skysight-inc/HackerNews huggingface dataset:
I am wildly in favor of expanding the number of medical schools, expanding med school class sizes, expanding residency slots and funding per resident. None of this means I want decisions now made by someone who does 4 years of college, 4 years of med school, 3-7 years of residency and potentially fellowship on top of that to instead be made by a nurse "under the supervision" of a doctor. If you're a doctor of one specialty and you want to change specialties, you have to redo residency and maybe fellowship. If you're a nurse and you want to change specialties the training is either on-the-job or measured in days/weeks.
You're right in the first sentence, but you're second sentence if we're talking about splitting the largest original number itself that way.
This is not really what happens.

Hospitals and payers negotiate rates and contract at that rate before the service is provided. Assuming the service is not denied by the payer, the hospital knows that they'll only be reimbursed 18k from your insurance company (or at least has the data to know in advance, putting aside whether any one person could tell you what it will be). The 90k only served as a starting point for negotiation with payers and is usually obscenely high due to other regulatory and contractual reasons related to the negotiation process. Their "list rate" is shown on your bill, but was absolutely never expected to be received.

As a result, it's not a "loss" of revenue at the time of service, and isn't recognized as one.

Now, because GAAP requires revenue be recognized when realized and earned, that service became "revenue" to the hospital after service, even though they haven't been paid. They might later "write that off" (I.e. recognize a loss) if the payer ultimately denies that claim, or you refuse your responsibility (I.e. your copay). But in that case, the hospital did not, in fact, make the money.
While we're at it, get rid of the condoms and pregnancy tests in all the vending machines!

Oh, sorry, we were supposed to be talking about the US.
It’s really amusing when tech people who have a full understanding of singletons and basic statistics always refer to themselves when making a broader statement about society.

I always wonder why people seemingly can’t apply their experiences beyond themselves when they already do that day to day at work.

A lot of “personal decisions” are consequences of society. Depending on where you are in society, you’re going to sometimes be forced to live an “unhealthy” life.

Beyond that, most medical care are for older folks, so you’re likely not going to notice anything until you are older.

The thing that bothers me with this personal choice thing is, our society basically expects there to always be poverty. Heck the rate of poverty across America has a “healthy” value that we aim to actually keep. Of course that same percentage is going to be leading a more unhealthy life.

Eh, rant over.
I'd have to look again, but it's right around $18k. It's like $17,950 or something like that. It's an odd number.
I just had ~250k$ billed to me for a surgery and a 4 day hospital stay. I walked out with only paying 2500$. Just a touch over 1% of the total cost billed. I pay ~400$ a month. I’m in the US.
> What you're pointing out doesn't strike that notion as valid; it expands it from "an expectation of a response to an entirely different question, " to, "an expectation that you will pretend to be and behave as a neurotypical person to suit my comfort even though I know that you're not."

No, it changes it from "if you would be interested in hearing anything other than the briefest and least informative answer, it's your responsibility to explicitly state how much information you expect and in what form" to "of the vast set of theoretically possible answers, those which take into account what will be meaningful to the other person are generally better, although it's entirely understandable and expected that autistic people might not be able to do this".

And the article here wasn't insisting autistic people should make conversations flow or that neurotypical people shouldn't ever modify their expectations or followup questions, it made the simple observation that the high-functioning autistic twin has actually learned to do this, pattern matching well enough to provide additional context on behalf of his brother (who apparently regularly struggles to form sentences, presumably even when the question explicitly demands it). I think the conclusion that this is because one of the autistic identical twins has developed better communication skills than his brother (who quite possibly has other learning difficulties) is correct, and it definitely isn't an example of his brother being trapped in a world where all human communication except children's TV is just too imprecise for him.

> I don't know that this is true. If anything, doing this seems to get on their nerves.

There is a happy medium between staccato answers and relating the entire plot of the episode or insisting that all other shows pale in comparison with it, and a difference between bringing up $nichepursuit because someone asked and bringing it up because they were talking about something else. And yes, this happy medium is going to be more difficult for people on the autistic spectrum to recognise. But even excessive enthusiasm about something most people find extremely boring is more endearing than repeated one or three word responses that technically answer the question.
`interface` in TS allows extra keys, `type` does do not. Usually best to use `type` and add an intersection with some other type if you want extras (`Record<string,unknown>` is all right for arbitrary extra keys)
Less enforcement and reporting
One thing that a generic union has in common with the AMA specifically is that both only care about its members, not anyone else, and will vehemently argue in favor of things that enrich its members at the direct expense of everyone else.
Are you sure there's no artificial government intervention?
But you’re already paying for other people’s illnesses through insurance with the downside of layers of middlemen taking a profit. At least here in the UK an emergency or cancer won’t bankrupt me, for the rest of it I can choose to get private health insurance if I like or wait for the NHS to work through the queue (which is sadly becoming increasingly common as our government is obsessed with copying what America does).
... and with that the young monk became enlightened. The next day they chopped a little less wood and carried a little less water.
And hospitals regardless of profits should not be exempt from labor laws of any kind. In my state, hospitals have a specific exemption from overtime in our labor laws.
NASA's Next Deep Space Mission Won't Use Artificial Intelligence
Sleep helps cleaning brain waste
My favourite little joke from a conference talk I did recently on image processing was when talking about greyscale images I put up the cover of "50 Shades of Grey" and replaced a crossed out "50" with "256".

