skysight-inc/HackerNews huggingface dataset:
Because capitalism. More concretely, because of for-profit healthcare. Even more specifically, individual health insurance is a terrible idea, as is tying insurance to employment.

Brief list of problems:

1. It's too expensive to become a doctor. Unless you come from a relatively affluent background, a freshly-minted doctor will graduate with $300k+ in student loan debt. After 3-10 years of working minimum wage (ie residency) that debt will be $500k+. Salaries need to be high to cover that. Everyone pays for that input cost, a lesson we're also failing to learn from increased housing costs too.

If anyone complains about physician salaries and points to other countries, particularly in the EU, ask them about the debt required to become a doctor in the US vs whatever country they bring up;

2. For-profit healthcare incentivizes taking money and then not paying for medical care to increase profits. The industry calls any payout they have to make a "medical loss";

3. The ban on importing medicines and Medicare negotiating drug prices needs to go. All it does is make drugs WAY more expensive in the US than any developed nation, often by orders of magnitude;

4. Even so-called not-for-profit foundations that own hosptials and medical providers are little better because, for example, the executives can be incentivized to icnrease assets under administration, just like a mutual fund. And any such money put into assets isn't being spent on healthcare. This needs to stop.

5. More artifical barriers. As just one example, physicians are legally forbidden from owning hospitals. This provision was snuck into the ACA;

6. Standardize electronic health records. EPYC is a scam and more rent-seeking;

7. Federal research dollars should come with equity in any drugs commercialized from that research. Drug companies don't do research, much as they claim to. They spend their money on marketing, lobbying and patent extension;

8. Patent reform. Drug companies make pointless changes to molecules and stop making the version that goes out-of-patent. No one else can produce it because parts of the manufacturing process are hidden (eg trade secrets) and, even if you can, you can't verify what you've produced is compliant with the approved version;

9. The state should produce generics. Insulin, epi pens, that sort of thing. Price gouging on these should be a crime. Some states are or will be producing insulin.
Because US laws allow them to extract money between the payment sources and the payment sinks.

Nearly pure parasitization.
It's because submitting a form interferes with all the other stuff running on the same page. E.g. after submission animations stop or disappear or skip a frame, annoying designers, etc. etc.
Doctors and nurses are paid too much in this country. Pharmaceuticals charge too much. Diagnostics are gold-plated.

There's no downward pressure on these prices except what the insurance companies can negotiate, and people don't like the insurance companies doing that when their health is on the line.

ie, It's a total market failure, and single payer would fix things, at the expense of all the profits of the 3 largest factors.
"Health care should be strictly preventative and diagnostic" runs into the problem that not everyone agrees what that means. For a while most Europeans thought that leeching yourself was preventative medicine, or Japanese people thought removing the outer layer of your skin by rubbing it hard with towels was, etc. Nowadays some people have forgotten that vaccines work and don't want to pay for other people to get them.

Health care in the US is definitely stupid and bad and can easily be made better than it is, but all the easy sounding obvious right answers that would fix everything about some aspect of life usually don't pan out in practice.
This is only going to get worse and not better irrespective of what is shown or talked about. A 5 trillion a year industry is a golden goose of the highest order, the ecosystem will protect itself.

The cynic in me thinks “they” will make it illegal or lucrative to not talk about the problems. May be they will spin up yarn like they do for school shootings and made half the country be fully ok with school shootings.
My native dialect is Italian-American South Philly, and "youse" occurs there too, although it may have literally died out by now.
I've recently been through as many of my active accounts as I could find and revamped the passwords after having used a variation of the same one in most places since 2012.

