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howunfortunate

This is:

1. Insanely cool

2. Gives me serious "whispering earring" vibes. Imagine having a full on conversation with an AI via subvocalization and listening with ear bud to guide you throughout the day. https://gwern.net/doc/fiction/science-fiction/2012-10-03-yva...

> There are private groups that purposely do not take insurance and bill purely out of pocket with a one time fee including all follow up’s and subsequent care, related to that procedure, and it is significantly lower (like 90%+ less) than what an average hospital is charging.

I would bet a LOT of money that it is 90% lower for a "typical" patient but not 90% lower (and very likely pretty comparable) on average.

To state it more plainly: every time you pay for medical care in the US, you are subsidizing a half dozen people who consume 5x the services you do and do not pay.

That's why "fee only" medical (which always conveniently has no emergency services, you'll notice) can offer such low rates.

The website you linked above is quite literally rent-seeking for government funds to fund the residency requirements defined by the AMA.

Can you imagine if that website were for programmers?

"Waaaah we need more Staff Engineers at OpenAI but we just can't afford training them due to Congress not doling out enough for it, boo hoo".

> What is the protection racket that intentionally limits supply?

It's the AMA.

"Free to add more" is hiding a LOT of important nuts and bolts of the guild system that discourages new entrants.

Evidence?

Every serious analysis of the US healthcare system I've ever seen comes away with the takeaway "Americans consume a lot of healthcare services and the expensive part of that is the providers' salaries"

Don't confuse "regulation" with "guild systems".

Taxi drivers were not more "regulated" in any meaningful way, in fact oversight of them was significantly worse than the community-driven Uber rating system (not that that doesn't also have flaws).

Some regulation is bad, some regulation is good. There's basically nothing at all that's good about guild systems and I will celebrate each of them facing open market competition.

Re:Novellas with Groff on Sunday November 01, 2026 @11:16AM (#50326991)
You're right, but I feel compelled to point out the irony of this comment being re: GRRM, the world's most famous case of writer's block.
Re:Restrooms along the Norwegian Scenic Routes on Sunday November 01, 2026 @10:26AM (#50326536)
I guess I just expect a high baseline from...everything else. It's hard to avoid these days.
Re:Restrooms along the Norwegian Scenic Routes on Sunday November 01, 2026 @10:13AM (#50326421)
I'm new to HN. Does it always get like this before US elections?

I was really enjoying the apolitical vibes, but then that all went off a cliff about two weeks ago. Hard to tell if it's astroturfing or if it's just on people's minds.

Yes, absolutely, much more shocking.

Political riots and Trump being a scumbag are well integrated into my worldview.

My coworkers making gleeful cracks about a podcaster bleeding out in front of his toddler was new information for me. I didn't realize we were so far gone.

Re:GitHub Incident with Actions, Pages, and Webhooks on Friday October 30, 2026 @03:28PM (#50309002)
This works as long as the schedulers don't go down (which they have, repeatedly in past incidents)
It's the volume that I found disturbing. There were Twitter posts celebrating or mocking Kirk's death, using images of his murder, with nearly 1MM likes, hours after he was killed. At the time, it was being reported his wife and toddler daughter had been in the audience (thankfully later revealed to not be true).

I haven't seen anything comparable for Hortman but if I had, I agree I would find those incredibly disturbing too.

It's a very ugly thing about political polarization. It's easier to destroy than to build, and both sides seem gleeful about tearing down whatever is (rightfully or not) perceived to be aligned with the 'other'.

The reaction to Charlie Kirk's murder (not even the murder itself, but the celebration of it) made it the most shocking political event for me personally, in my lifetime. And it seems like it might be like this from now on - ripping things apart, destroying lives, and then cheering about it.

Re:DoorDash to Acquire Instacart on Thursday October 29, 2026 @12:42PM (#50291944)
So more like a 0.77opoly then
Re:DoorDash to Acquire Instacart on Thursday October 29, 2026 @12:41PM (#50291931)
> The only reason why I ever use DD is because DashPass is included in the CSR.

Strong case for B2B sales focus

Re:Hackers expose the identities of more than 40k DHS employees on Thursday October 29, 2026 @11:23AM (#50290540)
"Department of Peace" is a hilarious name for a group hoping for vigilante murders, I wonder if it's intentionally ironic.
Re:StackOverflow now gets fewer than 1000 questions a month on Thursday October 29, 2026 @12:31AM (#50284589)
It's kind of like the opposite of the Nazi bar problem.

You purge some Nazis, then run out of Nazis to purge, but you've got a good purge system going...

Are there theoretical tweets for which you believe arrests are warranted?
Re:AI promised less work. I've never worked more on Wednesday October 28, 2026 @12:58AM (#50269500)
It makes me sad that you're not willing to do even the bare minimum of research to check if what you've written is well-founded or not.
Re:AI promised less work. I've never worked more on Tuesday October 27, 2026 @06:02PM (#50266463)
If you don't have time to read the papers, you could at least hand them to your favorite LLM and ask them to summarize the strength of evidence for broader macroeconomic factors vs. unions as the primary drivers of work hours, benefits, pay, unemployment etc.
Re:AI promised less work. I've never worked more on Tuesday October 27, 2026 @12:36PM (#50261758)
This is not what economists believe about Europe either! A couple good sources:

1. https://www.cambridge.org/core/journals/journal-of-economic-...

2.https://www.sciencedirect.com/science/article/abs/pii/S00144...

Re:AI promised less work. I've never worked more on Tuesday October 27, 2026 @12:31PM (#50261686)
> How do Employees advocate for themselves if not Unions?

The same way you advocate for getting good bananas, good streaming services, or good laptops.

You only make voluntary transactions you want to make. If you don't like what a job is offering, take another job or start your own business.

If you don't like ANY of the bananas being produced by ANYONE, this probably isn't because all banana producers are moustache twirling villains. It probably has something to do with the underlying realities of banana production, supply, and demand.

Re:AI promised less work. I've never worked more on Tuesday October 27, 2026 @12:28PM (#50261630)
> I'm sorry you've had bad experiences with unions

I've actually had personally great experiences with unions! But I try to not let my anecdotal data color my views too much.

I think this is part of the reasons unions are insidious - their benefits are quite visible and concentrated to those who are in them, and their costs are spread out and invisible (until you put an empirical lens on them at scale).

Re:PHP2Shell: Exploitation Attempts and Remediation Trends on Tuesday October 27, 2026 @10:53AM (#50260310)
To be fair, he hasn't had time to do the write up yet. When he does I fully expect it to hit the front page.
Re:AI promised less work. I've never worked more on Tuesday October 27, 2026 @10:45AM (#50260183)
This is great news to me, as this implies I'm part of the ruling class!
Re:AI promised less work. I've never worked more on Tuesday October 27, 2026 @10:43AM (#50260161)
This is a historical misconception.

The "cushiness" of jobs such as fewer work hours, more benefits, etc. preceded the formation of unions and then slowed down (overall) once unions became popular.

It has little to do with union pressure and a LOT to do with economics, in particular the demand for labor. Jobs get nice when employers are competing over the same pool of employees.

Unions are nice for those in them and bad for everyone else. They are (quite literally) cartels, in an economic sense.

Re:The Exponential Time Hypothesis Is False [pdf] on Monday October 26, 2026 @11:26PM (#50254400)
This is not necessarily true, you could have contracts rather than money down
> grow humans and human parts

uhhhh

VR birdwatching it is then

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