skysight-inc/HackerNews huggingface dataset:
You're being downvoted but I wish you weren't.

I've worked in healthcare, and pretty much my whole family does in all the professional roles you can think of.

I have mixed feelings about this article and others like it because the motivation to strip the system of everything until profit is left is a serious problem throughout US healthcare. However, it's not unique to private equity — private regional monopolies, or even privately owned clinics and hospitals, can have a similar effect. These articles then have a way of shifting the focus away from the underlying administrative practices that result in these problems, and toward private equity per se.

The regulation problem is real too, and I can give lots of examples. It's unlike a lot of other fields too in the scope and how ingrained it is in the system. EHRs are just one example: although well-intended, they were mandated with no "organic" roll-out, and pulled what was in-house staff and services and pushed it outside into large monopolies like EPIC (who are now the subject of an antitrust lawsuit IIRC). This happens over and over with all sorts of aspects of US healthcare.

I also have problems with the focus of these types of articles — for whatever reason, they often start with or are centered around this kind of wistful new physician (or very old physician near retirement) longing for the romanticized old days where physicians were in charge and ran everything. Should that be the case though? Do we really need MDs to do and approve of everything? Aren't there things that are done as well by PAs, DNPs, and other types of providers that don't even exist yet because of how calcified the healthcare system is? Can't patients do more at home without a middleperson — e.g., needing to approve of some medication that the person has taken for decades without incident and is really truly pretty harmless in the grand scheme of things?

The problem you described is very real. It's overregulated, in ways that incentivize large monopolies, either of clinic and hospital owners, or provider rent seeking guilds, infrastructure providers, etc.

I guess I feel like these types of articles point to one type of problem, but then tend to implicitly suggest the solution is to just roll back time to some earlier era, not recognizing that that earlier era had a smaller patient population, with less regulation, less monopoly where there was no need to scrutinize whether a certain type of degree is really necessary, where there weren't huge hidden overhead costs of all these monopolies permeating down to the patient.

Fixing US healthcare is going to require a bunch of things that collectively will cause pain for a lot of entrenched players: lots of antitrust lawsuits and laws, lots of deregulation aimed at giving patients more choice and self-care options, more public payer options, lots of eliminating or restructuring licensing requirements to create more types of providers, and so forth. They don't map on easily onto current US political party platforms either.
Yeah, our legs and feet provide a pretty sweet and effective kinetic chain. What's not to love.
I keep thinking about Sam Altman’s March ’23 interview on Lex Fridman’s podcast—this was after GPT-4’s release and before he was ousted as CEO. Two things he said really stuck with me:

First, he mentioned wishing he was more into AI. While I appreciate the honesty, it was pretty off-putting. Here’s the CEO of a company building arguably the most consequential technology of our time, and he’s expressing apathy? That bugs me. Sure, having a dispassionate leader might have its advantages, but overall, his lack of enthusiasm left a bad taste in my mouth. Why IS he the CEO then?

Second, he talked about going on a “world tour” to meet ChatGPT users and get their feedback. He actually mentioned meeting them in pubs, etc. That just sounded like complete BS. It felt like politician-level insincerity—I highly doubt he’s spoken with any end-users in a meaningful way.

And one more thing: Altman being a well-known ‘prepper’ doesn’t sit well with me. No offense to preppers, but it gives me the impression he’s not entirely invested in civilization’s long-term prospects. Fine for a private citizen, but not exactly reassuring for the guy leading an organization that could accelerate its collapse.
This is also due to inequality which leads to more and more of the same. There just aren't many ways entrepreneurs can add value. It is easier to capture it from assets needed by lower classes. Get a wealth tax to fix this or at least tax the wealth out of the rich.
[dupe]

https://news.ycombinator.com/item?id=41746856
As it should? Mexican or Chinese or Old or Gay are not bad word but they have been and continue to be shouted in hateful ways
Someone took that grifter at his word ever? Haha! Wait you’re serious? Let me laugh even harder. Hahahaha
> The real story of LLMs is revealed when you posit a magical technology that can print any car part for free.

I think the insight is that some people truly believe that LLMs would be exactly as groundbreaking as a magical 3D printer that prints out any part for free.

And they're pumping AI madly because of this belief.
Yes, basically this phenomenon: https://www.nature.com/articles/s41586-024-07566-y
I'm probably sure everyone knows my first pet's name by now.
Show HN: CellSplit – an open source clone of Agar.io with strong moderation
Hi,

I've created an open source clone of Agar.io to fix the biggest issue with the game: players team up and use bots against other players. It became clear that the game mechanics can't fix it and a strong moderation is needed instead.

