skysight-inc/HackerNews huggingface dataset:
Seems it comes down to: "budget-minded politicians in Congress"

According to 'studentdoctor.net' from 2017 - there is a cap because there are not enough residencies for graduating med students. The government is the primary payer for residencies: "It was because of the cost of GME funding that this program came under the fire of budget-minded politicians in Congress. This resulted in curbing of funding for residencies under the Balanced Budget Act (BBA) of both 1997 and 1999:" [1]

> The limitation in funding has essentially put a cap on the number of residencies that can take place in the United States – and since a doctor cannot go into practice without a residency, this is essentially a cap on the number of new, American-trained physicians who are allowed to practice in this country. The American Medical Association, in its AMA wire, blames this cap for the record number of students in 2015 who were not matched with a residency program at the end of their four years in medical school: of the 18,025 allopathic seniors and 3,000 osteopathic seniors who participated in the Main Residency Match, the two groups matched at rates of 93.9% and 79.3% respectively, leaving the highest percentage ever unmatched – and also unable to practice on their own.

> There are proponents for keeping the current cap in place, however. This is mostly among budget-minded members of Congress who are wanting to cut spending, but even the Obama administration proposed reducing Medicare expenditure on GME, even halving support for children’s hospitals, which have their own separate sources of funding. People on this side of this issue tend to decry the seriousness of the physician shortage, pointing out that the increase of physician’s assistants and advanced nurse practitioners has helped to mitigate this problem, even with the cap still in place.

The resource [1] is a bit dated. "Congress recently took steps to support several programs supporting GME funding by fixing technical issues that left some rural programs with an inadvertently low cap, expanding eligibility for rural training track funding, and adding 1000 new Medicare-funded positions for the first time since 1997. " [2]

[1] https://www.studentdoctor.net/2017/01/24/medical-students-kn...

[2] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8370355/
New Way to Be Awful: Passenger's Clever Hack Ruins Neighbor's Flight Experience
> This strikes at an issue we haven't really addressed enough in non-profits: how much community benefit do they need to offer?
A non-profit simply means that there are no investors who can profit from the business.

Non-profit and tax exempt aren’t the same thing. A non-profit must apply for tax exempt status and the IRS will look at things like public benefit vs private benefit, diversity of control etc…

A vanity hospital that is controlled by 1 person who tends to put his his name on everything, and that benefits the person running it more than the public could lose their tax exempt status.
Well, if it were fixed price you'd eat that discovery, correct? T&M doesn't stop you from not billing for something.

Again, the question was: There are too many unknowns. The answer is T&M. Btw, they can be combined. Fixed price on the knowns, and T&M on the unknowns.

Put it this way, I've seen 5x more fixed price projects go sideways than T&M. That's how bespoke work works best.
This is awesome! Was the talk recording by chance?
Calling LLM confabulations “hallucinations” was such a blunder that really misinformed people. I wish we could take it back.
I don't think that inheritance is bad per se. AbstractWindowButtonManagerFactory type of inheritance is bad. I think the reason is that people are not just good at constructing hierarchical relationships between abstract concepts. And once you construct such an elaborate hierarchy, it becomes very hard to correct things after the fact. So you end up with a mess as people add more functionality on top of an already ill-conceived structure.
Not to mention that NP doesn’t prevent certain administrative and executive employees from getting excessive salaries.
> The answer is "yes".

And if you have one per core anyway so nothing "switches"? Computers aren't single-core 80486es anymore. We have highly parallel machines nowadays and old intuition about what's expensive and what's cheap decays by the year.
A big issue with IPC is thread scheduling. Thread B needs to get scheduled to see the request from thread A and thread A needs to get scheduled to see the response from thread B. I think there are WIP solutions to deal with this [1] this but I'm not up to date.

[1] https://www.phoronix.com/news/Google-User-Thread-Futex-Swap
Yeah, we all work for the tech field here, don't we?