Made me chuckle anyway...
Anybody remember Back Orifice?
it was pygad
Which is pointless without also increasing the number of medical student slots.
Why would you want to know what you're making compared to your coworkers?

You agreed to the pay. Want more? Ask more. If you're making 2x more than your "peers" would you take a cut to equal pay?
compare https://www.smbc-comics.com/comic/coverage-2

> Conclusion: In the future, there will be one final violent death, which will be covered forever, non-stop, by every news network.
You’re very wrong. Do a search before you pop off in such a self righteous manner.

https://www.redfin.com/city/32644/NC/Fruitland
A lot of knee-jerk comments from people who didn’t read the article are missing the point it’s making and misunderstand the situation: Hospitals can be for-profit or non-profit organizations, and either role requires them to follow the law about what they must do with their profits and taxes.

The piece argues that hospitals should not be allowed to take nonprofit status. The article isn’t saying that hospitals are unique tax-free businesses (as many of the comments are suggesting at the time of writing this comment).

A more accurate title would be “Hospitals should not be allowed to operate as non-profits” but that wouldn’t incite the same reactions or generate as many clicks, of course.
My comment reflected the typical, unmanaged conference Q&A where every question has an equal platform, regardless of merit. If there is a way for the audience to upvote questions that are actually good (yes, bad questions exist) as you mention with your hand vote, then it becomes worthwhile again.
> well funded public service

There is. The US spends more per capita on socialized medicine than any of the countries that actually have socialized medicine.[0]

[0]https://data.oecd.org/healthres/health-spending.htm

A P.S. for the "but the wait times!" crowd, look at the first chart then check out hospital beds, again per capita[1]

[1]https://data.oecd.org/healtheqt/hospital-beds.htm
Gordon Ramsay's £13M pub taken over by squatters
Every hypocrite says that when his double standards are called out.
The point was nobody likes their own salaries being depressed due to the free market. One difference is that doctors even under very free market conditions enjoy high salaries so it's comparatively pretty easy for them to set aside some money to lobby to tighten up that market - which gives them more money, which makes it even easier to ...
Oh I agree the license of open source lets anyone use it. No debate at all.

But the demographics of the community are not particularly controversial and I’m frankly surprised people disagree at all no matter their social or political view point.

The HN valley bubble is absolutely disconnected from the rest of the world, but is absolutely representative of the open source developer community. Representative however does not mean exclusively so.

Your experience of presumption of political belief is specifically the “dismay” point I made. I absolutely agree there’s a huge presumption based on the overwhelming political alignment of the community and it absolutely makes science denying cryptofascists uncomfortable.

What I find unclear is why this makes me close minded. I’m a card carrying ACLU members and 1000% agree everyone is entitled to be as close minded and cruel as they want and am absolutely in favor of seeing Truth Social exist and watch it suck the money of its investors pockets since in fact their views -are- repugnant to most people. But they’re absolutely free to share them at their own expense.
You're right I'm talking about the US. Are banks not government backed in the EU?
This is my focus. Though admittedly selfish, I'm spending time learning more songs on the guitar, improving my cooking skills, mastering a new language, etc. Once our children are out of the house, I plan to also become more involved in supporting our community.

It took time to understand that my time is better spent supporting our kids' activities and maintaining an organized home than chasing another promotion.
My 8 yr old identical twin daughter’s have severe autism but one is definitely worse than the other, one of them can use some words but the other is completely unable to communicate.

I have absolutely no explanation for this, I cannot think of anything different that happened to them. They didn’t have antibiotics or surgery at a young age like in this story either.
Ryanair got there by emulating American operators! https://simpleflying.com/how-southwest-inspired-the-ryanair-...
> by someone who has clearly not practiced it very much

The best talk I ever gave was when the scheduled speaker didn't show, and the organizer asked if anyone would volunteer. I volunteered, and gave an impromptu talk with no prep and no slides, just a whiteboard. I simply threw out questions to the audience, and let their responses guide things.

It was the best presentation I ever gave.

Too bad the video didn't work, either, and there's no record of it.