Before that, the oldest one I still remember is from 2006, so that's going on 18 years.
So the programmer mentioned in the first sentence didn't know about 'preserve log' checkbox?
Reminds me of Mr. Goxx
https://www.bbc.com/news/technology-59432659
I like seeing how far I can stack contractions, a purpose for which y'all is well suited. Eg "You all would not have" becomes y'all'dn't've.
Wuppertal's suspended monorail proved its doubters wrong [video]
But there is substantial guidance. RLHF, constitutional AI, etc. Every lab is trying to steer their models to behave in pro-social ways, and nobody has found a way to make this guidance stick reliably.
So, it should be free to get a cancer diagnosis so at least you know what's killing you even though you can't afford to do anything about it. Sounds great.
Free GitHub Copilot for VS Code
WSJ ? Why bother even reading it.

The reason is simple, for profit healthcare, simple as that.

In my area I am old enough to remember when all hospitals where I live where run by various charities. My small city of 100,000 people we had 3 hospitals. 2 run by Roman Catholics and a third was non-profit. Back then things were kind of cheap when compared to what people's salaries were.

Now there is only 1, owned by Tufts. The non-profits were pretty much eliminated in the late 80s or early 90s, and no one can pay their hospital bill without insurance. Even with insurance it is very hard to pay up.

So there is your answer :)
See if Ctrl-[ works.

I tend to hit that instead of Esc everywhere I'm using a vi-like after having a weird keyboard issue that nerfed my Esc key for a while (long and uninteresting story) and then finding that Ctrl-[ was more comfortable for me anyway.

(of course that may not work at all in the lambda editor, I'm mostly using it in terminals with heirloom-ex-vi, but seems easy enough to TIAS some time)
GenAI Explorer's Guide
~40 years.

No, it’s not a word in any language.

Yes it’s been in several leaks and is in most password lists.
Gift link: https://www.wsj.com/health/healthcare/american-healthcare-sp...
I.e. Relatively inelastic demand for acute medical care.
I use a high deductible plan and pay out of pocket for a direct primary care provider. I realize this option isn't widely available or even sustainable for the economy as a whole, but it's a great option if you can get in. My doctor is easily available (because his client roster is small) and my common visits are all rolled into a flat rate subscription. I pay $85/mo for this.

The reason it costs less is because there are no administrative staff at all aside from the receptionist. interfacing with insurers requires an entire back office of non revenue employees that DCPs do not need to bother with.

You can also save a lot of money in HDHP by ordering your own tests from a reseller like ownyourlabs instead of having the hospital doing it, especially if you like doing annual preventative tests that may not be medically necessary. I bring the results to my dpc doctor for review and it's all very convenient.
This is how capitalism works. When demand exceeds supply, the price will go up.
Healthcare is a different product than, say, apples. You only want a certain number of apples per day. But when it's about getting healthy, the limit to what you'd be willing to spend is what's on your bank account. Give such an incentive to some health companies and they'll find a way to get the maximum out of you.
Healthcare in the US is expensive simply because US citizens, on average, have a lot of money to spend.

Capitalism is great, as long as there is some amount of regulation. And healthcare is an area where this is definitely needed.
Vous is also the polite singular second person pronoun in French so they are part way to losing the singular.

I did not know the abbreviation "AAVE" but its always struck me as odd how much a shared language has split along racial lines. I wonder whether there are similar things elsewhere. Obviously where people speak English as a second language and speak different first language they might speak it a bit differently, as might (recent) immigrant communities, but those are both very different.
Duplicate of https://news.ycombinator.com/item?id=42457213
No expert on this, but in my estimation the nature of the law and process makes it hard to sue unless you're a one-to-one match with the job posting or invented part of the tech stack being used. Companies across various industries pass up on qualified people every day.
"Responsible" or "irresponsible" is not a valid criticism of a scientific paper. Those words have no part to play in the search for facts.

The biggest way that I think the reputation of the science community is being harmed is that it's not holding true to it's own tenets. The only way to discredit a paper is to falsify it's claims. Not to call it "irresponsible" or "immoral", label it "disinformation" or "pants-on--fire".