None of our bosses take anything less than what I'm asking for here. If anything, the numbers I've mentioned are lower than people should expect.
Once you have consented to a naked photo being made public, you no longer have any control over how it is viewed. One mans art is another mans porn. You cannot have a photo taken of you and then consent to it publicly only for artistic value. Therefore there is only personal consent in the flowchart, nothing else.
Reminds me of “Paris syndrome” where people fall in love with the idea of a thing/place and the disillusionment of experiencing the real thing can be so violent that people can have panic attacks.

Not what you’re talking about exactly, but it seems like a similar vibe.
Not to discourage you from building your own, but Joplin seems to already tick all or at least most of your boxes -- in fact, I was surprised that it was was not addressed in the first article.
Copilot is terrible compared with what Bing used to be even recently, and recent Bing is terrible compared with early Bing. Most times I ask Copilot a question it'll confidently answer a similar more mainstream question that I didn't ask, and then repeat that answer with minor changes in phrasing no matter how many times I explain that this wasn't what I was looking for.

Also if you call it Bing it gets really mad. :P
Yeah, I was going to ask if it’s react only, guess another product I won’t bother with.
the other problem is devs are cheap asses
This is obviously good, but I will note:

Although doctors can read any patient’s DNA today, interpreting the results to understand how a patient will respond to cancer treatment is much more challenging

and

My team and I have started two clinical trials to expand the results of our previous studies on providing treatment recommendations through functional precision medicine. We’re recruiting a larger cohort of adults and children with cancers that have come back or are resistant to treatment.

Right now, as far as I can tell, no company is the equivalent of CARIS (https://www.carislifesciences.com/) in molecular profiling, or Natera in circulating-tumor DNA: https://www.natera.com/. My wife and I have been looking into companies that match tumors with treatments and not finding a lot. Just trying to find a company that'll do whole tumor sequencing is hard.

So while cancer patients "can now be 'matched,'" it's still, unless I'm missing something (always possible), quite hard to go from "I am a cancer patient" to "Here are some matches."
Because they need to get the materials, which the PhDs in the experiment didn‘t have to, since it was all hypothetical.

And because all the other countries actively work against you getting the bomb.
Living a good, kind, caring life is a passion to me. You have to discover it.
You can see the Krazam influence on the whiteboard shots lol.. I hope this format picks up more steam.
Just want to point out, the Great Oxidation Event took 400M years.
Have literally never heard of that. Is there any area where this is prominent?
Shouldn't the title be "The darker side of being a physician"?

A Doctor can be also a doctor of philosophy or something else. I am both a physician and a doctor, and I feel it is important to make a distinction. It's also as a respect to the PhDs who are usually in the traditional procession of the universities AHEAD of the medical doctors.
Government spyware is another reason to use an ad blocker
Hm Goldman must have been monitoring my trades this last year as I bailed on big tech and shifted to biotech, and more household essentials.

Computers are commodities. Capital should be shifted from novelty gadget production only hardcore hackers fetishize from their nostalgia of carefree days reading Neuromancer.

Vain need to use up the species resources and put childhood fantasy story in charge of the economy of everyone is bizarre and pseudo-religious.
When I was younger, I had a remarkably strong sense of "place" -- I could drive back to any place I had driven once, and most places I had only ridden to. I could sketch out the layout of buildings I had been to years before.

Some of that remains now, but GPS has destroyed the driving thing. If I focus I can still do it, but if I'm following my phone, very little sticks.
Google Cloud Next 2024: Everything announced so far
Someone got a microservice hammer, so everything looks like a nail eh?

What is really needed, is sane memory model where you can easily call any function with buffers (pointer + size) and it is allowed to access only these buffers and nothing else(note). Not this mess coming from C where this is difficult by design.

(note)since HN likes to split hairs: except for its private storage and other well thought exceptions
“…I realized that a quiet life isn’t a passive life…”

The importance of finding such balance makes all the difference.

Beautiful writing.
> there’s not much you can do with a residential AQI sensor without adding a bunch of other automation controls.