P.S. When traveling to a conference, I carry along the slides from my previous presentations. This enables me to fill in for missing presenters. I also had a talk that didn't go over well, so I just picked out a previous one and did that.
Or the 300 year secular trend: ...violent crime in the United States has been in decline since colonial times. The homicide rate has been estimated to be over 30 per 100,000 people in 1700, dropping to under 20 by 1800, and to under 10 by 1900.
Here's something that should be shocking:

At universities all around the world you'll sit a course called
"Research Methods". It's a bit of statistics, philosophy of science,
hypothesis formulation, significance testing, understanding
epistemology, quality, quantity, bias.....

I've a fairly good overview of it, because I've taught it at least 10
semesters.

One of the things baked into every research methods course is
search. Sometimes you learn the interfaces to specific tools for
searching papers. But most of it is what you describe; boolean
operators, regular expressions, sorting and filtering...

The students are still told to use Google and that this works with
Google. But this information hasn't been useful for almost 5 years
now.

For 5 years we've been training bachelors, masters and PhD students to
go out there and use tools and techniques that are almost completely
irrelevant. The primary official tool at the foundation of all
academic research is broken.

Almost no research methods professors I know at any university have
though to train students to deal with advertising, spam, AI clutter,
disinformation - to deal with the reality of Google as it actually is.

For 5 years we've been misleading students. Because we got so hung-up
on a monopoly, we've allowed a single corporation to fuck the whole of
Western academic research - because year after year I definitely see
poorer results.

One day I hope the world is able to look back at the colossal cost of
BigTech to culture.
> I agree strongly with the bit about not including memes and jokes

I certainly think there is a balance.

If you're not confident about your talk or your ability to present it, folks should be disabused of the idea that adding some gifs or a "One does not simply" meme will fix that.

That said, I think of my talks as sharing interesting stories. When I tell stories, I often crack a few jokes along the way, and my presentations are no different. I feel like adding humour is often a way of giving people insight into your thought process.

Of course, everyone is different, and perhaps you are dead serious about your way of thinking about compilers or neural networks or whatever your work on.

The author does an excellent job, however, of underscoring the fact that jokes can rely on an in-crowd or shared experience that some in the audience don't share. It's important in all aspects of your talk to keep that sort of thing in mind, and make sure your humour isn't just some twitter in-joke.
I prefer my cars without rust. They last longer that way.
Grifters rarely think ahead, as noted in the article
There is always an underlying truthful critique to his stuff.
Yep. The key words are: to you.
When I have convos about this, a spectrum of views come out.

Other views I’ve heard:

- pausing encourages ad hoc crossing, increasing odds of hurting someone by volume even as odds decrease.

- if you stop you enable carjacking (walk into street, car stops, steal car / hurt the human, profit). I don’t want my car to set my loved ones up to be attacked.

- pausing significantly impacts traffic flow, compressing our already overcrowded roads

- I don’t want the car to stop unless it gets to my destination, there’s a red light, or I tell it to stop. I don’t want behavior I might not understand. I’ll decide if I stop for a human or puppy or cardboard box.

Everyone says human safety first but in practice there’s a spectrum of opinions in practice.

My hope is FSD will force a common viewpoint and setup a future generation with a more unified approach to road safety.
It’s more about how many planes you can get through the expensive, scarce gates you have in a day. Those staff could be boarding another batch of paying customers instead of checking IDs.
God forbid we don’t monetize the existence and care of life itself.
Ask HN: Where and how do you store your important files (photos, docs, etc.)
Hey HNs!

I used to use Google Drive. But out of fear of getting locked out of my account for whatever random reason, I decided to migrate everything off Google to an external SSD/HDD

I (try to) do backups once a month, so everything that I've accumulated during that month (photos I took, invoices/payrolls/other docs I received) are being moved off my laptop to an external SSD. An encrypted incremental backup is then made and stored on another external HDD, and copied to Backblaze. This gives me 3-2-1 backup strategy.

So far, so good.

However, this poses an inconvenience. I'm not always carrying the SSD with me, and sometimes I need/want to access some data on the go (from either laptop or mobile phone). While important documents can be kept in iCloud, I'm not yet committed to pay for a higher tier of iCloud for photos/videos.

I don't have much data. Out of the 1TB of the SSD, about 780GB are occupied by everything I need to preserve.

While researching this topic, I came to the realization that many people self-host document and photo management applications that are writing data to a NAS server, and then they compliment with an external and offsite copy to follow the 3-2-1 rule.

Here's the catch. I don't own an apartment, I rent. Moreover, in the past year I've left my home country, travelled across 3 countries, relocated to a 4th country where I once again rent. A NAS could have not survived such trip. I have no place to put a permanent NAS. Parents rent as well, and in any way I'm now far away from them, so if something breaks with VPN to a potential NAS at their place, I won't be able to fix this.

