skysight-inc/HackerNews huggingface dataset:
I horrified my wife a while ago by telling her about how we would "call each other out"* after school, last century in the States.

She replied that, yes, boys at her school would get mad at each other and start fighting, but none of them would have even thought of making appointments to punch each other in cold blood.

* is this still a thing in the Old Country?
> 2. State provision of medical care corrupts the system, as I describe sidethread

How is this at play (from the article we are commenting on)?

The article does not mention once: "medicare", "medicaid", "regulation", "law", "government" - once.

If anything, it's the inverse. You have it bass-ackwards, the private hospital, the for-profit system is driving things like:

> I delivered my third child with my own hands because the obstetrician was stuck in a traffic jam. The following morning I went to work because if I didn’t 12 patients have to miss their surgeries, 2 anaesthetists and about 8 nurses will miss out on their day’s income. More importantly, admin would not be happy because a cancelled operating list is a huge financial loss to the hospital.

----------------

> 1. Doctors have a lot of political influence because they are popular. This means they can get away with things that other industries mostly can't.

Can you clarify how this doctor exerts any type of political influence? They have a sleeping bag in their car they sleep at their job so often and are lamenting they barely get to see their family. I don't see your point at all being illustrated in this article, at all.

---------------

> "And doctors and hospitals are happy with this, because such a system boils down to telling them "we want you to do less work, but for more money".

I get the feeling this doctor is on the verge of suicide from being over-worked. Do you think the person that wrote this article would agree with your statement?
Basically they have huge monopoly on the opposite side. So they go to niche (eg rich.)
Not really sure what you're meaning?
> I always wonder why people seemingly can’t apply their experiences beyond themselves

I grew up lower middle class, and I didn't have it easy. I have no idea who my birth parents were. I had an abusive father. I was bullied and beaten relentlessly by the other children that didn't like on-the-spectrum kids. I didn't party like those that abused me, I withdrew into myself and turned that into hard work.

So when I see people [1] wanting me to pay for their choices, I feel used. When I see people demanding way more than I take for myself. It's as if the people that caused my problems are now trying to ride on my back.

Does that help lend perspective for how some people feel about calls to increase taxes to pay for this?

This doesn't mean that I'm unkind, uncaring, or unsympathetic. I just don't think US healthcare or how it is utilized is efficient, and I don't think armchair posturing or giving money to bureaucrats, administrators, or anyone without skin in the game will make it better.

edit: I removed the analogy and replaced it with a personal anecdote.

[1] The comments and downvotes here are probably from wealthy / well-off people on HN
It would be even better if the city claimed eminent domain to create a public park.
They can charge whatever they want, sort of like they already do for medicine.
Let's not pretend we're talking about the difference between $30k and $60k/yr here. We're talking about $400k vs. $800k. "I'll only make half a million dollars a year if I do this" does not set oneself up to be a sympathetic character.
> For example, even among the top 1% of the earnings distribution, where the variation in cognitive ability is at its lowest, 9% 15 of men in Finland and 14% in Norway scored below the population median in the cognitive test.

This sounds like the old, “A students work for C students,” scenario. It would make sense that the top 1% are business owners, not wage earners.
And the part where I say it’s very difficult to search for high quality stuff on the internet.

I don’t want to read clickbait. Whenever I see clickbait, I click off. That means for half my searches I need to kludge through many, many results to find something by a human who actually cares
No it is not, but ignoring the part about the severe infection require extended hospitalization and trying to reduce it all to “antibiotics” is extremely disingenuous.

Given that antibiotics are common but extreme infections and extended hospitalizations are not, why would anyone focus on the antibiotics as the root cause?

Not all antibiotics are created equal nor do they affect gut bacteria the same. There isn’t a singular scale for antibiotic power. Often, antibiotics are given via vein because they aren’t absorbed from the gastrointestinal tract, for example. This doesn’t tell us anything about the magnitude of impact on gut bacteria relative to an antibiotic that actually starts its journey in your gut.