You don't need automation. I have a portable CO2 monitor (aranet4) and it gives me an indication of how effectively the air is being exchanged. I've learned that my desk location at home is ok during summer and winter, but when temperatures are moderate the furnace isn't running as much, and the CO2 will get quite high. I keep a window cracked when I work there and it's enough to bring it down to reasonable levels. I didnt know this information before getting it. Similar when I was visiting relatives over easter - the CO2 in the bedroom got up to 2500ppm wile I slept (old house, sealed tight but no forced air circulation). I opened the window for the rest of my stay.
The opioid issue is absolutely a big degradation in QOL from recent years, but no the current crime rate is still well below decades ago, especially on a per capita basis.

https://www.nyc.gov/assets/nypd/downloads/pdf/analysis_and_p...
I do trunk based development. i have a script named "c" that does `git add --all && git commit -m "progress" && git push` and another one named "p" that does `git push prod`. apart from that i use effect-ts and express with kita.js and a few small libs and do persistence with pg. the rest is written by me and somehow i don't feel the need to add anything to it. not everybody needs k8s, microservices, and all that crap that will fail at the worst possible moment.
Not sure if it was clear in my OP, but there are only 2 technical founders and I am one of them. We also already have a pathway to paying customers; that was also clear in my OP.

Also, what exactly do you mean by pain and grit? we're already doing that. we're growing and have growing pains hence the point of this post.
It is very close to the default theme, here you can find the custom CSS

https://github.com/stackframe-projects/stack/blob/main/docs/...
The only story is here that some people think they can recognize a hallucination by how the text looks. You can't—the only difference between a hallucination and a valid response is that one randomly sampled response happens to produce a factual statement and the other doesn't. There's no stylistic difference, there are no tells. The only way to recognize a hallucination is to fact check with an independent source.

I'm starting to agree with another commenter [0] that the word "hallucination" is a problem—it implies that there's some malfunction that sometimes happens to cause it to produce an inaccurate result, but this isn't a good model of what's happening. There is no malfunction, no psychoactive chemical getting in the way of normal processes. There is only sampling from the model's distribution.

[0] https://news.ycombinator.com/item?id=40033109
What? People benefit from higher land prices?
No. Your job as a software developer may be stressful (as every job is) but her everyday challenges are way worse than yours. She has hundreds of actual people to manage, mentor and motivate, many with little education and lacking resources. Which means lots of absences, low-effort work, health issues, high turnover, and sometimes even theft. Plenty of issues dealing with customers as well. And then the managerial issues related to meeting revenue targets, implementing health care plans, managing inventory, putting on a good face for the bosses, as well as intense competition to be elevated to regional manager against a bunch of other colleagues in the exact same role. And her salary is only $120, there's a whole lot of stress when half your annual comp is bonus-driven.
> it's still too slow compared to in-process

Why? Relative to the in-process case, properly done multi-process data flow pipelines don't necessarily incur extra copies. Sure, switching to a different process is somewhat more expensive than switching to a different thread due to page table changes, but if you're doing bulk data processing, you amortize any process-separation-driven costs across lots of compute anyway --- and in a many-core world, you can run different parts of your system on different cores anyway and get away with not paying context-switch costs at all.

Also, 10% is actually a pretty modest price to pay for increased software robustness and modularity. We're paying more than that for speculative execution vulnerability anyway. Do you run your fancy low-level audio processing pipeline with "mitigations=off" in /proc/cmdline?
From my point of view, a lot of trouble could be saved if it were a priority in browser development to reduce the number of libraries and layers necessary to build things like SPAs.