Bad science gets proved wrong, but nobody is interested in reproducing results. As a result our journals are full of accepted papers documenting unreproducible crap. They have been for a long time. When COVID hit and we needed science to be clean and authoritive, it was already in disarray. Unable to tell us what actually worked, we just got a bunch of folklore from all sides some of which got "blessed" by the high priests and some which was "sacrilegious", but very little of it was backed up with any data beyond modelling (which is just predictions).

Nobody should be claiming the high ground w.r.t. COVID IMHO. The science community failed us by acting in response to politics and not science.
The article explains U.S. healthcare costs are rising due to labor shortages, higher wages, growing demand, expensive treatments, and hospital consolidation—not actions by insurance companies. Spending grew 7.5% in 2023 to nearly $5 trillion, driven by increased use of services and rising drug and hospital costs.
Interesting - seems like you might just be able to throw an multi-ILP solver at it?

(maximize individual ingredient weights given ordering on package must be in weight order, must add up to total end weight, and must be in the following rough proportions in order to be anything like the end product)

Curious what you did.
That’s why you purchase insurance, no?
1 in 8! That's crazy. That's way more than enough people to see a reduction in the rate.

I have "good" insurance that is self-funded by my employer, so no actual financial interest for the insurance company to deny claims, and it's still a battle each and every month to get it covered, while I have no problems with advanced imaging for a chronic health issue.
> Also, no point in calling it “tracing garbage collection”.

You're against more explicit naming just for the sake of it? In the literature reference counting is also referred to as a type of garbage collection, and doesn't involve tracing. If you talking about a specific context you can probably drop the "tracing", but in a general article like this it would just be very confusing?

This way, someone can google "tracing garbage collection", and will find the relevant wikipedia article: https://en.wikipedia.org/wiki/Tracing_garbage_collection
Yes, but remember: static HTML is a one-way street. Better tell your manager otherwise they will one day come up with functionality that can't be done in your website and it's your fault.

EDIT: For example: manager/designer wants to add an assistant to the website; it should be draggable; it should also animate and keep animating smoothly no matter where the user navigates on the website. If your website is a SPA, this is conceptually easy. If your website is static this is going to be a nightmare and suddenly a simple change requires lots of work.
>I didn’t say anything about pot. I said drug. That’s any illicit drug or controlled substance including prescription misuse.

Pot is still illegal at the federal level where a clearance would be taking place.
Besides the correct sibling comment that you are mixing metaphors (paperclip maximizer doesn't require nanotechnology or vice versa), gray goo is and always was an implausible boogieman. Mechanosynthesis processes operate under ultra high vacuum and cryogenic temperatures in industrial clean-room conditions, and bio-like “self-replication” is both inefficient and unnecessary to achieve the horizontal scale out that industrial part closure gets you. Such replicating nanobots, if they could even be made, would gum up really easily in dirty environments, and have a hard time competing against bacteria in any case (which are already your mythical gray goo).
Most of the time, when I order something on Amazon, it's because something broke and I need to fix it, or something is running out, or there's some other time-sensitive need.

I rarely buy big-ticket items, and these can definitely wait.
This is a great question. In a class literally called “Economics 101” I took 20 years ago, we proved that the most efficient number of insurance providers is 1, implying that the government should provide this insurance.
I think the comment you are responding to means the GP comment, not the story.
IE the retailer trying to estimate their supplier's COGS, not Amazon forcing people to just give it to them.
Mind blown.

That quote was originally talking about him undercutting competitors on price because they were greedy about margins, and building a huge and loyal business on it, back when Amazon was much smaller. but in light of this new policy and its ability to gather data in an asymmetrical way That leaves Amazon significantly more powerful, it really sounds bad.
As the old man screaming at the cloud, about the insane complexity of modern JavaScript frameworks, who hasn't done much with them and kind hates the experience of dealing with them at all, I hope you are right.