This is a complicated case. Reducing the entire complicated episode to “it was the antibiotics” is extremely reductionist.
"I could interchange "Russia" with a number of other countries, and my statement would still stand."

But you don't. You don't condemn your own country, nor do you condemn any of these unnamed 'other countries'. Instead, you single out Russia, which makes your motive highly suspect.

"Terrorist nations "

That's a very frivolous use of the word 'terrorist'.
This always means “physically in the USA”
What does hospital beds have to do with wait times? Perhaps you have data on that?
This article annoys me to all ends. It started out badly by referring to autism as a disability, but it got worse in the fact that they’re assuming all of John’s symptoms are because he’s autistic. All of his disabilities can much easier be ascribed to brain damage post-partum. That hole in his heart meant he was getting less blood flow and less oxygen at a critical time in his brain development.

The fact that both twins are autistic has nothing to do with it!
I used to be a high school teacher and, though not as physically taxing as working on a farm, I feel the same about how much easier my current tech job is.

Teaching is just sooooo exhausting.
Despite the seeming equality, renting your property and “rent-seeking” are actually not the same thing. Housing requires maintenance, cleaning, repairs, and plenty other upkeep. The value of renting your property is not a result of manipulation of the social or political environment. Your angst is misplaced, though I feel for you. If there’s anything I can do to help let me know
I’ve met and seen a lot of people in life and while it’s nearly impossible for a life to be stress-free, the content and successful people I’ve seen — poor, rich, whatever — seem to share one commonality: they found their passions in life, whether be it running a successful company, working with charity, hanging with neighborhood inline skate friends or raising cattle in the country side, and they get to do it nearly
everyday.

Everyone else is just packing for an inevitable trip that they know they are going on but they don’t yet have destination. They try to bag all the milestones and pocket all the supplies that they may need, but without a goal, it is an endless journey without a chance of satisfaction.

Unfortunately, the difficulty is finding your passion. There is no way to discover it without somehow stumbling across it, which takes a lot of time and money and only becomes more difficult with age and increased responsibilities.
everybody dies of cancer man. what the heck. why?
FF refuses to download - says

File not downloaded: Potential security risk.

What gives?
You're not wrong about the financial aspect but remember surgeons are completely incapable of being GPs. Surgery is its own residency (5 years I think?), and to be an actual GP you have to be either a family (3 years) or internal (4 years) medicine residency graduate. So in addition to the pay cut in absolute terms, you're taking 3-4 years off and making $60k/yr working 80+ hour weeks to do that other residency. So the opportunity cost alone is a few million even ignoring the pay cut.
It’s not practical to implement this because of the first amendment.
This is what I was getting at, but you formulated it so astutely!
At least with universities there is a semblance of a free market/competition/choice. I.e. you can compare universities etc. While with healthcare, nobody goes checking for yelp reviews of ambulance companies when they break their leg.
Also these people can make personal impact that is visible for them. They might be wrong, but still they can affect things and see them changing... It might not be possible in many other jobs specially in big corporations.
Korea has had 13 presidents. Out of those, the first 2 weren't from 경상도, 김대중 wasn't from there either and neither is the current president. 박근혜 moved out of the region to Seoul when she was 1 year old so hardly "produced" by the region. That makes for 8 out of 13, still a majority but nothing like 20 out of 22.
When working at https://curvefever.pro we tracked a lot of stats like win rate with specific weapons, hit rate, usage rate, etc.

If one specific weapon or weapon combo became too popular with a too high win-rate, it usually got nerfed or the others were buffed.

You can see all the changelogs in the game.

Sometimes the changes were very simple and minor % buffs/debuffs: https://s3.amazonaws.com/i.snag.gy/etLjaJ.jpg

Sometimes the ability was changed to make it harder or easier to use, or to remove some OP side-effects (e.g. shooting laser would slow you down too much, which in this game it's also an advantage, as you can brake and avoid collision using the laser).
Then let there be separate private hospitals for "the niche".