There’s been a lot of movement in this direction for CSS which is great, but it needs to happen in HTML and JavaScript too. Just a few cycles of implementing popular libraries as base browser functionality and adding better widget primitives would do wonders to reduce complexity and bloat.
That’s sort of different stakes, right? In your case your direct managers decided to prioritize not doing their jobs over some pretty important stuff—your personal safety and the damage the oil rig could do to the environment if something went wrong. In the case of walking the floor in a store it is just aesthetics mostly.
I would love to have a Redis alternative where I don't have to think about whether or not the dataset fits into memory.
RTX 5080/5090 GPUs might arrive later in 2024 – and it's honestly way too soon
If your distro is configured to assume everything under sbin requires elevated privileges, then I wager that would minimise the attack surface (I'm assuming sbin is treated as superuser owned binaries, not just as static binaries).
Look, I don't say this as the end all, be all. Just another piece of the puzzle.

Think of how chaotic Linux land is. It's true it can be thought as a liability, but distros' heterogeneous nature could also be a defense, and sbin itself can be thought as another defense. For example, in openSUSE Leap 15.6 at least, a lot of critical binaries are located in sbin. They are placed there not only as a static fallback for maintenance, but also as a means to minimize the attack surface of the OS. It is much more likely for your system to be compromised at a user level, and not at a superuser level.

I know the xz incident wasn't the best example, and of course there are better solutions than this.
R. Crumb, the Art of Comics No. 1
https://archive.ph/KYAAQ
"The Essence of Dzogchen in the Native Bon Tradition of Tibet"
I was working for a US company from the EU and once had a slip of tongue. The officer grilled me for a bit, but also made me realize my mistake. I didn't have any issues in my next visits. I think a lot might depend on the tone and social skills. Maybe the dev in question was a bit rude? Or maybe they stumbled on someone that was almost religious about these things.
When your electricity costs 0,07€/kWh, I can see it being cheaper.

Mine is currently around ~0.45€/kWh which takes the shine off it quite a bit, and makes gas a much more appealing option.
I think a very brief CV makes sense.

Hi, I'm X, I work on Y at Z and maybe I worked on Y' at Z', welcome to my presentation on Topic establishes some context. And lets you know if you're in the wrong room. I don't think you need much more than that at the beginning. Maybe in the depths of the presentation you talk about options for a solution and how you tried some of the options on a project/at a company, when it's relevant.

We don't usually need to know a lot of other stuff from a CV, such as how long you were anywhere or where you went to school or a lot of details about job responsibilities. Just a little info to have some idea of the scope of 'databases' and 'embedded' for you --- there's a lot of computer words that have similar but different meanings depending on your industry.
Pikatea – Long Boi – Extra Long Keyboard Kit
What’s silly is expecting anyone to believe your assertion.

Trimming workforce costs and padding the executive and
administrative pay is an old and successful playbook.

It’s also a short-term playbook and has become a national security issue.

I’d love to see retro-active clawbacks for the CEOs and their teams that have dumped the problem on the current generation.
Seems really cool! Good luck and have fun :) I see that you list 2FA and SSO in the roadmap for the next weeks, those are definitely needed for enterprise.
Oh okay. Guess we’ll just continue to have 1997 level supply of doctors forever.

I don’t even know what argument you’re trying to make here? It’ll take time to solve? Yeah, obviously. That’s why we should start ASAP and given that we don’t have a time machine, that’d mean right now.
I used to be very pleased with the Polish "Cobi" range. They make a lot of military models, which were great for my dad, who has mobility issues that made traditional model-building difficult.

But then we bought one of their biggest sets-- a Maus tank-- and he complained it was missing parts and unmanageable. I suspect thousands of gray-on-gray parts might have exceeded some unknown challenge threshold.
I've literally never seen anyone put types on trivial variables like that. Maybe your team is just inexperienced with types and/or python?
This used to be done, using what was called round-robin mode in bonded links. I think you are right that this mode never found its way into 802.11ad. Instead, parallel stacks of switches would be deployed, so that hosts were configured to bond links to N switches but the switches were not aware of the bonding. It was a commonly used Linux option to modestly scale up with low cost hardware.