In case you're not familiar with the game, it is a fun game where you play as a cell that can grow and attack other cells. There are various strategies how to survive and thrive in a hostile environment where everyone wants to eat each other.

https://www.indiedb.com/games/cellsplit/news/cellsplit-has-b...

You can watch the gameplay here as well as read a detailed description of the game and the moderation approach.

You can also visit the game homepage at: https://www.cellsplit.org/

The game is available for Windows, Linux, MacOS and also playable on the web.
"Our Constitution was made only for a moral and religious people. It is wholly inadequate to the government of any other" said John Adams. In other words, the government is not going to impose religion, morals, or values it expects the people to have those on their own.

People who run businesses that extract wealth from the sick, the old, the dying, or people in other situations where they are not really able to make free choices, are vile and a cancer on our society.
Most of what gets invented either 1. relies on its scarcity to extract value or 2. if it's not naturally scarce, it gets locked behind patents, copyrights, cartels, regulations, and license agreements between corporations, in order to keep the means of its production out of the hands of common people. Without that scarcity and ability to profit from it, it wouldn't be invented.
Did… you really just use the term Chinamen in 2024?
> forked their business

... is that even a thing? How is WPE the bad guy even if it is when there are NUMEROUS other wordpress hosting companies?

> GPL

The GPL specifically allows you to even SELL the GPL'd code to people, so I don't see how they are even violating the _spirit_ of the license.

More to the point, it's not like WPE is a black hole. They _are_ engaging and spending money on the community from what their court filing claims. Is it all self serving? Of course it is! A for-profit corporate entity rarely (never?) does things not in it's self interest.

I will freely admin I'm not a part of the WP community and have zero investment on either side of this fight. I will also say that just from reading what has been posted by all parties, I feel really strongly that Matt needs to stop talking/acting and let the lawyers sort things out at this point.

As an aside, as I was thinking about it this morning, Matt claims that WPE is causing him personally due to excessive usage of wordpress.org, right? But, if WPE goes away today, all those sites they were hosting are suddenly going to other hosting companies and the SAME amount of traffic will still hit the wordpress.org site. Trying to claim that WPE is causing undue traffic is just saying the WP as a whole causes too much traffic. So, are ANY hosting companies beyond Matt/Automattic funding the wordpress.org website? It's clear from the WPF financial filings that they don't contribute to funding that critical resource. And it's clear from Matt's posts that he prefer that every WP install uses those resources as he's expressly questioned why he would make it easy to point to another resource.
The simplest non-conspiracy theory is that he didn't regularly visit that subreddit until recently.
What's the background on doing a soft layoff (or w/e) and hiring at the same time? Many of us have seen one of these close-up, just wondering what the case is here.
> high-deductible plans designed to discourage people from seeking any healthcare

This is in fact not the purpose of those plans.

They try to actually be insurance (ie, in case of unexpected high expenses) rather than a combination of insurance plus pre-payment of typical expenses.
Reading and actually understanding non-trivial text is hard if you are part of a generation that was never challenged to actually learn it. For those people, YouTube (and a few similar shops) are the default way to consume any content. That's what they do all the time. Sure, they somehow know those legacy emojis that you call the latin alphabet. It will just not lead to a deep understanding of text.

Another aspect is probably that watching YT clips always has a feeling of being part of something. Some movement, some bubble, some society, whatever. They don't install Arch bcs they want to learn sth, or make some use of the OS. They do it _because_ they found it on YT and they want to be part of it. Maybe they even write comments or make a 'reaction' video. Today it's Arch, tomorrow it's a special pizza recipe from that other guy on Insta. It doesn't really matter.
I have aging parents in India, and I can tell you firsthand—healthcare there is far from cheap. In fact, prices have surged, and many people are now accustomed to the higher costs, thanks to rampant price gouging during the COVID pandemic.
I hope the decision works out for him. Six months salary is really only a big bag of cash if 1) you have a decent salary, and 2) you can be confident of landing a job of equal or better salary within the six-month window. Otherwise you're just going to burn through it. Given the way hiring has been in the tech world of late, it's easy to imagine it taking six months or more to get a decent job -- you can easily spend several months interviewing to have a role disappear.

FWIW I'd have to be pretty pissed and/or have no confidence in the direction of the company & its leadership and/or have another job/work lined up already to jump ship on a few days' notice like that.
Quest and Labcorp have started doing many tests for a direct fee. You just pay upfront and get it done, no prescription/insurance needed.

It’s not all the tests I think, but many.
It's a nice sentiment, but are you helping people by granting the wishes of an unshackled combative owner? Could you take the money and help people more by working for a company with more careful leadership? Wordpress isn't the only CMS out there...
I won't argue. I'd have saved a lot of money over the years with a high deductible plan.
I think you are trolling or malicious, the third alternative is worst for you.
https://en.m.wikipedia.org/wiki/Asymmetric_warfare
Would chinaperson be better?
It's hardly an underrated topic. In fact, probably the most well-known from all the millennium prize problems.