Regular hospitals should be public.
There is some old money in the top earning ranks. Especially in Sweden.

But 1 standard deviation on average is huge cognitive ability difference. High income -> high ability correlation is strong.
Very poor unsubstantiated viewpoint. The epitome of socialized healthcare would be healthcare in a communist state. And Cuba, in spite of completely inhumane and unreasonable sanctions imposed by the united states, still beats the US on metrics such as life expectancy. This proves the falsehood of the idea that state-run healthcare is inherently less efficient.
I don't know your personal situation but most consumers who obtain medical insurance through their employer or a state exchange can pick between bronze/silver/gold plans that trade off monthly premiums versus deductible/co-pay/co-insurance amounts. High deductible plans can be a great option for many consumers, especially those who are willing to take on more risk and actively shop around for non-emergency care.
The dividend deduction avoids double-taxation, that should be obvious. The dividend-issuing organization pays taxes on its income; that income is then distributed effectively post-tax (although the exact % dividend deduction depends on ownership percentage).

Why should a parent corporation have to pay taxes twice just because of its corporate structure?
I'm not saying the AI should make the decisions, that's silly. It should merely be a face and voice changer, turning everybody's face and voice into something far more generic and unattractive. All the decisions would still be made by a human judge talking over video, but the judge wouldn't see how attractive the attorneys are, but would have to focus on what they're actually saying.
> Friends of mine ran a small Ltd as a moonshine operation

Did you mean "moonlight"? Asking because when I hear "a moonshine operation to fundraise for causes", I imagine something akin to an alcohol-themed Breaking Bad storyline
ah, HTTP-only download.
This actually doesn’t make sense if you run the figures. But I guess, “they just write it off!”
A lot of ideas aren't absurd until they meet reality. The arguments that defend an idea don't really matter in the long run, if we can later see that the outcomes they provide aren't good.

I look at one of our local private universities: A non profit with a huge endowment. Their prices keep going up, and then discount enough to make sure the student's price is as heavy as they could possibly bear. They put that money into real estate investment, but they don't actually do anything with the land: It's just always worth more to them than it is to other parties, because they don't pay property taxes. So for them the cost of speculation is the lowest there is. Land speculation is far worse than redevelopment into useful things, but instead, we are rewarding it.

So I look at the actual outcomes of the non-profit status, and I don't see how in the world they are good for the area around the university: We are lowering our tax base for the privilege of letting them keep blight around them, which then in return lowers prices, letting them buy even more land at a discount. So I look at the incentive, and I see that it's doing far more damage than what it makes. So it doesn't matter that it sounds good on paper: We shouldn't argue with the reality that is in front of our eyes.

We should tax them regardless.
That 3% rate was plowed into a property whose price was inflated by exactly the amount that the 3% rate discounted the cost of money.
Then you support centrally planed economics that ruin a free market.

Benefit from system that you are against sounds like hypocrisy. Also, could be morally unacceptable to benefit from money of involuntary collected money - taxes.
Ask HN: What are the best companies with AI models to analyze X-rays?
My girlfriend studies medicine and I was wondering if there are any companies providing a web interface to analyze them with best in class models? Thanks!
That's not homesickenss. 1700s medicine was doing more harm than good and when she was sent home and they were no longer filling her with what was likely poisonous she recovered.