What are my options? Should I just succumb and pay Apple for 2TB while keeping the 3-2-1 ritual once a month?
This was a very approachable explanation, thank you. Do you have any particular resources you'd recommend for learning more about this?
Well except the sharing memory part. Linux added memfds but macos doesn't have that.

I imagine on macos you'd have to use the mach APIs if you're avoiding shm.
> Based in Latvia, OnlyOffice owner Ascensio System SIA was a subsidiary of Russian-based New Communication Technologies.[2] Due to EU economic sanctions targeting Russia, European organizations that used the commercial version of OnlyOffice were prohibited from doing so.[3]

Thanks, but no thanks.
What happens when Microsoft "donates" $1B "worth" of its $0 cost copies of software to a school?
Yeah, that was my argument. It’s incredibly difficult to find high quality writing at this point (regardless of if it’s for profit or not). The most successful place for me has been hacker news, but that’s not a search engine.
Plenty of good Christian hospitals here too. I suspect the parent is referring specifically to abortions, there are other procedures that a Christian would be potentially unwilling to perform (sex change operations, for instance), but they tend to require an experienced surgeon specifically trained in that operation, which wouldn't be hired by the hospital due to not aligning with their mission (would you want the government to force you to hire a .NET developer when you're purely an embedded systems shop?).

As for abortions in particular, if you are of the opinion that procedure would be murder, it would certainly be out of place for the government to force you to do it. How many folks who promote the government forcing doctors to do what they consider to be killing children would be okay with the government forcing them to kill another human in their day job?
A Walmart Supercenter can have 500 employees and dozens of deliveries per day. I can totally see why they'd get wrapped up working mostly in the office and talking to department heads vs. walking the store.
Does Amazon allow competing services to be sold on AWS marketplace ?

Specifically, if rsync.net service (for instance) were targeted as a non-Amazon backup location, would Amazon allow us to sell our service on AWS marketplace ?

This presumably competes with S3 and other storage options ...
Where is the funnel? The for profit supplier pays taxes, and the expenses are deductible.
It wasn't well-documented until recently: afaik, it's largely due to Dr Damian Milton that academia takes this idea seriously. Most academic research about abnormal people is just the rampant pseudoscientific speculation of a respected academic, which has become Accepted Truth because it's published in a serious scientific journal.

This has been getting better over the past decade: I think increased access to science is making it easier for the subjects to learn about the "research" and say "hang on, this is nonsense". On the flipside, though, bigots have increasingly been picking the worst theories from the literature and using them as an excuse to do bigoted stuff. (e.g. you still see lots of people claiming that autistic people "have no theory of mind", because they don't understand that ethics are suspended when nobody's looking)
Meh, we got Congress to do that already.
If you need a database for online workloads (ie, your users interact with your product via reading and writing data to the database) and are ok with writing your backend in JavaScript or TypeScript, you should consider Convex.

If you need for example peer-to-peer video or machine-learning inference, these are not well suited to building on Convex from scratch, but you can likely use Convex to implement the rest of the app (and probably use another service for these).

Since Convex is online and realtime, it doesn't focus on domains like embedded systems programming or analytics (but you can stream data from Convex to an analytics platform).
How so? C# seems quite a bit more productive than GDScript, to me.
It is no bad thing to celebrate a simple life.

Not actually Tolkien but it's in the movies.
> usually obscenely high due to other regulatory and contractual reasons related to the negotiation process

Lets be real its due to greed nothing else.
I want more of what businesses do. Why are nonprofits special?
Kate editor on all platforms
We're almost getting back to the .com era of the 2000's with some of these "public cloud" company demos. Enough frenzy, that if your app really starts grinding compute cycles you can quickly DDOS yourself with server costs. Even at $0.001/request [1], if you get 10,000 HN readers who all make 100 requests on average, you suddenly get $1000 server bill from somebody. Those used to be on /. all the time circa 2000.

If few convert, and most just tell their friends to try your cool demo, you can suddenly have 100,000 reddit users making 200+ requests on average every day cause your free demo's so cool. And suddenly you're mostly trying to figure out how to scrounge up server costs to cover the free parts.

Frankly, seems like the entire industry's probably going to have a lot of the same optimizations pretty soon. "How do we stop delivering such enormous JPGs with every Amazon/eBay click?" and similar.

[1] Slighly old article, so I lower the $/request on compute a bit from $0.0014 to $0.001. https://a16z.com/navigating-the-high-cost-of-ai-compute/
Ditto private colleges and univeristies and their endowments.
Infinite captcas, that website is utterly broken. https://imgur.com/a/K5z1X2R
"should be"? I would very much like Hawaii to be the tropical paradise I visited forever, but the history of the world suggests that 300 years into the future, it won't be.
I only want lower taxes if I see my current tax money being spent very irresponsibly, like "forgiving" student loans...