Edit: presenting the problem with inverting functions is an unusual approach tho.
In my experience, developers are rarely any good at conceiving of the product that customers want.

This is a special skill, which requires patience with customers and users, and a keen understanding of the domain.

It is pure fantasy to expect that anyone could wave their process wand over a team and turn out a great product just because people who are good at coding try to guess at product design.

I designed a test tool that was implemented by a small team of coders. It wasn’t until half way through the project that the senior developer suddenly realized how testers would use the tool. I know this because he told me… and that’s when I discovered that he and the rest of the team had been humoring me up to that point, confused about the features I had insisted upon. I had explained the concept over and over, and they had nodded as if they understood. Imagine having to get a group like that to independently bring a product together when apparently they couldn’t or didn’t want to savor its vision?

I started my professional career as a coder in 6502 assembly, doing video games designed by my boss. I saw first hand, in game after game, that my coding skills in no way overlapped with those needed to design a good game.

I had one idea for a game (Adventure Creator for C64) and watched in wonder as he (Dale Disharoon) turned it into a playable design.
You know what, it’s about damn time! Seeing how Matt has always been about small communities it’s wild to me that this didn’t bother him sooner.

But really, this doesn’t affect anyone negatively. Live and let live I say.
>Did… you really just use the term Chinamen in 2024?

Yeah it's really not the preferred nomenclature.
I’m just expecting a Microsoft acquisition and Altman exits and moves on to his next grift.
Ever closer to not needing a human in the loop. AI builds the videos, popularity acts as the genetic signal, and we keep fuzzing humans brains
Healthcare is cheaper in every country everywhere regardless of whether they have public or private coverage. This implies that the difference isn't public vs. private, it's some other regulatory differences which are driving up costs in the US.
That's because the real root questions have been hidden under all the political games. Now we will likely never get answers to these because of how perverted the debate has become.

The issue philosophical boils down to 1) what defines a human life, and 2) when is it acceptable to kill.
What do you use to interface with llama for autocomplete? and what editor do you use?

Not wanting my data to be sent to random places is what has limited my use of tools like copilot (so I'd only use it very sparingly after thinking if sending the data would be a breach of nda or not)
The problem with American healthcare is the attempt to compromise between healthcare as a universally available public utility and healthcare as a commodity on the private market. (Arguably this is a legacy of pre-modern healthcare, where hospitals were operated by charities run by nuns and funded by aristocrats and royal families, hence all the “Saint” names in hospitals nowadays).

There’s a variety of weird examples of this mixed system:

>Poor people use ERs for every day healthcare, usually they get away with paying nothing, no insurance

>Working people with insurance pay more to enable this access for the destitute (or criminal) portion of the population

>Old people are sort of entitled to free healthcare. They get medicare, but if they want everything, they have to pay for “supplements.”

>Young people pay for the old people’s healthcare twice, on their payroll taxes and in the form of higher premiums. A 25 year old male should absolutely not have a $300/mo health premium. But he does, because his premium is paying for other’s care.

This is a system pretending to be private, but it’s actually just inefficiently public. It would be more efficient to pay for it using taxes, both income and sales taxes, rather than letting some groups—the poor and the elderly—off the hook arbitrarily.

Alternatively, abolish health insurance altogether—a notoriously inefficient and exploitative industry that does not suit the classic purpose of insurance (boat accidents and fires)—and see what happens. This is obviously a rather unpalatable option due to the chaos that would ensue, but it’s probably the best option.
>> 3. Navigating less known technologies. For example my Python knowledge is limited and I don't really use it often, so I don't want to spend time to better learn it.

Respectfully but that's a bit like saying you don't need to learn how to ride a bicycle because you can use a pair of safety wheels. It's an excuse to not learn something, to keep yourself less knowledgeable and skillful than you could really be. Why stunt yourself? Knowledge is power.

See it this way: anyone can use ChatGPT but not everyone knows Python well, so you 'll never be able to use ChatGPT to compete with someone who knows Python well. You + limited knowledge of Python + ChatGPT << someone + good knowledge of Python + ChatGPT.

Experiences like the one you relay in your comment makes me think using LLMs for coding in particular is betting on short-term gains for a disproportionately large long-term cost. You can move faster now, but there's a limit to what you can do that way and you'll never be able to escape it.
What you’re describing is enlightening, thank you for sharing. The music purchasing workflow involved collaboration with the marketing people at Apple, which explains their successes.
Direct links are done with addresses.

