuse in the doctor system, to the point where I think common tropes are put as fronts to keep up a status quo to hide the reality. You have to look at actions vs. the statements at this point. "The purpose of a system is what it does"

Statement: We need more doctors in Canada.

Actions: It's much harder than 20 years ago to get into med school or a residency (USA medicare). It's even harder to go to med school in Canada than the USA! Doctors from other countries have much higher testing standards than local med school graduates in Canada to get licensed. To the point where they move to the USA because it's easier to start working than it is in Canada itself. Foreign Doctor moves to canada and becomes a taxi driver is a trope in Canada because of the excessively high barriers.
Steve Reich would like a word with you.