Frankly, today's hospitals are so poor in terms of infection control (because of simple things like doctors not washing their hands, or staying home when they themselves are sick) and providing patients with good nutrition - the food is basically prison quality - that you are indeed better off going home as soon as it is safe to do so.
The SW development is not just knowing the programming language, you also have to cover many roles, you need to understand and have the domain knowledge of the thing you are developing, you need to have communication skills to coordinate with other developers and stakeholders and many more (like developing intuition to know when to stop manager from making a mistake - e.g. you know this and that idea won't actually work in practice or it will have problems down the line adding to technical debt and so on).
They'll just pass along the costs, because we've installed people with sociopathy as the leaders of most large businesses, and that's what sociopaths do.
My favorite is when he's reciting job requirements: "SQL, PHP 4, 5, 6", then looks closer and says surprised "6?"

https://www.youtube.com/watch?v=6KefznccsY0&t=87s
Chromecast isn't being phased out, not sure what you mean? Your issue with Netflix is how the Netflix app works, it wants a second layer of authentication, and the nature of the framework (it's not just streaming video from a device, it's basically an app that gets beamed over so the device can do the streaming itself) is that they can put up whatever they want. Do the same thing with Youtube and it's seamless. Try it with AppleTV and there's no support at all (beyond trickery like casting a browser window). Big Tech can't agree on this stuff and never will as long as there's a garden wall to build.
I have a Roku branded TV. It was a budget option to replace my very old set. When I turned it on would not let me watch anything without creating a Roku account. I am only gathering from your comment that people actually buy a Roku as a device or something?

Not entirely sure where buying a cheap tv and avoiding data harvesting equates to entitlement. Seems like keyboard warrior passive agression is quite liberating for you though.
Corporations aren't natural persons. You have to look a the in/equity of the wealth of the people who enjoy the corporation's money.
I’ve had mine for over a year and it displays basically the same values my other sensors show. Not sure it’s that big of a problem.
magnolia1234_bpc
@Magnolia1234B
·
22m
Update: tomorrow a new Firefox-release v3.6.4.0 (signed = security check) !
Manual update required with upload on X (new version will update automatically)

For now no more public source code or request issues (use DM on X)
https://twitter.com/Magnolia1234B/status/1779050596181438791

WeTransfer already expired (should last 7 days), but new upload here:
https://t.co/8TADPNhiYW
Instead of paying out profits to shareholders, a non-profit hospital/clinic will use their excess dollars to build new facilities, buy new equipment, and add the capacity to care for more people.

How is that worse than a for-profit company? If your local healthcare systems are not expanding while the regional population is expanding, you’ll have less care available for all regional residents.

There are ways to abuse non-profit status, but operating a large hospital and clinic system isn’t one of them.
Who here wants to work on a minimally-maintained PHP project from 2011?

Nobody?

In 10 years from now, this JavaScript crap will be just like that PHP project is perceived today. Except it will be much worse, because the PHP project didn’t have dependency hell like this. At least the PHP project wasn’t also your phone app.
You’re describing problems that are all solved by money.
Have you ever done a LEGO build with a child?
I had a similar experience, but in the tropics, where this changes seasonally in the same place!

I got over it, and like to think I've improved my self-navigation. But it's possible I've just deemphasized shadow perception, and might be worse off back where I first developed the skills...
Oh… Sys V SHM… not POSIX. Old-school.
Hi HN!
this is a library to issue PartiQL Statements to DynamoDB with GORM.
I hope to get some feedback or point it out from you all!
I appreciate this viewpoint.

There’s also a lot of confusing finding / getting PMF with what PMF is.

Product market fit is pretty straightforward: I have a product that meets people’s needs in a way that the market demonstrates by paying money for (usually with the connotation of profitability).

Finding this is incredibly hard and rare, thus it seems to get convoluted with a lot of emotions.
Ask HN: Need tips for marketing for 2 technical founder for startup
I'm one of 2 technical founders for a mini-startup that's beginning to get traction in terms of market fit.

We both realize that neither of us have the skills or time to develop and deploy a marketing and brand strategy campaign.

We both believe that hiring or bringing someone in to develop a more robust go to market strategy would be beneficial.

What kind of options do we have at the current level we're at? We have our own capital to spend and we're looking to only start with a few thousand per month but would consider more as we're currently not generating revenue but we will soon.

I've looked into hiring a marketing consultant but I need someone who can take ownership and execute on their own with the help of our direction.