When you use lists to define a data structure, you can linearize the whole structure. I.e. (... (...) ... ( ... ) ... ... )

What you can't do is have some leaf of the structure refer back to a higher point in the structure. Which is what you need to represent a graph. I.e. any point can refer to any other point.

So instead, you linearize but use symbols to define a referencable point, and then to refer to it.

I.e. ( ... (....) (define a ( ... )) ... ( ... ( ... a .... ) ... a ... ) ... )

In this case, "define a" indicates that the next list isn't just accessible at that location, but wherever "a" appears later. And then we reference it in more then one place later.

This allows not only tree-like structures to be linearized, but graphs.

Everything is still lists, and lists-of-lists, but just as symbol or number elements can appear at more than on place, now lists in the structure can be referenced in more than once place.

All done with just pairs of addresses and symbols. Even numbers can be built out of pairs of addresses and symbols.

I.e. a binary number: (one one zero one zero zero one zero)

Of course, a friendly language is going to add lots of notation on top of address-pairs and symbols, for numbers, looping, functions, decimal number, etc. to make common code and data forms much easier to type and read than a jungle of parentheses.

--

This is very much the reason we have defined and referenced symbols in all code (or complete data languages). So that linear text can describe a graph. And the same process occurs, first the text is parsed into a tree (parsing), then at some point, symbols defining references are replaced with addresses of symbol definitions (linking).

The result is code can be a graph. We can have two functions that call each other, etc. Not just tree expressions.
No it doesn't.

You'd get the answer to a riddle wrong or miss something and nobody would start assuming that means you lack a fundamental understanding of how the world works. There's entire fields that look into how and why we make various mistakes and riddles and puzzles designed specifically to trip people up.

If you want to test if these models can solve riddles, or where they make mistakes go right ahead that's great. It's any assumption it has a much deeper meaning that is wrong to me.
Can’t you just buy a PC speaker (beeper) and plug it into a 4-pin header on the motherboard anymore? That used to be the case around 10 years ago.
It has to be owned by someone, that does not make it agenda driven. Who would you rather have it owned by so that it is not agenda driven?
The way I've seen the "orc" term in use ("ziggers" is a new one to me), it's always been applied to individuals carrying out acts of aggression on Ukrainian territory. Or perhaps their active helpers on the homefront (those otherwise engaged in and supporting that aggression directly). Not against Russians as a people.

Then again I wouldn't know from discussions on Reddit, as I can barely stand to look for more than a few seconds at any of the political content there.

(None of this is in reference to the paper, which of course talks about much broader issues, and doesn't refer to the "orc" term at all).
Hi there!

I've done a huge amount of political organizing in my life, for common good - influencing governments to build tens of billions of dollars worth of electric rail infrastructure.

I'm also a big prepper. It's important to understand that stigmatizing prepping is very dangerous - specifically to those who reject it.

Whether it's a gas main break, a forest fire, an earthquake, or a sci-fi story, encouraging people to become resilient to disaster is incredibly beneficial for society as a whole, and very necessary for individuals. The vast, vast majority of people who do it are benefiting their entire community by doing so. Even, as much as I'm sure I'd dislike him if I met him, Sam Altman. Him being a prepper is good for us, at least indirectly, and possibly directly.

Just look at the stories in NC right now - people who were ready to clear their own roads, people taking in others because they have months of food.

Be careful not to ascribe values to behaviors like you're doing.
LFS has been a tremendous resource over the years for me.
I'm happy it exists and that people put in the time to keep it going.

I often wonder why the existence of long "you also need to do this completely unintuitive thing first" documentation on the open internet isn't shaming more projects into reducing barriers to build their software.
> everything under the sun was actionable

Not everything (in the US at least) is actionable, but you still need someone to review each suit and determine whether or not to throw it out.
Every single word he says Public is his product.
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Only American republicans send thoughts and prayers instead of acting after tragedies. Luckily for me, I’m not American and a sufficient percentage of our best and brightest work in government.
How do you know until you've fermented something at home and risked life, limb, dead babies etc. by consuming it? I think more people die from food poisoning in restaurants each year than people do from doing something stupid while making sourdough bread, natto, tempeh, kombucha, beer, wine etc. at home.
I agree. I think I just had a very conservative mindset with respect to medical insurance which led me to a traditional plan. HSA would certainly have been a better choice in retrospect given that deductibles were never really an issue.
The "We're hiring" link shows the first position offered is a "Happiness Engineer", https://i.imgur.com/zSVeuYq.png.

> Our software and services aim to provide a seamless experience, but when things don’t go as planned, our customers rely on us for help. Happiness Engineers are the frontline heroes ensuring we deliver the best experience for our users. Their role is crucial because they interact with our customers the most and make the biggest impression in their time of need.