Can I still use my basic HTML knowledge and be productive? I've instead just given up doing any frontend work because I don't want to spend my time in React. Give me something simple, concrete, and understandable like an advanced algorithms textbook, and I'll go to town. Reading user guides or documentation of Typescript/Javascript frameworks feels impossibly hard in comparison.
It's an important hair to split when people are trying to use this as an example of a whole bunch of people just spontaneously believing something false. It's not that. It's actually a case of people spontaneously realizing something true, and if we're going to apply that to the drone story blindly, that changes it quite significantly. That's why the hair split. "Mass" does not imply "delusion"; that's a thought-terminating cliche.
Self-contained Python scripts written by AI in the terminal
Try repeating this to a developer out of work right now.
Not very obvious how this is even helpful. You're getting an approximation at best, meanwhile most suppliers will have a net margin of something like 5% to begin with. If you're trying to figure out if it's currently 2% and you can't squeeze them anymore or they'll balk, or it's currently 7% and you can get some more, that kind of approximation doesn't tell you.

Also, how's it better than the strategy of just putting it out for bids? If their margin is 7% at a bid that causes them to lose the contract then they'll lower it rather than lose to the other guy, and so will the other guy.
At some point this is Mozilla’s own fault for not finding an alternative revenue scheme after all these decades. Addicted to an easy money spigot.
It doesn’t have to be private, but a public option wouldn’t be properly incentivized for the same reason there’s not public car insurance even though 49 states make it mandatory to have.
Using concurrent GC has various advantages but in no way makes it deterministic.
The level to which "kids these days" don't have to consider memory usage, cache locality, and clock cycles, is frustrating. But it is cool to realize how good our technology is now that most things aren't unbearably unusable, despite being designed horribly.
On the one hand that is a gross exaggeration. On the other hand, I literally had a roommate in college ask me how to boil water to make spaghetti.
I’m guessing not which seems about right for someone that also doesn’t know about non-SPA web sites. Sad.
The Mojolicious framework can do a lot of heavy lifting for you. It's not that hard to do interesting things while writing minimal code: https://www.mojolicious.org/
A lot!

Firstly, it’s an actual cine camera so has a lot of cine features for reviewing, output, formats that are recorded etc.

Next is the lenses, this has a wider inter pupillary distance so will feel more dimensional and natural. It also has wider coverage.

Then there’s the sensors and readout: this can capture 8K per eye, for 90fps. This is required for the Apple immersive format because it partially surrounds you and so you need 8k per eye to make sure you have good resolution coverage for the portion of the video shown on the 4k per eye display.

There’s no other commercial product that compares to this.
Uhm, wear-on clothes?
Because of private ownership of capital in an inelastic market.
If the by-far dominant ethos of the upper and ruling classes is "greed is good, more is better" capitalism, then no actual collusion is needed for millions of self-serving individuals to send healthcare costs spiraling ever-upward through their own "from each as much as his ability to pay, to each according to his greed" actions.
CEO impunity
You can't add interactivity to a static HTML site? Or shift the static pages into modern frameworks?
To add to this, local production means that money can be moving through local financial institutions, with larger balances, which provides more liquidity to the community.

Those financial institutions hire local people. Other local businesses use the same financial institutions.

It's not about "simple economics". This isn't a supply and demand curve. It's about what a higher cash flow/economic output can mean for the subjective quality of life in a community:

- More jobs
- Higher wages
- Improved public services (schools, roads, healthcare)
- Increased property values

Tons of people in these comments talking about the shitty rural experience while seeming to miss the irony in "big cities are so much better" -- big cities started as small cities.
Yes, minimum wage jobs for the locals, most of the profit goes to Bezos.

When you shop at locally-owned stores the money goes to a local small business owner, truly staying local.

Look up how walmart used to destroy small town economies by bankrupting all the local businesses and converting all those previously middle-class shop owners into minimum wage jobs at walmart.
As a fellow 37 year old, I had a realization yesterday after a prolonged debate about HTMX vs React. For context: I’m a long time React fan, think htmx is neat, and remember all the reasons why HTML-over-Ajax didn’t catch on in the 2007 web development era. Been a primarily web guy since 2003 or so.