I've looked into hiring a freelance marketer and this seems like a viable option to start with to create marketing material, writing SEO content, etc.

I've looked into hiring a boutique agency but am having a hard time finding transparency on upfront costs'

I also have personality connections to broadcast our product but again I would like someone to take ownership of this process rather than doing it myself.

Any advice from the HN community for how to approach this? Thanks!
That is a horrifying answer, if you think about it. To suggest "it's not getting confused, it's just lying" without being able to determine why?
>Also events are happening much faster in a car,

Yea, getting off some of the interstates in Texas has situations like this.

You are traveling 60-75 MPH then you exit interstate right, then you quickly split on an capillary highway that splits to the left, then moments later split to the right again then have to get in the right or left lane for a turn depending on which direction you're heading. All while having local traffic that knows the traffic pattern fly past you where it's more than one lane. I swear it feels like one of those space fighter games where you're attempting to avoid asteroids and other ships at a fast pace.
Whoa no. Absolutely no telling employees the details. The whole point of stock options is that employees can't value them accurately and you probably don't have to pay them.

That's the whole magic trick. Come work for us! We can only pay $50k in boring everyday money, but here's some tokens. We don't know what they're worth, and you can't spend them for many years or maybe not at all, but look at this picture suggesting they might be worth lots! Works really well on people new to the workforce.

Actually giving employees a means of valuing it, notably that their options turn into a class of shares that get paid after lots of other people and a sketch of how dilution works out in the meantime, stops them thinking it's a lottery ticket. It becomes a very low chance of winning less money than the opportunity cost relative to working elsewhere.

Much more fun for employees are RSUs. They have the same nice trick of becoming free when people quit. They let you adjust people's pay without annoying them as much as a salary freeze or reduction. A three or four year vesting period with roughly annual grants is near perfect as a salary retention tool.

Also rsu induced pay inflation has really hurt the startup recruitment pitch which helps defang an existential threat to your public company.

Not really what I want as an engineer but the incentive gradient is very clear.
As a counter point, this post by Matthew Yglesias might be interesting. Basically makes the case that the standard of living today is significantly higher than back then, and we wouldn’t be okay living today like we did back then.

https://www.slowboring.com/p/nostalgia-economics-is-totally-...
Bun 1.1: Bun for Windows [YouTube] [video]
I promise you, the productivity gains we’ve already gained in your lifetime outweigh any possible impact people might have by eating unhealthily. You can always argue “yeah but we could be bigger and more dominant!!” but at what point does that hit diminishing returns, life-philosophy wise?
Apparently John wasn't even off by a "the":

https://www.youtube.com/watch?v=n8d-SQF-F90
eh, it's just two columns. 12 or 13GB IIRC.
For me at least, it means I'm striving a little less hard, I think is the best way to put it.

I'm still searching for good things, and the next thing, but I'm also enjoying today for today.
In actuality how it works is that the price goes up 10x and you experience 10x dilution. So everything seems up and to the right and the founders are 10x but when it comes time to cash out you're lucky to get a small bonus.
Where's your proof the partying is causing it? Cleaning the house can be far more dangerous if you want to ask my un-sourced opinion.

EDIT The person I replied to edited their post. I'm replying to the argument:

>>> I always wonder why people seemingly can’t apply their experiences beyond themselves

>An analogy: I wonder why my lack of partying has to pay for the partying of others.
Ignoring external factors like this is how we got into this mess.
And time. You double the number of residency slots but it will take years to fill them if you increase med school size at the same time, a type of coordination that is very unlikely.
> Meanwhile, when I use CUDA instead of Vulkan, I get serenity back. CUDA FTW!

Just because the complexity is hidden from you doesn't mean it's not there. You have no idea what is statically bundled into the CUDA libs.
Programming languages are machine-parseable if you already have a parser for them. The befit of LLMs is that you do not need a parser for each programming language.