A single stream would have its frames striped over all the links in the bond, due to the configuration of the sending host. The flows would remain parallel and arrive over N switches to N NIC ports on the destination host. Care had to be taken with topology to keep parallel paths from end to end such as in one datacenter. Generally, flows could fan-in somewhere on the path and then go over a higher speed uplink, but would never fan-out again to parallel links.

The drawback is more frame (packet) reordering, so it is even more sensitive to buffering and congestion control effects. If there were switch failures, the flows could become unbalanced if the topology offered redundant cross-links, since this would cause some fan-in on the surviving switches. Otherwise, completely independent switch stacks could be used, so a failure means traffic is dropped. Then, the host needs to do some kind of remote peer connectivity check to decide whether each link is healthy or not, and drop unhealthy links from the bond.

Ironically, this could be done in consumer-grade LANs, since it does not depend on bonding features of the switches. However, careful setup is needed with consideration of the topology and switch behavior, to avoid pathology.
Right, this was made pretty clear during the first few months of the pandemic in 2020.
Faster program start, and potentially making it a soft-dependency instead of a hard dep (or letting you fallback on something else if it's not there)
That doesn't mean the program is going execute all the dlopen() calls at start up.
The Swiss consistently make laws to protect the environment which end up doing the exact opposite (and I’m sure the Swiss aren’t the only ones doing such things). Eg you aren’t allowed to install an A/C unit in most condos, so people buy portable A/C units (which are smaller and less efficient) and then hang the exhaust tube on an open window still (very inefficient since the open window lets the hot air in).

Another case: you aren’t allowed to have the kitchen exhaust go outside in newer buildings. As a result, people keep their windows open when cooking which is very inefficient in winter time.

I can go on and on, I have a half dozen examples.

Making laws which favor climate is good but there should be a process to regularly review these laws to make sure they are working as intended.
Yeah that is all it is currently, just a drop down that once you pick a GPU configuration it shows the pricing from a few providers. I'm still trying to determine which data would be most useful to collect/display. As for the tech stack:

backend: python flask and underlying data is stored as parquet in GCS
frontend: react, https://chakra-ui.com/, https://www.tremor.so/docs/ui/card
I'd expect the lack of anything that it is made to react with.
I think this is start ups where European "employees" are contracting for the US entity as there's no local EU entity. You then do your visit through ESTA.
> Who here wants to work on a minimally-maintained PHP project from 2011?

In a more serious note: I don't think the language matters that much when working in legacy codebases. What matters the most is the (usually undocumented) business logic that one needs to decipher based on the code. I'll take any day of the week a documented PHP project from 2011 than any Go/Rust/TS/Kotlin undocumented project of 2024.
What harm do you think typing a function, for example, would do? I'm genuinely qurious because I just can't see where the issue is.
I fail to see how taking up residence in the property without a lease or paying money to the owner isn’t stealing.

How do other business in England prevent this? When a store closes in the evening, what is stopping someone from breaking in and claiming occupancy? It doesn’t seem like society can function like this.

I normally don’t advocate for violence, but in cases like this, it seems necessary.
Do a dry run with your mentors, colleagues, friends, etc.
This sounds more like an internal issue than a legal one.

Departments spending all their budget in the last month of the financial year, thereby justify the following year’s budget has been a thing forever.
Fastest way to get IPv4 address from string (2015)
"move fast and break things"

turned out to be prophetically true in many many ways.
Let's put k8s aside. If I had a complex system needing say five boxes, I might be able to admin it well - startup, shutdown, upgrade - if there was a simple orchestrated glue between the boxes e.g. on the control box 1, run a script to start daemons/pids on boxes 2, 5 which blocks until success or failure ... something more sophisticated than remsh/ssh. This is old school, but it's just a script or three.
Wait until /lib is split into /lib.d with /lib.d/default and /lib.d/available and....
I'd put that more on the player trying to connect to Gracenote for metadata, cover art, and invasive tracking. CDExtra is dead and no OS will autoplay them so there isn't a way for redbook audio discs to execute code.