The problem with React (and friends) isn’t React (and friends), it’s react developers. People who aren’t web developers first and react users second.

I have interviewed (and worked with) so many frontend engineers with years of experience whose minds were completely blown by the idea of using a form submit event to handle form submission. Or my biggest pet peeve – button + onclick to change location.href instead of just making a link. Argh.

So yeah I think we’re lucky to have grown up with this stuff and seen it evolve over time. Many folks these days come to the field backwards and miss a lot of the good stuff that’s available to them.
Ugh, I was checking `randrange` (as the bug mentions), not `random`. I stand corrected.
> Santa is contractually forbidden from altering the socioeconomic status of any individual.

When my kids where young, all 'big' gifts came from mom and dad, and small ones from Santa. I didn't want my kids to talk about how Santa got them an occulus or iPad, when the kid in the next chair in class, in a worse economic condition, got a much smaller gift, and start feeling left out...
Health insurance is cost pooling. The hedge is that the young people in the pool have better health.
Those yachts ain't paying for themselves.
I haven’t researched that but I have read there is significant comorbidity with a low tolerance for “kids these days.”
Maybe they should think of starting to spend "Mozilla Foundation" money on browser development, like most donors expect them to, instead of other random things no one cares about.
If you can afford it. If you can't, you are left with your cancer diagnosis and nothing you can do about it but wait around to die.
Because it objectively is. Do you use AI tools? The output is clearly and immediately useful in a variety of ways. I almost don't even know how to respond to this comment. It's like saying “computers can be wrong. why would you ever trust the output of a computer?”
You are mistaken in your last point. The Quest doesn’t play the Apple Immersive video formats, only their MV-HEVC stereo format.

Nobody has been able to extract Apples immersive videos yet and I’m not convinced the Quest has the decoding power for it.

It’s a lot of pixels to decode (16k at 90fps) , while also doing reprojection of the frames (https://hackaday.com/2024/04/18/unraveling-the-secrets-of-ap...) and I don’t believe their Qualcomm chip used has enough juice leftover to do that.
Texas Monthly defending "y'all" is an absolute peak Texas Monthly moment.
No it's more like failing to understand how to implement a basic memory allocator which is a very relevant task for a systems engineer.
That makes no sense. It depends on your risk profile. Believe it or not there are many who are healthy, even going into old age.

The fact this baffles many just shows how unhealthy America is.
> It's too expensive to become a doctor.

This can be solved easily by not requiring a bachelor's degree before getting into medical school. It is wasteful, especially when the bachelor's degree can be in any field such as music or computer science.
I imagine this being the case every time I am forced to walk through the retail area in an airport to get to my gate. They should expect some travellers to be in a hurry and they deliberately put things in their way. I understand their reasons but it should definitely be at their sole risk for any accidental damage.
That's "you folks" which I suppose would be "y'olks". I'll stick with "y'all", thanks.
Theres even more than just UAFs that you have to worry about in a single threaded context, but yes you are correct.

Here's a good post that talks about why shared mutability even in single threaded contexts is dangerous: https://manishearth.github.io/blog/2015/05/17/the-problem-wi...
Right there with you.

Also now seeing my comment is shadowbanned.

HN has really been pretty strong in silencing “counterpoints” as of late. No idea why the moderation team would read a comment like mine and feel compelled to hide it, for simply saying there’s a lot of hate speech regarding this topic. There’s still tons of comments on this thread that are very accusatory of foreigners abusing a fully legal system and logical path towards becoming an american citizen.
That would always be true, sadly. For example, the same could be said about water.

In any case the extremely poor already have free insurance in the form of Medicaid so not relevant.
All the hospitals where I live (except for 1) are owned by non-profits. Actually, they're all owned by one charity, the Catholic Church. Who are also buying up all the local doctors offices. And yet prices are going up, the number of services being provided is going down, with the added benefit of them forcing their religious beliefs on us.